and here i would remind you if you google osd tax revenue different countries you will discover we are the least taxed nation in the industrialized world. japan is with us, but everyone else pays a lot more. so this bellyaching that we are overtaxed may convince us but not necessarily bader. we are the least tax in that regard. [laughter] or the alternative which i believe we might very well do is ration health care by income class and that can be done quite elegantly. it's not don't get care and you will get care. we wouldn't do that. but what we would do is reference pricing for everything. we have that already in drugs. say you get a generic but if you want a brand name drug pay the difference out of pocket. that's reference price. we could do this for doctors. local doctors, we pay that. local hospitals, you want to have your baby we pay that fully. you want to go to a more costly ones you pay the difference out of pocket. you see how you could ration in a way that you never have to use r word. so that's possible. now how much would universal coverage costs? i.t. all loveless are b

and then what decisions were made by the services, what decisions were made by osd, omb and by the congress that get us on this one to one ratio would ever it might be? i think more important is what are the options? do we increase the force structure within the dod and state so that we have not just the contracting oversight expertise but we have got folks to do some of these jobs being done by contractors. do we change the emphasis within the services to push more things into the system meant force out of the operational force? do we provide just less services or less quality services or do we just accept the fact this is the way we are going to go to war? and i think those questions we need to focus on in addition to waste, fraud, and abuse. >> that was a large part of the formation of this from reading your own charge in the legislation that is a piece of work that we seriously want to have done. >> mr. don? >> mr. chairman, one last comment. i think we have far to the contractors. when i read we have four -- 240,000 contractors in the arena as in afghanistan and iraq put together and 8