Most everyone is well versed about what's happening in Washington and probably in his or her own state capital regarding healthcare refonn, but what's happening at the grassroots level-with docs in the trenches? Just how has all the tunnoil affected you, your practice, your patients, and your future plans? The answers are surely as varied as the number of physicians reading these words. We interviewed four physicians from different areas and practice settings to get their answers and impressions. Participants were Barton J. Romanek, MD, of Lockhart, Texas; Timothy S. Komoto, MD, of Minneapolis; Dominic B. Brune, MD, of Zanesville, Ohio; and Philip P. Bonanni, MD, of Rochester, New York.