dr. colburn but i think that he would agree about the center being prohibited from mandating. my concern is prohibiting cms from using information to mandate doctors' decisions and treatments and if i might, a mandate is not the same thing as a prohibition. a mandate means to force or blind, prohibit means prevent and the language on page 323 that the distinguished senator points to says that the reports and recommendations of the center for health outcomes research and evaluation which will be conducting the needed i might add and i'm very supportive of that comparative effectiveness research there's no reason why they can't inform doctors and disseminate the information, but that language says shall not be construed as mandates for payment coverage for treatment. now you have to the other language. >> it is on the bottom very last line. >> -- from being used as a treatment decision as i indicated mandates is not the same thing as prohibit. this language with all due respect i do not think will prohibit cms from using this language for payments, coverage or treatment. i don't

dr. colburn from oklahoma who will be joining tomorrow. last call, where are you from? >> caller: [inaudible] >> host: go ahead, frank. >> caller: i would like to ask mr. gingrey -- >> host: we can hear you, go ahead. >> caller: i would like to ask mr. gingrey [inaudible] they pushed it through and how we get a democrat