Physician Hospitals of America is criticizing U.S. hospital associations for agreeing with the Obama administration to cut $155 billion in Medicare hospital spending and asking in return for payment rates in a public option to be higher than Medicare levels. The PHA calls the agreement "a desperate move aimed at reducing competition, garnering control of the entire industry, and eliminating patient choice," and that the associations "have bargained for the destruction of physician owned hospitals as a quid pro quo for the Medicare cost savings."