dr. von eschenbach talk about reducing risk within the system. dr.ren asked about improving or directing that we improve electronic health records. ms. despres talked about something called a clinical registry. dr. gray was talking about greater investment in what he called analytical technology. and dr. huber talked about process reform. so we have lots of ideas. one thing that was mentioned, mr. chairman, that i'd like dr. woodcock to comment on, i have a number of small medical device manufacturers in my district who were coming out and getting approved by the fda, new devices and medical applications where they do interactive with their electronic devices come with their doctor, in therapy and also in diagnosis. fda approves them, but the cms, ma medicare won't give them a coat or doesn't know where to fit within the current system. how do we handle something like that where it's a technology or debate that's been approved. they know it will help people, then we get bogged down in bureaucracy of trying to code it and how to reimburse it through m