The payments from the government are not covering the cost of caring for this population group.

It's been a little too easy to attribute it to managed care. There are a number of factors here that could explain overcrowding and increases in the numbers of people in certain periods going to the emergency room.

We share this goal of making sure that individuals receive value for their premiums, on the other hand, we're looking to see the impact of potentially unintended consequences of affordability and access,

The subtext of the Democratic proposal is: If you have a problem, get a lawyer.

This approach has rewarded the over-utilization and misuse of services and resulted in higher payments when health care complications arise.

I don't want to suggest that people aren't feeling a crunch here, ... But I'm pleased to report that some of the new cost-saving strategies are starting to work.