My understanding of the accountable care organization component is that the very health programs the accountable care organizations were modeled after, the ones the President held up as the models across the country--one was in Utah, one was Geisinger in Pennsylvania, and I believe the Mayo Clinic may have been a third--once those 350 pages of regulations came out, the programs the President said were the models we want to follow, they all said: We can't comply with these regulations. They are too stringent. They are too confining. They will not work in our program. So if it is not going to work in the places where the President said they are doing it well, to me that means they are not going to work anywhere in Wyoming and very likely not anywhere in Iowa or anywhere in Missouri as we try to make sure patients get the care they need from the doctor they want at a cost they can afford. That is why I continue to look at this health care law and go home every weekend and talk to people, and I continue to hear that this bill is bad for patients, bad for providers--the nurses and the doctors who take care of the patients--and bad for taxpayers. When we take a look at Medicare--and Senator Blunt made a comment about Medicare and some of the changes--who is going to make these decisions?…
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