dr. zeke emmanuel is currently a professor at the university of pennsylvania.ood to have you on the program. >> thank you he very much for being here. >> the white house released the president's budget for fiscal year 2013 this week aiming to cut $360 billion from medicare and medicaid over ten years. what is your reaction to the plan? >> we do have to cut medicare and medicaid. i think some of the cuts make sense, kind of speed up introduction of generic biologics could we can get generic drugs fast near the marketplace. some of them are better fraud and abuse enforcement, which we know we definitely need and using much more modern techniques, predictive techniques of who's cheating. some of them are straight forward cuts in how much they are paying, various, like skilled nursing facilities and things like that. >> are you expecting the cuts to medicare to continue because of increased costs? >> well, we are going to have to -- what i would like to do is modernize medicare there are a number of things, been on the books since 1965, a number of things with he c