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Care, but also the costs of that care and the sort of wrenching decisions we have to make. Thats what we are trying to address with. Health maintenance organizations 40 years ago. And i think thats where we have to turn today. Great. Thank you. We have to wrap things up. Unfortunately. The Volker Alliance is a nonpartisan nonprofit founded by the former head of the Federal Reserve board of governors paul volcker and dedicated to advancing his vision of an empowered Public Sector workforce. Sometimes in very nicely with the theme of the day. I want to thank fill up and mr. Is a good friend and that helps for hosting us today at columbia and we have a great set panelists for this third panel we have two people joining us on zoom Neil Ferguson and, jen parker and up here we have paul light to my right, to my left, and then richard roth joining us. So well turn first to neil on zoom. He is the milbank family senior fellow at the Hoover Institution at Stanford University and also a senior f

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