Now to another major piece of this bill, Healthcare. As part of the package, Democrats are within reach of a longtime goal, allowing Medicare for the first time to negotiate drug prices that would start in 2026. 48 million Americans get prescription drugs through Medicare part D nearly a third of all prescription spending in 2017, but Medicare has had no ability to negotiate prices. This bill would change that for some drugs. The bill would also cap out of pocket drug costs for those on Medicare. And it increases help for low income families with new subsidies and extends affordable care act subsidies for the next three years. Stacey do set Xena, associate professor of health policy at the Vanderbilt University School of Medicine, joins me now to discuss what all this means. Stacy let me just ask you the big question. How significant is this in healthcare? This is a really big step forward in the Medicare program in particular. So I would say huge.