dr. mark mcclellan couldn't make it today. obviously a lot to talk about, so i do want to jump right in. it's been a very busy time in washington for those of us who work in health policy. only a week ago house republican leadership put out their legislative text of their replacement plan and of course on monday cut its cbo's quirky shows 24 million people could lose their health insurance coverage under that plan. as far as they now come the speaker ryan said he still planning to bring this to the floor for a vote next week. a very timely panel and i'm excited to jump in. the first question is probably the burning questions on the minds of most of us here and that is can this thing passed the house? dr. cassidy, doing a start? >> well, clearly on the b. team in the house. though, there is a delay. clearly they are working through it. if the speaker likes to say, there's two more committees to go through. i'm concerned on the senate side. i kind of know these are my patients. the current structure in which someone who's six ye