pony this morning, but i'm sorry, it has to do with the free market. when you've got the medical consumer separated from what is provided by the medical provider and insurance companies and third party payers and the federal government. all of these things involved, it's no wonder that it is a remarkably inefficient system. >> well, i want to answer this, but i can tell you, jeff sachs has something to say to you. go on, he's like bursting to tell you. >> all right, dr. sachs. >> joe, the rest of the high-income world has a public system at half the cost sand better outcomes. >> jeff, no one has a public system for 310 million people and we're not moving to a public system. >> i know we're not. i know we're not. >> we need to deal with our -- >> i was just reporting what others do.