It was a mistake to allow the H.I. program to die four years ago. It will only compound that mistake by fast tracking to eliminate future H.I.s who will be needed to take the place of those existing H.I.s who must bow out due to age or infirmities. A well crafted H.I. program that provided proper training, oversight and accountability would be an asset to the communities in which they served and to the ACOs within that community. We need a long view here not a short sighted narrow one.racking the elimination of traing for future H.I.s.