i'd like to thank the panelists who have appeared, juliette cubanski, dana safran, debra curtis, meghan mccarthy. thank you so much. you've each brought important perspectives to the conversation. i'll turn it back over to connie. [applause] >> thanks. thank you so much, and once again i would like to thank the american medical association and to welcome dr. james madara to offer some closing remarks to us. [applause] >> well, i think this has been fantastic, and i would like to thank the national journal for acting as host, and thank you, connie. the speakers, they were wonderful panels. the audience, great questions. maggie, you served as the bonding agent for the whole thing, so thank you. just a couple of comments. why is health care so, such a special topic? this really brings it home. and i can think of three reasons. first, obviously, it's too expensive for the outcomes we secure. 17, 18% of the gdp. second, it's just -- [inaudible] as i like to say to groups like this, we're all preops, it's just a matter of timing. [laughter] and thirdly, it's very national. our security as a n