as the emergence of a new set of health care venues spirit urgent care centers, and literary, and latour is an estimate retail clinics,mi tele-health, to realy start allowing in a sense the air out of the balloon about pressure in the emergency room because there's a lot of non-emerging positions presentinge. there. partly because of convenience or maybe office hours not availabln to some. and so, that is starting to shift a bit and we are seeing a decrease in emergency room utilization towards urgent care setting and some of these other outposts because if you go there for something that's not emerge in, emergency rooms becauseer ty are open 24 hours have sophisticated equipment and technologies it is an expensive operation to run and therefore if someone is unable to pay, those costs have to get absorbed somewhere. it would be fascinating to track this sort of revolution going on in these new venues because that is starting to change. >> robert thalberg, serves as their president. fairhope.org is the website. thank you for your time. >> i think the u.s. companies, the best of them tend