symptom for the larger disease which is obamacare was never as promised because they were supposed to be a cheap alternative, if you couldn t afford the exchanges here is a co-op, the premiums will be lower, that will subsidize $2.4 billion of gone into them, over half of the mark closing which puts tremendous pressure on the state s to bailout those who have been dropped. the key here is they don t have the networks, the doctors. universities like mine aren t accepting these co-ops so patients are not getting the care. i have heard your take but can i challenge you to beat penn to the care optimist for a second? what good has come out of this? what good has come out of obamacare is that more people are insured and before. 9.1 million more people are insured than before. when they go to the doctor s office most of them have large deductibless. and a week because not enough doctors want to participate.