mr. benishek: i appreciate that, dr. fleming, and thank you for your comments. i just thought i'd make a few comments of my own about your discussion of the ipab board and i want to make sure that the american people know what this is. independent payment advisory board, a board of bureaucrats appointed by the president without appeal that will determine whether or not procedures that they will overprice will be available to the american people. you know, i've talked to patients in many difficult situations where i have a very sick patient, myself taking care of the patient, and the patient's family. where difficult decisions are being made, you know, affecting the life or death of the patient. and these decisions are not easy to do. you know, you have to discuss the alternatives with the patient, with the patient's family. and usually through a coordination of what the patient wants, what the physician recommends and the discussion with the family, we come to a decision. and the independent payment advisory board may decide completely different from what we dec