that are harmful, and that are painful at a time when a patient should be at peace. this gives them the opportunity to make decisions where they can understand what they're options are and empower themselves. there's no government involved here. that is a ridiculous accusation. and another myth. and this is something that completesly empowers the patient. where was the outrage when george bush implemented it? where was the outrage back then? >> let's not be hypocritical here. >> why on earth would government -- would medicare have to sanction these conversations? what exactly is going on? it is a legitimate point and i remind you, democrats in congress, president obama could not get this through when he had a huge democratic majority. so why the back-end regulatory maneuver? and unfortunately, i do think that it's hyperbolic and i think it's been overstated but there's a genuine concern and i think the concern is legitimate.