and nancy davenport-ennis, heads the patient advocate foundation. let me start with you, dr. rice.f the things i think people are going to remember from that documentary. when you talk about our life expectancy, we're 50th in the world, last in terms of the richest countries and if you look at the causes, especially with regard to that documentary, it's because of a profitable disease care system. what do you think? >> i think it comes down to three things, a large part of it is personal issues, where we have different behaviors that i think increase our burden of disease. our health care system. we have some challenges with access and affordability. and then clearly we have social and economic issues that impact people's ability to access. if you look at our percentage of uninsurers, you compare us to those other nations, you have to understand that we come to the table with the bigger burden of disease. >> the children dying before the age of 5 exceeds any of the other 16 richest countries. if you account for that, we do much better. why do so many children die so young here? >>

and jonathan gruber and also nancy davenport ennis. dr. rice, let me start with you.e things that i think people are going to remember from that documentary is that when you talk about our life expectancy, we're 50th in the world, last in terms of the richest countries. if you look at the causes, especially with regard to that documentary, they say it's, quote, because of a profitable disease care system. what do you think? >> i think it comes down to sort of three things. i think a large part it is personal issues, where we have different behaviors that i think increase our burden of disease, our health care system, we have some challenges with access and affordability. and then clearly we have some social and economic issues that impact people's able to access. if you look at our percentage of insured. when you compare us to those other nations, you have to understand that we come to the table with the bigger burden of disease. >> the children dying before the age of 5 exceeds any of the other 16 richest countries. if you account for that, we do much better. but why