any organization has to find those programs that are more expensive to offer. for us to produce and nurse for instance is very expensive but we don't charge a nurse for that. this is a place where technology is helping the universities achieve savings. 17% of our revenue off the top

is taken for financial aid and other students i can't afford it. to be able to affect the cost basis and be able to live up to our responsibility to make certain students are not that students are not left out for financial reasons. raise your hand when you went to college. i forgets and two of my dollars had finished. $250,000. if i were to move back to memphis tennessee i could buy four mansions with that money. your point is when we start thinking about and not not a lead in different populations.

if we go out long without budget. i don't want to go there. everybody mused to speak up and make some phone calls. i want to go political on you but i am. the fact is what you're saying is with to help students like him. he should not come out of college drowning with that. we can do better. i wear a number of hats. it is a group of thought leaders related to some of these issues related to the healthcare focus. but what i really wanted to address in relationship to the technology application as we are constantly battling between healthcare expenditures in higher

education. at the end of the day i have an epiphany today. there is essentially a little known fact that the va has a largest telemedicine program in the world. 2.5million visits question i'm bringing up is in relationship to the focus of the cost expenditures that could be reduced losing -- using these technologies are prohibited by a variety of different political and emotional and word processes in agendas in such a way that is almost impossible to use technology efficiently to reduce significant cost and then it could be reinvested in education or the healthcare area.

what are your thoughts on bringing more efficiencies with technology to some of these tougher areas. >> is political. this raises my blood pressure. we let happen. if we we go to the ballot box and vote for people. and support these kind of limitations were letting it happen. people get more involved because if you have the technology to lower the cost that will help everybody. we have to get away from them. but people the people to stand up and participate. we can't let what happened last year continue to happen. he is never made me chairman of any committee.

let's talk a little bit about this. they also have a responsibility to transform themselves and figure out how to use digital tools not just to provide learning for students but also to run their businesses. every organization is trying to find weight to digitally transform themselves. your with universities and had 45 data centers. they need to try to figure out how to transfer themselves so they can actually run more efficient. we can do better in that space. >> was a commercial for the cloud i spent seven years working on the strategy in consulting side.

universities have been a little slower than that. i love this every day. whenever we try to be more efficient. we are and the cloud now. we got get rid of our data center. there is a cost to this. their human beings that are laid off that we try to find other jobs but often there are not. i think we have to take it is hard when you displace people. this is what's coming up. if people realize. we have to help people realize it's a long life you're probably could have nine different kinds of careers and so keep going back and reinventing yourself. you can't just say.

it's one of the top comprehensive science magazines in the country and he said i need an article in two weeks describing what you think about whether or not the national institute of health should at a 28 research institute. i wrote this thing and i said no, they shouldn't. they should have three institutes. everything about cancer. nothing left off. whatever it costs not 28 institutes working with that one. and then a second institute should be designed on outcomes. how do you even out the outcomes at the highest possible level for everyone in our society and how do you figure how to do that. this third institute was about lowering the cost. of healthcare which is not

$9,000 or more per person per year for marginal outcomes for large segments of our population. the article was not will received. i got published in the nature. i got more. >> this one guy said i was in illegitimate child of mccain. and what they meant by that i don't think my mother knew him what they meant by that was surely i had been mentally corrupted by some kind of conservative logic and all i was doing was spewing vile that would somehow take money away from science. there was no interest in the maximization of outcomes. the answer to your question as

it is culture. >> that is all the time we have for the program. before we end tonight. we would like to thank asu for making this event possible. i think all of you for joining us today and please stick around where you entered. let's give a big round of applause try great penal estimate. sunday night on q&a adam engine dusky and how taxpayers

dollars are spent on the need for government transparency. veteran's affairs we had audited their checkbook for the past four years and last summer we found that during that time where a thousand six veterans died while waiting to see a dr. dr. the va spent $20 million on high-end art portfolio. $21,000. it was sculptures like five bedroom homes. two sculptures for $700,000. it was a huge rock sculpture all in with landscaping for $1.2 million. this is a type of the type of waste that is in our government. the former vice chair of goldman sachs robert kaplan is down the president of the federal reserve bank