i'm going to yield to dr. roe. but i want to give members a heads-up here. i'll be recognizing dr. roe for five minutes, and probably ms. davis, maybe mr. wahlberg, and after that grij val va. we'll go to four minutes, and i'm trying not to go to three or two. but i want to give everybody a chance to be involved in this conversation. dr. roe? >> thank you, mr. chairman. thank you, madam secretary, for being here. just some questions i want to bring up to begin with. then we'll get to the questions. these are things i want your shop to answer. one are the medicare wage index, or area wage indexes. if you look at those around the country, it was never intended to be like that. but 20 of the highest are in california and massachusetts. and 14 of the lowest are in alabama and tennessee. for instance, what you get paid in santa cruz, california, is 1.7, with a medicare area wage index, and .73 where i live. it's putting us out of business. that needs to desperately be looked at. the second thing i want to bring up, and i want to know what your solution for that is, are the rack audits. t

dr. roe, you're recognized for five minutes. >> thank you, mr. chairman. ess the direction i want to go is with dr. head and mr. tremaine. when you make an allegation, obviously you're not a team player right there. so what is it to lead me to believe that you're just not an incompetent employee. you're just a troublemaker. you don't want to work with a team. we've all been on the team before. and when you're looking, what's to make me -- because i've seen this happen before. where you -- how do i know dr. head is really a very good doctor? he just might not be very good so we move you out of the clinic and put you in a closet somewhere and essentially move you out of clinical care just to get you out of the way. and it's very hard to protect your reputation if you have two or three or four senior people ahead of you making the allegations. so how do you protect yourself on that, to follow up on miss rice's statements, how do you do that? how do i know you're not? >> well, my reputation speaks for itself. and my education clinical expertise and track record

dr. roe. >> thank you, mr. chairman. thank you, madam secretary for you.st to put some questions i want to bring up. begin with and they will get to the questions but these are things i want to shop to answer. one, are the medicare wage index, if you look at those around the country there is never intended to be like that. 20 by the highest court in california and massachusetts. 14th of the most ardent alabama and tennessee. what you get paid in california this 1.7 with the medicarecome and its 1.3 where i live and that's putting us out of business. .. medicare is not an unsustainable course as you well know. last year 2014 medicare spent $613 billion took in $304 billion. that is unsustainable. concepciÓn, $3.6 trillion making their premium over what we spend and out like to know what your recommendations are to put this on a more sustainable course. we did save 2.9 charlie it over the budget. that's a start. i'd like to know what the other issues are. regrettably i've got to ask the extremely important task and one last thing an ipad do you think one per

dr. norman roe created the instabreast. he injects saline right into the body, building a fuller breasts that lasts just 24 hours. >> this is like test-driving a ferrari. >> that's exactly what it is. it's kind of like try before you buy. >> i've always been curious about how i would look with actual permanent breast implants. >> in 20 minutes, sheena went from an a to a c cup. >> it feels like just a little squishy, like i said, natural. and not too overwhelming. >> reporter: one of the biggest trends doctors are seeing is younger patients. kathryn fagen opted for botox at just 25. you don't have any wrinkles, barely. >> i kind of want to prevent the small lines that are forming. >> reporter: kristen ingersoll started treatments in her early 30s to ward off aging in her late 40s and beyond. trying everything from botox to alt therapy which uses sound waves to build collagen. >> it's just like the apple, we put the lemon it to try and keep it from getting brown. so i'm trying to find a way to just stay as fresh as possible.