so you have can see that the fair view system, aligna, health east an mayo, all of these institutionsas well as our children's hospitals and a number of other institutions provide outstanding care for the folks in minnesota, and this is -- this is really an important issue. one of the community ethics that i think has been advanced in minnesota and is one of the distinctives, if you will, is that we have learned a lot of lessons about where should we collaborate, and where should we compete? and the system needs to take some lessons from some of that example, and i'll touch on that as we move through this discussion. certainly working on payment reform, i don't need to repeat a lot of what you've heard already today, but i agree with the premise that has been put out here, if you pay for volume, you get volume. and we have seen that largely across our systems, across the united states. in minnesota, we have medical homes and what we call baskets of care, that are actually part of public policy and are being piloted in a variety of places. so these are certainly measures that we think