. >> geisinger being a system a little bit like mayo clinic. these are called integrative group practices, organized group practice, salary group practice, the idea of being a group of physicians were under one financial umbrella and they are salaried. every state in the country has at least one. states that have more of them have lower health care costs. they are clearly superior systems in many, many ways. they may not be the only way to do things that they are better systems and right now we don't pay them any better than we pay chaotic care at some hospitals where it is crazy and if anybody has spent any time in a hospital, as julie has, as lisa has and as i have and as any of us to report on health care, it is chaos out there. so these organized systems, i'd like to say do it better for less so we need to start rewarding those systems little bit more. maybe they can expand in the need to find ways to pay other systems to try to get them to emulate those systems. one of the things that is happening right now politically is that some of the

you know, we hear a lot about geisinger, mayo, cleveland clinic, intermountain health care, there's home health out in seattle where doctors and hospitals and nursing homes and pharmacistpharmacists are more d together and that, therefore, cuts down on costs, increases quality, is more patient-centered, it's care-crrtd, and thi -- care-coo, and this legislation helps us move in that direction. you know, we're just trying to get started here with this legislation, get started on doing some of the right things that we know we should do. we're not -- we don't have all the answers here. nobody has all the answers. but if we get this legislation passed in the next couple three or four or five years, we work with the basic underpings of this legislation -- underpinnings of this legislation, we're going to create some mistakes, we're going to see some new opportunities, we're going to be working on getting health care costs down, which we have to begin doing to help our people, help our companies. we're going to work to get more coverage so more people have health insurance. i mean, it's an emb

you know, we hear a lot about geisinger, mayo, cleveland clinic, intermountain health care, there's homeealth out in seattle where doctors and hospitals and nursing homes and pharmacistpharmacists are more d together and that, therefore, cuts down on costs, increases quality, is more patient-centered, it's care-crrtd, and thi -- care-coo, and this legislation helps us move in that direction. you know, we're just trying to get started here with this legislation, get started on doing some of the right things that we know we should do. we're not -- we don't have all the answers here. nobody has all the answers. but if we get this legislation passed in the next couple three or four or five years, we work with the basic underpings of this legislation -- underpinnings of this legislation, we're going to create some mistakes, we're going to see some new opportunities, we're going to be working on getting health care costs down, which we have to begin doing to help our people, help our companies. we're going to work to get more coverage so more people have health insurance. i mean, it's an embar