germanto ger ger geronology.s using more loan and scholarship ability to attract people to those fields at the outset and pay off more of the debt for healthcare provider training in the areas into we see the biggest needs. as you know, the affordable care act had a feature that actually moved primary care providers for a couple of years with 100% federal funding from medicaid rates to medicare rates, which i think is again a big step forward to more 5 -- >> how about the bridge between those kids that are going into school now maybe and saying it looks like primary care will be an opportunity for me but at 2014 they will be just getting their before lore degree -- bachelor degree? >> we are changing the medicare pay rates. i think that payment of debt, payment of once you get your medical degree are a pathway to a much more robust primary care system. that is what i hear from medical students all the time. that they are in a real financial box in terms of not being able to pay off loans and being inadequately co