insuring 30 million more americans whose insurance will be taken away if the republicans pass this nonsense crack pot right wing theory which has nothing to do with how you really deliver health care. >> you say crack pot. do you think paul ryan is a -- >> paul ryan knows nothing about health care. >> he says he's been doing it for 20 years. >> he's not been doing it for 20 years. he's the free market ideologue who doesn't understand how the market works. the reason health care costs are going up are not because of all the things they list. it's for one reason alone. if you keep paying a lot of money to do stuff, they're going to do as much stuff as they possibly can. the key to this system is to go on a capitated basis. that's the key. the rest of is it all we can fight about. until you do that, you're not going to control health care costs. the best you can do is make sure as many people as possible get health care costs -- get health care access. that's not on the republicans' radar screen. they civsimply don't give a dam. they're afraid the american