at more than 4,000 meters above sea level the world's highest navigatible lake. having it's navy relegated to this body of water is a humiliation endured by bolivia since 1979 when it lost its coast line to neighboring chile in the war of the pacific. at the naval base sailors learn the basics so whe. in the capitol we visit a school where patriotism class is underway. >> when the chilean ride they told him to surrender, and what did our hero answer? >> let your grandmother surrender. >> as you can see from a very early age these children are taught that chile took away bolivia's rightful access to the sea, and when they grad rate the boys will have to do their obligatory service and there they will march around the lake, they will chant i want to bathe in the blood of chile ans, a want to belate in their sorrow. this is a wound that refuses to heal. after decades of frustrated attempt to resolve the corridor to the pacific. they have gone to the court of justice in the haig. using his speech before the united nations to make his case. his aggressive approach has

number one is we invested heavily into nurse navigateers. we embedded them in each of the practices. therefore they were there to see the patients during their visits to develop a relationship with the patients that the physicians may not have had time to develop, to call the patients on a regular basis, especially the high risk patients and to intervene when necessary as the first line of defense when one of the patients wasn't sure which medication to take or should they go to the emergency room, et cetera, et cetera. we were able to cut down readmission rate dramatically and our emergency room rate dramatically. the only thing that went up in our database was primary care visits. once again, not necessarily perfection but i think as a clinical study it was shown to be effective. and once again the reimbursement and the savings bears out that case. we also initiated some relatively interesting demonstration projects. we identified our congestive heart failure patients who were having problems with frequent readmissions. we did something ve

number one is we invested heavily into nurse navigateers. we embedded them in each of the practices. therefore they were there to see the patients during their visits to develop a relationship with the patients that the physicians may not have had time to develop, to call the patients on a regular basis, especially the high risk patients and to intervene when necessary as the first line of defense when one of the patients wasn't sure which medication to take or should they go to the emergency room, et cetera, et cetera.