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Providing preventive care and catching the onset of something like diabetes. let's pay providers on the basis of performance as opposed to the basis of how many procedures they have engaged in. now, so what this board does is identify the best practices and says, let's use the purchasing power of medicare and medicaid to help to institutionize all of these good things that we do. the fact of the matter is that when obamacare is fully implemented, we are going to be in a position to show that costs are going down. and over the last 2 years, health care premiums have gone up -- it's true -- but ...

Providing preventive care and catching the onset of something like diabetes. let's pay providers on the basis of performance as opposed to the basis of how many procedures they have engaged in. now, so what this board does is identify the best practices and says, let's use the purchasing power of medicare and medicaid to help to institutionize all of these good things that we do. the fact of the matter is that when obamacare is fully implemented, we are going to be in a position to show that costs are going down. and over the last 2 years, health care premiums have gone up -- it's true -- but ...

Need a board of 15 people telling us what kind of treatment we should have, we instead need to have insurance plans, providers, hospital, doctors, on target, such that they have an incentive, as you say, performance pay, for doing an excellent job for keep being costs down. that's happening. inner mountain, mayo clinic is doing it. cleveland clinic, others. but the right answer is not to have the federal government take over health care and start mandating to the providers across america, telling a patient and a doctor what kind of treatment they can have. that's the wrong way to go. the priva...

The key task we have in health care is to get the costs down, so it's more affordable for families and then he has as a model for that doing that, a board of people at the government, an unelected, apointed board who are going to decide what kind of treatment you ought to have. in my opinion, the government is not effective in... in bringing down the cost of almost anything. as a matter of fact, free people and free enterprises, trying to find ways to do things better are able to be more effective than the government will ever be. your example of the cleveland clinic is my case in point, along...

Need a board of 15 people telling us what kind of treatment we should have, we instead need to have insurance plans, providers, hospital, doctors, on target, such that they have an incentive, as you say, performance pay, for doing an excellent job for keep being costs down. that's happening. inner mountain, mayo clinic is doing it. cleveland clinic, others. but the right answer is not to have the federal government take over health care and start mandating to the providers across america, telling a patient and a doctor what kind of treatment they can have. that's the wrong way to go. the priva...