Another short-term ‘patch’ to Medicare physician payment crisis disappoints Our organizations, representing 400 nearly,000 physicians and medical student users, are deeply disappointed by the agreement in Congress to enact another short-term ‘patch’ that neither solves, nor movements us nearer to solving, the Medicare doctor payment crisis review . We are specially frustrated because Congress has already established a short-lived screen of opportunity to get rid of the Medicare Sustainable Development Rate formula, forever, using unspent monies for overseas military operations. On 31 January, the doctor leaders of our companies found Washington to desire the Senate and Home leadership and meeting committee users to reallocate Overseas Contingency Operations funds to completely repeal the SGR.