whether it s nurse practitioner, a doctor, what do you think is the impact? well, it s hard to say with the long term effect will be on people s interests to go into health care but what we ve seen in our own medical schools is we ve had record numbers of applications. and our medical schools, because of the physician shortage, have gotten to record capacity. the challenge now is we may not have enough residency training programs, graduate training that all physicians need in their various specialties to practice independently to accommodate all the u.s. graduates and i think that s where folks may get discouraged. jenna: is that because simply these hospitals cannot accept more residents or why is there not a place for these medical graduates to go? so the challenge, the real problem that s driven the shortage of physicians has been since the balance budget act of 1997, congress limited medicare s approach of sharing