dr. andrew wiles said the human body wants to be healthy, it is in our dna to be healthy but we have corrected all the structures that make it difficult to be healthy so it is hard to be healthy and easy to be unhealthy. we need to kind of change that around. i would say to my friend from wyoming that we have to entities in the preventive services task force has been in existence since 1984 and the committee provided services task force. these are experts. i think we have a structured, but we haven't really been enabling them to give us any kind of a guidance in the past. we tend to do that more in this bill to give them more credence into use in their suggestions as to what we ought to do rather than this scatter gun approach. so we're not trying to tell people what they can and can't do by saban r. glen to make it easier to be healthy and get more incentives up front. whether employer based community-based a lot of things we can do and a lot of committees have argued then that. >> senator i also point to his what they have done in oregon. there may be others i don't know about that have set