that are particularly demanding on the system and how do we form specialized care units around those da obthose are some things we need to do. david: what about pharmaceuticals? it is not a really big portion but it is driving it. it grows faster than all of the other costs. why do drugs cost so much? lex: it is complex but overall pharmaceutical products have been a major contributor to the fact that people have added 30 to 40 years on life span and whether cardiovascular disease, oncology, living longer an dying later and finding more cures. the greatest majority of those improvements can be attributed to pharmaceuticals. what is important to keep in mind is that if you look at overall cost pharmaceuticals make up about 14%. that has been very consistent over the last 20, 10, 5 years. you look at the rate of increase of that, it has also been pretty consistent. in fact, going forward, it is an incredibly exciting time because we are moving from just treatment and palliative care, to actual cures. the promise of even curing something liv. keeping that in mind and unfortunately because of