i have had personal experience with insurance companies, bluecross blueshield, for one, when i had to have a cataract surgery. they decided i couldn't have it done in the hospital, even though my doctor wanted to do it in the hospital for various medical reasons. some clerk in their office said, no, they weren't going to allow that, and they overruled my doctor. i'm concerned about that kind of thing happening when you have so few. i'm wondering if there are going to be antitrust laws to keep these few from becoming one and an og opposely and two, from having too much power from the insurance providers. >> well, what you're describing is what's happening right now. that insurance companies are very often overriding doctors' opinions and making decisions based on insurance coverage instead of clinical judgment that the doctor would like to bring to bear. that is happening right now. we believe that moving toward the system that we've envisioned, there will be less of that, and, in fact, doctors will, we hope, regain some of the autonomy and authority they have had to give up. but the a

charitable hospitals, the drug industry tax, health insurance industry tax, insurers excise tax and bluecross blueshield tax hike. the health care law imposes more than $550 in new taxes and penalties, most of which will fall on the middle class. third, the impact on the state of indiana -- obamacare forces states to expand medicaid rolls so significantly that it will be imposed upon the states in a way that can cripple their ability to try to find some balance had their budgets. in indiana, where our budget is in far better shape than many other states, we still cannot afosheafford the current medicad program let alone the projected new costs that will be required under the obamacare law. an outside group has estimated that $3.1 billion in new costs over the next decade will be imposed on who is ae who is hoos because of this health care law. this added expense does not include any payment relief to providers, and therefore shifts the cost to patients by driving up premiums for all hoosiers. in conclusion, mr. president, we have to ask the question: what's the remedy for this fatal disease called obama