So that every hospital everywhere can do as well as possible and theres very little of it being done. I go back to a surgeon named William Halsted who is century ago tackled a number of different problems with the view of asking what we make it possible for any surgeon anywhere to do as well as possible . So he was the one who introduced the gloves in the operating rooms of took the likelihood out of the ability to people to wash their hands. He was the first to create a Successful Operation for breast cancer. One that was straightforward enough that every surgeon could learn to do it. And we dont quite think that way. And one of the things i hope to have as a message is that when obstetrics had been we deliver 4 million children in this country. How do we make sure that everywhere in the country it can be done as safely as possible . People dont have doubts going to their Community Hospital to have their babies because part of the systems where the chances for a debt for another is on