the health care system. that's where the quality problems and the coasts are. every healthcare system will focus on those people with chronic illness who are use most of the resources. from what i can see around the system, the best places can cut the expense about 20% and can improve the quality of care for these people. once they sort of got a system in place, the standardized care processes, attending to people at home, preventing them from getting sick and going into the hospital, and save that 20%. they'll look for the next thing to save money, and it turns out that almost everyone agrees -- although not everyone -- the group of health policy people and health economist, it's in mental health. not in the very severe schizophrenic but the other. the depressed patients, anxious patients who use the healthcare system to soothe their anxiety. >> host: i think we know how to treat schizophrenia -- the most severe mental illness. there's enorm community services and in conjunction with the civil system, a thereto be done there. >> guest: i agree. a lot to be done. as i say in th

the beautiful predator alliance are destroying the train system in the car ready. as the healthcare system is set this is all i have to wait months or even years for exams and operations especially enroll areas in poor neighborhoods. there isn't even a doctor. much like a hospital and health wagon since el pollo. dr rebecca peak how much came up with the idea from mold while medical clinics. basically adaptable trucks that go wherever they're needed providing diagnosis and treatment for people who might otherwise go without care. i mom dvds seo tools over to go to this huge to put a small co related to come with twenty days come with a prayer. he contends his vocation to religious habits. ushered over to kiss until soft but is this sauce also. president taylor is a religious country for mommy to justice the decal it doesn't have a close doctor's office. in some corner. true to his meeting with his mom while medical center as part of the cs project. at the moment his colleagues aren't on the tenth of port district on the outskirts of the season. teaching a course in a mobile clinic.

judgment whether this is working or not or whether going through this whole upturning of the buyer healthcare system in the united states has been worth it to this day. >> senator, thank you. always good to see you. >>> still nothing democrats are doing the healthcare dance because they are worried big-time, especially about all these premium and out of pocket costs rising big-time. that is why so many are urging changes to obamacare, no matter the seven million figure. they're worried about being on political life support if something isn't changed and soon. we called all these democrats. none of them could come on, but hope spring ease term. we keep calling. we have redial. we did, however, get the byron york who was nice enough to come on. byron, the administration is going to make a fullcourt press in the rose guard ton say it's only literally sunny there, it's sunny nor healthcare law's future, but in of the vulnerable democrats are not sure. >> they're still troubled by it. obamacare is unpopular not only nationwide but also in a number of states where there's some endangered democrats trying

first of all, overall looking at the healthcare law, do you support or oppose the federal law that is making the changes to the healthcare system. 44% say they support. 48%, still the majority there opposed. and when specifically asked do you approve or disapprove much the way president obama is handling implementation of the new healthcare law, a much bigger split there, 57% disapprove. 37% approve. dana, democrats, and the white house on down, keep on saying the more the healthcare law rolls out the better people are going to like it. the numbers aren't going that directions yet. >> they have been saying that since 2009. we are almost in the middle of 2014. that's the yet to materialize. it's very durablably unpopular. i also think that the democrats' optimism of the past couple of weeks has now proven to have been unwarranted. the poll from like last month where the healthcare people are getting more accustomed it, they are more favorable towards it. that was an outlier poll and they shouldn't have taken comfort in it and they did now they are stuck out on a limb once again. on the president's disapproval number, i think ame

this is a first step. >> there has been some experience in the healthcare system around the country with the use of data on what physicians are doing. the interesting thing is that experience suggests that consumers may have a hard time looking at what a doctor has done. but in those case where is the communities have come together and track data, it's the physicians themselves who look at that data and change their behaviors accordingly. there has been happen something physicians will look at that and say i didn't know that was an outlier. i'm not doing this to commit fraud, i've been doing it this way for the last 10, 15 years. i didn't realize that there could be a way to do it that gets better results. in these community-based interventions patients have gotten better care. >> you see such differences knowing what a patient may be experiencing even one town over. has doctors been grappling with that? >> sure they have. but it's integrated in a way that medicine is practiced. that's something in the way medicine is being practiced. it's different in minnesota than floor. in many cases

