in the industrialized world has to settle for. why should they pay out of pocket month after month after month to pay for something as basic as a hospitalization or maternity services or, you know, the rest of this list. there may be things on the list would he disagree with. but i'm worried we're headed to a choice tto one else in the industrialized world has to accept. i accept your goal and i hope we can work together to make it so. you mentioned we should listen to the governors, which brings me to my second question and your answer to senator portman. in colorado, you may have heard this. we have something called the accountable care collaborative that is a unique approach to medicaid. it connects members with coordinated primary care providers while reducing various taxes. it also provides coordinate care for those with dual eligibility for medicare and medicaid. i could show you the cost curve