CNN is reporting that with Medicare reforms Doctors are going broke. As a counter point, accountable care organizations start this month, Doctors may seek shelter in these practices. ACO may offer more compensation to those providers if they can keep patients from needing expensive care. This is part of great effort to rewrite our social contract of care. If all the doctors roll into ACOs and this approach fails then we will start to head in a single provider system. We will need to keep an eye on this.