in other context, we sing the praises of intergrated practice. so it's not so much the immigration that's a bad thing. not so much the physician, the ownership that's the bad thing. it's the combination of physician ownership with fifa service and often mispriced services. it's that combination that can lead to overutilization of services. so we're trying to figure out problems without throwing the baby out with the bath water. >> i understand you have someone to give a bone density test literally in the office there, it saves a time for another visit to get a test somewhere else. mr. chairman, i would like to submit the remaining questions, thank you. >> i mentioned that any member can submit questions in writing and we'll ask for you to get back to us as soon as you can the gentlewoman from wisconsin, ms. baldwin. >> you spent a chapter of the report discussing shared decision making and its implications in medicare. i found it interesting that of shared decision making around care of living at the end of life. pspecially given my sense that th

ey've intergrated that into piecesf advice. the major takeaway with is tha voters want to have hir voices heard in washington. thy thnk hat special interest and lobbyist aretaking th shot. thisis similar than the university of texas oll, i think when ven the chance to answer, voters will say they want their on voicesheard theyaven't given up on th system. there's something they want out of it still that they ar not getting. that's importt toremember. not low self-esteem, they want something and a in the observations of our research team, they say a number of other things. voters across the board are dissatisfied. they sit at the focus is done just with swing voters and they saw an angry middle. they say that the far left in the far right is out there, but this anger spans all of those groups. a quick lesson on public campaign and our allies and arizona was working on the election system there. from what the state legislature has put out, we also needed republicans. they are not the old fashhoned 1970's moderate republicans or n

they've intergrated that into pieces of advice. ajor takeaway with is that voters want to have their voices heard in washington. they think that special interest and lobbyist are taking the shot. this is similar than the university of texas poll, i think wn given the chance to answer, voters will say they want their own voices heard. they haven't given up on the system. there's something they want out of it still that they are not getting that's important to remember. not low self-esteem, they want something and aspire something better than they are getting right now. in the observations of our research team, there's a number of other things. the rebellion is not from the right or left. voters across the board are dissatisfied. they see it was done with just voters. and they saw a really angry middle. some people say the far left or right. this spans all of the groups. just one quick digression. voters were working to reserve e public voting there. from what i've seen, we needed all of the democrats to support retaining between ele