competitive bidding is acctualy the complete oposite. it turns a life saving service into a walmart type of homecare. the service that has long defined the care provided will be gone. no provider will be able to send a thereapist out to see grandma at no charge to re-instruct her or check her sat because she seems less able and more short of breath. patients will head to the ER rather than calling their provider because their provider is now more interested in selling scooters than oxygen.