Although it appears that Congress could stop the proposed 2003 Medicare physician fee cut, last year's cuts were particularly hard on some specialties, and it is still possible that the fee cuts could continue next year.
Physicians have the option of raising their income by not participating in Medicare, but it requires more administrative hassles and goes against a trend of steadily rising participaiton. A more likely option is not accepting new Medicare patients.
See for the following:
States' FY 2002 and FY 2003 cost containment plans to control Medicaid spending growth
Medicare fee cuts still a problem
Steadily climbing Medicare participation
Medicaid cost containmnet will focus on drugs and providers
49 states and D.C. report Medicaid cost containment plans for FY 2003
Fewer doctors accepting new Medicare patients
Two years of Medicare fee cuts by specialty