In the White House's latest "fiscal cliff" offer to House Speaker John Boehner, President Obama proposed a permanent repeal of Medicare's sustainable growth rate alongside $400 billion health care savings, according to a source familiar with the talks. A permanent fix would come with a $245 billion price tag and it's still unclear how—or if—Congress would pay for a policy meant to stabilize doctor salaries. It's hard to find anyone in Washington who likes the doc-fix: Not Republicans, not Democrats and especially not health care economists.