rochester isn't the only community. there are others as well. heard from 1 to $1.6 trillion. either there are not enough rich people in this country to pay for that cost so directly or indirectly many more americans will pay for the cost of the programs. and also with programs like this and other ones that have been put in place in the last years there will be more inflation, inflation is a tax on everyone in america, including the poorest of the poor. in terms of of a couple other points, with respect to the healthcare government option for insurance, i disagree with that approach. i wouldn't want to have a government-run grocery store across the street from me. a manufacture wouldn't want a government-run manufacturing plant across the street from them. yes, there should be competition. but it seems to me the congress could figure out a way to change state and federal regulation and law to enhance that competition, we think that's the important and the way to be able to do that. with respect to pay or play, we disagree with that approach. with

i'm proud of the relationship of the city of rochester hills has formed. the organizations in rochester hills has supplied school supplies to a city in alban yeah. they are aware of the efforts to assist refugees, it is important to highlight the important work still being performed by this community. they continue to seek further recognition for the republic of cow sofa and helpful in helpful. the recent independence and the flukes of the country is a testament to the community's progress. the community in michigan remains concerned with events and issues affecting their families overseas. some particular concerns of my constituents i want to raise today relate to recent reports of inequities in the justice system. reputable human rights organizations like amnesty international have reported several citizens convicted in connection with the eagles flight case have been subject to torture and physical abuse. these incidents and reports have caused tremendous anxiety and uncertainty in their community. it is my hope that the government will work diligently

i appreciate your comments about rochester, of course, in minnesota we have rochester, minnesota, which had been referred to a couple of times here. we're pretty proud of the mayo clinic and the work it's done there. some real collaborative work in changing things. can you comment -- do you have any more comments about reforms that were left out of the bill that you would like to have seen from your perspective such as strong medical liability provisions, things that would help control costs? your microphone, please. >> yes. i think a few things that i think would make the most sense are as i mentioned earlier liability reform is very important. we know practiced in a defensive. healthcare technology, but doing that with having nationwide standards, being able to actually implement that and to get the savings would be very important, wellness. with respect to the kinds of programs we've talked about, we would like to have more incentives to change behavior, not less. those are very important. and the last point i'd make with respect to what was in the bill is the insurance option. this

cheyennewoods making her pro debut in rochester. second-round action, that's ms.ds out of the bunker on to the green. she would par on the par 5 fourth. this is woods' fourth shot. she sticks it to within 2 feet. she says her goal is to make the cut. she's at one over after 10 holes in round two when play was suspended due to darkness. >> rumor has it amare is going to the warriors, and the suns want curry. hear what don nelson had to say about that. >> and in the subway series, c.c. brought his a-game while a-rod leapfrogged a yankee legend. t >> we have fantasy news for saturday, june 27th. when you talk top spot pitchers ju you like guys going in oakland. saturday, dallas braden gets th. start. he's been red-hot, seven quality starts.ity his e.r.a. at home this year, 3.02. his opponent in that game, jorg, della rosa. 40 strikeouts in 40 road stri innings. finally, i know, paul mulholland with the pirates has struggledod lately, but he's at home against the royals. h when pitching in pittsburgh this year, a 1.84 e.r.a., and faces the royals. no team in baseball

their legendary coach was snow then in rochester and could not get to the game. who was going to coast the generals? they picked their veteran player that day. because i was a little bit of a pain in the neck, i said that he could get into the history books. they had lost consecutive games. the call a couple of places and you would be a record books forever. you could see him getting fired up. this was his opportunity. so the first half goes on and he is screaming in calling now plays and the globetrotters the sweet georgia brown and they did a bucket of confetti and all that and have time comes and they are up by 7-8 points. as the team as walking out for the second half, i go to the coach and tell him he is in this thing. he was out on the second half and he was screaming and yelling and the blues, the dribble the ball and they throw the flat basket and they have the river bend and they do all their stuff and the end the game and they sit on somebody's shoulder. they win by 15 or 16 points. the last player to walk off the court is this player and i told them th

you've got it -- [applause] >> -- what you've got is a situation where for example the mayo clinic in rochester, minnesota is famous for some of the best quality and some of the lowest costs. people are healthier coming out of there, they do great. and then you've got places -- there's a counsel in mccal up, texas, where costs are actually a third higher than they are at mayo but the outcomes are worse. so the key for us is to figure out how do we take all the good ideas in a mayo clinic and spread them all across the country so that that becomes the dominant culture for providing healthcare? that's going to take some time. it involves changing how we reimburse doctors, it involves doctors forming teams and then working in a more cooperative way. and that's kind of a slow lay boreious process. so here's the bottom line. if we pass healthcare reform this year, my expectation would be that immediately some relief on some -- families are going to see some relief on some issues but we will not have the whole system set up until probably say four or five years from now. and i think that's a realisti