of course, this as to the burden of the healthcare system. it has been demonstrated with the costs associated, in this case the bacteria resistence was as high as the cost for the entire er in europe. so showing proportionately the burden not only on the cost but also in mortality can be higher. but i would like to join my colleagues in the sense that we do need to improve prevention of infection in the first place. not only rely on the use of anti-microbial drugs. when it comes to having to treat we have already lost some battles. the first battle is th the batte of prevention, improving sanitations conditions, improving vaccinations, and development of vaccines that could very present infection and improve infection control in hospitals. everyone knows that healthcare facilities can really be hot beds for spread of anti anti-microbial infections. you even if we all present measures of course it's natural that you continue to have infections. now how to deal with infections, this is a major, major challenge. there are reports that we issue to

how do you want to re re inventing the healthcare system to create one in which most structures and human approach can be brought together all one is also a well balanced mix of the medical staff technology and organization. but those in kindergarten. the college was born in brazil but raced in japanese tradition. he says his work requires both japanese disciplined campers and warmth. they want is probably losing battle against cancer. he decided to become a doctor and to improve the health system in this country. he says the problem is that global one. what an awesome little more towards the exception of the village store. there are some seven billion people on the spot. how many of them do you think of access to healthcare. naomi says so. so it was only five percent of the entire population of the war was the cause of a job in one of the rest of the cesspool so. the ses helps two thousand five hundred people every day the organization now has twenty five memo units. there are more than making a book the containers in line to become high tech medical centers on a very big. it's essential

multiple studies on the connection of homelessness shows that it results in the frequent use of the systems that drive up the healthcare systems costs and as mentioned for the cooperation of supportive housing it costs $40,000 annually to keep them homeless. and in san francisco, which was mentioned it costs about $12,000 a year, for supportive housing, and as a side note, the master lease units which are only slightly less, and the money goes to private land lords, and people who are paying often, 85 percent of the income, and on the rent and leaving them to extremely des taout is just less than that, and for about 10,000 and also the same cost, we can put the people into non-profit housing, and affordable units that are run by non-profit housing providers that have kitchens, and bathrooms, and bedrooms, and it costs 1400 to keep a household in the rent control apartment, and it costs the city, 12,000 to fix up, one time cost to publicly funded or a public housing. and it costs 15,000 on average to subsidize a household in the private market, all of these are substantially cheaper than keeping someone homeless and the

the healthcare law has made all of the problems worse. right? we need patients to have more control and more options. we need to have the healthcare systemshave less regulation, less mandate. i'm spending my time now or 25% of my time now on not computer work. it's out in digital computer work, making sure i'm complying with the healthcare law and the computer. so, this doesn't -- none of these things make me feel like things are going to work out in the future, and i'm the first one who wants to be wrong. haven't been wrong yet. all of this was very easily foreseen for those of white house had common sense, knew the healthcare system and a shred of basic economic knowledge. >> doctor, thank you very much. thank you for trying to help your patients in the middle of it. >>> now even hospitals are offering alternatives to obamacare. is this the free market fix for the health care system that needs one? you can find out tonight. >>> speak out against the government? you're a terrorist. is harry playing dirty? have your next burger with a side of awesome. the one-of-a-kind, creamy blend of sweet and tangy. miracle whip and proud of it. predib

and 2 thirds of those costs ran the healthcare system. and we will know from the trends in the healthcare spending that some homeless people are going to be more expensive after the implementation of the affordable care act, than others. and even though many of these people are now eligible for medical, and medical will not reimburse for an inpatient stay that is longer than medically necessary and so we know people who are frequent user of emergency rooms, are often homeless, and more than half are homeless. and they are often, they are also associated with high end patient frequency. and the people who are chronically homeless, samely stay housed longer than those who are housed and with the same conditions and the same severity. so, because an inpatient stay under medical cannot be reimbursed if it is longer than medically necessary, this means potentially losing a patient who is in-patient stay can be paid by medical or other insurance, to a person who is homeless. hospital staff keep on those patients longer we know that for research.

this question because this is a great model as we look at other healthcare challenges within the healthcare system in terms of looking at looking at holistically and being necessary for the health and i am curious as to whether or not you find it to be some what of a challenge. >> that is a great question, and i will speak to that challenge in two ways and the first place of the challenge is it does not matter what would youer policies are or what anybody's policies are, people need to be educated and reeducated and we have to have a strong commitment to that. and i think that was a very much and i very effective recognition on the part of the department of public health and that was going to be something of key importance. and julie gram, who i think is here today. has really led the way on a clearly recognizing that education at all of these levels from the community level to the level of our providers, and professionals and non-professional staff that that is what was going to change how much of a challenge this is to us. and i want to just as an example, we have been able to do a tremendous am

