dismissed but have nothing offered participation status in some of the subsections of one of the insurance companies. and that was insurance that would be covering individuals taking out insurance through the affordable care act or through small business plans outside the affordable care act. it also included them. >> all right, does that mean that these patients that some patients of yours can no longer go to you unless they pay out-of-pocket? >> that's correct. >> have any of your patients said anything to you? are they distressed by this or are they happy to sort of move on to look for another doctor? >> you know, most patients are attached to their doctor. we have had long standing relationships. we don't just take care of an illness. we take care of the human spirit as well. so we know things that b. their spouse, their children, their parents. we have gone through their trials and tribulations. there is a relationship. of course they are distressed.