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Between basic research and Clinical Research all the way from the time of concept to the time of actually getting in the marketplace what are the key factors that you see thats increasing the cost more than anything else . And i know its not only one thing but if you can give me a couple things here what we should watch for. A lot of it is the high failure rate and that is in fact very troubling when you consider how rarely an idea about a new drug makes it all the way through to f. D. A. Approval its less than 1 of the time. So all that cost of the failures has to be added into the overall en...

My hope, we have this all with open code and open source to repeat the success that motorola had with the Android System where they had 70,000 aps from the industry that was written to the open code of android. Could you give me a comment on that . I will be coming to you with a stroke Net Consortium that were putting together across illinois with five hospitals including barnes jewish, which is particularly good at working with n. I. H. Dr. Collins well, i am really my hat is off to you for what youre doing with d. O. D. And v. A. To try to make this into a Seamless Health record because i kn...

[inaudible conversations] [applause] my book released in november has the title with a slight sense of irony freemarket is in quotations i talk about how the free market which we think of as the quintessential opposite of the government was created by the government. This is clear they a push back against the talk of recently to keep the government out of health care, my medicare coming is the government up to the task of reforming the Health Care System . After the shaky rollout is it capable of doing anything . I started this book in 2008 before there was obamacare or even president obama ba...

Odds or which day in which week is probably not helpful that i think everybody understands that if it tracks out to long but the political calendar can start working again. Sonata tomorrow is what youre saying. Moving on the problem is we are getting all of that to the competitors. Very good. We will read that in the National Journal leader. [laughter] just kidding. I want to talk a little bit about the James Burling experience with lighted up the gst is a little bit and we were talking backstage about the pollyanna view of what washington was like in the clinton years in the late 90s and repu...

Road. Whats your plan down the road to be able to make it fully accessible. Interesting, but there is no set here is what is readily achievable and this is not. Because its all based upon your economics. Interesting. Commissioner sarkissian . Thank you for this presentation. I have a question to ask you about your findings. Youve stated that economics is not the only thing that the court takes into account. And considers also the impact on the business, for example. Could you explain that to us and tell us what your findings have been and what the courts have held in that regard . Sure. The im...