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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