That is not going to happen as long as our trade laws dont allow us to prevent cheating. Right now our trade laws encourage companies to cheat encourage other countries to cheat, because by the time we succeed, the damage has been done. Host larry is up next republican line. Caller good morning, pedro, mr. Gerard. Guest good morning. Caller can you inform the public about the historic 1992 ross perot, the giant sucking sound of jobs involving nafta versus bill clinton . What brought that about . Guest well, look, lets back up a bit. The initial negotiation of nafta was done with george bush senior. Bill clinton became president on the promise that he would fix nafta and in particular fix the labor chapter, which he did not do. Good afternoon. I am marilynn serafini with the alliance for health reform. On behalf of our honorary cochairman, senators carter and blunt, i would like to welcome you to todays briefing on the second of Health Care Costs. I would also like to thank our partner
Recommendation which is that we Reform Health care regulations to promote a system effectively. Malpractice is often brought up. Thats typically handled at the state. The scope of practice for Nurse Practitioners and physician assistants and other nonphysicians did typically done at the state level. Often that is the place where not only is the scope of their practices determined but the limit to which they can practice is determined. Another recommendation encouraging consumer selection of high valued based on information. Having transparent information of cost and quality. States again have the capacity to harness that data. In early 30 states now we have allpayer databases where the state has accumulated information from all of the plans. Those could be used to drive that kind of information. And lastly the final recommendation, help from a Population Health and personal responsibility for health. This recognizes that health is very much in ecosystem. It involves the health of peopl