outpatient care, you have to navigate a health care facility to find a room that they happen to be doing endo scopy. and i think it's important and the va ishood headed on a new course of creating that superoutpatient facility that can handle 95% of the veteran's needs, it will take a while to do it, but we will never get there if we don't build that into our long-term and short-term maintenance requests, construction requests. i can question whether the total that's in the budget this year even comes close to handling just the maintenance needs that we have in existing facilities and i think, ray, you probably agree on that. those are just some of my thoughts on having your testimony and try to put it in perspective of what we have heard from the va. i would just pose one more question to each of you, if you want to respond, you can. what trends do you see that you haven't outlined in your testimony that you think should be alarming to our nation's veterans and to policymakers in washington. i'll just start down here and go down the line. >> the signature wounds in vietnam were about ptsd and agen