I again want to thank everyone who has signed my petition, especially the ones who have signed since my last update. I am now getting 10 to 15 signatures per day. I only anticipate that this will continue to improve with more signatures per day. The federal government has been shut down, but as soon as it reopens I should know the status of my application to be on the 15 member panel for the Federal Healthcare Advisory Commission. Medicare needs significant changes to help improve patient care/access as well as to support private practice physicians.