dr. klineman still worries. with each new technology mandate, he's watched more solo practitioners close up shop because of new administrative burdens. >> there's an increasing pressure on physicians to leave small practices and to join either large groups or to go into hospital employment situations. this is one of those things that i think is going to help accelerate the end of private practice as we used to know it. >> reporter: the new system rolls out october 1st. bertha coombs "nightly business report," new york. >>> kentucky senator rand paul today. he is running for president in 2016 and one of his goals if elected is to get that pile of cash that companies have abroad and put it to work back here in the u.s. >> more than $2 trillion in american profit currently sits overseas. in my vision for america, new highways and bridges will be built across the country, not by raising your taxes but lowering the tax to bring this american profit home. >> and that is the perfect segue into what we've been calling t