dr. scott gottlieb, former policy advisor at centers for medicare & medicaid services and royce, senior fellowhe manhattan institute. i read prices government pays for medicare services are up 58% over the last 10 years. you say this might be part of the reason. is this a racket? >> it's a total racket. it is the fox guarding the henhouse. right, the ama is conducting surveys with their own doctors, they as you, they never err on the side of ssying it is too little work. they say this is so much work, this procedure is so challenging we have to be reimburse ad lot for it. gerri: doctor, we talked about this last week, and you said how some of this pricing gets set makes no sense at all. give us an example. >> well the pricing gets set based on assumption, quote, intensity of work required to do certain things and time it takes and some measure of the overhead costs t basically gives incentive for higher reimbursement for procedures. so you can do a procedure like removing ingrown toenail literally and get paid more than you would spending half an hour counseling a patient. it incentivizes doct