We have been buried in this tsunami of propaganda that the problem here is there is too much spending and there is not enough tax relief for the people at the top.

I am having trouble figuring out what the upside of getting rid of municipal bonds is...

I appreciate Mr. Hackbarth coming back. You were here the other week.

One of the issues that we hear about, all of us go to various events, people come up and say, I can't find a doctor and I am on Medicare.

we need to bring value over volume to the Medicare program.

I am one of those that believes that you can have whatever opinion you want, but you can't have your own facts.

Some of the things in the ACA, the Affordable Care Act, these accountable care organizations, it seems to me that there are a lot of problems out there about how you control costs and how medical systems can move to do that that are…

Mr. Chairman, I am grateful for your calling this hearing today. It is one of our regular reports from CMS.

I personally favor physician-led ACOs. If all of the ACO development is hospital-focused, you tend to get more consolidation, more market power that can lead to higher prices for private payers.

I just want to take a second to enter into the record, or ask unanimous consent to enter into the record, an article from The Washington Post by Sarah Kliff dated today.

Thank you, Mr. Chairman.

I believe we can continue to improve cost and quality for everyone while still protecting benefits.