An ObamaCare architect was on “The O’Reilly Factor” tonight to discuss whether or not doctors will participate in the health care exchange.

Last November, medical firm Jackson & Coker surveyed more than 3,000 physicians about the Affordable Care Act, and 61 percent said that their view of it had changed for the worse.

About 44 percent of American doctors also said they will not participate in the ObamaCare exchange.

ObamaCare architect Ezekiel Emanuel said that doctors won’t opt out of the exchange.

“It’s not doctors who participate in the exchange, it’s insurance companies who participate in the exchange,” Emanuel explained.

O’Reilly said he thinks doctors will set up boutique practices where they charge an annual fee to patients and do not accept insurance. He said he believes ObamaCare is moving toward the direction of walk-in clinics, which are staffed by physician assistants and nurse practitioners.

Emanuel said walk-in clinics are just one part of the health care system. “If your kid has a sore throat and you wanna find out if it’s strep throat, or your kid has what appears to be an ear infection and you wanna find out if it’s otitis media, you really don’t need to go to the pediatrician … you can go to these clinics,” he said, explaining that electronic medical records have made it more seamless for patients to go to a clinic and have their records sent to their doctors and health systems.

“They’re not doctors,” O’Reilly said.

“Well you don’t need a doctor for every part of your health care,” Emanuel answered.

“But if I want a strep throat diagnosis, I don’t want Lenny, who just came out of the community college,” O’Reilly said.

“Excuse me, but those are nurse practitioners, it’s not Lenny out of a community college, and it is just putting a swab back there and getting a strep throat assessment,” Emanuel fired back.

The two also got into a heated debate about the safety of electronic medical records. Watch their discussion above.

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