Medicare pays doctors closer to about $0.12 for a dollar of service. But this is a total distortion because the reimbursement rates are so low that the doctors have to charge significantly more than the services worth so the whole system is completely distorted. The reimbursement rates are embarrassing, they are ghastly. It is like a system where you walk into a restaurant and the menu says the meal cost $375 but you get an 88 percent discount.