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I am also a solo physician and share your concerns. I went and spoke to a local large physician employer and felt sick after the conversation. That is simply not going to happen. I am going to work hard to reduce my percent of Medicare over the next 3 years in anticipation of opting out. I see no real alternative at this point. Our only hope is that this gets stalled and delayed like everything else Medicare does. I am also thoroughly dismayed that the AAFP would embrace this program so whole-heartedly. They have let us down and we should let them know it.