My hospital this year will get $25 million less for the same care provided just from Medicaid. Under Obama’s plan, within 4 years it will be 40 million less... for the same care provided. We already have about 30 million dollars in services a year walking out the door unpaid now. There is only so much increased efficiency can do. Eventually no matter who is in charge or what plan is in place, care will become limited. there are only so many funds to go around. Unless we want 100% of our paycheck to go to the gov’t. But I think that's where they want to go anyway.