ms. ackley, so i mean so, i take it that the things that you are talking about are pretty widespread. >> absolutely and i think you are right. people assume that this isn't going to happen to me until something tragic does but i can tell you as one of those doctors that that there and-- on pieces of paper that it did not make any difference what somebody's income level was, whether they were democrat or republican, black, white, yellow, green or whatever. the only thing that made a difference was what they were costing and how quickly we could avoid any caused her claim that was going to hurt prophets. i was told when i was first hired that i was to use my m.d. degree to give economic justification for the company's decisions. >> you were awarded for that? was that part of your evaluation >> significs folate rewarded. i quit when company before i got my bonus but then when i went to another company my job evaluation depended upon the number of the neilsen and how much cost savings i generated and then the 150 cases i worked on as an expert witness. i had seen internal documents that woul