you have to be able to create national standards of what it should be. >>> is reforming health care -- you know, it seems right now that the biggest strides are trying to be made by the private sector we mentioned the berkshire alliance companies going directly to the insurers to demand better rates. is that the way it's going to be is it going to be driven by the private sector or is there a role for government? >> you know, i think market forces work best so if you're talking about drug pricing, coordination of care, employers lowering their cost of care, going direct, i think, is the most effective i think federal and state governments, medicare, medicaid, have a role to play in standards and in protecting the clinical quality in some ways, but i think market forces work better when you're trying to lower costs and improve quality. >> there has been that role of market forces driving down the price of drugs and with scott got li