dr. ellen wright clayton, thank you for your time this morning. here's a look at the study at the institute of medicine website. you can see this report that was released on august 25. guest: and it is freie. host: have a great day. the speaker pro tempore: the house will come to order. the chair lays before the house a communication from the speaker. the clerk: the speaker's room, washington, d.c., september 13, 2011. i hereby appoint the honorable john j. duncan jr. to act as speaker pro tempore on this day. signed, john a. boehner, speaker of the house of representatives. the speaker pro tempore: pursuant to the order of the house of january 5, 2011, the chair will now recognize members from lists submitted by the majority and minority leaders for morning hour debate. the chair will alternate recognition between the parties with each party limited to one hour and each member other than the majority and minority leaders and the minority whip limited to five minutes each, but in no event shall debate continue beyond 11:50 a.m. the chair recognize