>> i'm in oncology. >> i have a practice today that still operates. we have three nurse practitioners. i'm telling every year that goes by we have to analyze what our pay rate is. can we take medicaid? can we take medicare? this is happening all across the country. >> we have a health care system that is $2.8 trillion. it's got more than enough money. the issue isn't money here. the issue delivering efficient care and making sure that we have the right care at the right place. >> i will say that some of the -- >> it does not create efficient care. >> one of the things that i also hear and this mostly from on the patient side is that when the president said over and over and over again if you like your health care, you can keep it. and now of course we're hearing lots of insurance companies are dropping patients who don't -- who have health care plans that don't meet the standards of obama care. so they are going to change doctors. are they not? >> millions of americans have had surgeries canceled in the last few weeks. >> the insurance plans are not worth the paper they're written on. many of them exclude key things. >> that is totally false. >> we would not allow -- excuse me.