If you GOGGLE enough you can find the doctor and his committee who will OK Medicare for your state, despite the fact the the FEDS ok-ed. In California it is DR. Morton at Standford who emailed me back and said they are meeting in November. I think politics are involved, so after election! I have everything done for preop for 3 months and waiting. . . .I really think the sleeve makes the most sense! Good luck to all!