I did the first year incentive and then after a lot of soul searching, said the hell with it. MU basicaly lays out the electronic blueprint for the government to gain greater control over our patients, their personal information and our overall practice of medicine. Their sights are set on single payer, tightly monitored socialized medicine. In some respects, single payer would be great, because it would eliminate the nightmare of dealing with multiple insurance companies and all of the issues with getting paid. But single payer would greatly regulate our fees - the lawyers would decide that it is good enough for us to each make 100k a year while they continue to pad their wallets with frivolous malpractice settlements. Then we can sit back and wait for all of these patients to come in with every little ache and pain, because it is all basically free! God help us all.