the one exception is tommy frist jr. who made money by organizing hospitals. i want to show a different list. every single one of them are stuff you use. these are the retailers on the forbes 400 list. six wal-mart, fiat common privet including to home depot and get this by, supermarkets, some you have to be from the midwest to have used like coffee lobby and stuff what do you notice about these folks? fi sorry? >> [inaudible] >> not a single one of them made a thing that you stick in you or you actually physically consume. they made the money by changing the organization how to buy things. the fundamental difference between health care and the rest of the economy is in health care there has been absolutely no organizational innovation associated with figuring out how to bring you a better product cheaper despite the fact that every other industry has created billionaires' that way. who ever figures out how to do that in health care will be the next billionaire. how to coordinate care and streamline medical practice and overhauled the administrative procedures