approach to managing care, with the mainstream plan or whether it is a specialty organization like dr. volk runs, they all encourage access to a little care at the beginning and bailout of attention to 2 things, who are the providers who tend to practice in a way that looks reasonably effective and efficient? not by micromanaging them butting urging those people who participate in the network and number 2, look seriously at the use of and the costs of high end care. without cutting that too much, to look in particular for opportunities where maybe somebody can be home and go to a partial hospital program a few days a week. i think the market place has responded to increases in mental health coverage by turning to management. i haven't always got that right. there are some circumstancess where we managed it too much and one of the things we have to get smarter about in this environment, what should be the obligation for plans with respect to these conditions. it is easy to depress care. the marketplace has responded. this is hopefully part of the dialogue we have next year post federal actio