If anyone in Washington believes PQRI or any other of an assortment of quality systems will put the brakes on health care inflation, they are fools. If you believe they are doing it for quality over money, you are a fool. It's not a quality issue. It's a money issue. And the money train is delivered by volume. We do too much. Way too much. And we do it because we get paid to do it. We do it because we get sued if we don't do it. We do it because the gravy train has a spigot that has no off position. We do it because patients have become doctors. We do it because drug companies have brainwashed the public. We do it because the lobbyists in Washington pay hundreds of millions of dollars in bribe money to keep their piece of the gravy train flowing. I see it every day. I get 10 pieces of junk mail a day telling me what I need to prescribe, what I need to order, what procedures I need to learn.Read it. It's worth it.