mr. garrett: mr. speaker, i would like to begin by thanking several people who played a significant role in getting us to where we are today. starting, of course, that is the gentleman from kansas, mr. moore. the sponsor of the bill. you know, he has exhibited tremendous leadership and persistence as well, as he indicated, in moving this legislation to the floor today, and so he should be commended for his hard work. but i'd also like to congratulate the gentlewoman from florida, ms. brown-waite, she was the republican lead sponsor on this bill the last two congresses. and she has worked tirelessly on this very important issue. so i'm pleased now to have the opportunity to take up the mantle from ms. brown-waite and move this legislation forward. and finally, i'd like to thank the national association of insurance commissioners and specifically dr. teresa bowean. for their efforts in working closely with all of the interested parties. you know, i believe that the inclusive and deliberate are a tif pro

mr. garrett?guest: i think we have a pretty strong defense and we are in a good position in the world relative to others, but i think also i am not clear who the enemies are that you are referring to. i do not think russia and china or other powers are enemies. efforts to kind of reconstitute their sphere of influence, they are in a 19th-century mode as far as how they look at the world. they are a little nervous, but they are not taking over europe, and their influence is rather limited. i think the real issue is how do we work with other countries to solve common problems. we are not going to repeat world war ii. everybody read the book, it came out badly. no one wants to repeat it. the chinese do not want to, the russians do not want to, and i am pretty hopeful that the leadership's of the world do not want to use military force against each other. i think it is not quite as grim as i think you are concerned that it is. host: what are your criticisms of china? guest: i think the chinese are try

mr. cole and dr. garrett talked about it yesterday. to allow capital reinvestment for equipment and things that we need, maintaining buildings and things like that, that has to be added in. i think in fairness, though, even if they provided enough, we have to change the fundamentals of how people are reimburse sod that incentives are appropriate both -- reimbursed so that incentives are appropriate for lifestyle and effective care on the physician and providers side. host: how quickly does the technology in an i.c.u. change? guest: often very rapidly. it's a very dynamic sort of thing. i think in the last maybe five years we've had some dramatically improved ability to monitor patients in real-time, to keep tabs of data and things like that. and that has really provided a more effective and i think more cost effective care. the technology costs money, but i think at the end of the day it does help. host: when we started this conversation, you mentioned you work with the nurses or are responsible for the nirses as head of the i -- nurse

mr. cole and dr. garrett talked about it yesterday. to allow capital reinvestment for equipment and things that we need, maintaining buildings and things like that, that has to be added in. i think in fairness, though, even if they provided enough, we have to change the fundamentals of how people are reimburse sod that incentives are appropriate both -- reimbursed so that incentives are appropriate for lifestyle and effective care on the physician and providers side. host: how quickly does the technology in an i.c.u. change? guest: often very rapidly. it's a very dynamic sort of thing. i think in the last maybe five years we've had some dramatically improved ability to monitor patients in real-time, to keep tabs of data and things like that. and that has really provided a more effective and i think more cost effective care. the technology costs money, but i think at the end of the day it does help. host: when we started this conversation, you mentioned you work with the nurses or are responsible for the nirses as head of the i -- nurse

mr. cole and dr. garrett talked about it yesterday.o allow capital reinvestment for equipment and things that we need, maintaining buildings and things like that, that has to be added in. i think in fairness, though, even if they provided enough, we have to change the fundamentals of how people are reimburse sod that incentives are appropriate both -- reimbursed so that incentives are appropriate for lifestyle and effective care on the physician and providers side. host: how quickly does the technology in an i.c.u. change? guest: often very rapidly. it's a very dynamic sort of thing. i think in the last maybe five years we've had some dramatically improved ability to monitor patients in real-time, to keep tabs of data and things like that. and that has really provided a more effective and i think more cost effective care. the technology costs money, but i think at the end of the day it does help. host: when we started this conversation, you mentioned you work with the nurses or are responsible for the nirses as head of the i -- nurses

mr. cole and dr. garrett talked about it yesterday.to allow capital reinvestment for equipment and things that we need, maintaining buildings and things like that, that has to be added in. i think in fairness, though, even if they provided enough, we have to change the fundamentals of how people are reimburse sod that incentives are appropriate both -- reimbursed so that incentives are appropriate for lifestyle and effective care on the physician and providers side. host: how quickly does the technology in an i.c.u. change? guest: often very rapidly. it's a very dynamic sort of thing. i think in the last maybe five years we've had some dramatically improved ability to monitor patients in real-time, to keep tabs of data and things like that. and that has really provided a more effective and i think more cost effective care. the technology costs money, but i think at the end of the day it does help. host: when we started this conversation, you mentioned you work with the nurses or are responsible for the nirses as head of the i -- nurses

garrett mock. but afterwards he looked on the bright side. >> doctor jeckle mr. hide. and say that because of the 2nd inning the runs came across. you look at the way that the guys get on base. it was just good hitting. i made my pitch, felt fine with them. and they just -- you know, hit the ball where we weren't. so, then i guess, i -- for whatever reason i felt i was doing the same thing. just kept attacking them. and they ended up getting themselves out. >> and as we get ready for tonight's matchup we head out the citizen's park and check in with debbi taylor. a little about mock and a lot about the pitchers. >> >> debbi: that is true. steve is a positive guy. a good influence on the young pitching staff. and we talked about a number of things. we begin with mock's performance last night. >> i thought that garrett through the ball better then the results that he got. he got him in the 2nd inning and gave up four of the runs. they were pretty good pitches. but the sequences allowed them to have better swings then they should have. but abons i a good pitch. and a brea

mr. cole, i would like to hear from you as well. host: dr. garrett?know how to say that any clearer. we do it all the time. $1 million is a lot of money, but as a practicing physician, i do not check or know if people have insurance. all the other physicians are just like that. we come to work to take care of sick patients. in this hospital, last year we gave away $30 million in uncontested care. it is part of our mission. i hope your wife is doing ok, but she would have done the same care. guest: i would agree. in fact, last year we provided $30 million in uncompensated care, as the doctor said. we also provide free diagnostic care to out-patients at the arlington free clinic and at the arlington pediatric center. the experience here is typical of america's nonprofit hospitals. that is why we are here. host: you also have a business to run. where did -- who did that $30 million go to? guest: part of it was patients who could simply not pay their bills. parted it was a subsidy of medicare-medicaid. around $5 million to medical education expenses that