Been successful in reducing the rate of growth in costs. We have a lot of demographic factors putting it higher, but im very proud of the business were in, and the job that hospital its doing as part of the Healthcare System in america today. [applause] well, all these people are really smart. I dont need to ask them probing question. I prefer to let them talk. But i want too ask you i want to take the next step here. And if youre basically the only layman here, and okay, were sort of stumbling in the right direction. Lets posit that. And science is out there, as patrick said, but we have to figure out a way to make it accessible and usable to all of us. Given where we are, either in Public Health or in the Healthcare System itself, the Delivery System, concisely as you can, what do you think the greatest challenges we still face are, and what are the greatest opportunities, one or two of each. I will just give you an example. You mentioned we needed to do more with primary care. There