health. it also should operate domestically as well and we re hopeful that that allows the ability to bring together all the necessary partners that you need to bring to bear on this problem. and thanks very much. once again, if you would like to ask a question please press star one. yes. hi, i m lorn becker. i m sort of curious for the sort of second set of recommendations the u.s. government that were very c.l.e.a.r. actors and for some of the first set there were as well but i m curious because the challenges in developing country regulators they re not waiting for an iom report to tell them they should communicate more with each other. i m wondering who you see as a driving force particularly for that recommendation but for the other international recommendations, as well. essentially, what we re looking at is again, the agenda is bringing on the g-20 agendas to get to u.s. and other areas on the development organizations and the world bank and various other group