Texas has been a leader in Tort reform and now the state is working hard to introduce Medicare Reform with a grassroots effort.  I just received this in my email this morning. It is a link to http://www.meandmydoctor.com/ a site that allows you to participate in a petition to change the SGR.  This is the hurdle that has not been able to be passed.  I have went to Capitol Hill each year with this item on our agenda and virtually had no response from the staff of any representative on this issue.  Most people don't know but this formula has not been changed and cost millions of dollars to the system.  Physicians are excluded from changes despite in inflation and changes in the environment that we have to work.  If sustainable change is not made to the SGR more physicians will stop taking Medicare Patients, crating an access to care issue which has not existed in this country.