The doctor is not required to enter every sentence you say. That's because there would be no way to prove what you said between you and your doctor. Nobody is spying on you - just like nobody was spying on you before.
It's a scare tactic used by those that are against Affordable Care. Sadly that sometimes includes doctors.
One of the good things is that millions of people that could not afford care will now be able to have real medical care. I see over and over people saying they can't afford medical care on these forums. Now there is an opportunity for those people to receive the help they need.