it is less on making a buck where is and mckellan it is less coordinated care, more special the hospitals and a little bit more providers wanting to make a buck. the main point is this common medicine is practiced of differently oliver the country, geographic disparities. some states in northern high plains states, it is less spending per person. the outcome is direct again some of the sun belt states, much more spending outcome is worse. just because it is based on volume in quantity and not based on quality. this legislation stars to put in place ways to move toward reversing-- reimbursing based on quality, not volume and that paradoxically is going to result in lower costs and higher quality. lower costs but higher-quality. virtually all folks in the health care community, doctors, hospitals, administrators i talked to, the doctors i talked to come of virtually all agree, i would say, i will be very conservative, 80% agree, 85% agreed this is the direction in which we have to go. this legislation goes in that direction. failure to pass this legislation, which the other side wants, and