what it really has to do with is the incentives that are operating in various communities. There are some places like the mayo clinic, many of you have heard,rovides outstanding care, some of the best in the world. People fly in from everywhere to go to mayo clinic to get treatment. It turns out mayo provides care much more cheaply than a lot of other health systems, even though it is better care. Part of the reason is, they do some things that are common sensical but are the fortunately, we don't do in the health care. For example, instead of you going to one physician, your primary care physician, who has you do a bunch of tests and refers you to a specialist who has you do a bunch of testsnd a third specialist, another bunch of tests and go tthe hospital, they retest you. What they do at mayo clinic, when you meet with your primary physician, he calls in a the specialists all at the same time. As a team, they evaluate y, do all the tests right there. So you are not duplicating a whole bunch of stuff. That coordinated care drives down costs tremendously. That's the kind of common sense approaches that we are going to have to take and one of the things that we are going to need to do in the health reform that we are proposing is to incentiveize those kind of smart practices as opposed to what we do right now. We pay you. The more services you provide, the more we pay you. Which gives doctors and hospitals a pretty strong incentive to test you five times rather than one time I many not
