we work rebranded -- we were rearended at the 580. i remember thinking, i am going to be here for a while. there are more pressing issues than me. you are being forgotten. nobody is focusing on you. it is not that the people do not care. the system does not have the resources to handle the volume of people. when you walk into a public hospital waiting room, sometimes for low acuity primary care health care, you are dealing with people coming in the back door who are shot, in car accidents, have had strokes or heart attacks. it is that dual resource problem of an emergency room trying to provide primary care to an entire community and deal with emergencies that results in a really long wait times and the sense that you are a statistic or number. take a number. that is dis-empowering for people. people feel helpless. in that moment. in the macro, there is the sense that this system is not working for me, there is the apathy. there is the sense that nobody cares about me. we got to understand that in terms of talking to people and saying