Let's make a deal -- that's what leaders of both the House and Senate are pitching as they try to unify multiple health care reform bills into one, for floor debate.

But a group of healthcare professionals and doctors want them to slow down.

Eight Nebraskans, consisting of doctors, patients and a hospital administrator are in Washington D.C. with their own message on health care reform.

For one of them, the trip is a chance to shed light on how rural hospitals could be affected.

At Fillmore County Hospital in Geneva, much of the patient population is elderly and proposed cuts to medicare as part of healthcare reform would have a significant impact on the hospital, according to CEO Paul Utemark.

"Including not being able to be sustainable. Keeping up with paying our bills..keeping up with modern technology and electric record systems. All things that are required of us," said Utemark.

That's why he's meeting with Nebraska's five congressional delegates -- to give a "second opinion" on health care reform.

Utemark would like to see changes or updates to the current system but not a complete overhaul. He'd also like consumers to have the option of shopping across the country for insurance to create a more competitive market.

"It's not sealed up and delivered yet so we're at a critical time I guess where additional debate can't hurt," said Utemark.

The effort in Washington is supported by the Coalition to Protect Patient Rights -- a group of more than 10,000 doctors and healthcare professionals from across the country.

Utemark is the only one in the group to represent a rural hospital and his message is much different than that of doctors who sat in the Rose Garden with President Obama just a few weeks ago..

"They say there should be no Medicare cuts but actually the only Medicare cuts that are included in the pending legislation are cuts of waste fraud and abuse," said Dr. Richard O'Brien.

Obrien is a Nebraska doctor who visited the White House and has studied healthcare reform for 20 years. He disagrees with Utemark and the Coalition to Protect Patient Rights when it comes to Medicare and said a major overhaul of health care is desperately needed.

"Nobody does anything perfectly the first time. We need to end up with a bill which improves things a great deal..recognizing it wont be perfect and we're likely to making some changes subsequently."

But in Fillmore county, hospital executives hope desperation doesn't lead lawmakers to the wrong decision.