. >> as one of the 20 people who wrote to you when you were in high school in rochester in 1970, i thought i would ask a youth-oriented question. i could picture a bill buckley graduating from yale this month, writing an updated version of god and yale buttite knock sure if he would have founded the national review. would he have used the other media or founded the national review. >> well, that's an excellent question, and it's a very deep question about people's talents and people's opportunities. bill had brilliant skills as a journalist. at 750 words at the top of his game, just didn't get better. and that was the form that existed in the years that he lived and worked. on television, he was made for the television era that he entered and that he transformed. remember, firing line starts in 1966, and what's there? it's walter cronkite and johnny carson, and huntley brinkley are the edgiest things in mainstream television, and firing line is from a different galaxy. it starts with a concerto, and it's the content of what he is saying, and one of the very interesting anecdotes, years ago

so, what we have have [applause] we have a situation where the clinic in rochester, minn., it is famous for some of the best quality and lowest costs. people are healthier coming out of there and do great. then there is a town in mcallen, texas, where costs are 1/3 higher but the outcomes are worse. the key for us is to figure out how do we take all the good ideas from this one clinic and spread them all across the country so that it becomes the dominant culture for providing health care. that is going to take some time. it involves changing how we reimburses doctors, doctors forming teams and working in more cooperative way, and that is a slow, laborious project. here is the bottom line. if we pass reform this year, my expectation would be then immediately families are going to see some relief on some issues, but we will not have the whole system perfectly set up probably until four-five years from now. i think it is a realistic time frame. if we wait and we say since we're not going to get it right away, let's put this off for another two, four, five years, it will never happen. that

i europe around in new york close to rochester a midsize upstate city with my parents and my older brother bob. in the fall of 1969 that i was a freshman in the public high-school i did not know anybody who went to a private one. my brother was a junior at yale. every weekend since he had gone away to college i wrote him on a small black middle typewriter that belonged two mom, a letter rehearsing the events of the week. basketball games, school plays, a little tryouts and tidy disasters bullets of adolescence and dramatize. one week the news barged in the home theater. with the vietnam war called for a nationwide moratorium on october 15. the moratorium look to be on the big campuses with boycotting campuses and glasses were planned. some kids and my high school decided to join him. i thought they were wrong. i also thought there was something phony about the exercise simultaneously copycat. but they were tagging along with a national movement mimicking elders. i decided to put counter poachers -- posters anti-protests protest on the school wall i enlarged -- imagine myself a latter-day m

i grew up in new york, a suburb of rochester, a midsize city with my parents and my older brother, bob in the fall of 1969, i was a freshman in the local public high school i didn't know anybody who went to private ones. my brother was a junior at yale. every weekend of the school year since he had gone away to college, i wrote him on a small, black metal typewriter that had belonged to mom. a letter reversing the events of the week. basketball games, school plays, little triumphs, tiny disasters, bulletins of adolescents dramatize an ionized. when we, the news barged into this home theater.

i grew up in new york, a suburb of rochester, a midsize upstate city with my parents and my older brotherb. in the fall of 1969, i was a freshman in the local public high school. i didn't know anybody who went to private ones. my brother was a junior at yale. every weekend the school year since he had gone away to college i wrote him on a small black metal typewriter that had belonged to mom, a letter rehearsing the events of the week. basketball games, school plays, little triumphs, tiny disasters, bulletins of adolescence dramatized and ironyized. one week the news barged into this home theater. opponents of the vietnam war had called for a nationwide moratorium or a day of protests on october 15th. the moratorium looked to be a big thing on college campuses where boycotts of classes were planned. some kids in my high school decided to join in. i thought they were wrong. i also thought there was something phony about the exercise, simultaneously preening and copycat. the moratorium at my high school helper considered dissidents but they were tagging along with a national movement, mimic

[applause] what you've got is a situation where, for example, the mayo clinic in rochester, minnesota is famous for some of the best quality and some of the lowest cost. people are healthier coming out of there. they do great. then you have places -- there is a town in mcallen, texas, where costs are a third higher than they are at mayo, but the outcomes are worse. the key for us is to figure out how do we take all the good ideas in the mayo clinic and spread them all across the country, so that becomes the dominant culture for providing health care. that will take some time. it involves changing how we reimburse doctors. it involves doctors forming teams and working in a more cooperative way. that is a slow, laborious process. here is the bottom line. if we pass health care reform this year, my expectation would be that immediately, families will see some relief on some issues, but we will not have the whole system perfectly set up probably until four or five years from now. i think it is a realistic time frame. but if we wait, if we say we are not going to get it right away so why n

health care and health care delivery in minnesota particularly in the twin cities, but certainly in rochester, minnesota as well as a place called may el. as many as you have heard of mayo clinic in is getting a lot of play in the national discussion, we in minnesota are proud of the male health care system and is serving as an outstanding job. but i'm also here to tell you that we have a number of terrific health care providers in minnesota and we have significant opportunity to have quality and tremendous amount of access as a result of that city of enzi the fare abuses stoma, health east, and mayo, all of these as well as our children's hospitals and a number of other institutions provide outstanding care for the folks in minnesota and this is really in a issue. one of the community ethics that i think has been enhanced in minnesota and one of the distinctive if you will is that we have learned a lot of lessons about where should we collaborate and where should we compete. and the system is to take some lessons from some of that example and i will touch on that as we move to this discussio

