dr. nancy h. nealson, president of the american medical association. [applause] >> thank you. i watched the president. he goes thank you. thank you and you sit down. good morning, everyone. it is a great -- a great honor and privilege for us to welcome back home to chicago, the president of the united states, barack obama. [applause] the president will be coming in in just a second. just a couple of words to him. mr. president, we appreciate that you have taken the time out of a busy schedule to join us and we're grateful for your efforts to make the path toward health system reform as open and inclusive as possible and in particular that we have been included in those efforts. you have said that a test of the american judicial whether we allow ourselves to be shaped by events and history or whether we act to shape them. america's physicians want to help shape a better future for our patients and our country. [applause] >> we know first hand that change is needed and that the status quo isn't acceptable. [applause] we appreciate the investment you've already made to help physi