provided and whether they will be on how fast that the president that will be integrated into the healthcare system like i was the finance the budget for having issues up in the last few weeks though with a bang so of course this has to be sold as well so that all the systems are working and in place. what many think that the air we hope to bring me a huge sum of that conference here on cctv is let's bring you up to date with the latest news on the sinking of the passengers and thirty off the southwestern coast of south korea. the chinese embassy in seoul has confirmed that two chinese citizens were on board the vessel stop of the embassy business and family members of the two passages and that knowing people out of a massive number four hundred and seventy five. having confirmed its owner the state is the change you with time but it's understood there were nearly two hundred and ninety still missing south korean passenger ship the seawall was on my journey to the true star of the schedule when it overturned and sank off the custard can go on and on wednesday morning. such operations for survivors

obama said the four year old war known as obamacare has not fix the healthcare system but it has made it a lot better. he also praised the achievements of overcoming last week staff to stop offs lineups like mafia. the total number of sign ups the houses of when told that once beaten down due to compute sfx lost for him. america's walker said he watched all his might mean general month is horrifying to back set out to warn consumers of a defect in small cars. this lead to thirteen deaths. why haven't the folky cars speed week old even though gm knew of the problem as early as two thousand was left with the question price by jen's new chief executive mary bought the formal like is investigating the defect in washington. a correspondent to watch this has been following tuesday's dramatic actor. she's the nanny state to the tmp he is the cost of four months of the top. she's placed the families of the victims of the problem that could easily have been fixed. today's gm will do the right thing. at the dentist with my sincere apologies to everyone who has been affected by this recall espec

. >> we're not going to give up on destroying the healthcare system for the american people. >> well meaning but incompetent. >> when are you going to run for president? >> say that again? >> good to have you with us tonight folks. thanks for watching. i'm still giddy. i have to admit it. have you noticed that we always like to put a label on people when they group together and they have a feeling about something? like the 9/11 truthers or the birthers. groups that want to believe things. we now have the healthcare deniers. oh they are out and about. just sidewalk squawking about this number right here. 7.1 million as of march 31st. we're rolling. it's going to hit 8 million. oh yea. maybe 8.5. if they don't want to believe numbers let's just start throwing numbers out there. do you know what's interesting, is when the number was 106,000 signups after the first 30 days, they were all over that number. they were believing that one. so what is the criteria here? basically what we have developing in america is the healthcare deniers. they want to take votes and deny millions of american

we needed to fix the healthcare system but the one thing they forgot is market allocate scarce resources better than any government program. if you want to make something expensive, have the government run it and that's exactly what we have done. we have made healthcare for millions of americans less affordable with less access. >> you mentioned preexisting conditions and that's the win i think that probably pulls at most americans. you made a prediction about preexisting that patients were preexisting conditions that they will still face care restrictions. and then in your report you say -- you explain that even with this provision in the obamacare that there is still going to be restrictions for those people. >> there was two levels of this. remember, in the intervening period there was this pool of funds that they shut off very early for people with preexisting conditions. so, that's number one. most of the promises that were made over the last three and a half, 4 years didn't come to fruition for those people with preexisting conditions. now, with preexisting conditions, you will hav

we felt, and the recommendation was almost in a separate way the healthcare system and the leadership needed to take positive action to mitigate dangerousness. and to teach people and prepare them for the kinds of circumstances they were going to face, and the crisis they may find themselves in not to go over the ledge. >> general, appreciate it. thanks for your time, and thank you for sticking around for us. retired brigadier general, a psychiatrist who served at fort hood as part of a crisis team there after the november 2009 shooting. general, again, thank you. >>> as tensions rice in eastern ukraine protesters seize government buildings in the region, there are kne new fearst russia is planning an invasion. they say these this is proof that they're building force near the border of ukraine. phil ittner live for us, phil, you've been telling us for weeks now that the russian are indeliberately sparking tensions, and russia is responding tit for tat saying american mercenaries are involved. what can you make, what can we make of this escalation? >> tony, a little bit of finger point

. >> we're not going to give up on destroying the healthcare system for the american people. >> well. >> when are you going to run for president? >> say that again? >> good to have you with us tonight folks. thanks for watching. i'm still giddy. i have to admit it. have you noticed that we always like to put a label on people when they group together and they have a

