condition? i like that. who is going to pay for it? the amount an average american pays for health care goes up every year. right now, it s $22,000 as a whole, if you add your employer contribution and $9,000 just for out of your own pocket in terms of the direct and indirect costs. who is going to pay for all this stuff? we re seeing some positives, and they have nothing to do with the affordable care act. maryland is paying global payments that are based on quality, not quantity, for the first time in history. and we re seeing now a price transparency marketplace like we have never seen before because people are paying out of pocket. for primary physicians, they are, a lot of them we talked to say they re going to a cash system. some of them are unplugging completely and doing this cash thing. that s not possible with surgery and hospital stays and everything else. but other innovative ideas that are out there? you know, i have advocated that we use much better use of embedded in