shortly but let's persist up with the data coming out of the us a negative two point nine percent g.d.p. frappe for coupon definitely and that's pretty awful are you surprised. oh yeah i mean. is is this precisely what i was talking about last summer when i said that i don't think we understand the unintentional consequences the economic consequences of obamacare. and what we're seeing is that with the higher deductibles and people are having to pay we're now it's we're not forcing transparency into this into the system because when people have to come out of their pocket with more money they're going what am i doing one of the paying for what it what it might do i really want to do this do i want to spend five hundred thousand or whatever that number is and. so part of that sort of a rational response if you will the other thing is that the big hospital that i'm talking to that you know eighteen billion dollar hospital systems that i'm talking to management in you know they saw this coming they were already planned for lower numbers and that there are they are beginning to plan for even lower