reduce overuse and proof prevex. keep people healthy fop use it for the right reason. i agree with that underlying trajectory that is causing great challenges in the health care system. >> what do you think the united kingdom -- [inaudible] >> i think we need to have -- whether we pay for things that don't work. the public expects it. why are we paying for thing not effective. i talk to physicians serve on the fda committee and the fda is approving drugs that are actually less effective have worse outcome, more risk than drugs perfectly fine and already on the market. why? we have to keep doing the innovation thing. you have to keep the business turning. you have to keep producing it so you can say to the shareholders inspect is in the. pipeline. i think they are right in the side. the public hears it's government interference. we don't have a sufficient counter vailing uninfluence to say it's good medicine. this is good for you. behind the scenes screen it was government getting involved in medicine. we should have people determine good science to determine whether th