Why is the internal medicine forum "silent" when it comes to discussion about medicare cuts? I realize that this topic has been covered in other forums, but this subject is critical to internists, subspecialists and students/residents who are making career decisions. It is this silence that equates to lack of lobbying power and ultimately the ability for politicians, insurance companies and lawyers to walk all over physicians. What is the AMA doing for internists and subspecialists? Why are the surgeons, anesthesiologists and radiologists all over this topic and the internists seemingly indifferent?