I am disappointed that the $716 billion in medicare "savings" is never truly explained and why it is a bad thing. It is not a cut to benefits but a cut of payments to practitioners. I know many doctors (relatives being some, my own doctor as well) that have stopped seeing new medicare patients and are trying to see less medicare patients overall. The doctors that are not bought out by hospitals, which is rarer and rarer now days, are small businesses that have to make choices. If the now reduced payout from medicare is less than the cost of doing the test, the time needed to perform it, and possibly the outsourced lab work, it no longer makes sense to see these patients.
There is a growing movement to see the fee based treatment model be replaced with a performance based model. Preventive care will save lots of money over the long run. There will also be an added incentive to create treatment structures that are flexible enough to manage patients who have a varying risk of being hospitalized.
Tests are not the only thing that will have to change in this country. You simply cannot pay to treat costly illnesses for a large number of people, especially when you could avoid those illnesses (like diabetes). And as far as testing goes, it's important to use science to determine whether a test result could improve the actual prognosis. Statistics are important, but what is more important is getting current medical knowledge/data to carry over quickly to the policy and fiscal side of things. Just look at how we have been going about treating prostate cancer for the last 20 years. In the next 20 years, the approach will be much different cause many people with prostate cancer wind up dying of some other cause.