Mr. Bernard Gloster:

I do not want to be glib about this. If we cannot arrest this and capture that impact between reform, outsourcing and the other initiatives that are at our disposal, it would be a pretty sad reflection on us. I do not see this being a major game-changer in impact. I will be relying on individual hospital managers and clinical directors to step up to the mark and not put their heads down because they have plenty of tools at their disposal to ensure this does not impact the public.