When we re-design care that way, the demand for visits actually falls and the stress decreases. The idea is don't stress the current system, invent a new one, and we know it's possible. There's a lot of fear out there. And they're tired. So there's like a threshold to cross, but it's really been amazing to see that once even a few doctors and nurses and managers get interested in change, and they try out the new system, that we rarely see people go back.
Open access is a real winner.
I don't think I know a single case of a clinical office that has gone to open access, even though they were concerned about it, and then gone back. They always worry, but when they try it, it works. So it's only a minority now that are really willing to take the risk of new scheduling systems, new ways of seeing patients, new use of information technologies and the internet. But it may only take a few. I mean, if we get 15 or 20 percent of the doctors or health care systems in this country to try out really modern approaches to patient care, I think they are going to lead the way and others are going to see that it is better.