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Case is quite a limitation that you cant get the full picture of what the physician is doing. In doing. In the commercial, private sector we might find a physician expending a great deal of resources in the office, but if you look at total cost of care they are actually quite efficient. The reason is, you reason is, you wont see that without the ability to integrate a combined data source. The healthcare cost, that is why we thought it was so important to contribute data as a multiplayer effort to bring transparency to the private sector market. And that is an interesting example and a couple ...

Well, this is not a medicare ise because a medicare physician, i guess their very limited and cop strained about what constrained about what they can charge, so i guess its more of a question about private insurance. You want to talk that, lou . Yeah. The question reflects, again, the desire to have greater and Greater Transparency in all aspects of health care, including what providers charge. Two things. First, even though theres no national requirement, i know at least in massachusetts if theres anyone here from massachusetts, there is a new law that requires exactly what you suggest, which...

I think this will move it forward. If youre a patient, you care about your metric. Its wonderful were monitoring if doctors give quit smoking advice to patients. Im not a smoker so it doesnt matter to me. What you want to know is i know somebody whos about to have heart valve surgery. They want to know which doctor in their city performs the most heart valve cities and how many patients are alive a year after that. The fact we cannot answer that for that patient today or tomorrow or even next year, like, thats the question we want to answer. Its not like, do your diabetics have their a1c under...

Find the best writers that we can and bring them to albany. Its like bringing the world to a particular place, and i dont think i cant think of any other organization, even some of the better known ones in major cities that that have such a rer flow of creative talent coming through and at no cost to the public. With our open door policy. So we bring the literary world to albany. So all these people whose names, faces and dates, events you see are people who have come from far and wide to read to the, to the general public here. And weve had somewhere, my most recent count now has gotten us up...

Be used to counter liberal argument. It is about an hour. Thank you. The First Library i have been in where i havent been asked to leave. I am not kidding, actually. I will get to that library joke in a minute. That was going to be my intro but during the signing nymex so many nice people when i was sitting there and are missing their going what would it be like if all of your fans were jerks . Wouldnt that tell you something . If all of your fans i cant swear in the Reagan Library but if they were jerks, what if you were bill locker but so i am signing books here and a young man give is me a ...