about 2 and a half to 3 times as much for healthcare in the us as others in canada, in the uk, in france, germany, even switzerland and japan and our health outcomes are far worse . i think we have a lot to learn and this is one of the reasons why we're optimistic that a fee for health model is much better than fee-for-service . thanks for that question. let's see. will this apply to a wide variety of healthcare providers, i'm looking to be a dvd and have recently discovered that many in my intended practice are moving to cash only systems. i would really like to workin a different setting that .i know part of this is because of lobbying and validation care type to ensure. this is an interesting question. the dvd i assume means a physical therapist. and if i got that wrong, right another question in. and so i guess i would say that in the medicare advantage models and in the model that i talk about at the hospital level system like the military health system and the da system where they are paid a global budget or a fixed budget in those systems applies to all of the providers so all of the healthcare professional