. >> kwo. i thank you very much. i yield back the balance of my time. >> thank you. the gentleman from georgia, mr. gingrich. >> thank you for being with us this morning. you were asked about your grade as governor i would say your grade so far this morning has been pretty good so hopefully you won't mind a couple of tough questions from me. in quoting in your testimony, without reform, according to the medicare actuaries we'll spends about $4.4 trillion on health care in 2018 and by 2040 health care cost also reach 40% of gdp. madam secretary these numbers are indeed, staggering and i share your concerns. however, i have another concern and i need to be reassured that you share that. the medicare trustees report that the medicare problem will be insolvent 2016, receive health care from a government payor and your testimony focuses almost exclusively on the private sectk health car care -- private sector companies. given that 45% of all americans get their health care from a government program, and the fact that your department oversees the largest government program