would you agree there is travel and minnesota is also a destination state for medical care with rochester and matteo clinic. why do you suppose there is that travel from canada and the united states? >> click the old soviet system everything is free and nothing is readily available. canadians wait for any diagnostic test and some of taught by crossing the border. they do that at the mayo clinic but not exclusively so if you were in downtown toronto you'd find an office for the cleveland clinic, medical tourism cuts across the border. the >> and so we are sort of, the united states and i'm thinking in terms of minnesota right now a safety valve. if you can't get it, if the single-payer system in canada doesn't provide the service across the border and get help in minnesota. >> if you can afford it. >> then the question is what would happen if we are now canada and have the canadian system? where do they go? >> your compassion for canadians is outstanding. [laughter] >> well, when they come south for medical care systems to stop the mall of america and we are glad to have them. >> people fr

care and health care delivery in minnesota particularly in the twin cities but certainly in the rochesterinnesota as well in a place called mayo. many of you have heard of mayo and it's getting a lot of play in the national discussion. we, in minnesota, are very proud of the mayo health care system, and it certainly does an outstanding job. but i also hear to tell youha

and it was an january and their legendary coach, the generals legendary club coach was snowed in rochester and couldn't get to the game. my god, who was going to coach the generals that they? they picked their veteran oldest player to be the coach that day and so because i was young and a pain in the neck i went to the kid and i said you know, you could get into the history books. the generals have lost 10,000 consecutive games to the globetrotters. and, you know, you call a couple plays, exhort your troops come out and win this game and you will be in the record books for ever and you could see him getting fired up. this was his opportunities and he said deride, i can do it so the first half goes on and he's screaming and calling out please and the globe trotters to the sweet georgia brown and they did the confetti and all that and have time comes and they are up by 70-point so as the team is looking out for the second half and in the corner and again i go to the coach you are right in this thing. you can do it. he says your right, i know i can say he's out there the second half screaming

rochester, new york, has historically given this nation some of our greatest women leaders. elizabeth cady stanton, susan b. anthony, and louise slaughter. with this bill that she authored, she is one of the strongest links in leading women and this country and protecting our rights. we thank you, louise, for your continued leadership. the horror that played out inside a wichita church, the murder of dr. tiller, is a wound to the conscience of this nation. he had long been a target of violence and hate because he provided legal abortions. he provided medical care to women in need. any time a doctor has to put his life on the line to provide medical care, it has a chilling effect on americans' ability to get the medical care that they need. the consequences of dr. tiller's murder are a tragedy not only to his family, not only for women in kansas, but for women everywhere, especially in areas of our country where there are relatively few medical providers. dr. tiller is the eighth abortion provider to be murdered since 1977. and he was one of just seven doctors in the entire s

you have another area like where the mayo clinic is up in rochester, minnesota, where that dominates the scene. they have fan as itically high levels of this. but it's medicare spending is in the lowest 15% of the country. $6,000 per enrollee in 2006 which is $8,000 less than for mcallen, texas. i bring that up to say that in u.s. it is part of what you're describing, access -- patients need access to these tests but we also need to make sure that physicians and nurses and all medical specialists are getting the information they need to make sure that quality is what we're driving here. and you're dealing with just issues of insurance or just issues of defensive medicine, you're not necessarily driving quality but you're driving more test. i yield back. mr. kirk: one of the other things we've been concerned about is the increasing price of medical mall practice insurance in the united states and especially if you look at between 2000 and 2002, for opt trigses and gynecologists, for physicians and internists in general, you have an explosion in the cost of buying insurance. we do not

then he went to mayor clinic in rochester, minnesota, a place that treated my family and treated them well. he found out the cost of treating medicare patients in rochester, insocietia is a -- minnesota is a fraction of what it is in texas. why? well it turns out it is pretty basic. the doctors who are on the staff of mayo clinic are paid a salary. they are not paid by the patient or by the procedure. so their interest is not in running up a big medical chart of tests. their interest is getting that patient well and effectively. and they do it with fewer procedures and less money spent and better results at the end of the day. so now we have a choice in this health care debate. do we want to continue the example of mcallen, texas, which is abusing the system, charging too much and not getting good health care results, or do we want to move to a mayo clinic model, one that is basically much more efficient and effective, keeps people healthier at lower cost? i hope the answer's obvious. it is to me. i would like to see us move towards incentives like the mayo clinic system. the presiden

he contrasted mcallen, texas, with the mayo clinic, a fantastic medical research in rochester, minnesota. mayo hires the best docks they can find and pays them by salary. they aren't paid by patient. or how much they bill. so these salaried doctors are looking for good outcomes. they don't want to order anything more than a patient needs. they want a good outcome. think in the difference in motivation between the doctors in mcallen, texas, and the doctors in rochester, minnesota. the congressional budget office sends a report yesterday and says if you want to reduce the cost of health care in america you have to get to the question of reimbursement. now, when you talk about that you get everybody at the american medical so on their feet, shaking their fist, saying if you cut back on compensation and reimbursement for doctors, fewer people will go into the profession, you won't be able to get the best procedures, and you understand what they are going to say. many of us have heard it. but we've get to find a good way to approach this. we've got to bring down the rising costs of health car