Associated with San Francisco where were willing to pay higher wages to workers in our city because we believe in that. How do you think about the differences and maybe its part of a melting pot but i like to get your perspective. We could measure all those differences so we can do analysis that shows differences in prices, how much is due to the cost of living and thats factor prices inputs, but the more general answer is a competitive market, you know, will protect consumers to insure that the services theyre getting are the most efficient and if they have the information, the ones that they want at the quality level they want at the Service Leave he will they want and folks move to San Francisco on live hee expect to pay more for things so were not talking about price level, but were talking about the most efficient price everywhere. So you need Market Structure and information to insure that. As you can see here in the period in the second time period here, total hospital spending
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