Do I get dollar for dollar for what each student gives in tuition? No, but you find that at any of the other colleges. It's a non-issue.

The labor levels, Medicare climate, malpractice insurance, general weather climate ? there's no simple reason why these people are leaving Michigan.

When we started planning this two to three years ago, the reports we were seeing about an upcoming physician shortage did encourage my thinking. But we also have many more hospitals in my system that want to have our students than I have students to place. The only way to add more students was to increase class sizes.