I've watched many of the Blue Dogs and peple like Senator Baucus work extremely hard to find a workable compromise to advance the process and keep the bill from collapsing. Yet, for all that constructive slogging, same wish to pretend that they are "obstructionist".
Medicare reimbursements are to low to be viable. Too many doctors, professionals and institutions are outright not accepting new patients, and slowly shedding the older ones.
Government does not have the ability to over-rule fair market rates, no matter how hard it tries.