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Millionaires? The days of big companies buying big companies and overpaying are over. If you did not know Apria has been for sale for quite a long while and silence is all you hear. The first thing you must understand is that right now providers like Rotech are being paid ( based on a recent industry study ) at 69 cents for every dollar spent providing the equipment and service. This means that the more patients you start on service the more money you lose. Makes no sense right? This is based on Medicare reimbursement but all insurance follows what Medicare gets away with. I truly believe that companies have no desire to grow the business in a traditional sense and that is one reason why employees might feel neglected. In my part 2 thread I'll go over the history of Medicare reimbursement as well as mistakes the industry made but before I go do a search on " The Medicare Doc fix " and know this. The industry problems are not due to Obama care but come from the Medicare prescription drug law passed in 2003. You might want to read about how that bill was passed into law in the wee hours of the morning and president Bush's executive order for a 36 month cap on oxygen reimbursement. Please offer any feedback and comments. More to come.