"HHS itself has contributed to growth in physician services with new, worthwhile initiatives: government-sponsored medical research, Medicare quality improvement initiatives, new disease-screening benefits, CMS coverage expansions, and efforts to reduce health care disparity. These policies increase demand for medical care, but they have been good for our nation’s seniors. . . .Improvements in the health and life expectancy of our nation’s seniors have a cost attached, and the physicians of America should certainly not be penalized for these important achievements. Unless we change the physician payment formula, Medicare payments to physicians will continue to plummet, making it more difficult for our nation’s seniors to get the health care they need and deserve."