This to in the past the idea was that to make sure we were over here asopposed to overhear we carried on our doctors to do everything for us that we can order doctors to get as well we’re sick him to do it here she could do for us to preserve our well-being today that's really looks differently there are lots of things that we can dote maintain your health that include what our physicians do but they include lot of other things include water health habits are they may or may not include supplements we take they certainly include what we eat and if we exercise or not they do include advances in diagnostics the tie together with what your physician can do for you so the models different today than it was when I was growing up and that was the doctor was the center between you and yes are were parity in health in todaythere's lots of things that play a role the determinants of health for a public.