- governor branstad said that the shift to privitize medicaid in iowa would stay on schedule -- and asf right now -- the company the four involved in the system. "all four of these companies are very troublesome to say the least. and so people here feel very passionaly that if we were to move to managed care, that these are not the four companies to have. the concerns over the switch broke down largely along party lines. lines.the benefit pushed by republicans is that working with a limited number of ivate companies saves the e state money.democrats are concerned that the quality of care will suffer even with the assurances from the governor that the level of coverage will stay the same throughout the transition. "nobody had any answers for me. nobody knew anything that was going on."people falling through the cracks, providers not recieving reimbursement. all of which could really lead to some bad outcomes."under managed care, as we've heard from company representatives, they will be making determinations on whether or not what your doctor is prescribing as care is really frustrating.

cbg asf people think of one of these firms that drives valuations. what do we do here?is obviously a problem. are you writing bigger checks? are you writing fewer checks? we are at the beginning of the supply chain of venture capital. for us, this year we have been slower to invest. are yearslysis, there that have lots of great new ideas. last year and the year before were better ideas. ideas are looking for higher valuations. the punch newer -- entrepreneurs that are looking for rich valuations to realize they could be setting themselves on the wrong trajectory for the rest of their life. we try and balance the fact that sometimes the valuation doesn't matter if you are in on some thing big. you don't want to set the company up for failure because it started out too expensive. this year seems like a great year for companies starting a couple years ago. we have not been super active this year. we are looking for bright ideas at the right valuations. >> agreed. there has been a significant increase in number of violations, but those levels are relatively constant. -- in

withad you d to be here with general schwartz who was not only a service chief but a combatant commander asf, b well as being director of the joint staff. there is no one who can talk more coherrently to this issues as well as him. to my good friend dr. chris lam who i think can best addressaddr questions of strategy and planning senator reed raise ad t momentha ago.ag io. spent 37 years in uniform. i spent probably a decade of that in the pentagon. i wish i had been at sea during those years but in that time i managed to serve on the staff of the secretary of defense, secretary of the navy, chief of naval operations and chairman oa the joint chiefs of staff. so i have sort of seen insideies the building and as senator mccain mentioned i was twice a combatant commander, once in europe and once in southern command, latin america and theis caribbean. so i'm going to simply walk into four or five ideas that think might be interesting for this committee to discuss and debate. none of these are fully firmed ideas but i think they relate to the objective of what theate committee, i think very corr