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Reforms will take effect right away. >> you know what? let me do this, i want to get to dr. brian hill and kathy mcclure in a moment. but, you know, there was a question, sanjay, that keeps coming up. its the doctors fix. >> right. >> can you explain what the issue is and if there is a fix in this bill? in this law? >> i will try to be as brief as possible because its somewhat complicated but important. the way doctors get reimbursed from medicare is based on a formula called sustainable growth ...

Decade as our population ages or as the baby boomers age. during that time, costs are expected to increase by 50% per enrollee. without reform it is estimated by 2040, medicare will only take in enough revenue to pay 30% of its costs. you can see where this is going. paul ryan, 2012 budget resolution proposes a dramatic overhaul of medicare. jeanne? >> one, hes going to change a fee for service program into what he calls a premium support system. in other words, by the time would start in 2020s ...