Byproduct of Obamacare

Reading this WSJ article, Big Insurance, Big Medicine, one gets a sense of how complicated the healthcare industry is and how it is being impacted, adversely, by Obamacare.  All sorts of consolidations are now going on as providers and insurers position themselves for the future under this nightmarish bureaucratic tsunami that is now descending on them.    This article clarifies some of the issues but doesn't really touch on one of the major ones to most people, what happens to the quality of healthcare once the docs are all salaried government types.  It seems the experiments in Canada and GB indicate that under government auspices the docs no longer have the same incentives to innovate and improve healthcare delivery from the consumer's perspective.  While reforms are necessary all over the place in the industry, one wants to take care not to throw out the baby with the bathwater.