jean johnson, the chair of the board as well nurse practitioner health care and dean at the george washington university school of nursing. jennifer lee, board member at the arlington free clinic, peppermint, of the american society for clinical , and dr. johnence severin, chief executive officer of the american cancer society. quick reminder, please do tweet all of your thoughts, comments, and questions at the # . we have a great and robust dialogue going on. i would like to keep that going. with that, maryland, i would like to turn it over to you. rate, thank you. we have a lot going on. millions of people are about to become insured in january. the phones were ringing off the hook yesterday and the day before. we saw the system actually go down. the politics, regardless of what people are believing, people are interested, people are going to sign up, there will be more insured people either through private insurance or through medicaid. at the same time, many people will be left uninsured. we have a great panel with us today. a pretty straightforward question, but with different answers for just about everyone on the panel. so,