dr. murphy who has been more in the health care system that -- than all of us. mr. murphy: when i look at this, i want americans and all of us to imagine a system that's based upon cures and outcome. a system where doctors are in charge of your health care not insurance companies, not the government. i know that both sides of the aisle are deeply concerned about this. it is not the one side wants insurance companies to win. we all want patients to win. democrats and republicans alike. we must have a system that focuses upon this. not that creates incentives because we are paying people so low to do more. not to promote more medical procedures but focus on this outcome. we can do this three threw the things we are doing. the patient and doctor in charge. don't create more barriers. make sure we have all the efficiency there for equality. we can do those things. imagine what could happen. imagine the possibilities and let's not throw it out and say it's too difficult. with that i yield back to my colleague, congressman dent. mr. dent: just in conclusion i think we want

dr. murphy., a background in psychology and has a great deal of interest in this issue. i yield to my friend and colleague from western pennsylvania. mr. murphy: i thank my friend from pennsylvania. one of the concerns that comes up repeatedly when talking about health care is the cost. and one of the things that happens as washington deals with it is two approaches. one if health care is expensive, let's have the government pay for it, which means you raise taxes. and the other, let's deal with insurance issues, perhaps tax credits, which means that taxes will pay for it. i understand in both cases we are trying to lower health care costs, but neither one gets to the root of that and that's dealing with the issues of improving health care to make it affordable and accessible. i would like to address this issue of how we lower health care costs. as part of the plan that congressman kirk and congressman dent have led here in coming up with cost savings in health care, one of them has to do with trying to make sure we are providing health care to those who have -- are not

murphy. >> thank you mr. chairman and welcome dr. hamburg. pennsylvania's industry is agriculture and that comes food-processing and. we're honored to have national companies like hershey's, companies like welshes that grows grapes and more locally in the pittsburgh area regional distributors like giant eagle, national distributors and, of course, big bands like del monte and corporate headquarters of heinz. and small companies like sears chocolate the cells around the country. all of them have talked with us about concerns for this bill and certainly are very supportive to make sure we have strong fda and we want to make sure that happens. a few questions are raised and i hope i can remain for part of the hearing so i will have to leave for the floor but a number of issues making sure there is no one intended consequences that leads to increased price for consumers but work on the registration fee particularly as a man at smaller businesses. also with regard to the traceability, we need to be clear what the obligations are for the process an

murphy. >> thank you mr. chairman, i look forward to dr. hamburg testimony and members of the other panels. what we're talking is setting very high but reasonable expectations for what we can do it out of the fda and i think if that is our goal we can get a product that both parties can be proud of it. as of the former chair of connecticut's public health committee i speak for a lot of state policy makers in a feeling of helplessness over the past 5210 years especially and i thank you are going to find in this committee will find a lot of allyson in state public health networks and they're going to be very supportive of this transformation you are under going to try to assist in their efforts which have been difficult over the past several years. leslie mr. chairman i am appreciative to you and mr. dingell and others for including in this bill several aspects of the work that my colleague in connecticut's chairwoman of the agricultural subcommittee of the appropriations committee rose said the lore has been working on this issue. parts of this bill relative to inspection frequency for the r