Byron Dorgan: “The major carrier, in most cases, does not have responsibility for, or liability for, the regional carrier.”

The Indian Health Service has failed their patients.

The efficiencies that would be driven from a non-profit corporation...would provide funding as well for excellent and stable and professional management.

A user fee structure...would provide a stable stream of funding.

We have to shine all the spotlights on one spot and figure out not only what is happening, but how on earth do we fix it.