we reach agreement before on this and that wasl comfortable about where we are heading.e are working on that. as we bring the vote to the floor we will have a significant victory for the american people. >> can you speak to what the doctor fix was not included on this legislation? >> we have been including it in legislation for longtime. it is not about a doctor fix. it is about our seniors or anyone who relies upon medicare to have access to physicians, that they be in their region or their program. it is really about access to health care for americans. it is not in this bill but we will have it soon. we have made a commitment to do this. is very important. >> you save a certain billion and address this problem later you go negative. >> let's see how we advance the bill. when we did the budget we had a number of issues that were not part of pay-as-you-go. they were the standard growth rate, they were middle-class tax cuts. that is what we have addressed and we will address that because it is necessary for our seniors and anyone who has access to medicare. [talking over