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Done is expand insurance coverage, and what we need to do now is modernize the health care system to deliver care at cost. and sustainability of medical care in the long term is something the nation hasnt wanted to touch, but we have to have the courage to stand up to it. >> and you see doctors deal with the fact that medicare rates and reimbursement rates are going down. it affects hospitals. medicare drives health care costs in this country, right? >> in a large sense. about 50% of the costs a...

Something the nation hasnt wanted to touch, but we have to have the courage to stand up to it. >> and you see doctors deal with the fact that medicare rates and reimbursement rates are going down. it affects hospitals. medicare drives health care costs in this country, right? >> in a large sense. about 50% of the costs are medicare costs. >> and what kind of reform has got to happen beyond the health care reform that has to do with insurance, which is the affordable care act? >> what needs to ha...