what do you suggest be done to break this mindset? >> some of what can be done is looking at the evidence carefully. there have been decades of research demonstrating that some of the investments we make in early education and nutrition do pay back in terms of limited -- more limited health care spending. it's hard for us to see because it's over time. and it's hard for us to see sometimes because we may not relate to it in our own lives. but if we look at the data, it's pretty clear. changing the conception, it's hard, it's not quite so easy as i have a problem and i'm going to see my doctor get one pill and i'm better but thinking hard about the social services. >> lauren, we're hearing this about death panels and how the whole program will fold in on itself and new situation that sara writes about in the "washington post," saying even if young people don't sign up in droves and underperform for this