But it is hard. It is hard from a political point of view because people, you know, they don't want to prepare for contingencies that may never occur.

Unfortunately, at first the program had limited success.

We better pass our bill with the Graduate Medical, the GMEs, otherwise there won't be any physicians to hire.

most notably Representative Eshoo--have some concerns that the current programs do not adequately address the needs of the pediatric population and would like to see some enhancements that would assist in the Nation's ability to care for…

I am very strongly opposed to the Independent Payment Advisory Board, or IPAB, created under the Affordable Care Act.

I do think that certainly when I hear from the doctors, you know, they see the SGR and, again, the cliff we faced in January as the biggest threat to Medicare, more so than IPAB.

the Republican budget proposes to cut Medicare by $32 billion.

the Republican budget ends the Medicare program.

I think it is a usurpation of, you know, congressional authority and, you know, I have never been in favor.

I think we have been very effective. I don't see any need to change MedPAC.

But a lot of my concern is that it is very much like the BRAC, which I think is a disaster.

Unfortunately, the debate of IPAB reminds me of the Base Realignment and Closure or BRAC process.