I would point out to them that under PPACA, they will lose their ability to practice medicine as they envisioned. The government will be making so many decisions about how doctors will be paid, what they will be paid, and what type of practice they can establish and operate. The setting of global budgets by government, the establishment of Accountable Care Organizations for the treatment ofpatients, the IPAB Independent Payment Advisory Board which is a panel of 15 people appointed by the government that will oversee what doctors and hospitals are paid for treating Medicare patients, are all issues that are going to impede the practice of medicine. Also, it is unlikely that unless PPACA is repealed and replaced that the best and brightest young minds will pursue the study and practice of medicine.
Read more of this interview at Lucidicus.org: Sally Pipes on doctors, students, and activism.