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Anybody else want go ahead, vern. Just to comment on the general direction, in the surveys we have the privilege of doing with the Kaiser Family foundation and namd we have a series of questions on whats going on with the system reform and Payment System reform and so on and if theres one thing that characterizes Medicaid Programs today it is a focus on what they can do to make their programs better in the sense of achieving Better Outcomes and so on. There are just example examples after, you know, many, many examples that you could cite. Its arizona is exemplary. And there are 49 other exemplary states also in terms of what theyre doing in this regard. It is amazing what states are doing now and if you want to look at one place where medicaid is a leader in the health care system, you can look at medicaid. It is definitely, definitely leading. Trying things that other folks havent tried. States are focused and they have the ability to be flexible and one state learns from another. Le

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