i want to give other panelists a chance to comment on overutilization. you probably know better than i do. >> we will go down the road. >> i don't want to speak for dod. they tried to wrestle with those sorts of things i hesitate to call frivolous. in the civilian sector, the sort of plans you outline that if you go to the e r and it was not an emergency, the deductible is higher, i don't think those sorts of things have been proposed officially. >> an unfortunate word usually. there are certainly good studies that will tell you care coordination particularly for crowded -- will help avoid running to the emergency room when you are really sick and avoid getting release sick and getting into the condition where you have to go to the emergency room. some of these studies have to do with things that you don't ordinarily think of. we were looking at pediatric as much and if you can get children into cleaner environment, one with less molt and hazard in the house hold they are much less likely to have emergency room visits for asthma. that is not a health car

but i would like to give some of the other panelists a chance to comment on the overutilization, and i'm come back and talk about the emergency room care which you probably know better than i do, it's a real problem in the military. >> we'll finish with you, but we'll go down the row first. okay, carla. any comments? >> i think -- well, i don't want to speak for dod. >> nor do i anymore. [laughter] >> i think dod has tried to wrestle with that, those sorts of things. i hesitate to call them frivolous, but certainly you'll see in the civilian sector the sort of plans that you outlined that, you know, if you go to the e.r. and then it's deemed it wasn't an emergency, the deductible is higher, there's a fee. i don't think that those sorts of things have been proposed officially by dod, but -- >> alice. >> let me stick with "frivolous," because i think that's an unfortunate word usually, and in this instance. there's certainly good studies that will tell you that care coordination particularly for chronic disease help avoid running to the emergency room when you're really sick. it avoids