framingham has been mentioned as good example, and there are others, we need to learn 'those lessons. we are building on greenwood's vision here at an exceptional moment where we have for the first time the ability to design such a cohort that into electronic health records, which are now available who couldndividuals then participate with much less trouble in terms of getting information about their medical their experiences with health care. and we have technologist like to becs which used prohibitively expensive, which are now becoming remarkably cheap. i think we have a lot of public momentum behind this and thatgument to be made ultimately while this is hard, it could save us money in the run. put all those things together and it seems like we would not kind of leadership we should without taking that seriously. by the way, other countries, china for instance, gets this and are making investments of sort. but i don't think we're going to learn everything we want to know health are waying to see what the chinese results sure thatand are not they will be made available. effort that