during a time i did a masters in politics and philosophy and then came to washington and worked forrim cooper, a conservative democrat from tennessee. i worked on the al gore president way back in '88. and then in '92, i came back from the middle of medical school which became the thing i keep falling back to because i didn't like depending on working for other people to figure out what i really think and how i can contribute. >> host: well, let's get to the 30,000 view of healthcare in the united states. will you give us your view on the healthcare they have and a size of that how much it costs us to get it and how many people don't have access. >> guest: in many ways we have amazing cutting edge healthcare. and we have access to unbelievable technologies. and unbelievably well-trained people. and at the same time you can find some really abysmal healthcare with lack of access in poor communities right within our own cities and neighborhoods. and that stark contrast is a major problem that we're struggling with. i'd say the second major problem we're struggling with is that the pieces don't