Paul Ryan's Republican proposal did. Despite the House Budget chairman's frequent critique of Medicare sustainability, he would trim just $129 billion over a decade, mainly by capping malpractice awards and by asking seniors to spend higher premiums and higher prices for prescription drugs . Medscape: Senate Democrats' Yesterday that Budget Assumes SGR Repeal Senate Democrats released a budget proposal for fiscal 2014, unlike its House Republican counterpart, assumes the repeal of Medicare's sustainable growth price formula and the 26.5 percent physician pay cut that it could trigger.Revenues for the first quarter ended March 31, 2010 had been led by sales of OEM items and FORE-View monitors and sensors and had been partially offset by reductions in product sales of bedside monitoring items. FORE-SIGHT sales were $1.4 million for the initial quarter of 2010, an increase of $0.5 million, or 45 percent, over the $0.9 million reported for the first quarter of 2009. Operating income was $0.3 million for the first quarter of 2010, in comparison to an operating lack of $1.4 million for the same period of the prior year, and was generated by improved gross profit levels and lower operating expenses. Gross profit levels as a %age of sales risen to 35 percent from 29 percent and operating expenditures as a share of sales improved to 31 percent from 46 percent when comparing the first quarter of 2010 to the first quarter of 2009.