[ applause ] thank you very much for that, pat. That was very inspiring to think about health as being much bigger than health kcare and trying to find the solutions to get us there. Now we are going to turn to avic roy who has just returned from his money moon. Hes the opinion editor at forbes. He has an interesting back glund includes both medicine and finance. Hes a leading conservative change agent and a sought after president ial campaign advisor. Hes currently advising senator marco rubio and has previously advised rick perry and mitt romney. Hes the principal author of the apothecary, the influential forbes blogs. And he also serves on the Advisory Board. Join me in welcoming avik roy. [ applause ] thanks, nancy, and let me just second what you just said there. Its i really enjoyed what andrew and pat had to say. I think its inspiring to see some people focused on improving the quality of the delivery of care. Its been a tough problem, as you all know, and its been actually diff