dr. britton is a physician at the metro immediate care practice in washington, d.c.ar under obama care, 9 million low income americans are expected to get coverage for the first time under medicaid. that number is higher than the 7 million expected to buy private insurance. dr. britton will have many new patients that cannot afford a doing tore right now. >> what should we know. >> we do notice some of these patients have more complex issues, so complex chronic problems, diabetes, hypertension. >> to prepare for that dr. britton's practice will soon double the medical staff, including several new physician assistants or pas. the pas will be critical as the number of new patients rises faster than the number of new doctors. christopher tim is the president. >> because there's such a shortage of physicians and this many people are becoming part of the insured population that the pa is going to be their primary mode of contact. >> reporter: but the prospect of seeing more patients and sixer patients is what appeals to dr. britton. >> they may be more difficult to manage