mr. hummer, but i want to focus on the medicaid and medicare issue and the concern that we would need to point some costs savings through that. in california, new york, people get nervous about this, we looked at those costs. could any of you comment on that and whether or not -- she mentioned limiting itemized reductions for medicare and medicaid, that would be a place of picking up savings. do you have experienced enough, what are we talking about conlan and does that bring us to a question of whether the large states or small states, the competition is going to be such that both are paying essentially the same thing for that care which we know today is not true. >> if i understand your question correctly, let me answer it this way. it has been underway since the first of medicine reports and after a cooperative effort across the board in health-care to understand how it is that we address the system and quality problems because it is clear we have rollins and there are enormous costs linked to that. the bonet -- the estimate is that 35% of the money that we spend is for every year, fo