then you get a letter back from a contractor like novitas or we have first choice in jacksonville andhey don't give you any specifics. for instance my mother -- this is the question. she almost had a stroke in the emergency room and had a cat scan done and they came back and said it was a routine examination so i had to appeal that and when i appealed it i talked to the people at medicare and we don't have the correct code number. don't worry, we will send off to the provider sofor the correct information. i get the her -- i get the her become and it is a routine exam. why do they read from a script? we are subsidizeing medicine and when you subsidize something you don't get the true cost. why are these people reading from a script? host: dr. berenson. guest: i think the call are raises an interesting issue. there is no question that there sis -- well there's fraud and abuse in the medicare program. there is also elsewhere. we have a very complicated -- the most complicated system in the country partly because we have all of these different payers with different rules, different burea