cloud are fulfilled, and we can target those kinds of personal preferences in order to drive reducedite liezation because a lot of these folks do not want to go back to the hospital. if you start with personal preference and then reduce costs, that's the right direction. and nobody's going to argue with that. except for those who just think personal choice is gist a bad word. but out in the real word, what people want should be driving what they -- what kind of care they get. and we don't have mechanisms to make that happen except in the few places where we've trained teams to be in the home and community to move the focus of care out of the hospital for this population, to where it needs to be, where the word cloud is fulfilled. i just want to put in a plug really -- and by the way, i'm a pal at-ive care doc times 20 years and i do not think palliative care by itself is the answer. because it's viewed by most physicians as an alternative to treatment. so it's either we treat, and when we're done treating we turn over to palliative care or hospi hospice. that doesn't work. i can attest to that. y