 [ Symptoms ] can smoking reduce a womans chance of conceving  my wife smokes and i do not but i have also been around second hand smoke pretty much all my life i was wondering with her smoking will that reduce her chances of getting pregnant and with me being around second hand smoke all my life does that hurt our chances also [ Disease ] your doctors are not correct the government has absolutely no role in selecting which practices participate in the health plans being sold through the marketplaces rather it is private insurance companies and doctors together that decide whether they will engage in a business contract that is always been the case and the aca does nothing to change that however the law does place new requirements on insurers    chief among them that they can no longer deny people who are sick access to a health plan in response many carriers are reducing the size of the provider networks they offer as a way to manage their financial risk since they can no longer do so by refusing to cover sick people among other changes the idea is to offer smaller networks that they say are more efficient and cost effective to deliver care many patients however are simply finding they have fewer doctors from which to choose you have two options 1 review the list of doctors available in the plan you have and begin to receive your care from physicians who do participate 2 before the end of this month if you are not happy with your plan you may be able to switch to one that does include your doctors    if that is your doctors participate with any of them