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Their health insurance. >> so unless you get a waiver, only blue cross/blue shield because it can spread across the ruing and spread across the administrative cost; basically of the last man stand and the smaller insurance companies will not be around? is that essentially what it is? >> that is the problem. no question about it. it's competition that we are trying to foster. we aren't trying to favor the ten small companies competing with blue cross, but we have a noncompetitive market and have had for a number of years, and it's getting worse year in and year out. i think the advocates of a s...

National health care program that's been enacted by the democratic party, and as they go forward, dr. berwick is going to be in a position to make very serious decisions about access to care, especially for older americans. martha: like what? this is perhaps the most important point because a lot of this look at the center for medicare and medicaid services and say how much power do they really have, what can they really do. >> as we know the president crafted his health care plan so it would be phased in for a number of years, up until 2014. what dr. ber r -- berwick will be doing is to runni...

Where the money goes right to the people without the insurance companies getting a cut? why do you have to give the insurance companies a cut? why was the publix option taken out? why can't states have the ability to create their own single payor system without getting attacked by -- >> that's a great point, congressman. i've got great respect for you. i saw the president yesterday. it is the most passionate he's been. he admitted that they're going to be getting 30 million more customers. but they're a big player at table and this is all a part of negotiation. can't you accept some incrementa...

Bush tax cuts. that's half of what health care reform would be in this country. plus, they rank it as saving money. tom, we're friends now, okay? >> always have been, always will be. >> my man, i need you to sign this public option letter. what is it going to -- if the public option comes up for a vote for reconciliation, would you vote yes, senator harkin? >> look, ed, you're talking to a gay who is for a single payor system and i'm for a public option, always have been. but i know that speaker pelosi said yesterday, i guess, on one of the talk shows, that it's off the table, simply because o...