dr. zimliki. you know, great news on the artificial pancreas and some of the really positive encouraging things you have said and the other panels have said about it. but another question that i don't think i've heard yet or an answer i have not heard yet is, but would be affordable for the average household? so tell us what your anticipation, what your with your expectation is on cost? >> i wish i could tell you that answer. fda or my role within fda does not focus on the cost. we worry about getting the product approved. i will say that we are in collaboration with cms for reimbursement and the hope is one day not only will this study provide approval for marketing within the u.s. but also for reimbursement. >> and you said there are several models that are out there that may be headed to the marketplace? >> several types of artificial pancreas systems? yes. >> and you anticipate they will be approximately the same cost or will there be a big cost disparity? >> again i would have to defer to ind

dr. zimliki. you know, great news on the artificial pancreas and some of the really positive encouraging things you have said and the other panels have said about it. but another question that i don't think i've heard yet or an answer i have not heard yet is, but would be affordable for the average household? so tell us what your anticipation, what your with your expectation is on cost? >> i wish i could tell you that answer. fda or my role within fda does not focus on the cost. we worry about getting the product approved. i will say that we are in collaboration with cms for reimbursement and the hope is one day not only will this study provide approval for marketing within the u.s. but also for reimbursement. >> and you said there are several models that are out there that may be headed to the marketplace? >> several types of artificial pancreas systems? yes. >> and you anticipate they will be approximately the same cost or will there be a big cost disparity? >> again i would have to defer to ind

dr. zimliki. you know, great news on the artificial pancreas and some of the really positive encouraging things you have said and the other panels have said about it. but another question that i don't think i've heard yet or an answer i have not heard yet is, but would be affordable for the average household? so tell us what your anticipation, what your with your expectation is on cost? >> i wish i could tell you that answer. fda or my role within fda does not focus on the cost. we worry about getting the product approved. i will say that we are in collaboration with cms for reimbursement and the hope is one day not only will this study provide approval for marketing within the u.s. but also for reimbursement. >> and you said there are several models that are out there that may be headed to the marketplace? >> several types of artificial pancreas systems? yes. >> and you anticipate they will be approximately the same cost or will there be a big cost disparity? >> again i would have to defer to ind

dr. zimliki who will describe the complementary efforts of the fda to at the of the artificial pancreas. i also like to acknowledge the children, parents and families who will testify and proudly representing their states and the many other americans with type 1 by moody's. many of you have participated in clinical trials to help improve diabetes care not only for yourself, but for future generations. we are inspired by your dedicated efforts and your enthusiasm. now, research and type 1 diabetes has made a tremendous impact on the health and quality-of-life of people with this disease. i will reference to the handouts during my testimony to illustrate this point, and of these handouts are attached to the copies of my written testimony. on the first hand out, a bar graph shows the survival rates for people with type i diabetes has dramatically improved over time where people diagnosed flexible in the 1950's represented by the blue bar on the floor level on the side of the graph to read only about 70% survived for 25 years worth of the disease. this number has dramatically increased so ab