trevor fetter joins us now. trevor, great to see you.ust talking about the consolidation and the drug space and also among health insurers. as those guys get bigger and they have more say because they are more powerful invoice, how does that impact to because they have more leverage over hospital operators like you? trevor: thank you for having me on. it is great to be here. there has been consolidation taking place for a long time in the industry and a big wave in the insurance sector right now and in the drug sector. a very large company. we deal with large companies that are insurers. this is not something completely unexpected in our industry. still, for our markets, the predominant insurer in a given state is generally one of the local blue cross plans. it is obviously something we watched very carefully. i ensure we will get a lot of regulatory scrutiny on the insurance sector. it will be interesting to see what happens but we are well-positioned for this trend. trend orere is another another change, really, for your industry which

. >>> our guest host is trevor fetter. the health care industry with another experts. michael leavitt is the founder and ceo of leavitt partners, as well as the former set tear of health and human services. welcome. good to have you with us. >> thank you. good morning. i'm certain trevor will have some questions, but my first one, so much has been made of pledges to repeal the affordable care act on day one. what do you think? would that be a good idea to repeal the affordable care act? >> well, the republican party has dined out on that phrase now for several years and they've been successful. they've been able to assume control of congress, and they would like now to see the white house. the practical reality of actually repealing the law seems quite low to me. however, in fact i think it becomes a virtual impossibility, but they will, i believe, make significant changes if in fact they are successful in winning the white house and retaining congress. they'll begin to move it far more toward a market-based system as oppo