 the level of satisfaction with the cost and the quality of health care we get is is that of someone getting just plain vanilla or you know i won't single out my vanilla ice cream lovers out there but maybe it's sugar free or fat free it just just doesn't taste all that great for the amount that we're spending and the health outcomes that we're getting so throughout uh this past week we've been on capitol hill we've brought uh direct primary care doctors to talk to members of congress about