network, done by steve perenni, ph.d. and lisa tomai, m.s. mr. president, i ask unanimous consent that this report be included in the record. what this study concludes is it awe thepbt case the congressional budget office because -- it authenticates the congressional budget office because it says if you want to insure every american it's going to be $4 trillion. not $1 trillion, but $4 trillion over a ten-year period. so to ensure coverage for all americans under this proposed legislation, it would cost $460 billion annually, or $4 trillion over the next tenure years according to a report issued last week, as i mentioned. so the best we can tell, the cost of the legislation that we are now considering is $4 trillion. now, hour we going to -- how are we going to pay for that, mr. president? how are we going to pay for it? is there a proposal yet besides eliminating fraud, abuse, and waste? well, it's unacceptable and it isn't health care reform. and i believe that the c.b.o. letter should be a wakeup call tpo all of us in this chamber to scrap the