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Because we're not talking at this point about paying down debt. >> are you saying we don't need to -- >> we need to work on projects. >> i'm talking specifically about the main drivers of the debt, medicare, medicaid. >> where the math doesn't add up. >> we know something is going to happen. >> why wouldn't that be urgent? >> because it's not something that will hit right away. what we need to do on health care costs we need to find ways to deliver essential health care more cheaply. we need to control those costs. we can do that through a lot of things that are already in the affordable care ...

>> i re-elied on my parents, my school. takes a village. can i respond to what she said? affordable care is peing implement ed now. you have to understand a lot of the -- >> the lowest increase? >> yes. >> california is going up 164%. we have ohio. his state is going up 80% health care costs. florida going up 40%. four state wills see a decrease. the president said every everybody would see a $2500 decline. >> the thing about it is everyone -- those are the biggest states you are talking about having a decrease. health care costs are still rising. hopefully with the pilot projects through medi...

Exactly is it urgent that we do something now? because we're not talking at this point about paying down debt. we're not talking about investing. >> are you saying we don't need to -- >> we need to work on project. >> and i'm talking specifically about the main drivers of the debt, medicare, medicaid. >> where the math clearly does not add up. do you agree? >> yeah. we know something is going to happen. >> so why wouldn't that be urgent? >> health care costs. well, because it's not something that's going to hit right away. what we need to do on health care costs is find ways to deliver essenti...

>> well, actually, i think that would be a fine thing to do, but there are other efficiencies that we could make in medicare right now. we could ask -- we could allow medicare to negotiate with the pharmaceutical companies, and that would save a good deal of money. health care, overall, we could have a public option, which actually passed the house of ç representatives, which would save another $106 billion over ten years. we are doing pilot projects that make accountable care organizations get away from fee for service for every individual kind of procedure, and pay for outcomes, for making...

To just wait three or four years, look what's working, and then have this conversation about adjustments we're going to make long-term to medicare? i do not understand why in the wake of passing that bill, the obsession with doing something about it right now. >> well, actually, i think that would be a fine thing to do, but there are other efficiencies that we could make in medicare right now. we could ask -- we could allow medicare to negotiate with the pharmaceutical companies, and that would save a good deal of money. health care, overall, we could have a public option, which actually passe...