The Disease Management Care Blog attended a quarterly meeting of its county medical society tonight. Once again, it came away impressed with these physicians' depth of knowledge and sophistication about health reform. Unsurprisingly, one big topic of the night was the on-again, off-again 21% cut in Medicare physician payment rates. My colleagues were well aware of how we got here, understood the difficult politics and voiced their preference that they not go through a huge pay cut. Yet while