Thank you Dr. Scherz. Doctors who continue to participate in these government payment schemes risk the fate of Karl Brandt, the H.H.S. head in Germany under the Fascist socialists. My question to the doctors is, if the insurer or the government is "paying the bills" then who, exactly is their allegiance to, me or the company? If the government or a company rewards them for not offering me the best healthcare are they going to take the bribe and shortchange the patients? Accountability Care Organizations are directly a conflict of the interests of the unsuspecting patients.