. >> if you can prevent a woman getting cervical cancer you have a significant benefit to the healthcare systemse having to treat a woman that gets cervical cancer is expensive. >> reporter: critics worry it could lead to a lot of over treatment. >> part of the approval process by the fda was to look closely at this to make sure that you have the right balance between the number of women you detect and the number of we mean that -- of women that go. >> reporter: tom vacar, ktvu channel 2 news. >>> the san jose sharks tonight will try sweep the los angeles kings in round one of the stanley cup playoffs. the sharks lead 3-0 after beating the kings in over time on tuesday night. game 4 gets underway tonight in los angeles at 7:30 p.m. if the sharks win they advance toround two of the -- to round two of the stanley cup playoffs. >>> in two hours the golden state warriors are set to play their first home game in the nba playoffs. this is a live look at traffic on interstate 880. the southbound lane are coming towards us. north bound traffic is looking better. our camera, you see the parking lot. tra

solutions. ( applause ) we are offering patient-centered solutions so patients are the nucleus of the healthcare system, not the government. we're offering a plan to save medicare now and for future generations. >> woodruff: democrats decried the bill, led by minority leader nancy pelosi at her weekly briefing. a conservative talk-show host on comedy central's "the colbert report" since 2005. still to come on the newshour, commemorating the civil rights act 50 years on and our roundtable discussion on the struggle against discrimination. also: the global push to get all children educated; one new york high school putting students on the fast track to a college degree; and the department of justice slams albuquerque's police for using excessive force. >> ifill: now, a key moment in the fight for equality that still resonates half a century later. >> let us lay aside irrelevant differences and make our nation whole. >> ifill: president lyndon johnson, speaking as he signed the civil rights act of 1964 into law. the landmark legislation outlawed discrimination based on race, ethnicity and sex. today, at t

the president says the law hasn't fixed the healthcare system but it has made it better. >>> happening today, palo alto considers adding a fifth cab company to the streets and taxi drivers are unhappy. they say the move would hurt business in a crowded market in the city. cabbies say they allegedly lost almost 40% of their business to "rideshare" companies. they are asking for tougher regulations on companies like uber and lyft. city leaders will discuss adding new cab companies later today. >>> you might be paying a little extra for that steak while dining out. the drought is driving beef prices up. lack of rain and increasing demand cut the number of u.s. cattle to its lowest since the 1950s. prices for some cuts of beef have gone up as much as 20% since last year. at lb steak in san jose, they are trying to offset the high cost by introducing more affordable items. but they say finding beef to serve is tough right now. >> affected us greatly. prime is a small percentage of the amount of beef that's allotted in the country. so it's made it difficult for us to find prime throughout th

it is now legendary in the medical system how undermedicated people are, how much unnecessary pain they go through because the healthcare system is biased against an aggressive use of pain medications. and there's no reason to be biased in that way. there are well understood standards for stepped pain care, and you can state in your advance directive that you want the most current practices in pain control applied in your circumstances, if you should need that. and you want your healthcare team to consult with an expert in pain control and pain management. it's not just pain. it can be suffering, discomfort, distress at the situation, that needs to be addressed. depression. all of these things, we need still to do a lot of work on. so i think we've set the framework, and there's momentum towards realizing that the full court press-- the notion that every patient should have resuscitation-- just doesn't make any sense. it doesn't serve the patient, and it's self-defeating because what it does is it takes what is a part of life and turns it into a part of a mechanism of medical care. admittedly, it's difficult for a physi

republicans to drop it as a political issue while acknowledging the law can't fix all the problems in our healthcare system. the president talked of his recent trip to the lbj library and said back in the 60 60's pee were skeptical of medicare for years until people realized it helped lift seniors out of poverty. with us bill snyder, in new york, yegeny, research associate at manhattan institute, and cee cee connolly, price water cooper health research institute. on the road of this latest enrollment period, one very damaging thing happened, and that is people started to lose their health insurance while other people were trying to gain some by signing up. that ended up being one of the unpredicted impacts of all of this. did it have to go down that way? and has it readdicted who is in and who is out in the near term? >> yes, absolutely, ray, and talk about confusing. some how no one involved, government, private industry, media, too, were able to clearly explain what was happening. people who were in essentially inadequate or sub-par plans. >> under the affordable care act. >> no, prior to the affordable

