The committee on health, education, labor and pensions will come to order. Senator murray has an important meeting right now and she has asked me to proceed with the hearing because we have six excellent witnesses and we want to make sure that we hear from each of you, and we want the senators to have a chance to ask questions of each of you. So patty should arrive about 10 00. When she comes, why, well interrupt and let her make her Opening Statement and then we will resume the hearing. Good morning, senator murphy. Nearly a year ago dr. Brent james from the National Academies testified before our Senate Health committee with a startling statistic. Up to onehalf of what the American People spend on Health Care May be unnecessary. Let me repeat that. Up to half of the 3. 5 trillion the United States collectively spent on health care in 2017 was unnecessary according to dr. James, and many of the other witnesses at our hearings agreed with that. Thats 1. 8 trillion, three times as much