It seems to me that what you are really saying is that some of the things that are being put in place and have been put in place both in the ACA and in Medicare Advantage in the past are you can't expect them to go in and instantly have a major change, that it is like trying to take a super tanker and turn it on a dime, it takes 20 miles to bend it 4 degrees in its direction and that is really what we are doing here with a big program.
McDermott compares healthcare changes to turning a super tanker, emphasizing gradual progress.
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I know we are starting the Paul Ryan for President campaign, conservatives are now very compassionate.
One of the issues that the questions Mr. Tiberi is raising about small practices sort of leads me to the question of consolidation and driving doctors together in larger and larger groups.
You cannot have a pool of just sick people in the insurance plan and have the sick ones out here waiting for the day when they can run in and get their insurance.
We continue to overpay the insurance industry through the Medicare Advantage program.
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