gingrich talked about when he was campaigning for president was the amount of fraud and abuse in the healthcare systeme could clean that up, we could change the healthcare system at large. well, it turns out that fraud and abuse and disability abuse in this country is out of control and getting worse. and now they are trying to clamp down on some of these people who might even show up on the price is right. this woman. >> such a great story. >> postal worker there, she is shows up on the price is right after she has already collected thousands of dollars in disability payments. there she is spinning the wheel. her name is cathy wrench cashwell. she has been collecting workers' compensation checks since 2004. >> her claim. >> she couldn't lift mail trays into a truck but she can spin that wheel, baby. >> if you go to her facebook page which investigators did, there is all kinds of pictures of her, you know, on a carnival cruise, playing shuffle board doing all these things that there is no way a person with a real disability could pull off. what a great story. as the rest of us focused on other things

the v.a. system government run healthcare works. not all of the v.a. is terrible and a certainly not as evil and repugnant as this story. but it does show you when you have bureaucrats in charge they start playing games with incorporation this. some of those bureaucrats need to go to jail. >> next up, the ncaa and unions. you have this vote in northwestern for football players to form a union. take a listen to the vice president for university reels at northwestern. >> today the chicago office of the national labor relations board conducted an election here at northwestern in which the university scholarship football players had the opportunity to vote by secret ballot on whether or not they wished to be represented by the college athlete players association. those ballots will not be counted until that appeals process or review process is completed. >> what about this? unions in college football. >> look, if i was doing this from scratch, i would say get these teams out of division one sports and create a minor league. never going to happen. but i thin

allegations up to 40 patients, veterans died while waiting for medical appointments at the phoenix veterans acare healthcare systemwhistleblowers alleged that a v.a. administrators have kept secret books in order to hide veterans forced to wait months just to see a doctor. ollie, the soldiers never -- they never make us wait. and we are making them wait. >> yes. this gives new meaning to the idea of hurry up and wait. >> what it was if the reports are accurate is a secret list taken of critically ill people who are put on a secret waiting list so they couldn't get to see their primary care physician set aside the fact that you ultimately are going to need a specialist if you have got a cardio problem, pulmonary cancer you need a specialist because you can't get to see the specialist without getting to see your primary care physician. if -- you and charles just used that word unconscionable. this is unconscionable. the idea that the congress of the united states would have failed in its mission of oversight for the v.a. nothing is too good for our troops and that's just what he we'll give them that's uncouncil. >>

stuart: we upended the whole healthcare system to help maybe 15% of the previously uninsured. >> may >> 62% of america think the gop will be successful in repealing parts of mobile obamacare. you live in georgia. stuart: she is not mentioning obamacare. >> she did not even mention she was a democrat in this ad. praising george bush. stuart: wait a minute. there is also a democrat running for the senate in georgia. she uses george bush in a positive way to support her democrat campaign. >> it is like we are in the twilight zone thanks to obamacare. she is saying she will repeal it herself and fix obamacare. democrats are running scared. republicans, you mention this every chance you get. we have a chance. stuart: high-speed traders got to subpoenaed. they got subpoenaed by the new york attorney general yesterday. one high-frequency trading ipo delayed. do you remember this debate on "varney & company"? >> that is an officer or director. someone really high up in the company that knows that there is news pending. they have to hold bad news. it is irresponsible and it should be criminal

thomas travis of the air force and christopher miller, program executive officer for the defense management healthcare systems. our hearing today focuses on the well-being of our service members and its paramount on our minds. one of the responses to the shooting on april 2 has been asked questions about how we support our troops as they deal with stress from long overseas deployments, personal relationships, financial stress and so many other things. i am not going to speculate about what happened that caused the tragedy at fort hood. the investigation will have to answer those questions but in an interview with the "washington post" this weekend, the former vice chief of staff at the army stated efforts to hire more mental health clinicians, those efforts are hamstrung by the same shortages that affect the entire country. this is an alarming statement for the retired general who's put so much work into how we deal with posttraumatic stress. the subcommittee is interested in the assessment of the defense department network and care for service members and families and we may never know the cause of the trage

