Medicare or medicaid patients. Dose to 60 of the work we is in this population of patients. I do notpendent know if that is the right word but im going to use it how dependent is the u. S. Health care system on the federal government and moneys from medicare and medicaid and other sources . Medicare represents about 23 of the 2. 4 trillion spent every year in health care in the country. Edicaid is another 16 i think the latest figures i have seen are about 39 of the 2. 4 trillion is medicare and medicaid. It is a major component of the health care spending. How would you describe the relationship between the mayo clinic and the federal government . We have had a long relationship with the federal government. Many, many decades working closely with them to advise them on policy and regulation and sharing our model. We believe our model of coordinated care focus on the patient provides better efficiency, safer care, better outcomes, and overall with lower cost. We have sure those message