dr. de jonge and a more general question. the specific question for dr. de jonge is home health visits. my understanding is that congress has been cutting the amount of money for home health because they think there's a lot of fraud in the program. the fraud that i have seen, because i'm also an attorney, is for-profit home health care provided to people who don't need it while avoiding the people who do need it because it's expensive. my question for the panel is along the lines of marilyn moon, is value for whom? i know value is supposed to be quality over cost, but are the patients involved in the quality measures, and i don't mean patient satisfaction surveys, because for a healthy patient, that's parking, and ability to schedule, and to call the doctor at night. and for a sick person, it's time with the doctor, to ask all the questions and get the explanations and get some empathy. >> yes. there are two questions there. one is just about home health care. the medical house call home based primary care model taps into skilled home health care as needed. we have found many very good

dr. de jong for five minutes. >> good morning. my name is dr. john de jong, chair of the board of directors of the american veterinary medical association and timely companion animal practitioner in massachusetts. the american veterinary medical association represents more than 80,000 members worldwide in case of why friday a professional activities and dedicated to the art and science of imaginary medicine. everyday my staff and i strive to serve the best interest of older animal patients and their human owners to weather to routine visit or an emergency we all want our pets receive the very best care. veterinarians understand their clients must make financial decisions when planning and paying for services and medications. which is exactly why we support policies that give our clients the flexibility choose where they fill their prescriptions. however, the fairness of the pet owners act will require patronage to provide a written copy of every prescription for companion animal whether or not the client needs or even once it. this is unnecessary

dr. de jonge and a more general question. the specific question for dr. de jonge is home health visits. my understanding is that congress has been cutting the amount of money for home health because they think there's a lot of fraud in the program. the fraud that i have seen, because i'm also an attorney, is for-profit home health care provided to people who don't need it while avoiding the people who do need it because it's expensive. my question for the panel is along the lines of marilyn moon, is value for whom? i know value is supposed to be quality over cost, but are the patients involved in the quality measures, and i don't mean patient satisfaction surveys, because for a healthy patient, that's parking, and ability to schedule, and to call the doctor at night. and for a sick person, it's time with the doctor, to ask all the questions and get the explanations and get some empathy. >> yes. there are two questions there. one is just about home health care. the medical house call home based primary care model taps into skilled home health care as needed. we have found many very good