you mentioned that there are counties in your state where there's only one provider. there are five states in this nation where there's only one insurance provider. there are one-third of the counties in this country that only have one insurance provider. we must as policymakers, as folks administering these programs, we must ask resources, what's going on? where are the problems out there? that may work for the insurers in certain instances. it may work for government. it doesn't work for patients. so if we keep the patients at the center of all of this, we'll get to the right answer. that's what i hope to do with each and every one of you. >> i appreciate that. and i got to work for years with senator kennedy on biologics and biosimilars and having the requirements for their biosimilarity and interchangeability has needed some additional information. the fda has issued guidance documents since the law passed. but they haven't set policy on