dr. cutler raise an idea? after a noble person is discharged, there's a nurse coming to their home after a couple days and that brings the readmission down to 5%. what do you think about that idea? it's a simple thing, just one example of many things that could be done. what do you think? >> there's the distinction of being the state with the worst record which is maryland, short term readmissions. there's lots of reasons for that, but certainly the failure for follow-up is a big factor. it's a failure on both sides. it's certainly the failure of the health system. we don't have health systems that manage care very much in this country, and that's -- we should move in that direction. >> do you agree it's a good idea? >> that's a good idea, but to say that's what aco's will necessarily do is i think a leap of faith. >> let's leave aco's alone for a minute. do you think people in general agree that's a pretty simple good thing to do? send a nurse -- >> well, i'm not sure it's simple, but i think a lot of people