Please eliminate competative bidding. I’m employed by a small medical equipment company in Cleveland Ohio. We spent a great deal of time on the first round of bids & nothing happened. This does a great injustice to patients and equipment companies. Medicare patients will suffer the greatest due to changes in regulations. Many small companies will have layoffs as we already have done. The second round of bidding looks just as confusing. Please consider a more effiecent & less complicated way for changes in the medical equipment business. Thanks for your consideration.