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On January 1, 2010, a new reality will set in for practices and patients - a reality not based on quality care but on false data and inaccurate assumptions. Fees to physician will be cut on key services - cuts that range from 10 - 40% on key tests such as echos and stress tests and life saving procedures such as outpatient catherization. With such drastic reductions, physicians will have to make difficult decisions. Patients, physicians and cardiac care team members are fighting for access to cardiovascular services.