Ron Wyden actually said...

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

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.

Now, I would like to see us, particularly by closing some of the loopholes in the system, get lower than that.

We have gone back to the drawing board, and Senator Hoeven and I, in particular, have come up with a new concept.