Again I'd go back to the comment that I think there is always more work to do. I don't think we're there by any means, but I think where we are now versus five years ago is fundamentally different. There is always more work, and there are always providers in different types of settings who are underutilized. I would support that. I absolutely agree with it.
It is culture change and it is model change. It's huge culture change and economic change. It's a lot of change to build these new models. In different places it is happening in different ways, but it is not 100% there.