Young doctors aren't thrilled about health reform, and say it's causing them to be pessimistic about the future of the U.S. health care system, a new survey finds.

Nearly half of the 500 doctors surveyed (age 40 and under) think the Patient Protection and Affordable Care Act will have a negative effect on their practices, compared with 23 percent who think it will be positive.

Overall, 57 percent say they are pessimistic about the U.S. health care system.

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Other reasons cited for physician pessimism include concern over increased regulatory burdens and medical liability insurance premiums.

The survey was commissioned by The Physicians Foundation, a nonprofit organization that promotes the work of practicing doctors through grants, research and policy studies.

"Our nation needs the best and brightest going into medicine. Therefore it is critical that we pay close attention to the sentiments of America's next generation of physicians," says Lou Goodman, president of the Physicians Foundation and CEO of the Texas Medical Association. "The level of pessimism among young doctors today is troubling and reinforces the notion that physicians need to be key participants in health policy discussions."

The survey was conducted online in December 2011 by Medical Marketing Research.

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