Could you give me some smaller notes? <a href=" http://www.helicondesigns.co.uk/thuoc-nexium-40mg-gia.pdf ">nexium b12 deficiency</a> The bill would repeal the flawed current SGR system and replace it with a stable period of payments, giving certainty to doctors and patients alike. It would allow physicians to continue to provide health services without fear of losing compensation. Previously, Congress has passed a variety of stop-gap measures to prevent dramatic cuts to the formula every year for nearly a decade. Instead of looming cuts, doctors will be rewarded for quality of care they provide to Medicare beneficiaries.