That’s a quote from Jim Skogsbergh, the president and CEO at Advocate Health Care, a 13-hospital system that’s the largest provider of health care services in Illinois. Skogsbergh voiced those fears during a panel discussion at the Association of Health Care Journalists conference in Chicago, which ran through April 25.

What’s frightening to Skogsbergh and his peers is the uncertainty surrounding so much of the legislation, and the one certainty: providers are going to be paid less, whichever way you slice it. Health care reform will expand the number of insured by an estimated 32 million citizens, half of which will be covered by Medicaid through the massive expansion of the program.

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