Internists, normally, treat 2,000 patients, with typically 800 Medicare patients. Their candid answers give true tales of what the cuts will mean to patients. Nearly a third of the internal medicine physicians said they would discontinue seeing new Medicare sufferers if the 10.6 % cut goes into effect. It’s something most internists in the region will be forced to do. And it will cause a much greater access-to-care crisis than is already the full case inside our area. The noticeable changes they took include not accepting any new Medicare patients; postponing capital buys for his or her practice; and reconsidering programs to purchase health information technology.Based on previous research,10 the assumed incidences of the principal efficacy outcome were 16.0 percent for enoxaparin and 11.2 percent for apixaban. With one of these incidence data, a one-sided type I mistake of 0.025, and a 30 percent rate of venographic studies which could not be evaluated , we calculated a sample of 3058 patients would provide 99 percent power for the statistical test of noninferiority according to the approach to Yanagawa et al. These methods were used to estimate the relative difference and risk in risk, adjusted according to the stratification for type of medical procedures .