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The proposed “doc fix”, which would ultimately require Congressional approval, would mandate a 10 year freeze of Medicare pay for primary care physicians. Specialists would experience a 5.9% pay cut for three full years, followed by seven years of no change. In addition to Congress and organized medicine, MedPac wants to avert a 29.5% reduction in Medicare rates on January 1, which is mandated by the program’s sustainable growth rate formula for setting physician reimbursement.

Contador, 27, the greatest rider of his generation, said that contaminated meat brought in from Spain was responsible for his positive test on 21 July.Contador, who called himself a “victim”, has been provisionally suspended by cycling’s world governing body the UCI after his A and B samples tested positive.A World Anti Doping Agency accredited lab in Cologne, Germany, found a “very small concentration” of clenbuterol in Contador’s urine sample on 21 July at the Tour, according to the UCI.However, the amount was 400 times less than the 50 picogram benchmark measurement that anti doping laboratories accredited by Wada must be able to detect.BBC Radio 5 live’s cycling reporter Simon Brotherton said that if the test failure is upheld, Contador could be stripped of his Tour de France title and also given a two year ban from the sport as a first offender.”But it sounds to me as if the UCI feels it’s such a miniscule amount,about super slim pomegranate, and not one that would have potentially made any difference [to his performance], that it is keen to get to the bottom of this and feels it is worth investigating the claims Contador has made,” he added.The only previous Tour winner to be stripped of their title was Floyd Landis in 2006.Contador, who in August joined Bjarne Riis’s Team Saxo Bank on a two year deal after leaving the Astana team, said the meat was brought across the border from Spain to France during a rest day during the Tour.He said there were complaints about the food at the hotel where his Astana team were staying.The Spaniard revealed he ate the meat on 20 July and again on 21 July and at a specially arranged news conference in his home town of Pinto, he called the UCI’s suspension of him “a true mistake”.He claimed: “The UCI itself affirmed in front of me that it was a case of food contamination.”This is a genuine mistake. I think it will be resolved in a clear way, with the truth up front,” he said but added that the UCI “understands that is a special case, which has to be examined”.The rider, who appeared tense and sometimes on the verge of tears, stated he was “sad and disappointed but with my head held high”.He added: “I’ve spent a month and half keeping this inside, without sleeping. My family didn’t find out until last night.”This is a real error.