I work for a Durable medical equipment company in Cleveland Oh. The amount of time and money spent on the last round of competitive bidding was outrageous. The time that vendors had to put in to get qualified for them to not go through only cause confusion to the beneficiaries. People with equipment we confused with all of this and it panicked people who already had items in their homes thinking that someone would be knocking on the door to pick it up. Or worse yet that it would not be covered it you did not have the right item from the right company in their homes. Amazes me that criminals get what they want and elderly have to jump through hoops. I wish that you would just eliminated competitive bidding so that small companies do not get run out of business.