If you're in Sweden, everybody gets treated the same way. If you are in New York City, you get treated one way. If you're in Buffalo, you get treated another way and if you're in Missouri, you get treated another way, this is that sort of U.S. individualistic kind of thing, 'I know what I'm doing. This is how I'll do it.' In health care, at the end of the day, that doesn't work.