we at hrsa are carrying out these programs as directed by congress per thank you for the opportunity to be here today to discuss hrsa's work and we look forward to continue to work with congress on these critically important programs. >> thank you, all, very much for your testimony. i recognize myself for questions. i want to say a couple things before we start. i want everyone to understand, especially those serving on the government side, public reception -- perception becomes reality. because of that, words matter. words matter. for those of us, as members of congress, or as physicians at home, we are face to face with people. we are sitting face to face with somebody. we are not just looking at data on a sheet and making decisions. it needs to be done, what you are doing, but there is a difference. that is why i say words matter. let me give you an example. when you say safe and effective, that is relative in your mind. it is relative in your mind but it is not to the person at home. they hear 100% safe and 100% effective. that is what they hear. this is why words matter. dr. fou