FORM 4
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public
Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

RECK RICHARD A 		2. Issuer Name and Ticker or Trading Symbol

MERGE HEALTHCARE INC [ MRGE ] 		5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__ X __ Director                      _____ 10% Owner
_____ Officer (give title below)      _____ Other (specify below)
(Last)          (First)          (Middle)

6737 WEST WASHINGTON STREET, SUITE 2250 		3. Date of Earliest Transaction (MM/DD/YYYY)

8/19/2008
(Street)

MILWAUKEE, WI 53214
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_ X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3) 		2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8) 		4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) 		5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4) 		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock                  18028   D    
Common Stock                  221610   I   Trust   (1)
Common Stock                  10000   I   Trust   (2)

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3) 		2. Conversion or Exercise Price of Derivative Security 3. Trans. Date 3A. Deemed Execution Date, if any 4. Trans. Code
(Instr. 8) 		5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) 		6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4) 		8. Price of Derivative Security
(Instr. 5) 		9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options   $1.47   8/19/2008     A     225000       8/19/2008   (3) 8/18/2018   Common Stock   225000   $0.00   285411   D    

Explanation of Responses:
( 1)  Shares of Common Stock held by the Susan M. Reck Trust, for the benefit of Susan M. and Richard A. Reck, of which Ms. Reck is the trustee, the beneficial ownership of which Mr. Reck disclaims.
( 2)  Shares of Common Stock held by the Alan C. Reck Trust, for the benefit of Mr. Reck's adult son, of which the grandparents of Mr. Reck's adult son are the grantors and Mr. Reck is the trustee; the beneficial ownership of which Mr. Reck disclaims.
( 3)  Nonqualified stock options to purchase shares of Common Stock vesting in sixteen (16) equal quarterly increments of 14,062.5, with the first increment vesting on August 19, 2008 and then subsequent increments vesting on November 30, February 28, May 31 and August 31 thereafter.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
RECK RICHARD A
6737 WEST WASHINGTON STREET
SUITE 2250
MILWAUKEE, WI 53214 		X



Signatures
/s/ Julie Ann B. Schumitsch, by Power of Attorney for Richard A. Reck 8/20/2008
** Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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