Abstract
As an observer of the Physician Payment Review Commission, one is struck by the generous physician presence. As originally conceived, this make-up was perhaps appropriate. However, the policies inherent in the development of Medicare payment reform are changing the way many think regarding the value of health services and the manner of payment for such services. Nursing will be affected by these reforms. Cooperation, collaboration, consensus, and a strong united presence during the next year's deliberations by the Commission will serve the nursing profession well.
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