Well I am not in Florida yet, I am in Indiana ,and no one can quite figure out all of the ramifications of what will be. I am a Registered Nurse and work for a group of 20+ Cardiologists. This all feels like The Perfect Storm to me.

Medicare does not cover the costs that are accrued to a doctors office;so each office rely's on those patients not on Medicare and their insurance coverage to make up the difference. I wonder how Florida does that with such a large Medicare population. I also worked in an OB/GYN office for 10 years and understand this to be true across the board in doctor's practices.

I know many will think-now it will be easy to have the doctor cut his fees but he did go to school all of those years, give up his family life, work weekends and nights, pay for law suits and malpractice insurance and work holidays just to cut his fees...believe me it won't be the doctor that reduces his fee. I'm not sure it should be either. We want to continue to reward those with such devotion and sacrifice to their profession so they will want to continue to practice great medicine. However me and 25 other RN's have already been downsized from a large OB/GYN office. We were too expensive. They did away with my department in Test Results. It will be services and personnel that will be cut.

I'm not saying that we should have kept things the same or that we should have changed them I am just reporting what I know to be true so others can decide what they think.

In my case, I am going to expect the worse but hope for the best. We have been a very blessed people and this is a great nation.

IMHO