I just want to be clear that I'm not supporting that we adopt the American health care system. When I worked there, it was very clear to me that if we were going to introduce a new technology to the hospital, I had to go to the board and demonstrate 15% return on that capital investment. That was a business decision that made us analyze very carefully the impact of that technology, how we were going to process technology, what it meant to our environment and to our partners.
That economy, which is active at the lowest level in American health care, is something that we're missing. I'm not saying we should drive it by dollar. We could drive it by efficiency, we could drive it by performance, we could drive it by quality, we could drive it by safety, but we need that economy of innovation to pull in the technological and pharmaceutical opportunities we have.