where they live so it's part of the commitment i've made to my own integrity i can't let those go unexchanged to the not about you but more in general, i think we're going down collectively american society that will not reap the outcomes if we focus on individuals we don't have a diabetes epidemic because everyone is getting diabetes but the diabetes we're consuming numerous amazes of shrug but until we make policy changes and get the signs out and make changes just talking about it sdm isn't going to drive down our health care costs. >> any other comments. >> just in a board context one of the things we've requested that was stripped from the business is the business even if research system this is precisely the type of ear that type of work needs to go on and if indeed the city is willing to through a joint committee and spending untold hours of collaboration and communication in the department of human resources and here and everything else to be short-sighted we need to have a boarder understanding of what works and you're not going to get as heroic effort i know you are and you that nee