I'd like Andrew Sullivan to square his stance that simply allowing the SGR-determined cuts on Medicare reimbursement to physicians to stand (due to be about 29% in 2012) with the below graphs. He seems to think that all we have to do is chop physician reimbursement and a big chunk of the spiralling health care deficit can be bridged. Well, you can't squeeze a gin martini from a cold stone, buddy. We surgeons get paid 3% less than what we were paid in the mid-nineties for a laparoscopic cholecystectomy. I have a feeling that your local plumbers or lawn mowing companies aren'tcharging 3% less than what they did ten years ago to plug a leak or mulch your lawn.