could -- triwest and healthnet. gerri: that is interesting to me. you were detailing what you said at first, they can flip a switch quickly and folks get what they need. why can't we get this done? these are america's heroes. this is major embarassment. they're not getting care they need by the thousands now. what will it take to get it taken care of, will you think. >> unfortunately it will take the president. shinseki can do this. he is part of the bureaucracy. they don't like people going out of the civil no matter what. shinseki needs to go. va nominee obama's done needs to go. obama should put out his own edict or whatever. and executives, and, go ahead and just do it. gerri: so if you're on eight wag list tonight, and you haven't heard anything back, what should you do? >> look, the bottom line is, if you are ill, go see a doctor. go to the emergency room. it is better to go ahead to a doctor now and deal with the bill later than like the veterans i dealt with who haven't, a year later after not being seen fin

>> hi, my name is seth golden with men's healthnet work. i have a question for mr. thompson.n regards to assessments you do in arkansas for nearly enrolled medicaid patients we're wondering if you some form of program with michigan has with b healthy benefits trying teno assess what chronic diseases patients might have and you catch them early and something you are interactively doing to insure that? >> great question. many of our carriers are actually already implementing or in the process of developing essentially earlyn screening mechanisms to get case management and spoehr on these newly insured individuals. you had no experience before.ad there is no record what your issue is so there obvious benefit to the carrier to better manage those costs. the other reflection on your question that i would say is, that there is discussion around our independent accounts which have not dissimilar to steve's health savings accounts approach that i think in the out years be expectations for healthyi behavior requirement, other contributions in certain ways that increase the individual'