participation today. we have a wonderful group from georgetown university medical center, medstar, as well as from the university at large. so we are really delighted to have the opportunity to welcome each and every one of you and particularly pleased to welcome dr. patrick conway. i thought before professor introducing dr. conway i wanted to publicly thank the generosity of the mcculley family who has underwritten the schools to offer this kind of extraordinary gift of leaders and health care to address your university and school s community. some of our past lectures mike from human services, academy dr. diana mason, american college of healthcare executives and now dr. patrick conway is added to the list. so we are really just delighted to have you with us. those of us who are involved in prepareing health professionals to the future, health leaders are particularly interested in your topic around health system transformation and medstar as well are equally interested in
much bigger and we don t want to take the wrong action. we want to ask for the science, create preventive measures and look at the greatest source of risk but not create perhaps impediments for some of those most interesting areas where there is innovation, entrepreneurship and renewal going on in urban areas. so thank you very much. thank you, paul now it s your turn. i want to thank c-span on behalf of the foundation for covering this this morning. the purpose of the floor in the foundation is to bring education to the 300 million americans that enjoy the food that is produced in the united states so we thank c-span for making this coverage and the panelists for sharing their views. now it s your turn. to those on the audio cast, please send us your questions. to those in the room, please come to the microphone and state your name and organization. i am charlie stenholm former member of congress now with the law. i m a member of the house and do not dissipate in filibuste