be raised in priority, that's good. i mean, there's so much in our society as far as competing priorities it is good we we all talk about health care of the any time we can talk about ensuring -- insuring more children providing better coverage is a good thing. >> the association of the american medical colleges says the new law will cause a doctor shortage of 160,000 by 2025. american academy of family physicians predicting we are going to have 40,000 doctor shortage over the next 10 years. will there be a doctor shortage, especially in rural areas, which of course you serve? >> it is hard to say at this point. any time you increase access and provide more patients to the system, we do need make sure there are enough doctors, nurse practice tischers, physician assistants any