there's a lot of things that say we've emineth, i get off the island and think in terms of the real world, you know, if the prices declined in half i probably wouldn't be increasing were being built in the factories. i want to spend one more moment on the prices because they are the circular system of the real economy and one of the things most misunderstood and it's but they drive the way the human beings receive service. one of the things that we assume is that we pay for health care. the question is how we pay for health care and one of the arguments i am making is how we pay drives the type of care that we are getting. at the centerpiece of the policy on health care is that medicare pays less for the service and medicare pays less of cost savings. it's almost impossible to compare these seven data i have actually 7-years-old on the single service its for michigan at the time in michigan and the private insurance was just under $800 for an appendectomy to the surgery. medicare is bidding $676. medicaid is paying $335. sounds like a great deal. now to many of you have been in the cheese

us about sort of innovating in terms of the use of government services and just reconfiguring the emineth. somebody that lives in washington as part of the multiple communities teeth to inform them about how various impacts are going to impact them and the startup simply don't because it is much more diffused its one example of when there is an interest that sort of does represent an existential threat to the startup it is amazing in there of devotee to come together and communicate. but outside of those kind of exceptional cases it is very difficult and there's groups like new trade associations that are coming on board and the association with better technology has been doing this for a while. but at the end of the day it becomes incumbent on the start to become more educated and aware of the fact that these issues do matter. a few interactive in the integration system and the patent system and try to read the capitol, it is pretty clear to any rational person that these are pretty complex systems right now and we have to pick some in the country. is that of not the case you have a lot