this is georgia alverson.mer chairman ceo of kaiser who says in the medicare plan, 20% of patients get -- 20% of those turn into amputations. this country spending $8 billion a year on amputations. over the medicare advantage plan , even in the moderately successful ones, they have had this many and one third as many amputations. >> they do things that are probably not on the list. one ofat the ways you prevent amputations and ulcers you make sure your patient has dry feet and dry socks. i don't think dry feet dry socks are on the list of things traditional medicare pays for. blindness is another problem with older diabetics. a much higher rate than theor medicare advantage plans. $100,000 a year, 20-30,000 dollars a year for blindness, congestive heart failure we have a significant difference in outcomes in medicare advantage and traditional medicare. so, these plans are differently than regular medicare. their financial incentives are different. halverson says the death rate is 40% higher than it is in medic