dial those up or down to get at a number that the american people will benefit from by having more people in the health care system, fewer people at the emergency room, fewer people without who don t have a doctor-patient relationship that keeps them well, the relationship that charles was talking about. many of our doctors were on the solutions group. we think access to care is important. david, do you want to talk about that? i want to mention on the score, as you know, the majority party is first in line for scoring their legislation so we are at the end of that line. and we are those at the front of the line we haven t actually heard all of their numbers but it is important that we have a bill that is a common sense approach. that is where america is on healthcare. [inaudible] let me just say [inaudible] if i could just finish, we are not going to have a bill that is large are than the g.d.p. of most country which is what we are beginning to see roll out.