hospitals are not big enough to demand such a thing the consortium might be in an early stage whether that pandz out we'll reap the benefit of convincing the people of the world to look at the consensus. >> commissioners that's all i have for the presentation i'll take questions. >> i think what we'll do have the questions combined with mr. wagner's why not have both of you here to have the commissions get more information one of the first questions actively related to mr. wagner's presentation where you showed i'm hoping you'll provide us those nicely done slides that show the percentage of change the last 3 but workplace it the primary care which wyoming we've been talking about the trend of the future showed a percentage decrease over the two budget years and while you've given explanations on the others in terms of particularly the f s and e commitments we want the primary care commitment it actually decreases. >> a good question so to come up of moving pieces within primary care the first is associated with ramp - there's one way to look at a reduction and one way to look at it compared to