dr. reinhardt. >> may i ask that dr. reinhardt? if you have more primary-care physicians -- if you have more primary-care physicians we can convert that into quality adjusted life. usually the assumption is that he was and is imputed to that. -- value is imputed to that. by having more physicians in that field, how much better quality of life have you produced? i would suspect return is fairly high. -- i would suspect the return is fairly high. >> i have two minutes left. i would like those three seconds back. to senator murphy's comment about the status -- i think your status as partly determined by your salary. i do think the relative value board you're talking about -- you were talking about -- in other countries, what is the compensation in terms of general practitioner to specialists? is it different? is it lowered? is the ratio hire from gp to specialist in other countries vs here? -- is the ratio higher from gp to specialist in other countries v. here? >> not as much as here. they generally do have lower pay but i do not thi

dr. reinhardt, a medical economist, may i ask you that? [inaudible] >> microphone, please. >> apis primary care physicians who've accessed in the institute of medicine studies shows that will produce better health and life fears and we convert that to quality adjusted life years. usually the assumption is imputed to die. normally i know david cutler and others use $100,000 to put a value on it and then say that having more physicians in that field and providing better access, how many qualities have you produced, lives saved or better quality of life and you would get a return i suspect to be fairly high. >> i would love it if that could be done. >> in the senior thesis i'll ask the students. >> i've just got two minutes left in that i'll just go. >> that's all you have left anyhow. >> i was making the same point. i'd like is three seconds back. to senator murphy's question or comment about the status -- i think your status is partly determined by your salary. i think the relative value portraiture talking about. i can't remember the name

dr. reinhardt. >> as a medical economist, may i ask you that? >> microphone, please. >> if you have more primary-care physicians, that will improve access. the institute of benison studies show that will produce better health and life years. we economists can convert that into a quality-adjusted light years. usually, the assumption of value is imputed to that. i know david cutler and others use $100,000, just to put a value on it. by having more physicians in that field, providing better access, hominy qualities have you produced -- like years saved orbiter quality of life. -- or better quality of life. the return is fairly high. >> i would love for that to be done. >> i will ask a student. >> i just have to minutes left, and then i will go. >> but that is all you have left any doubt. >> that is what i meant. i was making the same point. i would like those three seconds but. -- back. to senator murphy's have a question or comment about the status -- i think your stuck this is partly determined by yo

dr. reinhardt and i have talked a number of times. he is a health care economist. maybe that's something you can ball over. i thank you, mr. chairman for this unbelievably importune hearing. >> thank you, senator franken. senator murphy. >> thank you, mr. chairman. excited to be with this committee and a fantastic panel and knock it out of the way so you can provide us with your testimony. let me say having chaired the house committee in the state legislature, we grappled with this problem year after year. i remember specifically one meeting i had with maybe 15 or 20 medical students at the university of connecticut and at some point we were talking about the affordable care act and how it can help medical students talking about this issue of the high level of indebtedness. i asked how many of you are considering going into primary care. at the 15 students, one raise their hand. only one considered it. we started to examine the question as to why they did have it on their mind. certainly dollars for the first thing they mention. i would have indebtedness even out o