tom burke. but the rest of the list was next, why? because it cost money. let me say again. if we want to do prevention, wellness and disease management correctly, then you've got to design and architecture that invests in people participating in a. if you talk to safeway when they offered for free disease management to their employees about 20% of those with a chronic disease enrolled. it wasn't until they wrote a check to enroll they actually got their participation level up above 80% and the same is true at dell and sass and most self insured companies around the country. as a matter of fact, at del monday decided to do this in 18 months for every person who enrolled, dell saved $17 per every employee that and rolled and my point is we are talking about how to design a health care so that it's a sustainable and to the future. i think we all agree. 70% of gdp is too high. 19.5% at 2020 is going in the wrong direction. 34 cents of every dollar at some plants in the future is the wrong direction. how do you actually get percentage down? there's only three places. prevention,