WestAre you sure "no one is longer than you"? :) :):) As for the competitive bid process, I think investors should expect ventilators to be added to this process in two years. Having said that, I don't think investors should panic. VMD will be a national player with significant purchasing power and have the advantage of economics of scale by then - they are well on their way to getting there. As a significant national provider, VMD should be well positioned to meet the challenges of a competitive market (via a competitive bid process). There are numerous companies who prosper in such an environment so why can't VMD??? The one barrier VMD needs to have addressed with the competitive bid process is ensuring product and services are bid (and paid) equally. VMD offers a high touch personalized service which costs more to operate and the rate paid for this service shouldn't be the same as for products (vents) simply sold to customers (without the in-home service). I'm sure Casey and his team have made this point. I also believe the KMPG study will support the added value this high touch service provides patients and payers.