me what -- every day what i can and can't order, yes i'm limited by cost already but government rationing means that people on high are going to tell me this particular service is useful and this isn't and it's always, always, based on some study where the patients are cherry picked, where all the findings may not be in, a lot of times these things are reversed and i want to tell you a real headline that no one is talking about. medicare is the torch bearer. in other words, once medicare decides that it's not going to cover a service, then the private insurers always follow suit. if that's the way it's gone up until now and this will get a lot worse. and sebelius is saying well, but congress can always block these payment cuts. congress is never going to do that, and congress is never going to throw out these people once they aapproved. bill: sebelius is going to testify at these hearings. what you're saying is it's no longer you and me together, i've got a middle man now. >> more and more. we already have a middle man with a private insurer, with