Tom Carper

We need to get it done. It will help ratchet down some of those improper payments, especially in Medicare and Medicaid, and we need to make progress.

If you do not have the head of the agency or the deputy focused on this issue, you will make marginal progress, at best, in those areas.

Congress has to be a real partner in this effort to ensure success.

I think that is a very large problem.

For every dollar that we invest in the IRS and their people and their technology, they generate roughly $10 worth of revenue.

I am hopeful he is going to provide wonderful leadership at the IRS.

I do not mind paying taxes. I just do not want you to waste my money.

Improper payments are a huge problem, and while they are being actually addressed, satisfactorily addressed in a number of areas, a big one that is still the elephant in the room is health care, Medicare especially.

We continue to recommend that would be a good thing to do.

My staff and I continue to hear concerns that the EPA is not treating all zero emission resources the same in this proposal.

One of the major sources of electricity generation of which I am aware, which does not create any emissions or harm, is nuclear.

It makes sense to refer to S. 456 because it is very similar to the White House's cybersecurity information-sharing proposal.

I think the President's idea has merit.

What that is going to do is, as we know, it is going to tighten up the labor market and hopefully is going to have a positive effect on wages.

If we can work that out, we can probably work out some of these issues as well.

My hope is that we can move forward on trade, including TPA.

As Governor, I worked on the development of the Program for All-inclusive Care for the Elderly (PACE) program in Delaware.

The PACE model for providing care and services is a good fit for this younger, qualified population.

I was pleased to see the Administration's proposal to expand PACE to serve younger individuals with disabilities and other high-risk populations.

Would you please discuss with us some of the improvements in health care outcomes as well as cost savings that may have already been realized in the last few years due to value-based Medicare reimbursements?

I am concerned about the funding cliff that is faced by our federally qualified community health centers.

A number of years ago we--Dr. Coburn and I, in the Bush administration and then in the Obama administration--focused, focused, focused on this with GAO and started to see that number being driven down, which is good.

Good. Well, I think we agree it is important to continue our efforts, and we want to be helpful.

I am a big supporter of your ongoing efforts to move our country's health care system away from volume-based toward value-based payment for care.

More interior enforcement, particularly at workplaces, is vital to the success of a guest worker program.