sam nussbaum is the chief medical doctor.gentlemen, thank you so much for joining us on this very important issue. dr. nussbaum, let me begin with you because this is a program that you have looked into. everybody wants to cut costs, understand insurers want to do this, hospitals want to do this. but when you you think about somebody's cancer treatments it just doesn't seem like a one size fits all will work, each person is different, why do you think it will work and do you expect pushback on doctors and patients? >> susie i'm pleased to speak with you about something as important as cancer care. we know that cancer can be a devastating illness and yet it can be one that is treated. we took on cancer care because number one we know that about a third of individuals with cancer don't receive state-of-the-art care. we also know there are just breathtaking new targeted therapies that we want patients to have. yet we believe that the current payment model doesn't allow physicians to always prescribe the most cost-effective, the