lets set the record straight, health care reform may bring more pricing pressure but it also will result in much great volume, say 50 million people who never were insured. I think all the med devices, pharmas and other healthcare industries are trying to figure out if its going to be earnings neutral event or positive, I don't think it will be a earnings negative in the long term. The market hates uncertainty and thats what we have now. I was actually pleasantly surprised that SYK could keep flat numbers in such a difficult environment. Guiding to 2.90- 3.10 is actually encouraging to me anyway. The fearful got out today, I was expecting a bit worse quite frankly.