What is described in this article is exactly the reason why our president is pushing hard for health care reform.  Medicare is being exhausted by the excess of billable tests that doctors order without regard for the necessity of these tests for their patient.  Doctors deserve to be paid well for the type of work they do but they shouldn’t be milking a failing system.  They should be improving ways to better determine which patients need angiograms.  In the long run it will have a positive effect on our health systems.