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whether it's the reduction and reimbursement it's some type of health reform that's going to go through. It's the accountable care organization initiative. It is the
reduction of reimbursement associated with hospital acquired conditions or the newer events, ultimately what that points to is today in healthcare principally US based, which I will
come back to I am marketing sizing in a second and talk about since 90% of the US market is not penetrated that's
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