one of my favorite examples is system, aled nuka primary care system for alaskan natives. it is team-based community focussed prevention-focused, education-up with health care. it uses every resource patients and families can bring to their care. it thinks the best hospital bed is an empty one. many alaskan natives have very high levels of chronic illness and social stress, but in six years, nuka cut hospital days by 53%, emergency room visits but it to%, specialty consultations by 60%. they even cut primary care provisions by 60%, and they have the best health care quality scores you can find and the best patient satisfaction you can find. it builds bridges to where the need is. chronic illness care, prevention, spiritual help, family health, behavioral health. it offers love and respect to people who thought they were unlovable and invisible. i can give you dozens of examples like nuka. in pockets all over the world, and they hold the best possible solution to the immense problem of health care costs in america that president clinton referred to. the best possible soluti