do you believe that medicare beneficiaries are very familiar with financialsing or the various -- i mean, we've heard a lot of technical things there. i started keeping a list here. how familiar are seniors with that type of thing. do you believe that there is a cost to that? given the existence of that disconnect with paishlts and i don't believe we could expect them to be intricate with the details. is there any possible way that just to have a system to wear they certainly thought that they were an inpatient. what do you think the alternatives should be. >> some people in a couple of states have passed laws, maryland and new york, requiring that people be informed that they are outpatients and love the consequences. unlike medicare systems, they don't have an opportunity to have to coffin test. there's an immediate appeal to a representative of the medicare program to make a decision in observation status. there is no due process right for the medicare patients. so giving them information is helpful, but we also need to give them an opportunity to say i should be called an outparent.