ekekiel emanuel [applause] for anyone who tries to educate the public and is a tremendous pleasure it is one of the places you do about to speak at the commonwealth club and it is my privilege and i am amazed, i was told by and not a big football fan and i am a me summit people turned out despite missing the ball game tonight. one of the things lark it did not say about me is i do a lot of surveying of doctors, patients and various medical issues and i want to start by talking about all little survey. i will begin with two questions. the first is overall how well do think the health care system is functioning today? how many people think it is functioning very well? hold up your hands. 1%. [laughter] moderately well? a few more. fairly well? that seems to be the majority. not well at all? there is a sizable number there. the next question overall how happy are you personally with the health-care services that you get? very happy? about half of the audience, a moderately happy? another good joke. fairly happy? not happy at all? that shift, that all large number of you find of the syste

. >> we're talking to ekekiel emanuel for his vision of a complete overhaul of the health-care system per your plan could set up a two-tiered system for those who cannot afford have a gold system and those who can will be without. >> i am not sure you want whenever sure you want to prevent the without the love me say i think the rich being able to buy more, a first of all, recognize it is inherent. right? in canada they have one system the rich still buy more. they come to the united states they go to harley street in britain but from a practical standpoint the rich will always buy more and buy out. if they don't buy it here mob the cayman islands, switzerland, britain and so from a practical standpoint you will have a two-tier system. be realistic second it the question should not we can the rich by more? the real question is for the vast majority of people who are not rich, what are we giving them? what we're giving them is a good? that seems to me to be the question that we want. how they spend their money is their business. what we want to know is if we're in the system do we get