The U.S. Senate recently voted to proceed with another 10.6 percent cut in Medicare reimbursements to physicians, effective July 1. In my practice, this falls just after a 9 percent cut in 2007. The current cuts will be compounded by an additional 2.1 percent cut as a temporary geographic payment adjustment for physicians in Oklahoma will also expire and be added to the 10.6 percent.

An additional 5 percent cut i...