brian keeley is the c.e.o. of baptist health south florida, the largest non-profit health care system in that part of the state. he says huge medicare costs do not translate to better health care. >> we know that more can be injurious to people, and more health care services, more aggressively providing those services can result in lower levels of care. >> reporter: he says there are several factors that bloat health care costs in the miami area. >> there's a huge imbalance between the number of specialists and primary care physicians and we have such a high percentage of specialists down over here, they utilize resources more and technology more. >> reporter: dr. strom, a specialist himself, says one reason there is such a shortage of primary care physicians, is that medicare doesn't reimburse them enough for patient visits. >> if you spend a lot of time with a patient, you will starve to death as a physician because you will only get paid for a certain amount of time. in fact a lot of physicians will actually

courtney keeley is standing by in washington with that. hello, how are you? >> i'm good, brian. there might be help coming soon to the little guys, small businesses, the obama administration is considering using some of the 700 billion to back out bailout cash to prop up small businesses and expand the small business lending administration, and under this small business owners would be eligible for a low rate loan there are about 127 billion dollars in tarp funds right now that are uncommitted and are at the u.s. treasuries disposal and the cash to small business owners defaults on the loan, then the government would be responsible repaying 90% of it. now, brian, this is a major part of the current economy. according to the small business administration, small businesses from 2008, these businesses consist of less than 500 employees represent 99.7% of all employer firms. in the most recent year, brian, these employer firms created over 900,000 net new jobs and small businesses half of all the employees and 45% of total u.s. private payroll. so, basically in the last ten years or