If I understand it correctly, Dr. Fry, your question is how to reach the people who aren't really reachable or aren't motivated, and that's why we're not reaching them. The answer is to go to them. You identify them by taking the top 10% users of emergency departments, the most frequent users, and those are your lower socio-economic, under-literate, or health illiterate people, and you identify those and you target them. You use your money carefully on those individuals who are heavy users. That's how you get them.
On April 30th, 2013. See this statement in context.