and abuse problem. people will point to fraud and abuse rather than answer the difficult questions. >> the times shoes democratically who is getting what and how to check up on them and raises the question of how good the system is. you are helping them on a personal consumer level. how does that type of a organization or lack thereof impact as a whole and how do we know what it costs? >> in general spending will go up. but you are right. people are asking more personal questions and they are not worried about the system as a whole but wondering how it pertains to them. and the big question is for the new enrollees will they spend more or less? one thing important to note,