other side of the fence, 27 members of the finance committee and some on this committee wrote to marilyn tavenner the head of the centers of medicare and medicaid services to say whoa, don't change the medicare "d" program that we have in this country. a very popular program under budget used by a great number of our senior citizens. and if we hadn't written a letter and if there hadn't been a real backlash from the people to save medicare part d, it wouldn't have happened. so we are sort of writing this thing as we go along. the president doesn't come to us and ask us to help him do that with each individual change. i'm just wondering with the problems you have up in canada, who makes the change? if, in fact, there needs to be a change? >> well, the answer to the question comes in two parts. first is acknowledgment of what senator enzi was saying earlier on, which is that like the united states, canada is a huge country. and our health insurance is actually not provided at the national or federal level. pr provincial level, or the equivalent of your states. so the notion that something can begin