fundamental flaw within the program itself. so what we're trying to do is to -- and we ask you and the american people to march a medicaid system that actually works better for patients. medicaid is a system that deals with the disabled, the elderly, healthy moms and kids. yet the federal government up to this point has said to the states you've got to treat every single one of those individuals exactly the same. that doesn't make any sense to anybody. so what we are fashioning is a system that would allow the states to tailor their medicate program to those specific individuals thereby saving money, yes, but also making it so that they have a higher loefl and quality of care. >> well, i know a little bit about this because my dad is a pediatrician in south philadelphia and he takes medicaid dollars. one of the reasons so many physicians do not is the medicaid reimbursement level for doctors is so little as opposed