unmedicated or medicated in a different way. this is progress because they used to believe when you went to treatment come you had have to be sober for two years before you dealt with the underlying causes. for women in treatment, it difficult because getting to treatment is the issue. especially if you have young children, babies. we see some fabulous entities across north america that appreciate what do mothers have to deal with when they're trying to get sober. but they are few and far between. too often it's not who you know, whether you have enough money, where you live, whether you look at the right treatment. >> host: why do you think that is? >> guest: i think it's obvious. i think our value as a society around alcohol are very fuzzy. i don't think we decided what we want to do. we all think about sophisticated i know my wine. if an adult, i should know how to handle their liquor. if i'm drinking a little too much, maybe i'm just trying to act like the french or the spanish were the italian. it isn't me that has a proble

not have enough of them who bought into running their own exchanges or registering people quickly unmedicated. we have enough time that they will get it right. we must have everybody enrolled. there is no way we will be able to continue the kind of cost shifting that has been going on or be able to deliver the kind of efficiency we will talk about unless everybody has insurance and decent insurance. it has to work. the technical problems are just that. their technical problems. i have not heard anybody say they are designed problems, fundamental design problems. we know we have large numbers of uninsured, we know we have to get them insurance. we know some of them need to be subsidized. we neednd of the day, to get this done and i think there was enough time to do it by march 1. i will turn attention away from the hot topic of the day and get us to the hospital of tomorrow. thing, there was an article about the implementation of the whole affordable care act. the letter david cutler sent to the administration after the law passed. one of the things that letter cited was not enough attention t