Errol R. Alden, MD Executive Director American Academy of Pediatrics plittwin@aap.org Fax - 847/434-8000 Whereas Healthcare in the United States has been compromised by the failure to nurture primary care, which is tied principally to low reimbursement for primary care physician services. And Whereas The American Academy of Pediatrics (AAP) provides implicit support for the current failed payment policies through its participation in the RUC. I am concerned that, by its continued participation in the RUC, the AAP is compromising effective advocacy for its members, for primary care, or for the health of Americans. Therefore, I strongly encourage the AAP to publicly withdraw from the RUC and work to establish an alternative means of impacting Medicare’s physician payment decisions for the good of primary care and American health care. Signature Today’s Date Print Name AAP Member Number