how is your proposal address the government data that shows over use of medical services in miami vs. minnesota, but not necessarily any better quality? >> i think that is what chairman waxman was a with respect to the menu that the president's suggestions on cost cutting and efficiencies in the system and reorganization. i think when you read this legislation you'll see it's a fairly aggressive list of choices and determinations to be made by the committees. clearly we have heard these stories and they have been documented as they were in these different outcomes, not necessarily superior health care but tremendous cost and that is obviously what we want to attack because that is to the benefit of families and businesses and taxpayers. >> you have been talking about pharmaceutical industries -- [inaudible] >> we are simply going to ask the pharmaceutical companies to pass back the money that was a windfall to them as a result of the medicare drug bell. you know what happened on that bill? there are people on medicaid and we got rebates will be paid medicaid costs for drugs because of the medic