It needs to be streamlined. It needs to be brought up to date. It needs to be less burdensome, because it is just eating up too many of our resources.

Thanks for all the great work you are doing out in the field.

Well, thank you all, again, very much. This has been a very intellectually stimulating morning for me, I am sure for our staff.

And so you have got to--as I have heard you this morning, there are ways of addressing it on both sides.

So Medicare is solvent.

Are there any provisions in Medicare that would allow for the up-front payment or establishing chronic-care management programs?

My constituents literally are choosing between groceries and staying on their prescriptions. This is not only a crisis, it is an urgent crisis.

I have had people tell me that at one time it used to be the border towns were various kinds of tourist attractions, now it is pharmacia, pharmacia, pharmacia as they go across the border.

America remains the only major industrialized society in the world that does not negotiate on behalf of its citizens a better price.

We will need the FDA's cooperation for that legislation which I am convinced will pass once again to make that work.

I profoundly disagree about what you have just said.

the filibuster reflects the Senate's longstanding respect for minority views and underscores the unique role of the Senate as a part of American democracy.

the filibuster encourages the President to find common ground with the Senate on nominating individuals who can garner consensus.

That was redundant.

I am very disappointed about the signals that USDA and others have been sending regarding COL.

I hope we do not do that.

The American people would be shocked to learn that the USDA does not have the fundamental authority to protect public health.

I have detected that the Department is interested in this. You are moving ahead, but my senses pick up that there is some hanky-panky going on at OMB that are really, Mr. Chairman, trying to misinterpret the law as we wrote the statute.