That is unacceptable.

it is a tragedy beyond words, not easily dealt with, but it is one that we have got to address.

That is not acceptable.

What are you doing to put in place--the type of information transfers and conduits--that will see to it Mr. McDonald does not become a rookie victim?

The reason I ask that question is I got into the Atlanta VA starting in August of last year when we had two suicides and a drug overdose.

You are a brave and courageous man.

My experience of a lot of these problems lies at the highest levels of the veterans administration.

I think both of them told the truth. I do not think Secretary Shinseki ever saw it.

So, in other words, it costs more to do less and less to do more.

if we can do a better job of incentivizing coordination, the best by-product is better care, but it also is less cost

if we were doing more care coordination, we would be in much better shape financially as a country.

you can improve quality and lower the cost of improving the quality at the same time by coordinating care for people with multiple chronic illnesses.