need to pay attention to, this was a key part of one of the other papers by alan garber and david melt r meltzer, what will happen to future dollars that are appropriated? the value of information concept they put forward strikes me as making a lot of sense. you should research dollars for the areas where there's a lot of uncertainty about what will work, what the right thing to do is, and there's a lot of money going into that kind of procedure. it is the combination, the biggest payoff comes from -- we don't have a lot of information about what is working and what is not and we're spending a lot of money on that stuff. beyond that, there are a variety of other priorities settings that need to occur. finally, i want to speak directly to some of the critics of this effort. it strikes me that this is not about getting in the way of you and your doctor. it strikes me that it is not about a government run, dictated on/off switch, but it is about making sure that your doctor and you have as much information as possible on what is likely to work for you. it is not always going to be right, but under