another bank stp-rbgs waste and -- waste and fraud in the health care system. provisions in the health care law reduce waste and the value index that i and others pushed for in the health care reform bill is going to ensure that we reward value, not volume, in medicare. now, in texas, for example, medicare reimbursements are about 50% higher per patient -- per patient -- than they are in minnesota. yet, in minnesota we have better outcomes. why? because we deliver higher-value health care at a much lower cost. imagine how many tens of billions or hundreds of billions of dollars we could save if every state delivered health care like minnesota does, like my state does. also in medicare, the government pays too much for medicare prescription drugs, because medicare represents so many people it could negotiate prices directly with the drug companies and deliver the same benefits for seniors at a much, at a lower cost. the v.a. already does this. the v.a. does this. this simple change could save taxpayers up to $24 billion a year, or $240 billion over ten years. th