implement rules against the EMR it really should be easier than this three we need a healthcare system that's based on quality our current healthcare system is incentivized to optimize volume rather than quality right now you can choose which restaurants to go to based on the quality of food should you be able to choose the hospitals you go to based on quality of care part of the problem is that quality data at the moment is not very visible to consumers and we really need to make a bigger effort to make this quality a visible so