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System to have to navigate medicare and medicaid. There is a promise in the fact that the state and federal government are trying to take this on, after 50 years, we have some demonstration in place for this issue that we have highlighted for decades and we really have had no progress. I appreciate the fact that many states are trying to do something. It is far from perfect, it is a struggle. It is a struggle for those states to go a different route where we mandate organizations. This is an important issue for many states, just trying to figure out what the right path forward is, but is clearly something we need to have a continued conversation around, what is the solution for duels and what will best serve their needs . Judy other questions . We definitely did not cover everything. Michael riley. A couple of things, vern, in agreeof provider taxes, i it is a sustainability issue, but it leads to questions whether the whole Fina ....