ultrasound. this is a specialized problem. i want to refer and dr. manning isn't on the network. that's the big b problem. people don't know it. practicing medicine isn't a solo art. it is a team. if you don't have the team you can't help. >> dr. louden, i hear from doctors that you are getting pennies on the dollar in a lot of cases because of either insurance reimbursement or if it's medicaid, medicare. >> and because they are going to have to save money somehow because this is an expensive endeavor. they will be picking doctors who maybe are assistants normally. maybe physicians assistants or instead of having a ph.d. psychologist you may go to someone with an undergrad degree in counseling or something. not that it's all bad and not to be judge mental. it will mean less service but from the patient perspective this is devastating. think about the fact that when you sign up for obama care you are signing away that they are going to share the information