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Theres no barrier. A physician can do this but theres increasing work to make it happen. The natural path of least resistance is to prescribe the preferred drug. These are levers. This is what is been called enlightened paternalism or the structure of incentives make it such that do what the insurers would like to maximize, the rational course of achieving cost savings forever is the equivalent drug is the outcome. As a physician, however, and as a patient one needs needs to remember thethat can be at times and opposition between reason and rationality. One thinks of the movie dr. Strangelove, for example, where dr. Strangelove who at the end of the movie as you know led by peter sellers, as eloquently rational madman who is leading the world of destruction, arrived by set of incredibly rational steps through economic game theory. So this idea that one can create a rational system which at times can produce unreasonable results i think is a dilemma that exist at the heart of modern med ....
The staff would appreciate if you pull up the chairs and leaned them against something. And so now for a for the feature presentation, it always makes our hosting job here a little easier on the day that the author is due to appear. Spin it however you want to. [laughter] okay. What seems amazing some of his closest friends is and how im using both turned out. Its how he found time to write it. For one thing, he represents a pretty demanding and far from securely democratic district, new yorks third Congressional District that includes a chunk of long island as well as a small proportion of queens also having served in congress for 14 years hes become a Ranking Member of the houston a critical leadership and twice chaired the Democratic National committee and kennedy. But he does enjoy writing and apparently ....
Country. [inaudible conversations] [inaudible conversations] good evening. I am the owner of politics ambroses with my wife on behalf of the entire staff thank you for coming and braving the cold and the ice. Just a few notes. Knowledge is the big time to turn off your cell phones during the talk. When we get to the q a please step up to the microphone because we are recording the event tonight for our purposes and is the spee into booktv is here. And the staff would appreciate it if you could fold up the chairs where you were seated to leave them against something solid lead somewhere. Now for the feature presentation it makes our job here a little easier when on the day and the author is due to appear the Washington Post style section decides to run a big favorable feature about the person and the new book and that is what happened today for congressman steve israel. If you have not read the piece yet let me summarize. You can ....