Our Guest Dr. William Rich Medical Director for Health Policy for the American Academy of Ophthalmology and Chairman of the AMA RBRVS (RUC) Committee says the entire medical profession is under pressure especially those dependent on public sources of compensation. In this segment Dr. Rich takes a historical and present day look at the forces a work in today's physician reimbursement system. Why have physicians had to bear the brunt of decreased payments? What can we hope to see change in the future? Join host Dr. Bill Rutenberg for an interesting segment about the Relative Value System.