talk to the hospitals themselves, for example, they'll say, look, we're not seeing the massive profits that you might expect. in fact, about 50% of hospitals operating in the red, in part, because reimbursements i just outlined there, john. but makers of a lot of these products, a makers of a lot of these devices, at least some of them seem to be doing okay. 3m for example makes adhesives, stethoscopes, about $935 million in profits last recorded. medtronic, a company that makes a lot of other devices, including defibrillators, made around $831 million. so you get a little bit of an idea of where the money is going and how that all works as far as your bill goes, john. >> you can understand, as you pointed out in the o.r. there, biopsy needing, $8 $800. did take some development. but $200 for stitches? where does that come from? >> i know. a lot of it is the same thing. you are investing in a little bit of the quality, reliability of this. this is something that's going to be used in someone's body