You are correct on the medical....I agree completely....it is going to be tough.

There are so many large entities with their hands in that pot that moving them out isnt going to be easy. We are going to have to have a major shift in focus to see that happen. Fortunately, the system is gaining recognition for being too expensive, a path that cannot be sustained.

How quickly? I do think it will move very fast....5 years before we start to see any impact is my guess....like turning an oil freighter...takes a long time.