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The rate of change and level of uncertainty in the radiology business may have reached all-time highs in 2010. Although its rules and ramifications may be a bit murky and newly empowered Republicans are vowing to repeal the Patient Protection and Affordable Care Act, healthcare reform is likely to be here to stay in one form or other. Early indications are that HITECH (Health IT for Economic and Clinical Health) Act funding is secure for now.