I so much appreciate someone / a formal proposal like this.....finally remembering that many of us simply cannot be expected to keep up with all of the government and insurance industry "mandates" ("meaningful use", EMR, e-scripts, Medical Home involvement, and mandatory reporting of patient data ot the state, etc...). We practice excellent, very up to date, quite standard of care medicine in locations, and under circumstances, that simply do not allow for these "top down" management measures. We need a LEGISLATIVE GUARANTEE called the FREEDOM TO PRACTICE ACT....that allows private, solo and small group practices, to be fairly treated as we provide our patients high quality medical care, ...be provided exemptions from these literally unbearable top down management requirements, ...and be given a place at the country's "transition table". Respectfully, Jeff Taber, MD Rural MN.