can do a great deal to maneuver. >> what about entitle snaents the trust fund is going to be depleted by 2024, five years earlier than predicted. do you think republicans ought to buck the public opposition and really move forward to completely change medicare, turn it into a voucher program where you give seniors some premium support so that they can go out and buy private insurance? >> i don't think right-wing social engineering is any more desirable than left-wing social engineering. i don't think imposing radical change from the right or the left is a very good way for free society to operate. i think we need a national conversation to get to a better medicare system with more choices for seniors, but there are specific things you can do. at the center for health transformation, which i helped found, which published a book called "stop paying the crooks." we thought that was a clear enough, simple enough idea, even for washington. we, between medicare and medicaid, we pay between $70 billion and $120 billion a year to crooks. and ibm has agreed to help solve