dr. mccull 60 wants to do, i've been through seven medicines trying to get it controlled. if we follow comparative effectne effectness, i would have never gotten to the seventh medicine. it would have just been tough, taking couple adin the rest of my life, and ran around with atrial fib, which would cut my life expectancy seven years. we won't consider that because that denies the art of medicine. it denies that we will use chairman dodd's gray hair, somebody's long-term education, their wonderful years of experience, and the history of that patient with which to make a decision that is best for that patient. not which is best to save the government money. and that's what comparative effectiveness is. clinical comparative effectiveness is a totally different thing. we spend muns of millions of dolla dollars every year paying for programs on long-term studies through the nih to find the answers to clear question wis. but to think we're going to have some ivory tower bureaucratic doctors look at the data over a short period of time and tell the rest of america what's good f