What's needed is a roadmap to efficient and effective care that moves away from fee-for-service.

Thank you, Senator Isakson. Two questions, just very briefly.

the challenge, of course, is you have this horribly fragmented delivery system.

It is our job to make sure that does not happen, and the Finance Committee has played a big role in this.

This year marks the 50th anniversary of Medicare and Medicaid, and a lot has taken place since those programs were created.

The job, however, is not done. Our budget must reflect a twofold commitment: first, to protect the progress that's already been made, and second, to clear the way for progress to continue in the future.

The job is not done, and so there is a twofold challenge, in my view: first, protect the progress that has been made, and second, clear the way for more progress in the future.

Treating chronic disease, in my view, is the future of the Medicare program.

The precision medicine initiative that is in the President's budget follows an innovative test program that was really created in this committee.

I think is the future of Medicare.

The Congress can do even more by passing bipartisan, bicameral legislation to improve the way Medicare pays physicians.

I just hope we can handle the budget today.

I just think arguing that because she will not talk about hypotheticals, speculate about a court case, means that she is handling this Congress with contempt, I just think is way off-base.

America is not willing to go back to the days when health care was for the healthy and wealthy.

I want to thank the senior Senator from Delaware for raising this important issue. I would be happy to work with him on this issue because, as my friend and colleague from Delaware knows, the Land and Water Conservation Fund is not only…

So guidance was issued in 2003.

But let us get it done in 90 days, Commissioner. After 10 years, 10 years plus 90 days seems to be enough time.

Senator Cardin and I, we are going after these unscrupulous tax preparers.

I am hearing from taxpayers in Oregon that many of them have not received these PINs.

I just hope that you all will recognize that taxpayers who received assistance last year, of course, are going to have some questions about the steps to take to comply this year, and I hope there will be a special effort to reach out to…

The ultimate goal ought to be fairness.

the struggling middle class. Years after economists first said that the recession officially ended, too many middle-class Americans feel like they are standing on quicksand because the recovery has yet to reach them.

Another concern of middle-class families is the growing problem of identity theft.

I personally think it will be more productive and more efficient in terms of our time use to focus on this issue in the context of the upcoming release of our report.

I think it would be very helpful if you could tell the committee when Americans are going to receive these PINs.