if there's any guesswork, any family member has questions, the general reaction is be fearful of litigation, that you stepped into early and didn't listen to other people so there is a reluctance. but i think what you are touching on is critically important. to the extent people can be advised about this, it being courage to do this is something i think we ought to promote. i get uneasy about a mandate here that requires it and particularly a simple sentence. i think the simple sun sounds good but you will find people will say wait a minute, and katie was not asked about that and i don't like that being done and all of a sudden you've got yourself a legal morass. i love the concept. i believe we ought to do something in the bill on it but i would be uneasy about the mandate requiring everybody to do this. that makes me uneasy. >> mr. chairman, i appreciate what you are saying and i understand the legitimate concerns about the mandate. i also understand that this is both in the interest of the individual patient as well as in the interest of cost savings, both of which i think all of us are