we didn't have to disrupt the entire healthcare system, the insurance market to provide that type of safety net. from my standpoint, part of what the democrats are proposing right now to make health care affordable under obamacare is now a copper plan, an incredibly high deductible plan. no bat we to go in terms of social safety net. i agree no american should go bankrupt because they get ill you. take care of that with a major medical type of plan that is certainly more affordable and if you can't afford that, that should be the social sift -- safety net. you can take care of high-risk pools and preexisting conditions. >> host: let's good back to the lawsuit you filed against the opm. what is their role in this and what have they done that you think hurts the healthcare, delivery of health care. >> guest: it's the fact that president obama has taken these actions without the constitutional authority to do so. the law was -- i'd like to repeal the spire law. this was really stupid part of the law that -- i don't disagree that members of congress, when they're debating health care, ma

there is something that i would say that's because we all the mcdonald's out of the us do the healthcare system i think we have the greatest health care system in the world and americans and most unhealthy people who don't work out enough and eat unhealthy even we have a better health care system than five far in sweden but then everyone why do the canadians come here when it's free for them and they come players and we have the benefit in federal in fairness it's like education education in some european countries works a certain way because but it's not scalable health care sweden smaller than louisiana right so i think in fairness in this discussion just try to find some middle ground everyone wants to tackle the issue but it hasn't been a glitch this is the problem has not come close to being solved thirty one million people are still uninsured you can't find a doctor who likes this program you're not going to find a small business person who likes this program so it's been devastating to the economy without solving the problem that's that's what concerns me about how about this one it's no

which we have seen in the course of our investigations how some of these service members are being treated, how they are not receiving proper mental healthcare, and how the system there are some leaders that just they don't care about getting these people the help that they need. >> you have said that after the service members get back from a deployment, they go through a questionnaire, and basically it is self-assessment, is that enough. >> it is not enough. there should be more, what we learned off is that the self-is assessments they are done in group settings in peer settings. the self-reported mechanism, i don't believe is enough. but when you look at this case, that we are dealing with right now, the individual had already reported he was seeking treatment, he was seeking help, and our ex-pierce is that those who are seeking help, are not getting what they need. as a matter of fact, they get the opposite of what they need. >> is there a culture in the military that also encouragings people not to seek this mental help, or not seek it sooner? well, it is the mall treatment of those seeking mental healthcare, and treatment for dramatic brain injury, that di

i've said before this law won't solve all the problems in our healthcare system. we have more work to do. but we now know for a fact that repealing the affordable care act would increase the deficit, raise premiums for millions of mentales and take insurance away from millions more. which is why, as i said before, i find it strength the republican position on this law is still stuck in the same place that it has always been. they still can't bring themselves to admit that the affordable care act is working. they said nobody would sign up. they were wrong about that. they said it would be unaffordable for the country. they were wrong about that. they were wrong to keep trying to repeal a law that is working when they had no alternative answer for millions of americans with preexisting conditions who would be denied coverage again. for every woman who would be charged more for just being a woman, again. i know every americansen going to agree with this law. i think we can agree that it's well past time to move on as a country and refocus our energy on the issues tha

i've said before, this law won't solve all the problems in our healthcare system, we know we have more work to do, but we now know for a fact that repealing the affordable care act will increase the deficit, raise premiums for millions of americans and take insurance away from millions more. >> woodruff: health care law officials have not yet released figures on how many of the eight million enrollees had been uninsured. new data from the u.s. justice department shows the number of deportations of unlawful "the new york times" reported court-ordered deportations have dropped 43% since 2009. the congressional budget office today disputed white house claims about the size of deficits and tax hikes under president obama's proposed budget. the non-partisan agency estimated red ink of $6.6 trillion over ten years instead of $5 trillion as the budget forecasts. the c.b.o also said tax hikes will total $1.4 trillion significantly more than official estimates. wall street closed out a short work week on a quiet note. the dow jones industrial average lost 16 points to close at 16,408. the nasda

the other areas where we have support and capabilities gap is clinical staff training and system operations. we are lacking a team within the healthcare organization called clinical team. the core function is to train our clinical staff, provide support, work with the clinical staff and optimize the work flow as well as the information technology behind it. and it is a formal program that is taken with extreme dedication and focus. what we have today is we don't -- we do not have the clinical team. what we have in the organization are, in a very good way, the nurses assigned to those roles, but it is not a formal structure. needless to say, the team and having right leadership skill will be critical to the success out of it in terms of success of dph. i'll bring a point of example. if you purchase any hr system for -- let's say $250 million, you do not make an investment to support that system, to train the nurses and doctors, to fully utilize that system or keep it optimized, to keep it tuned up, would you really get a full value out of that $250 million? reality is many organizations, many almost -- actually i'd say all the healthca