I never went to university <a href=" http://vfg.se/will-nexium-make-you-fail-a-drug-test.pdf#materials ">how many milligrams does nexium come in</a> The AMA notes that because the relative value system is supposed to be budget-neutral, the committee's data can't increase overall Medicare spending. For each value that rises, others have to decrease. Fair enough. But overvaluing specialty procedures gives physicians incentives to perform more of them while primary care services are undervalued, an imbalance the AMA insists it has worked hard to fix.