doctors across this country did not get into the profession just to beat beantown pearse or paper pushers, -- just to be been counters or paper pushers, but more and more time is spent on administration and how they deal with how they are reimbursed. we have to create a simplified, more effective system where they are reimbursed for quality care, as opposed to having to distort their practices in ways that don't actually make their patients better. it is also time to provide americans who can afford health insurance with more affordable options. i believe this is a moral imperative, an economic imperative. [applause] it is a moral imperative because in a country as wealthy as ours, if people are working and holding up their responsibilities, they should not be bankrupted just because they get sick. on the other hand, it is an economic imperative because every single one of us who do have health insurance, our families on average pay an extra $1,000 in premiums for uncompensated care. hospitals and doctors are adding this costs to your premiums, insurance companies are adding those costs t