[CRFSaver]

So the only concern I have with a program like that, is how are new procedures and medicines approved? Part of the cost increased in healthcare have come from advances in health care (medicine and procedures). And I am asking this because I have no clue how it works. How do you ensure that new procedures and medicines get into the system? I believe even in medicare things enter private sector medicine before they are allowed and paid for in medicare. How do you provide a large enough return to justify the R&D for medical device and pharma companies. No I dont mean big Pharma like Pfizer but the smaller shops that come out with specialized products.