marcion's always go up we could save thousands of dollars i don't believe the federal government should make money off of lending money to our students to get their education. [applause] we need to improve it but i will och deal my best but the republicans have tried to repeal more than 50 times. we have been working since harry truman we have to get the out of pocket costs down and the prescription drug costs down. that is built of the base of the affordable care act. prescription drug costs with a 12% last year. this is unsustainable. i know it is hard because i have the scars to prove it. we have to get those cost to be controlled otherwise it is impossible if medicare or medicaid or private insurance to afford the drug did treatments they deserve. to negotiate with the drug companies with governments around the world. [applause] we do need to deal with a caregiving crisis. less some other condition that his debilitating also to pay attention to the country did mental health problems. the v of my friends could tell you similar stories. people to you the most intimate and personal pai