also, go to an oblong. we have a terrific program this morning. i do have one thing to say. unfortunately our congressman ryan was caught in the weather, one of our casualties comanche is actually in a planner now. we're going to miss him, but he is promised that he will come next year. i'm sure all of you will be here next year, and we will have congressman ryan for you, but will beat you have is a new chairman ron wyden, senator blonde, md. taverner, cms administrator and sinister to me it will be up this morning. before we get to the program i want to make an announcement, you need for this program. provides an opportunity. today we can put up the slide, today is budget day in washington. it is the day at the white house release is the president's budget for fiscal year 2015. the federation is releasing a new report on this day on national spending trends in health care, and its implications for medicare policy and the federal budget. this report was prepared by a health economist alan dobson updating a previous report that al did for us in june 2013. dobson examined the