One year from now, tens of thousands of uninsured Kern County residents will celebrate the bounty of health reform – they will finally have a chance at health insurance. That’s when Medi-Cal, a publicly funded health program for low-income and disabled residents, will expand statewide, bringing the promise of coverage to perhaps 1 million more Californians. But many local doctors and health care leaders fear that the promise may be hollow. In Kern, they say, it’s already difficult for poor residents to find a doctor when they need one, and that doctors and clinics already are overwhelmed. It’s a situation that could worsen, they fear, with the addition of thousands of new patients.