dr. donald berwick, administered for social medicaid and medicaid services. dr. berwick, thank you very much for coming. it's good that you are here because senators have many questions. and i know you'll answer them very forthrightly. as is her usual practice, your written statement will be automatically included in the record. i encourage you to speak, often we give witnesses about five minutes but if you want to take more than five minutes, you go right ahead. dr. berwick. >> thank you very much, mr. chairman, mr. leader, members of the committee. thanks a lot for the chance to meet with you this morning. i feel very privileged to be here. my full testimony as the chairman said is submitted for the record. i'm a physician. i am the son of a general practitioner who practice for over 40 years in rural connecticut, and from my father i learned the image of health care i still cherish. responsive, embedded in a community and connected to it, and focused on the needs of patients and families. my father made house calls. he knew everybody's name in town. he did it a