>> peak pediatric opop. you have the government certainly not perfect administering one set, the fee for service i don't see that the outcomes are any better. >> the first thing on medicare advantage i haven't studied that. it is relevant to look at. that's what medicare choice did that's not the advantage we are going to have. so suppliers have a reason to bid for when they are going to be supplying for. what we are currently doing is not doing that. everybody talks about the government programs. what about the providers? you are worried about them did he parting. we have to incentivize. that's critical to making this whole thing work. fraud exists e where. wal-mart has fraud. who pays for theft. if the customers care that they are being cheated at the country. the reason, every customer is the policeman in healthcare. they don't care what it costs. if they don't care, the providers aren't going to care either. >> i don't like painting a broad brush for any provider you have to have three things. clearly de