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We also need a robust pipeline of discovery thatll lead to new drug candidates for all different kinds of infections. So the limited population idea and the streamlining of Clinical Trials which wouldnt just decrease the time frame, it also decreases the cost and the, you know, the number of people needed, so it would do a number of things, that is one thing that we can do at fda that we think would be beneficial and would be beneficial for patients, but its not going to fix this problem we have of investment. Thank you, mr. Chairman. I yield back. I think that concludes this round of question...

Percent of the costs you have another 70 percent that needs to be managed if that leads me to my last slide the pharmaceutical management will be critical in the future we need to foster competition that works not people to set prices based on with no reason we need optimal utilization by members most people fail to follow their drug regiment we need to make it a value based payment and coverage policy you are getting the best benefit for following your drugs and make sure that all the costs are transparent so people know what their bowing and increase the medication adherence and make sure we...

Competition that works not people to set prices based on with no reason we need optimal utilization by members most people fail to follow their drug regiment we need to make it a value based payment and coverage policy you are getting the best benefit for following your drugs and make sure that all the costs are transparent so people know what their bowing and increase the medication adherence and make sure we have the data so we can address the gaps in care and make sure that if a drug can be administered at a site we go to the lower site if you can take it at home or at the Physicians Office...

Competition that works not people to set prices based on with no reason we need optimal utilization by members most people fail to follow their drug regiment we need to make it a value based payment and coverage policy you are getting the best benefit for following your drugs and make sure that all the costs are transparent so people know what their bowing and increase the medication adherence and make sure we have the data so we can address the gaps in care and make sure that if a drug can be administered at a site we go to the lower site if you can take it at home or at the Physicians Office...

Theyre being bought by a Larger Company so you have many of the measuring companies now becoming more mainstream, if you will, as a result may be one to 3 options before you had as many as 678 that raises the costs secondly fall because of the new regulations drug shortages jen ice cream continues to balance the budget we need them to grow you have to remember they represent only thirty percent of the costs you have another 70 percent that needs to be managed if that leads me to my last slide the pharmaceutical management will be critical in the future we need to foster competition that works ...