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To be good for the medicare to do over time and to provide some kind of services and theyre in fact one of the things that would be good for medicare to be able to do over time is to provide not om some of those ombudsman kinds of services but potentially even a structure to help people manage the long term services. That might be an addon program that people would enroll in and pay a modest income related payment for in which they could get additional help in managing that system. But i think the whole idea of managing it and to the family members and then the area thats that and maybe even a model on to itself in terms of an innovation. I think that were wrapping up because while we do have more questions, i dont think that we can get to all of our questions. I want to thank the alliance for this interesting discussion and the panelists. I want to give a plug for our primmer which two of our panelists worked on. If you havent learned everything you need to know about payment Delivery

United statesSouth koreaDistrict of columbiaDewayne kingJohn phillipGeorge w bushAretha franklin barbara streisandThomas jeffersonTom bartellKind servicesKinds servicesServices potentiallyLong termProgram peopleAlliance interestingDelivery system