reimbursement and that -- medicaid is cutting down on reimbursement and that is an issue, the first year of life, after birth, the rate of urinary tract infection is down ten times in circumcised kids. there is health benefits of this and the risk of hiv, and, from uganda, is reduced 50% and that is really beneficial and the history of circumcision is quite important, because it goes back almost 2400 b.c. and, it has been around a long time and certainly found its way in our religion and know in judaism and muslim religions it is routine and, actually the circumcision is done right after birth. a day or two... >> jamie: you recommend in the hospital, doc? a lot of people will ask that. >> that is reasonable, they can get anesthesia and pain medications an jewiyou.