dr. david levy, a physician and the leader of the firm's healthcare research institute. hi, david, welcome to nightly business report. >> thank you very much. pleasure to be here. >> well this is a huge report to let's get right to it. you say in the report that there will be significant business model changes and that technology is going to be used in a big way to improve access to care. tell us more about that. >> well, for the first time this year as opposed to some of our previous reports when we survey patients all over the world including the united states t was pretty clear that they felt that they them efs were really in charge of their own ill,. and that really is something different because in the past reports what we saw was we felt that government payors, insurers and providers and hospitals and doctors were more responsible. but what that really means is that the health care economy is now looking look the rest of the economy, ie parents are going to be at the centre of the university and the entire health-care system is going to start to be moving around an