Why should patients care about how physicians are paid? Because the way we as a country, and Medicare as the largest payer, compensate physicians directly affects the care patients receive. Changes to the way physicians are paid are on the horizon, as our current system is not sustainable for physicians, patients, or taxpayers. Patients must have a voice in debates about Medicare payment and the way health care is reimbursed. We must stand up for reforms that will improve the quality of care patients receive, including incentives for actively involving patients in decision-making and improving coordination of care.