Ron Wyden actually said...

We encourage the inclusion in the CES of energy efficiency from the onset.

On that point, I think Dr. Coburn raises an important point, because he is touching on this question of regional variation.

The fact is that in some high-cost States, when the senior shows up, they get a higher payment, and this is baked into the SGR as of now.

What can we do to start moving away from this kind of built-in disadvantage for people to hold costs down and deliver value?