At the risk of seeming like just another surgeon whining about ever-declining insurance reimbursements, I hereby sound the alarm. When I learned that our Medicare Part B carrier, Noridian Administrative Services, LLC, intends to deny monitored anesthesia care (MAC) to patients undergoing lens procedures in 11 states, money was not my worry. Rather, I was (and still am) truly fearful for the safety of my cataract patients.