and underimburst them and everything.now we're getting to the point where we're maybe almost into neutral, but we don't have our pedal to the metal. we're not creating a 21st century wellness system. >> well first of all, mr. president, i want to share joe's gratitude to you. thank you for inspiring all of this. it makes it easier for us, first thing. [ applause ] i'd say the second thing is that we believe going out and doing it is the best way. that if we find ourselves in policy inside the beltway, we're going to be there for a long time. i think it's one of the reasons why the institute of medicine says it takes 17 years for these kinds of innovations to be fully script. so our thinking is just what elizabeth is doing. she is out there doing it with walgreens as her distribution network amount. you go at it and you find the ways to scale. so right now all three of these innovations i would call exemplary innovations in that they're very small. they haven't scaled. our idea is to get the exemplars to the community, fro