Currently, cardiologists are on a treadmill of increasing patient visits to offset declining Medicare payments and increasing overhead. When the government plans on blanket cuts to cardiologists in favor of primary care, the impact will be felt first by those in rural areas that already have a shortage of cardiologists. Then will come pressure on small town practices as they are forced to close. Bigger cities with large health systems will be least affected.
But this is all part of the Grand Plan of health care physician reform: make sure everyone gets insurance so they can "prevent" cardiovascular disease while those that have it can't find a specialist.
I see how this works.