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well you know its not that healthcare is afraid of technology you go to a hospital they got lasers they got robots they got all sorts of really advanced technology its really around information information sharing and what has been a barrier to it have been incentives to get that information moving around to get your doctor to release your information to you or other physicians to get hospice move stuff around it sort of been counter to their business models and i think we need to were moving into an era of accountable care and coordinated care were sharing data and coordinating care and engaging consumers and having all that information available to do analytics is going to be strongly incentivized i think thats going to drive a lot of change a lot of innovation now 10 years ago i would have said that by now we would have been there how much longer do you think until we get to sort of that utopia well you know part of the issue is the people driving most of the demand for you kno