Wellversed on. It doesnt occur to me that i have heard much or seen much in terms of complaints on that issue. That one i would have to get back to you on. Joel, do you have something to say about Medicare Advantage . You mentioned it before. I think, again, the Medicare Advantage standards are set for a particular population group, the elderly. To import them directly into the Broader Market place i think would probably not be the best solution. I would certainly look at some of the principles that are there. I think the rubber meets the road for your group where you earn your pay is should there be quantification and if we are going to have it everybody that does it starts with time and distance kinds of rules. Thats going to be and there are those in the Medicare Advantage standards. Do we need those or some kind of National Forum . I certainly will be skeptical of doing that at this point. But that is where the rubber will meet the road in the discussion. The Medicare Advantage exa