Having said that, let me give you my take. I do a fair amount of GI stuff. If I want to get someone to actually use intelligence in addressing an IBD problem, I go straight to the University of Washington. I have yet to find a private GI specialist in state who looks beyond procedures. Yes, I know I will offend several friends on this group, but it is true. Reimbursement is reality. If I need real thinking, I go to a teaching facility.