Iraq will be the overriding factor going forward until that situation is resolved.

There are good HMOs that promote quality care and lower cost and there are bad HMOs that make bad care decisions for bad reasons. When you've got 650 HMOs, what you need to do is eliminate the bad ones without ruining the economics of the good ones.

The economy is growing, albeit tepidly, and we've had a major correction in the stock market, ... So valuations have come down dramatically and that's a positive. I also don't expect the interest rate cut from last week to have a major impact. What we really need to see is traction on the capital expenditure front.