dr. ken davis. he's the president and ceo of mount sinai health systems. thank you for being here. >> great to be here. >> we are one year in to the affordable care act. i know it is early on to tell but a gallup poll is showing the rate is 13%. how would you judge the beginning of obamacare? >> there are three things they wanted to do, increase access, improve quality, decrease costs. clearly on increasing access it has been successful. it is successful at the medicaid level. it is successful at the larger . around quality, there are now penalties for medicare for payments to hospitals around hospital-acquired infections and reed readmissions and as a resu qu is up. financially, we see the rate of increase in what we have been paying for health care as a nation, that rate of increase is slowing. so that's a good thing. those who favored this law suggest that the law had something to do with it. there are many explanations why the rate is decreasing that may not relate to the aca. >> such as? >> well, copays are larger, deductibles are larger and people ar