Thank you all for coming back after the break and finding a seat. Appreciate it. Well just get settled again. Hi, im david lanski. Im the ceo of Pacific Business group on health. Some of the panelist you just heard from were members of ours. Let me just say a word about what were doing here and my job here really is to help make a transition between the wonderful case studies and purchasers to the implications for policy development in washington where we started the day with dr. Burgess. First i want to thank aei and brookings for sponsoring this meeting with us. Tremendous opportunity to have a dialogue that is nonpartisan and across many points of view to try to think what the successful developments of health care policy. Pbj is one of the sponsors. We represent about 60 very large employers and purchasers. They together have about 12 million covered lives and together they spend about 60 billion every year so they have a strong stake in the improvement of the Health Care System fo