a new report by the robert wood johnson foundation says that in 2010 one in five adults under 65 had unmet medical needs. that's up from one in eight adults in the year 2000. >>> another problem is the nationwide shortage of life-saving cancer drugs for children. for the past 15 months congress has been unable to pass a bill that could help solve the problem. dr. jon lapook went to capitol hill to find ou why it hasn't been voted on. >> when you're 10 months old and fighting leukemia like elena, this is what a good day looks like. 80% of children with her kind of cancer can be cured with the right medication, but two months ago her dad, mark schoenveld, was told her chi mow their pe drug methotrexate was running out. >> you pray that that's handled by the professionals and the job is getting done. >> but it's not getting done. dozens of cancer drugs are running out. the reasons include manufacturing problems and reduce production due to lower profits with generic drugs. fda commissioner dr. margaret hamburg. >> the industry has to not be afraid to let the fda know if they have a prob

enrique martinez from the academy health, director of the robert wood johnson state coverage initiatives program and ran the state quality improvement institute for several years. the commonwealth funded where we worked with eight states upon quality improvement delivery reform and a few more examples what states are doing out there. ken talked about vermont and i'll add a point or two of that, but under our state quality improvement institute states really wanted to focus on how to deal with costs. they called it quality improvement but it was really how do we deal with costs? if you think medicare has problems cutting, reimbursement and cutting services, that's what medicaid does and they've sort of tapped that out at this point. to the end of the rope with that and they're turning to another way to do this. care coordinations is a huge thing. delivery system reform, payment reform. a lot of states out there doing primary care medical homes trying to even get to acos in terms of medicaid. colorado's doing it, new jersey's doing it. oregon, aalities more detail as well, a little vision