Perhaps it is the lowest of the qualities of an orator, but it is, on so many occasions, of chief importance,--a certain robust and radiant physical health; or--shall I say?--great volumes of animal heat.
A central notion in the Affordable Care Act was we had an inefficient system with a lot of waste that didn't also deliver the kind of quality that was needed that often put health care providers in a box where they wanted to do better for their patients, but financial incentives were skewed the other way... We don't need to reinvent the wheel; you're already figuring out what works to reduce infections in hospitals or help patients with complicated needs.
But if you - if what - the reports are true, what they're saying is, is that as a consequence of us getting 30 million additional people health care, at the margins that's going to increase our costs, we knew that.