Under Gov. Bush, traditional Medicare will remain an option, including the ability to get a prescription drug benefit,

You will get a lot more pressure to understand the comparative effectiveness of technologies and medical procedures. That can help payers, providers, and even the patient community to understand if there is either not much known or a lot of dispute about how effective a new technology or procedure may be. For some people in some circumstances it can make all of the difference in the world.

Gov. Bush also does not want to undo what states have done. Texas and others have been active in this area, making sure individuals have access to specialists, holding plans accountable under a review,

Medicare is growing at a rate of 8.5 percent per year, the federal budget at 5.2 percent and the gross domestic product at only 4.8 percent,

Today's actions are significant steps in moving the company toward best practices in corporate governance and compensation matters.

I have the impression the American public does not understand the magnitude of the problem,