district if you have insurance about 50 something close to three out of four people probably have keyser because of the history of the program started in the bay area but what i see in the public institutions is they are being flooded by individuals who have serious medical problems but no longer have insurance because they've lost their jobs. and so if i go to my original medical center and community clinics we now see this huge flow of people who bring no resources to this medical necessity that they have scheduled on times have become far more difficult than in the past. i don't know, i am not familiar with what is happening in the private sector and the hospitals, but certainly what we see in the public facilities and in the bay area is obviously your medical condition doesn't know whether you are employed or unemployed and you need the help or your children to or your spouse or whatever your situation is with your family and this standing in line and postponement of appointments and the l.a. times is what is happening in the current system because of the structure of the system. is