joining us from atlanta is dr elaina george who beyond her own practice is a member of the national physicians council on health care policy and she is a popular speaker and widely published analyst specializing in health care consumer driven solutions dr thank you for joining us. thank you it's a pleasure to be with you do you concur with speaker ryan's optimism for right to try. actually i do i think this is a wonderful day for patients who have terminal illnesses they're now going to get an opportunity to have a chance and i think that's wonderful you have called the end of the affordable care act mandate the beginning of health care consumerism marketplace in which consumers can choose from low cost plans for catastrophic coverage and more expensive more comprehensive plans do we risk a right to try caste system in which leading edge treatments are available to the haves but not the have nots. actually i see it the opposite way the people who have the terminal illnesses are the ones who actually can benefit everybody these are the people who are willing to to try something that not availab