My FIL was a physician for 60 years. He was forced into retirement last year. Most of his patients were in Medicare needless to say. His reimbursements kept going down for the last few years. When they did get paid, it was always late or they had to fight to get payed what they were owed. Since he was a cardiologist for many years, he would read ekg's in the evenings for various doctors. Then Medicare told those doctors that they wouldn't pay for the ekg to be read by my FIL since he wasn't "board certified". That came to a very abrupt end and it started to cost home money to be a doctor. He quit last february '10. Guess what, all of the medical service he provided for his patients was affected. It completely stopped. His decline really started with the beginnings of Obamacare being put on the table.