and more disciplined, fannie mae and freddie mark -- freddie mac. it created a whole industry. we can then look in more detail at health care and say how has this played out, what does it say about this debate, keep the government out of my health care, and the affordable care act actually fix things? this is a graphic i came up with to visualize the progressive of health care regulation or back to the 1800 some of the public health regulations sanitation, and layer upon layer, medicare and medicaid and today health reform in the form of the affordable care act. with significant is the latest don't tend to go away. with very few exceptions. wantonce a program is in place it stays. we tend to build. the conventional view would say this is crowding out the private sector. has it? here's the growth of national health expenditures in the united states. if the work a crowd that out that my be good thing because we have seen astronomical growth to the point that health is now almost 18% of our entire economy and it continues to grow at a rate of unknown and the rest of the developed