I completely agree with the stupidity of this program Boondoc. If I continue to participate with Medicare, I'm concerned about the penalties for not participating in these programs. The CMS website reports that by 2015 if providers are not participating in MU, they will start penalizing. The penalties will start at 2% and increase up to 5% penalties after the 3rd year of non-participation. They have reserved the right to increase the ceiling penalty. In our practice we do a lot of Medicare business, about 30% of our gross. It would be tough to handle those losses.