Tom Coburn actually said...

"Effort sometimes is not enough. You have to apply maybe a different approach and a different technique."

"Well it is only cost-effective if you can have real savings or you can have real accuracy, which you do not have now."

"when I see almost $600 million last year in savings that would not have occurred had they not done that, to me that is real change."

"That says we did not know what we want, we were not managing the project right."