DME competitive bidding will without a dobt put several small companies out of business as they cannot compete with the pricing of large compnaies. The process itself if very flawed. DME accounts for 2 % of Medicare expenses yet has been subjected to the most scrutiny of price cuts already not including competitive bidding. Why not start with the hospitals having to submit bids for Medicare and take a 30% pay cut like DME has done over the last few years. Or the doctors who have had raises or a freeze every year for the last 5 years when DME has been cut? That woulkd be real savings t0o Medicare instead of this smoke and mirrors trying to save pennies when spending billions to hospitals and doctors

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