and dick harpooliaan. reporter: the american medical society is concerned that this panel will cutback the number of procedures that are paid for by medicare, medicaid and i think they need to remember this is against the backdrop of the paul rice proposal that would go to a medicare, medicaid system that would be paid by vouchers. if there are any group of folks that have cutback procedures covered by their entity would be insurance companies. what they are trying to do is cut the deficit without throwing granny to the curb. the republicans want to somehow continue with the medicare system on one hand, on the other hand they want to replace it with a voucher system, a voucher system that will mean that once your dollars are gone you re going in your pocket and the elderly and those that are too poor to afford medical services