Primary care shortage area you want to know exactly what that means well it means we got very few doctors but sell the population ratio their site you know these government regulations there's lotsalotsa numbers but essentially what it says is you have to have a ratio love one physician for every 3500 people or more it but it has to be greater yes between 3500 3000 and have hi I'm unusually high knees for primary care services or in surface insufficient capacity and existing primary care providers and then you also have to show that people or primary care providers another areas that are next to you are not are not there either too hard to get to or they're too busy cell you can't get too Salt Lake City you can get two for Collins you can to get you can get one of these areas and so you have to have I mean that's a real that's.

Really critical but you can see easily there by this definition why Wyoming has that designation a lot of our county's dental care HPS a well it's a little bit you know we work to Dennis harder so that they have to serve 5,000 people are less I or they yard or where shortage area so there's a couple different designations they're you either have to have at least this racial 5,001 or a population a full-time equivalent doctors %uh less than five thousand one but greater than 4,000 1 and then again the Dennis around you can't be or can't be reachable very easily and they can be over you just so that's a dental that mental health of this is just glance over at it's a long Hong horribly long and complicated thing that basically they break it the only thing that's really important here I'm sorry if your psychiatrist I sell Icon cool you're not.

Important you are but there are so many different permutations here essentially they break it down into mental health professionals inside collar say psychiatrists say you have to have some combination oven shortage I love generally mental health professionals and psychiatrists okay and again mental health professionals and contiguous areas are over utilized excessively descent or inaccessible to residents in the area under consideration so you have to have and these are even most of them are much bigger numbers even then the primary care as slendera garcinia cambogia far as being designate is a mental health shortage area on the reason that this can present serious problem for Wyoming is if you think about the fact that in allot of towns even in Jackson and where me if %uh if you've lived there long enough on and you are your car is at the.