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The Board and staff debated further and contemplated whether to do a survey or if it was more suitable to proceed with a RFP versus a RFQ. Charlie Wilson, representing a group of area Physicians with questions, argued that we have jumped right into the RFQ/RFP questions and we have not really asked ourselves whether we should be doing this at all. He also argued that even if it is stipulated that it would save the County money, was it the County's job to be going into competition with private physicians; does this drive a further wedge between the public and public employees; and should public employees have something that is not available to the taxpayer? Commissioner Wheeler noted that in employment across the Country, different companies and governments offer different things, and this Board has looked at the concept of this and he found it quite appealing, because it provides a service to the employees. If we are to do something, he wanted to see what our best possible program is, that would save the County some money. Mr. Wilson said the City of Fort Pierce was an example, because it has a benefit where the city employees and dependents pay zero. He asked whether it was just him that sees something wrong with having a two-tiered medical system where government employees have access to healthcare that private citizens do not. Commissioner Solari recalled a point he made earlier regarding having a process which invited the private sector to come and approach us with any type of solutions, and remarked that he was not starting with any preconceived ideas and would rather go with a private sector solution that will be creative, address the needs, and reduce costs. Commissioner O'Bryan presented an example of why he thought the "fee-for-service model" is broken. He saw this as one way to break that cycle, and said if government can lead May 19, 2009 31