The Mayo Clinic says:
Without major changes, “we fear that very few providers will enroll … and that (Medicare) and the provider community will miss the best opportunity to inject value and accountability into the delivery system.”
By "accountability," I think they mean cheap. One of the reasons I agreed to post my thoughts at Maggie's Farm was because of our editor's "Ain't gonna work on Maggie's Farm no more" ethos. The Medicare and insurance company's regs drove me nuts, so I quit them all. See me, pay me. If you're rich, I'll charge you a lot. If you're poor, a little. Rightly or wrongly, I do it my way.
There are two simple things that can be done to reduce medical costs in the US: 1. Tort reform, so that everybody with a tension headache doesn't get a $700 cya CAT scan and OBs don't have to spend $200,000/yr for malpractice insurance, and 2. A wide market for interstate major medical insurance.