dr. atul gawande. our next question, arlington heights, illinois, chris on the independent line. >> caller: hello susan in dr. gawande. good morning. my first question is how was health care reform going to affect-- my doctor every day, are they going to be able to check on all the basic things are is it going to be a lot quicker than normal? secondly, correct me if i am wrong but is malpractice insurance costs driving our health care costs of or is it just a red herring to throw us off the health care reform does? >> guest: let me answer the question about physicians and then come to the second one. i think the guide of what has happened in massachusetts reflects vote will have been around the country because two years ago massachusetts took an approach similar to what is in the reform package offering for people who don't have access to insurance or for whom insurance is too expensive the choice of plans. go on to the web and if your income is very low, it can even be free. it has kept the cost at abo