state mary's hospital, rochester minnesota, june 15, 1961. fritz, was terribly sorry to hear this morning in an know from your father you're laid up in denver this to tell you how much i hope you will be feeling better. it is hot and muggy here but the last two-- it has turned cool and a lovely resonates wonderful for sleeping. the country is beautiful and i had a chance to see wonderful country along the mississippi for they would drive the logs in the lumbering days and that trails were the pioneers came north. i saw bass jumping in the river. i never knew anything about the upper mississippi and it is a beautiful country with plenty of substance and ducks

war you came to america with her husband was a medical doctor training at the mayo clinic in rochester, minnesota. two babies at the time, and you thought it would be a relatively easy transition because, after all, they spoke english in rochester. you discover that was not precisely true. tell us about that. >> has spent the first night -- was really quite irresponsible. my husband came home one day. we were to go to the mayo clinic. he had received a scholarship. i have no idea what the mayo clinic was. so he went off happily. i could not get the package until then. and i arrived in minnesota. i spent the first night in new york. very kindly came many took me. then she had this fantastic else. she took me on my first night there. seventeen hours across the lentic. we ran out of food, of course. little children. bentonite in this extraordinary house. and then she put me at, took me on a plan to minnesota. and that had not even looked at the map. i had no idea. and my father put me on the plane. tears were pouring down his face he gave me a bottle of brandy. and, of course, when i got to minnesot

mary's hospital, rochester, minnesota, june 15, 1961. dear fritz, i was terribly sorry to hear this morning and a note from your father that you are laid up in denver for a few days more and speed off this note to tell you how much i hope you'll be feeling better. it's been very hot and muggy here in rochester, but the last two days it has turned cool and lovely with the knights wonderful for sleeping. that country is beautiful around here and i've had a chance to see some wonderful country along the mississippi where they used to drive the logs in the old lumbering days, and the trails where the pioneers came north. saw some good bass jumping in the river. i never knew anything about the upper mississippi before, and it is really a very beautiful country and there are plenty of dozens and ducks in the fall. but not as many as in idaho and i hope we will both be back there shortly and can joke about our hospital experiences together. best always to you, old timer, from your good friend who misses you very much, mr. papa. ps, best to all

looped backward 17 days from his death to june 15, 1961 at rochester, minnesota. a man in a psychiatric ward at saint mary's hospital at mayo clinic is writing a letter to a nine year old boy. and then writes it on to small sheets of no paper in his big round legible hand with his trademark downhill slant. and irreversibly damaged earnest anyway, his inner landscape now of paranoids nightmare has found within himself at the end of his life the kindness and courage and momentary lucidity, not to save literary grace, to write 210 beautiful words to a kid he likes very much. whenever i begin to feel repulsion at hemingway's ego and boorish behavior toward other human beings, i like to take out a copy of this letter. 210 words with so much emotion talked below the surface of the pros, the sentences piled driven by contain feeling and acute observation of the natural world, would've been a half decent output for a workday, even in a masters prime. the boy, his name is treachery, although everyone, including hemingway, calls him fritz, has a congenial heart condition. h

host: he was referring to the mayo clinic, they're headquartered in rochester, minnesota, but i think the question is, about providers that don't -- they don't take medicare is what he said. could you just speak to the costs and the money given to providers, like hospitals, like mayo clinic? guest: i think that for most providers, particularly hospitals, half or better of their revenue relates to medicare reimbursement and medicaid reimbursement. so it is very, very significant. some might get 1/3, some might get 1/2, in the region that i represent most of the hospitals, about half their revenue relates to several payments for care because most people become ill when they're older and there are many people who don't have insurance or they can't afford different procedures in med -- and med dade clicks iner to -- medicaid clicks in for them. that's why when the president talked about reimbursement based on outcome and making sure that payments relate to performance, that is really a measure that can make a difference across the country. and for the federal government to be promoting th

and diabetes at the new york university school of medicine, and then to the mayo clinic in rochester minnesotaor the fellowship and advanced diabetes. in 2003i joined a practice with the health partners medical group in st. paul minnesota and as the assistant professor of medicine at the university of minnesota medical school. my practice was in an underserved area with a population even so my national interest was significantly delayed. in 2008i lost the position of the clinical research, the world's largest biotechnology company. i was able to accept this offer only because a small window of relief offered in july of 2007 that allowed me to gain the worker authorization to get many of my colleagues in immigration were not so fortunate and still today they continue to lack the ability to change jobs without losing their place in the green card line. i now work as a medical director for early development and at the end of 2011, my green card application was finally approved after more than 15 years of life in the united states. as i continue to work for citizenship, i count myself as fortunate