So if we do this, do we force doctors to accept Medicare? Or do we expect those doctors to simply drop from the pool? Also, how many of these offices can survive on 100% medicare payout rate? Its intellectually dishonest to not recognize that medicare payout rates are significantly less than private insurance rates and to assume that existing practitioners will accept (or even be able to accept) total reduced payouts without some number exiting the industry isn't realistic. What will that reduction due to the quality of service as well as the quantity of service available?