vice president clyde: like commissionero brien is saying, i think we need to have an outreach component to the people that are creating these fees for the city, with their use of medical services. it just seems like otherwise we're just going to have this going up every year, the cost of medical bills is going to go up and i don't see anything here to mitigate the number of people that are using facilities. >> just a point of clarification. with the nexus study, it's set the dollar amount to which then the fee is adjusted to collect that dollar amount for five years, at the end of five years the board of supervisers can direct the controller to do another nexus study, which -- that nexus study then can possibly include the nonalcohol-related cost impacts , to increase the fee. and/or make the adjustment, you know, yonled the consumer price index. or as what was referred to in the nexus study, i think there was a medical consumer price index at 3%. so, i think those varebles, if i've heard the commission correctly, shows varebles are also a concern in termless of down the road and to you