A great article appeared in the Washington Post by N.C. Aizenman recently regarding doctors who are dropping Medicare patients from their practice. We are reaching a tipping point in healthcare. Doctors are struggling to determine what their business model will look like month-to-month. As congress continues to delay a decision on Medicare rates, it is almost impossible for physicians to run a business. Those plans who have stated that they will just pay a percentage of Medicare will be challenged. Any mention of payments being made on a percentage of Medicare will be severely challenged.