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Eblanned: I've just graduated Buy Fenofibrate The reality is that the determination of reimbursement by the AMA, and its recommendations to the federal government, are based on a subjective arbitrary assessment by a group of physicians which may be outdated. What the system doesnât factor in is the amount of skill required for that same ophthalmologist to perform the cataract surgery in 15 minutes, and the time and effort involved for the development of that skill.