Under the current Federal budget projections, Maryland could lose almost 13,000 jobs in health care over the next eight years. As I wrote in yesterday's blog, there are projections of over three quarters of a million jobs lost nationwide in health care over the same period. As the Federal and state governments attempt to rein in health care spending, they will reduce payments to hospitals, doctors and other providers. In our case, those reductions have already started in Maryland and have impacted WMHS. With job loss numbers of that magnitude projected nationally and in Maryland, it will eventually have a trickle-down effect on other businesses that serve health care, as well. It looks like we are in for a rough ride unless something miraculous happens.