finally, we have jeff sharpstein. he's a policy walk and a former high ranking golf official dealing with health care matters. he is currently an associate dean and professor. before that he was a deputy commissioner. josh, i suspect, will be made the voice of caution here saying hold on here, you free marking libertarians. we need some regulations in place. each of our panelists will speak about 12 15 minutes and then we'll open it up for any questions. if any has any cell phones, please turn them off. now to renee who will get us started started. >> thank you very much. by way of disclosure even though -- yeah. even though simon did introduce me i do represent a lot of telemedicine stakeholders, hospitals, health systems health plans some of the leading tele medicine companies. so some of my comments may be skewed in that direction. i have a quick powerpoint we're going to go through here. telehealth, telemedicine, they're used interchangeably. for example, medicare has a restrictive definition -- they use the word