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It's also not a very good program. paul: right. >> you've got to think hard about getting better health care for low income americans. paul: so if you give it back to the states, the idea is the states knowing the incentive structures, their populations be better would be able to do a better job of managing the program, reducing the costs and maybe working patients off w medicaid which, after all, we don't want everybody to be on medicaid all their lives. we want them off just like we want them off welfare. >> i think that's exactly right. and there are a couple of thinga this here that give m...

To run it. just to cut the cost, i mean i am a big budget hawk it's true. but it is not a very good program. think about heart about getting better healthcare for americans. that is what the bill is designed to do. >> paul: so if you get back to the states the idea is that the states knowing their populations better, nor the incentive structures within their states would be a better -- be able to do a better job of managing the program, reducing cost and naming working patients of medicaid. after all, we do not want everyone on medicaid all of their lives. we want the markets that we want them...

Going to cause that mass extinction event that matt was talking about. >> you have written really powerfully about the incentive structure in the sort of conservative media, the world of conservative movement. i want to be clear. i don't want to get on my high horse because there's incentive structures everywhere, in cable news in other parts of the media. how much can you explain what we're seeing in the demand side of what the market demands from conservative media figures, from what the base demands from their politicians? >> well, look, i think that when it comes to conservative media, the...

New president, new a.d., new coach, guess what, the students are doing better. if you want to help people long term, the most important thing you can do help them get that degree. over their lifetime, their increased earnings, a million dollars more than that. the incentive structures have to be changed so much more of their compensation is based not upon wins and losses but around around academic performance and graduation. university presidents and boards have been very xla sent and soft on this issue. you have to look at the leadership of universities here. >> one of the aspects of the unfa...

New president, new a.d., new coach, guess what, the students are doing better. if you want to help people long term, the most important thing you can do help them get that degree. over their lifetime, their increased earnings, a million dollars more than that. the incentive structures have to be changed so much more of their compensation is based not upon wins and losses but around around academic performance and graduation. university presidents and boards have been very xla sent and soft on this issue. you have to look at the leadership of universities here. >> one of the aspects of the unfa...