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keeping on to to open these facilities is very expensive you mentioned MRI machines those are hundreds of thousands of dollars in many cases so this is not something that somebodys going to go out and open in the back of a truck in a parking lot to offer these services this is a serious investment that people make in this physicians and providers making this but the hospitals have cornered the market with this and as you mentioned requires a permission slip in order to do that now imagine if you would that Burger King had to ask McDonalds for permission to open a restaurant on the same block or anywhere thats kind of the same thing here and so when you have the government issuing those permission slips and the hospitals controlling that the monopolies of controlling that it again it limits access it limits competition it drives up costs and you know done it for folks who live in the large metropolitan areas where we have lots of hospitals and lots of care you know thats one thin