now it's my pleasure to turn it over to susan dentzer. she is the senior health policy adviser to the robert wood johnson foundation where she provides communication strategy assistance. >> thanks so much lori and good afternoon to all of you. i'm delighted to be taking the reins as moderator for this discussion. about six weeks ago i was listening to a well-known news anchor on a well-known public radio television show who introduced a segment and this was mind you about a month ago. now six weeks into full implementation of the affordable care act or implementation of the affordable care act. i thought to myself, really? how about three and a half years down and maybe five, six seven years to go in terms of meaningful implementation of the law and it just didn't underscore is how many of us who are close to this issue feel about the intense focus right now and functionality of some web sites versus the entire array of initiatives contained in the law all aimed at improving health and health care and ideally lowering the cost, three famo