practices in the medicaid system, so that patients move through the system in a way that s much more economical and much more efficient and effective. not just from a cost standpoint, but from a patient standpoint. there are so many things that could be done for especially the sickest of the sick in the medicaid population, where we could put greater resources and greater individual attention to individual patients. as you know, in a bell curve of patients in any population, there are those that are the outliers on the high side, where they where the resources spent to be able to provide their care is significant. and if you focus on those individuals, then you oftentimes specifically, then you oftentimes can provide a higher level of care and a higher level of quality of care for those folks and a more responsive care for those folks at a lower cost and move them down into the mainstream of the bell curve. okay. well, you brought up a couple of interesting points. and i want to
you can be discontinued due to cause, we have not been able to determine that. neither have you. are you saying that the burden is going to fall on the backs of the elderly patients, those that are more extreme in terms of their health needs? it does. if they have a physician that s taking care of their multiple problems, whether or not they re being taken care of in an efficient or quality capacity, they have been dropped. so the patients may not even findçó out theyú been dropped until they show up in the office. some of our patients have told us that they received a letter just identifying that open enrollment is ready. and when they go on to the computer, those who have computer capacity and capability, they find their physician, like our groupñr and myself, is still on the computer. but when they call their broker, their broker might tell them we re not. this is huge confusion out this from a patient standpoint. again, these are the people that are least capable of underst