I think it's going to affect us all. I also expect to see the 21% reduction go into affect. How do we expect our physician's to run a sucessful business when their reimbursement is going to be reduced? In order for business owners to afford to health insurance for their staff, positions are going to get cut. Those who remain employed are going to have to pick up the slack for the same pay. Medicare is broke, Medicaid 's current reimbursement is poor and with the more people joining the networks you can bet reimbursement is going to go down even more. How else is it going to be paid for? Oh yeah....our taxes are going to increase. Obviously I'm not in favor of the the bill.