I believe that paying for support based on usage is a really bad idea. You might compare it to paying for health insurance. You might rarely or never have to use it but if you need it then it's available and a lot better than shelling out a huge sum of money for a costly illness. Better to spread the cost of support across all users. In regards to MU, some physicians are opting to sit on the sidelines. My question is won't these MU requirements eventually become mandatory? So why not get used to the requirements and benefit from the monetary incentive now? We have started our 90 day period of MU 2 and I will admit that it is a real pain.