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Transplants and big surgeries and things like that. One of the things i am concerned about is when you use volume, it is a metric for reimbursement, to have a level Playing Field to define what the quality parameters you are going to use. One of the things, especially with toby and bill and i, with cardiac surgery, and we saw this when the recording data ,eally reporting data came out the cases is west of the cleveland clinic. By design or by circumstance, maybe there will he be a de because of ...