if you go to india, bangalor they're doing it for five. in the u.s. is up to $150 and the average is quadruple the rest of the world. sage surgery, same outcome, same safety levels but difference in pricing. the same ratio is true -- actually they point to surgeons and say we only charge twice as much. they only charge four times as much. we're under pricing. they could legitimately make that point because drug prices are also significantly higher. and if we paid in this country the price that the dutch play or the swiss play, we could give seniors $50 a month in take home pay that they could use for vitamins. how important are fees? >> if we paid the same fees they do in canada, and if we deliver the same care, the same visits, same scans, same drugs, everything. same hospital days, we could spend 18% down to 12% and resolve the issues. what do we do about that? one of the things we need to stop buying care by the package buying it on a piecework process where there's an incentive to race each pace makes little sense. and if we're going to continue t

our ability for our people to get the education they need to compete with people in beijing and bangalore that we're investing in research and development, that we're investing in infrastructure, so that's going to be his approach going forward. i say the president later this week is going to lay out his detail and approach to the deficit reduction going forward. it has to be a balanced approach, it has to be serious, it's got to put us on a firm, fiscal trajectory that the company needs to grow economically. >> we'll talk about that in a second. again, quickly, the senate majority leader, harry reid called what the speaker was asking for just in february, 32 billion, he called it draconian and very painful. and now it's been called historic. i mean, which is it? is it draconian yesterday and historic today? >> some of the cuts were draconian. because it's not just the number. it's what composes the number. so in this budget deal, the president, senator reid, you know, we protected medical research, community health centers, kids on head start. we were not going to sign on a deal that cut

to put it in another perspective, the complete salary and benefits for a system engineer in bangalore is $12,000. so we clearly have an affordable issue and cost issue with american healthcare. we need health care reform in america because we need much more affordable care. so what should health care reform look like? health care reform to be done well has to have four elements to it. one of them is coverage. we are the only industrialized country that doesn't cover everyone. we need to do that. we need to fix care. there shouldn't be 1.7 million people a year getting infections in hospitals. we need safe care, better care, more effective care, have as many people dying in hospitals and half as many people who need heart transplants and we can do that with better care. we need to fix the cost of care and i will return to that in the second. but if we have half as many transplants that's going to bring down the cost of care, and we need to improve population health. if we leave health of the equation, we are making a huge mistake. we need to do this in a strategically. we need to focus

countries are competing with us like never before, when students around the world in beijing, china or bangaloreindia are working harder than ever and doing better than ever, the success in school is not just going to determine your success, it's going to determine america's success in the 21st century. >> will obama in spite your has kennedy inspired? who knows but we can all agree the status quo is no longer an option. >> go to studentcam board to watch all the winning videos and continue the conversation about today's documentary and facebook and twitter pages. canadian voters go to the polls on may 2nd to elect a new parliament, canadian broadcaster cdc previewed the election on its nightly news program the national. this is a half hour. >> this back down in the steel town. check out the turnout. >> good evening i am peter and this is "the national." why both of the conservatives and the liberals need to win here. another powerful earthquake hits northeast japan rattling buildings and nerves. plus, on the country's most watched political panel, has anyone, politicians or media, talk about yo

no one is going over 20,000, most are under ten and if you go to india, bangalore, turkey, greece hospitals having good outcome surgery doing it for five. in the u.s., the range is up to 150, and the averages quadruple the rest of the world. since surgery comes an outcome from same safety levels and different price range. when you look a drug prices of the demos the difference of drug prices because that's been talked about in congress but the same is true that point to surgeons and say we only charge twice as much of the church four times as much, we are underpricing. not likely to use that argument but they could make that point because drug prices are also significantly higher and if we paid in this country the price is the dutch or the swiss pay for drugs we not only could fill the doughnut hole for nothing we could give seniors $50 a month of take-home pay the dues for vitamins. so prices make a difference. how important are the fees'? if we paid the same they do in canada and what we deliver the same care and office visits and scans, the same tests, same drugs, same everything, same h