that will be a lot more discretionary especially around the examples of doing scat cans or m.r.i. s for someone who has a headache at the emergency room. you are trying to impose a tax to get consumes to see a doctor more but you have the push back from the medical community that says, wait, here we are, we are not getting any incentive, we are getting punished for doing unnecessary tests and well be more you judicious so the medicl community is coming out in terms of saying we probably want do do less, than more. neil: well, doctor, my hat is off to you, we have seen a lot of this before anyone did. good to see you again. thank you. spain. greece. italy. france. germany. the u.k. think they are drowning in