basic reason, which is that president obama right from the start said to the private industry, look, don't go after us on this. i'm not going to go after you. you don't go after us. >> he said, i would deliver a very large customer base for you, who would be insured largely with federal dollars. >> i don't think his idea was to bring business to him, but to avoid a massive lobbying onslot. without a deeper change of the health delivery system which we never discussed really in the past year, we're not going to get the costs in a meaningful way under control. >> what's wrong with the current health insurance discussion, you can hear it when we try to grapple with it is it's treated as an engineering problem. it's a markets problem as well. we don't know the price of our