already made investments and health i.t., that's information technology, electronic medical records that will reduce medical errors, save lives, save money, and still ensure privacy. we also need to invest in prevention, in wells in programs to help americans liver longer and healthier lives. [applause] but the real cost savings will come from changing the incentives of a system that automatically equates expensive care with better care. we've got to move from addressing -- we've got to address flaws that increase profits but don't actually increase the quality of care for patients. we have to ask why places like kiss jer health systems in rural pennsylvania or inor mountain health in salt lake city can offer high quality care at costs well below average but other places in america can't. we need to identify the best