This is an actual excerpt from a December, 2012 letter I received from Blue Shield (I received a similar one from Anthem-Blue Cross) inviting me to become a provider for the new ACA (Affordable Care Act), otherwise known as ObamaCare.  In the rest of the letter they first applauded my past care, threatened that come January, 2014, many of my current PPO patients would convert to the more affordable plans so if I did not accept their (hostage) terms that I would loose a considerable part of my practice.  What were those terms?  That I should accept (graciously and appreciatively) an average (its right there in black and white) a 25% pay CUT!  Ah, now I understand how they’re going to balance this budget!  My response was a polite NO THANK YOU!