gao just did a study said that imogene is rising, excess utilization, and ought to adapt a technique that the private plans have. but a number of members of congress have said, over their dead body. government has a difficult time getting to the politics. during patient protection, we brought health care costs down to zero in some cases below zero. the message we got from politicians was that we were too aggressive in using utilization review and networks, and the kinds of things that people now seek to replicate in accountable health care organizations. so what we did was send a message that if we take out all of these tools, health care costs will soar. we were right. now we began to reintroduce the tools. if you look at their rates of increases of health care premiums, you see them coming down gradually. we've taken pharmaceutical expenditures from 15% down to four percent. that is a very significant rate. we're not taking options away but letting them learn the consequences. care coordination -- the importance of doing care coordination in medicare. i can say now that we are abou