there's a lothere is a lot of ca catholic air goal is and i don't agree with that as a prophet i don't think it makes sense. but that isn't for me to define. they think it is a prophet and they will either live by that or die by that. if i understand that's what they are going after and i can help them get their, that is going to help me in the future. >> u.s. 230 million or so americans each driven by their own profit motives with millions of businesses doing the same thing. how does that work? >> the invisible hand. my profit motive, i driven by families and i had the opportunity that i got to walk with my daughter to school in the morning and they've driven a little bit by money so i can afford the lifestyle in which to do that. it works because if i am bad to people and not doing the right things, i am not going to be able to pursue that lifestyle. so that is the individual scale. if you increase that and move it up a notch and go into this mess is, if the businesses are making their customers mad or their employees matter, then they are going to stay around long either so it works

there's a lothere is a lot thate over the internet boom. i think that you can significantly cut costs and also improve the quality of. healthcare can be done through tele- health, so i'm very excited about it. >> do you have any perspective on where we need to focus if you increase quality then you drag your costs up there are a lot of things we can do to emphasize preventive care. probably most importantly i know we are getting short on time but providers such as myself have to be responsible what is the most expensive piece of technology that we have in healthcare. we are responsible for the cost of health care and also by the way w when we talk about the opioid crisis i've heard so many people that have gone down a path of addiction. good morning. it's a pleasure to be here and always a pleasure to follow the governor on stage. for the next session what we are going to do is do a little bit more of the deep dive into the medicaid transformation. we represent all of the state and territorial agency directors who. i will introduce them qui