mr. tiberi: too far. mr. levin: michigan beat ohio state. mr. tiberi: it's been a while. dr. miller, you're recognized. dr. miller: mr. chairman, ranking member, i'm mike miller, on behalf of the commission i'd like to thank you for asking us to testify today. as you've already mentioned, we're a small congressional agency required by law to provide analysis and recommendations to the congress. our work in all instances is guided by three principles, ensuring beneficiary access to high quality care, protecting the taxpayer dollar and paying providers and plans in a way to accomplish these goals. with respect to the program's status, medicare spending is about $650 billion annually. a 3.5% of g.d.p. given the enrollment of the baby boom and rates of spending per beneficiary, the medicare program is projected to grow faster than the economy is projected to grow and continue to raise issues of affordability for both the taxpayer and the beneficiaries that finance the program. by law, our march report makes a series of payment recommendations on various fee for service sectors. ea