January 1, 2013, the Medicare payments to doctors are going to be reduced by 30% because that is when the Bush tax cuts expire. (It's known as the doctor fix.) Now think about this: I am looking at a Medicare Explanation of Benefits (EOB) for my mother when she saw her primary care doctor. Medicare paid $19.49 for that regular established office visit. The 30% cut to Medicare doctors takes effect Jan. 1st. That amount will be reduced by 30%. Think about this, Folks. How many doctors are going to keep on taking Medicare patients at a 30% cut of the small amount they presently get from Medicare? And that does not include the cuts that will take place with obamacare. Expect doctor shortages for all of us with obamacare. PS: I encouraged my mother to get her cataract surgeries and lens implants before obamacare kicks in January 2013. She had put it off but now that is taken care of. Friendly tip: If you need any kind of surgery, get it scheduled before January 1st.