dr. fuhrman is smarter than me. so with that, help me welcome dr. jason fuhrman. thank you. [ applause ] >> i'm not going to hold myself up against a quantum chemist. but thank you so much, chuck, for that introduction. thanks for organizing this discussion today. and i thought i would start with something really simple, because when we talk about health care, often our vocabulary flips around. i want to talk about the difference between cost and spending. cost is how much it cost to buy something, how much it cost to buy a shirt or a candy bar or a meal at a restaurant. and in those contexts, we rarely get the word wrong. spending is how much it costs for something multiplied by how much of it we spend in total on shirts, how much we spend in total on candy or restaurants. and that spends on both the price and the quantity. when it comes to health care, these two have somewhat different evaluations. as a general rule, any time we can slow the growth of cost, that is the growth of prices, in this case, the price of an aspirin or the price of a treatment for heart