make money by doing more and more tests and doing unnecessary tests at the end of life and so forth the dartmouth atlas tracks that. we know the bad offenders. they re in the big cities. you go to the midwest, ohio state, uk, mayo clinic and then you get places that are delivering higher quality of care for much less cost. and those are the future. i think medicare is going to be changing, starting to do moribund ld payment and getting away from fee for service so the future is also accountable care or acos as part of something quote-unquote obama care. there are a lot of things going on in medicare that is going to try to get away from fee for service. if you can get away from fee for service you could solve the problem. try telling that to rings loud and clear, doctor. the music to our ears. and you certainly have an ally with us and your advocacy around performing fee for service such that we can get doctors and patients into an aligned