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Robert Holland, BOD Morgan Reece, CEO Legislative Trends Morgan— Let’s make sure that we pay adequate attention to the health policy/legislative environment as we go forward with our planning process for new services. I am afraid that the legislative mind set on both the state and national levels is to reduce payments to hospitals. I know that Dr. Joint has a similar concern regarding physician reimbursement. How can we make sure that our legislator’s understand the real world of healthcare delivery? Hospital margins are already thin and are declining. What about working more closely with the Hospital Political Action Committee to frame feedback to legislators? Robert Dr. David Joint, BOD Morgan Reece, CEO Legislative Trends Morgan— What are we going to do to make sure that Congress does not reduce payments to physicians (hospitals too)? Everyone is talking about opening the doors to millions of people (good thing), but to do it they will keep reimbursement flat or cut it. If payment to physicians does not keep pace with increases in cost, many groups won’t be able to recruit new docs and will turn patients away. In the end, many will be discouraged from going to medical school in the first place, and the physician shortage will worsen. Help! David

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