dr. brener have been pioneers and you probably have a better sense is so, why we're so slow to see the changeg. >> i think a lot of i have has to do with the fact that health care is reactionary, so if you think about your doctor's office, you call and you go when you're sick. now, if your doctor's office were like any other company in the world, it would be proactive in getting to you before you're sick, right? you know the airlines know your flight patterns amazon knows everything you buy hours before you buy it. and what a doctor's office needs to be is a paradigm -- and like the local union did, identify ing those people who need help instead of having them go to the emergency department where the care is going to be much more coa costly. >> it's amazing when you get and understand really how simple it is, if you find the right people who need the most help may become healthier and health care costs go down, are you impressed by the old culture, is it preserving itself even though it doesn't cost a lot of money. >> i think that we really need to educate. people need to be more educated. m