dr. john dem brow ski are here. thank you for joining us. >> dr. dem broski, let me start with you, we know the aarpas come out against this >> right now it's too early to tell what is going to happen because we're not sure what the senate bill will be, there will be a conference committee. really don't know what we need to do in terms of the brass tax. at the end of the day, i'm an anesthesiologist i and i practice pain medicine. i seen that the system we currently have is coap right now, deductibles and co pays are too excessive, patients aren't getting care. so that needs to be changed. so i think at the end of the day we need to see more of an understanding, but i think the main target here is to make sure that the patient remains the center focus, that the doctors and patient relationship does not break down and we continue that patient centered care >> that's what the gop claims it's been trying to do with its version. let me ask you this. obviously, we're mentioning five gop senator, doesn't look good for the gop and trying to get this passe