I understand that and now we have a issue that is not unified across all 50 states, and so it's still a political issue, and it has created a hospital environment for doctors depending on which state they provide healthcare in, and now although you have a unified HIPPA federal agreement, you have different healthcare practices that very per state. I might be able to get more modern healthcare options in Chicago, California or Minnesota, or new york, than I would if I were in Kansas, Mississippi, Louisiana or north Carolina. I think the education for healthcare personnel also is a major factor.