If the 20% physician reimbursement for Medicare and Tricare go into effect. I will probably have to not only take a reduction in pay- possibly get laid off. I work for a small primary care physician practice in Georgetown KY - and our office will not be able to see these patients if the reimbursement is cut. I am sure we are not the only office, we have been open for about 1 1/2 years and the office only has four employees, the doctors can't afford to hire any additional staff and with reductions for reimbursements from Medicare and Tricare, which they both accept, it will make it even harder for them to just break even. I pray that this cut does not take place, as I fear of loosing my job.