dr. roe, mr. speaker, just said that the doctor-patient relationship, the provider-patient relationship, be that provider an advanced practice nurse or psychologist or physician or even the hospitals of course are huge providers of health care, and who should be -- we be concerned with as members of congress? well, it's those 700,000 people that each of us represent all across this country and that doctor-patient, provider-patient relationship that is most important. cost of course is important, but first and foremost is the sanctity of that care. and that's exactly what dr. roe is speaking of, mr. speaker, and why it's so important that we do vote to pass his bill and we do it as quickly as possible to repeal this very bad decision. in fact, mr. speaker, back i think in december of 2009, almost two years ago, our colleague on the other side of the aisle, a senior member of the appropriations committee, the gentleman from massachusetts , richard neal, authored a letter that many of us in a biparti