. >> and now for a deep dive on the policy, i'm joined by toby cosgrove and she worked with the whitethe white house to develop obama's health care law and obic roy who is working with with the research institute for forgdz who advised mitt romney on affordable care act, and what are you seeing. roy forbes? >> well, it started out to decrease the cost, and the jury is not in on that yet, and you have to understand that the costs are not about the costs of the individual, but also about the the costs of the health care across the nation, and it has improved -- >> and you as the head of the cleveland clinic, you would know. >> and you have is seen the costs down? >> yes. with we realize that the pressure is on the health care providers across the country to help make health care more affordable and greater efficiency and we have seen the national quality indicators go up, and access to increase across the country, and so there are the main thing that we are seeing is the jury is not in yet on what we are doing as far as the cost can across the country is in. >> and obic. >> well, the co