It's important right now to continue to have your patients contact their senators and their congresspeople to say we have a problem. We want you to help solve it, we want you to be involved.

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The problem with naming a No. 2 is you really want to throw all your weight behind the guy who is going to be the leader.

What we're really trying to do is level out the health care system. It has gotten so one-sided as more and more people have been put into managed care; in fact, about 70 percent of the patients in the country.

When they hear from you, it counts. That's how we're going to win.

That may solve the problem.