have is transparency. that is critical. transparency in price and transparency in outcome. they lower prices in singapore angio plast tee 13,000 dollars. united states 83,000. gastric bypass 13,000 verses 70,000. the hospitals have greater awe ton me. they are autonomously run units to compete with one another. they compete on costs and quality and gives the consumer a choice. if they make extra profit they can reinvest that? that s right. life expectancy is longer than the united states. much longer than the united states. but in addition to that if you look at child mortality, maternal mortality death under the age of 5 death of young