does, that medicaid improves screening for cancer, hiv, high cholesterol, and everything like that. screening doesn't necessarily transsbliet decreased mortality, but they did find that by implementing these improving access to care will save tens of thousands of lives. how is that going to help the "downward spiral" that we hear so much about. >> there is a couple things to bear in mind here. this includes kids, the disabled, the populations that say these are the most sympathetic folks. the question around the senate and house legislation is what you do with the expansion population. the people that were added on to medicaid by the affordable care