John B. Breaux: “What in the new rules guarantee that we are going to have the same result in a future merger, though?”

Suppose you have somebody who may not do that. Is there any provision in the bill that says what will happen to the company that does not abide by the plan? I believe in trust but verify. If you don't do what you say you are going to do…

We want to keep Medicare. I think we want to improve the delivery system.

My answer would be yes, but you don't have to take my word for it.

I remember when I was in Congress when I wanted to stop something from happening, I used to offer an amendment to do a study, or maybe to do a demonstration program, hoping it never got completed.