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Government-provided or government paid depending on the model. so can we be surer that a more marketized system would work better? >> it is certainly true that health care is not part of the free enterprise system as we usually conceive it. half the spending in the health sector is already by the government. medicare, medicaid, veterans and local support for clinics. so the spending is already heavily public sector and almost every part of the system is regulated. nursing homes, drug approvals, on down the line. so the question is not whether or not we're going to have government controlled or...

That wouldn't have been good for me, it would have cost more money for the system but doctors would make more money. >> more than that, anybody who had experience with complicated cases in our health system knows it is nearly inpenetrable mine field right now. doctors come and go and you don't know which practices, who they are. no continuity of care. tests get done over and over again. lots of mistakes get made. layers of cards in the system that gets billed to this one and this gets billed to that one. it's really shocking how when you get to the core of it, the actual help for the individua...

Price of what they are consuming. we don't have that currently. so we can't really discuss it. >> i'd like to bring in something on this issue of market mechanisms in health care. i think the american system is currently set up with market incentives as jeff was suggesting, that encourage doctors to do too much. and what i think americans do not fully appreciate is not only does that cost more money, but it can lead to worse outcomes and a very good example of that is childbirth. i've had a child now in toronto, london and new york and which was an interesting journalistic odyssey and i have t...

Is considered catastrophic care or situations that are life threatening. 80% of health care relates to the last year of life. >> europeans have the advantage over americans because they expect to die and americans do not. >> it's ironic. they have longer life expectancy than americans. >> sometimes, a hospice can be cheaper. a less medicated, imagine a person hooked up to ivs at that sad moment. that's not necessarily necessary. >> we have a big problem here that is unsolved in basic coverage. we have a system which is far more costly per same kind of patient outcome and same kind of problem t...

Be faulted for not tackling part of what american doctors have to do is practice legally defensive medicine. one reason you have overtreatment. not only the profit motive, it's concerned about defending yourself. >> i'm not even talking about the profit motive that they're just laying on their cases. i like american doctors. i'm married to one. the problem is, the system they're in, is unbelievably frustrating. one after another says it's deprofessionalizing. they didn't try to go into business, they tried to go into medicine. >> let me ask you, you know, the point you are making that the cons...