Entitlements how is that sustainable . That is the work somebody mentioned over here, that is the Congressional Budget Office score. Once congress receives that score they will work through that to make certain it is in fact fiscally responsible. Imagine if you would, however a system where the incentives within the system are all to drive down cost, to provide greater choices and cometics for folks and respond to the specific needs of patients. In so doing, what you do is actually get a much more efficient system for the provision and delivery of health care. Its a system we dont have right now because the Previous Administration felt the federal government ought to do all of this. Weve seen what came about when the federal government does all of that. It is increasing premiums. Increasing deductibles, decreasi choices. You have a card that says you got insurance and wa in and cant afford what it is for the doctor trying to take care of you this is not a system working for folks in th