every time you get in that discussion where people say it is a nanny state and i don't want a nan ty statew do you get at the issues without the conversation. >> i think you discuss it like tobacco. what we have is a health care problem. what we did around tobacco was warn people and do something about its accessibility. we haven't even wanted to approach that around a lot of the sugar that infiltrates so much of our food sources. >> if you had one or two initiatives you could attack, is that what it would be? >> i would do think three things. >> okay. >> i would facilitate advanced directives so that doctors, hospitals know what people want at the end of life. i would think very hard about warning labels on high fructose corn syrup and stop subsidies for corn and the third thing i would do is i would ask what can we do to facilitate the development of those drugs that are most needed to bend the cost curve and for public health. we have not insenlt vised the drug's development that we need the most where we incentivized the development of other drugs. >> doctor, thank you so much for the