also with us, and we're happy to welcome him back to the show, charlie cole, president of the committee for economic development. they represent a wide variety of major corporations in this country. charlie and the ced called fee for service a recipe for fiscal irresponsibility. and dr. dean, i'd like to start with you. how do we end up with a fee for service model in the first place? >> it goes back to world war ii. employer-based health care became a way of getting around price controls in the end of the war and war period. and doctors have always been entrepreneurs. the problem with that is when you charge by the service, as you pointed out in the opening, you get more service. whether you need it or not. so what i believe is if you want to control health care costs, you have to go to a certain amount of money for the patient and that's all you get. whether you do 75 mris a year or whether the patient doesn't come in. that will give you a budget to live with and a predictable budget, and secondly, it now all the people paying the bills pay for wellness. if you're just getting a fixed

course we have the esteemed and honorable daniel akaka and representative tom cole, the assistant secretary larry and charliebray from the white house, david from the senate committee, yvette from iehf, and aram plame from treasury. we also have the native organization partners earning stevens, a request from the housing council, and finally, i want to thank the native voice one and many of our trouble stations across the country for airing today's address and bringing the state of the indian nations to hundreds of thousands of people in the andean countries and beyond. this year we've asked an american indian active duty military service member to begin and to introduce president keel. it is my distinct honor to be able to introduce and to welcome the lieutenant governor of the bus marine corps in the u.s. navy judge of the ticket at the pentagon. the lieutenant colonel has participated in the deployments and iraq and afghanistan. please join me in the thinking him for his continued service and welcoming him here today. lieutenant colonel. [applause] >> thank you. good evening and it is my pleasure to intro

cole. the assistant secretary, kimberly and charlie will break from the white house and from the senate committee and on dhs. ann plan from treasury. we also have our native organization partners ernie stevens, chairman, request from the housing council and many of our trial and radio stations across the country for airing today's address and bringing the state of indian nations to hundreds of dolphins of people in the indian country and beyond. this year we have asked an american indian active-duty military service member to begin our invest and introduce president keel. it's my distinct honor to be able to introduce and welcome the lieutenant colonel t. jay hunting horse who is a u.s. navy judge advocate at the pentagon. lt. colonel hunting horse has participated in deployments and iraq and afghanistan. please join me in thanking him for his continued service and welcoming him here today. lieutenant colonel hunting horse. [applause] thank you. good morning. and it is my pleasure to introduce the president of the national congress of american indians president keel. president ki was currently th