she's paid by, and reports bk to, the van dijkens insunce compy.s from ips to the doctors office for minor iues. >> i come innd i listen to em. listen to theiworries, help them underand their baby, help them to get a, a hdle on how to handlthe babies. >> rorter: the netherlands has an infant rtality rate 25% lower than the unitestates. the reformalso allow insurance companieto negotiate prices with hospitals for services. and hospitals n aggressively market their serces. that worries se doctors like dr. johannes bortein. borgstein, aear nose throat surgeon is wary that cting costs for rvices could lead to cutting patient re.ç >> i tnk were in a lite bit of a slippery slope wi the introduction of a rket, marketing effes in theç medicine. the haggling martplace, the hagglingiscussions and trying to... to ruce costs by market. marketing afcts in medicine generally have a detmental affect f the patients. >> reporter:inally, the dutch seem to ha hit on one area of carehich is a huge driver of costin the unid states: the emergency room. to avoid expens

but i it helps to cover the 47 miion peoe thout insunce, iwill b marginal imp.o >> if it covers it at yboderlse's exe,t could wreck economy, steve. >> it would put the economy in a sick bay and it also would raise taxes an hurt the economy, and it keeps the basic flaws of the system in place, which is employer based systems instead of giving power to the people. democrats are supposed to be in power and in favor of the people, but they aren't. >> you admit that it has to be part of the solution to get doctors and patients closer together. >> i agree with that. that is a big reason why this legislation will be bad is that it will cover some of the uninsured but all the benefits will be means tested away for average american workers and they will feel like they're paying for something and not getting anything. that's a disaster. that's what they should be working on right now. >> the key for americans is the mandate. you're going to pay a fee or tax if you don't buy health insurance. that's onerous for a lot of americans in this country and i think steve is right with nationalized syste