Medicare debate entering second stage

My compliments to Bob Fine and his co-authors on their comprehensive article regarding Medicare payment. With this information in hand, the next stage of the debate regarding Medicare and our position must begin. We now know how we are being disadvantaged. We also can infer that Congress, consciously or subconsciously, is precipitating a crisis in Medicare to which it can therefore react. I think our Association can assist them in their endeavor.

These are my thoughts. There is a floor of reimbursement, beneath which we may already have fallen and below which it makes no sense in our current circumstances to continue to provide highly skilled and high liability services. I believe the AAOS should begin a rapid response survey of its membership, either through e-mail or faxes, posing the following questions:

The AAOS should then tally the results of the survey and begin discussions at the Board of Directors and at the Board of Councilors regarding what action might be appropriate. History has proven that only large-scale demonstrations of our will are likely to get the attention of Congress when it comes to Medicare funding. Anyone who thinks any alternative might be effective has not been paying attention.

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