so even if they say, administrative costs are lower with the government, i know some of those administrators and i know they re sitting in front of the computer screen all day, i know some of them personally, and they re not there trying to save anybody money. i as a physician order a million tests, sometimes they re necessary, hopefully most of the time they re necessary, but let s face it, a lot of doctors are practicing defensively these days, and unless we have tort reform, this medicare is an out of control freight train that s going to cost close to a trillion dollars by 2025. we ve got to reign it in. and adding a private option is a good way to start. alisyn: do you, dr. lunden, thinks this helps to reign in medicare? i don t think it addresses the main problem, which there is a lot of waste going on in medicare, not necessarily from the defensive medicine. that s some of it. there s a lot of duplication. and this is where i see it like in my own practice, a patient right now