After several months of national conversations about the need to reduce the federal deficit, President Obama released his fiscal year (FY) 2013 budget that proposes to lower the national debt by $3.2 trillion over 10 years. But for medical schools and teaching hospitals, there is bad news: About 9 percent of that reduction, or $358 billion over 10 years, will come from Medicare and Medicaid programs, including graduate medical education (GME). Here are details about the effect on GME from the AAMC Reporter (March, 2012 issue).