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[inaudible conversations] the committee on Health Education and labor and pensions will come to order. Senator murray has an important meeting right now and she is asked me too proceed with the hearing because we have six excellent witnesses and we want to make sure we hear from each of you and we want the senators to has questions of each of you. So patty should arrive at about ten. When she comes we will interrupt and let her make her Opening Statement and we will resume the hearing. Good morning senator murphy. Nearly a year ago doctor brent james from the National Academy testify before Senate Health committee with a startling statistic up to one half of the American People spend on healthcare may be ....

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