mr. hadley? >> i haven't, but my colleagues have looked at that issue, and they've seen that in a context of a multi-payer system -- and i need to come back to that in a second -- that if you cut the compensation of providers, they provide less care. but the caveat is that was in the context of a relatively small change within the context of a multi-payer system. they had other places to go. it's hard to know exactly how that would play out in the context of moving to a single-payer system. >> but you would agree if you cut the incentives, you're not going to have the physicians getting into the field to practice their skill if you cut their pay. i mean does that make sense? >> in general we would expect that fewer people would enter the medical profession, and whether that would result in a shortage of services would depend on the incentives faced by the people who remain and also the extent to which we have foreign-trained doctors. >> you agree if there's a shortage of physicians, that would me

mr. hadley, according to the cbo report, how much did we spent on health care in 2017? >> 3.5 trillion. >> that's annually correct? >> that was -- >> that's 2017. so over ten years if we continue to spend 3.5 trillion it would be 35 trillion. how does that 3.5 trillion which takes up 18% of our gdp compare to other peer developed countries? >> it's significantly higher. >> significantly higher than what other countries are paying for their health systems. our current system costs 3.5 trillion. it is projected to cost $6 trillion by 2027, the most in the entire world by far. yet we have 29 million people without insurance which you opponented o pointed out and another 44 million which are underinsured. is a single payer system capable of providing coverage for everyone in achieving universal health care. yes, a single payer system could achieve universal health care. >> a single payer system can achieve universal health care. >> what do you think? >> well, i mean if you're willing to spend an unlimited amount, you can certainly purchase whatever you want. the question is

mr. hadley, according to the cpo report, how much did we spend on health care in 2017. >> 3.5 trillion. >> how does that $3.5 trillion annually. >> that is 2017. >> so over ten years, if we contin continue, maybe we compare to other pure developed countries. >> significantly higher than what other countries are paying for their aelt systems, so the current system cost $$3.5 trillion. we have 29 million people without insurance, and another 44 million that are under insured. almost a quarter of our country is unable to access health care. is a single payer system capable of providing coverage for everyone in achieving universal health care? >> yes, a single payer system could can achieve universal health care. >> so the question and the response what do you sni. >> yeah, i think if you are willing to spend an unlimited amount, you can certainly do whatever you want, the question is how much money does that for other public priorities. education, transport, defense, already if you look at budget projections for the existing medicare budgets that are out there, we're going to struggle to mee

mr. hadley, thank you and your colleagues are coming. the way to predict the future is to look to the past, and i think we all remember during the obama years during obamacare the statement, you can keep your own physician. how did that work out? not to appear think we remember the statement, reductions in our deductibles. how did that work out? not too well. in my state of south carolina we have single moms who are supporting two or three children. her premiums skyrocketed 62%. not 15-12% not 15-12% as i've heard. how did it work out when they promised lower deductibles? not too good. let's look to the other countries that have, that you can call it not socialism but government run systems in anything is hurting that socialism, if you really look at it and get down to the bottom line. let's look at the great britain. look at the shortages in positions. 11,500 physicians short. 42,000 nurses short. let's. let's look at canada. as mr. royce said, he had history for cancer in ten weeks. how does the canadian system work out? well, it took