people s spines. tell us what the cuts are and why you are objecting. thanks for having us. basically medicare is looking for ways to save money on physician reimbursements. we are working collaboratively to make recommended cuts responsibly that allow patients access to care. we with offer a more cost effective alternative to hospital care including office procedure suites and ambulatory surgery centers that allow us to perform minimally invasive procedures. you get a needle in your spine, concrete in your spine, crazy stuff. but you keep people out of the hospital. that s correct. why do you claim the cuts are dire? medicare proposed cuts that an average come out to 24% but pain management ranges as high as 58% for basic epidural,