medicaid, our practice had to make a decision to stay on medicare. and 15 percent was medicare. you need to close or sell out your practice or stop taking medicare. >> and soul of the promise that the president is taking more people. not if you guys quit. a cardiologist in philadelphia and you have been part of a practice and it is so tough to make. most people think cardiologist are roll nothing dough. you had to reach in your own pocket to pay your employees. that is a shot. there is no money made in your practice. >> cardiology is affected by medicare. back in 2010, medicare made devastating cuts to that is done in the office that resulted in approximately 75 percent of the cardiologist are employed by hospital and private practice is dying out.