vincent keane. guest: david, very good question, and is a challenge that many health centers it turns on a day-to-day basis. the answer to your question, david, will depend a lot of times on the state in which that person resides, but in terms of unity in the community health 's responsibility obviously is for the whole person and for their long-term continuity of care. so a patient comes in to our health center, is diagnosed with cancer, here in d.c., thankfully, we have a system. medicaid is generous. we also have a city run program called the alliance. generally speaking we can get that person into a hospital for diagnosis, procedure, and treatment. i am not saying that is true in every state. each state, each health center has to come up with with the continuity of care land. a lot of times these are based on the generosity of hospitals who are willing to kind of make their resources available, but here in d.c., if you came in and would becovered, it our responsibility at least to try to connect