. \ gilfillan tord share the public sector perspective. he was sure his perspective on how providers are rising to the challenge. thank you for your attention and ranches. without any further ado, we will dr. blumenthal. can you all hear me? great. . am pleased to be here my congratulations to catalyst repayment reform and folks who led the creation of this organization and project. it is very important work. part of my brief remarks will be to say what may be quite apparent to many of the. this is a unique time in the history of our health care system. the future has arrived. for decades, we have been that the pattern of expenditure was unsustainable and that lack of stability has become apparent in the debate about the federal deficit and in role of health care causing the deficit which will not be tolerated for much longer. we are at a fork in the road and are facing tough tresses. this is continue to mount and deficits continue to mount. choice wee face - the face is between rationing and re-engineering. that is not ultimately is solut