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These organizations move to pay people for quality instead of quantity. The Obama Administration will give a hospital a set amount of money for caring for the patients. Then the doctor has to strategize so they dont have to go into the red. They are hoping the model will drive down costs and get rid of the incentive or just that were at the start of that program. Host brian from massachusetts with sarah kliff. Caller a caller talked about marriage practitioners and there is a lot of them. They pretty much have a lot of schools are graduating many Nurse Practitioners and physicians assistants. ...

Form 1040, they have a pie chart that shows this goes to defense, this goes to social spending, paying interest, but i really think it could be much more detailed. I think that kind of education, letting taxpayers know where their money is going, will make a more informed citizenry and update the debate on where you want your money to go as the tax paying public. That is something that i am strongly advocating. I think that will go far. That is the first step to saying, wait a minute, i do not want this amount of my money going or i am ok with this now that i understand. Host from one of our v...

The nativeborn population of the u. S. Doesnt have replacement fertility rates so all future population growths comes from what we choose and this is the issue over the longer term, so those things strike me as central as to how it will work out. Seems to me we have a couple things. First is to recognize it is time to look forward. This crisis began years ago now, and i was once in the camp of designing very clever policies, i promise you they were very clever. Al solved all these problems, but more policy and inknow vacation and programs and intervention i think is now making it too difficult...

Keeping the healthy hetch hetchy that means well have to be back before you and the Mayors Office and other policymakers every year asking for general fund rates to have the ability to have more fully paying customers or have more power Revenue Bonds or have to revisit which we do every year the problematic cuts or deferrals real quick it strikes me were going to have a discussion around cca and the big deficit is because of house senate and the mountain you tunnel can you talk about that what that means deferring capital theres a reflex whats the risk level, you know, obviously theres been a ...

Approximately 140 million and it recommended to capital on slide 6 youll see that 53 million is related to Capital Investment and in each case water, power and sewer its one hundredyearold facility that we have the stewardship responsibility that includes the general reserve to curb on the facilities like the rim fire were actually recovering from the Third Largest wide fire no california and doing the lower cherry aqueduct and thank you for looking at those recovery projects. The budget is going up because of capital regulatory electrical costs in particular the subsection agreement and pg e ...