HC Reform Update by Mark Sanna: Athenahealth, a provider of Internet-based business services for medical offices, released the results of a national survey of 1,000 physicians. Nearly 2/3 of doctors felt that the current health care environment was detrimental to the delivery of care, and more than half believed that the care quality would decline over the next 5 years. Less than 1/5 of doctors felt they could make clinical decisions based on what was best for the patient rather than on what payers were willing to cover. And an overwhelming majority believed that getting reimbursed was becoming increasingly complex and burdensome.