Do you agree or disagree with converting the Medicaid program from the current system in which states and the federal government share oversight and funding responsibilities to a system of federal block grants to state governments, who would then decide howtoallocate the grant fundsto Medicaid recipients?
After you decide howto best allocate those extra funds, you'll also want to figure out if your refund is a sign that you're withholding too much in taxes from each paycheck.
Meanwhile, if other specialties are flourishing under the current payment system, maybe the CMS can take a look at how we allocate our available Medicare and Medicaid fundsto make things work in a more reasonable fashion.