SK- Fair comments. I think we are all hoping for a positive outcome, but we probably differ in what that means for each of us. I did argue quite vocally against the bill but to no avail to many members of Congress. Many of the ones I wrote to (and not just e-mail) lost their seats in 2012. Some decided not to run. The good that may have come from the bill is the realization (by Congress) that the current system is not working for many. Why is San Diego reimbursed at a rural rate? With the cost of most college education outpacing even insurance rates, I hope we can continue to attract the best and the brightest to this field. Thanks.