The first step in this transformation is to get rid of what is not working, and Congress appears poised to act on that. The system by which Medicare currently pays physicians for the care they provide to Maryland's 1 million Medicare and Tricare patients and 60 million others throughout the country is broken. It uses a payment formula that regularly requires massive, unsustainable cuts for the care that physicians provide for patients. There is strong, bipartisan support to end this problem, and because the rise in health costs has slowed, the price tag for doing so today is about half the cost of what it was projected to be a year ago. Acting now is the fiscally responsible course of action, and doing so will not only stabilize Medicare but create an environment that will allow real innovation to ensure the long-term health of this vital program.