in terms of people dying of infectionses at the hospital are avoidable. rather than insurance to getting the light like we did with electronic records, every business in the world has electronic records, your local dry cleaner for 30 years, the reason for third-party payer you didn't get any health care and now they did it soviet style, one size fits all and has been a disaster. all the propose we should make how do we empower to be able to make more decisions and providers will quickly add here to it and if they don't, people won't go there, they don't have to go there, they don't have to be directed there, and that is truly the way to go instead of a top down, okay, let's have outcome oriented. markets will do outcome oriented because health care is so personal. i mentioned about breast cancer. there's a chain in pennsylvania, several years they put in equivalent of a warranty, legally they can't call it that. under the normal systems we have today we go back to paying even though it was not done right the first time. .. one time cato institute employee