karen shelton. a native of bristol, virginia, she received her doctorate in medicine at university of virginia. she practiced for 19 years in the obgyn department before joining the private sector. today she serves as director of mountain health districts, and dr. shelton, we're glad to have you here today and so proud of the work you're doing for southwestern virginia. thank you. >> i thank the gentleman. to the witnesses, i know you're all aware that the committee is holding an investigative hearing. and when we do so, we have the practice of taking testimony under oath. does any witness have an objection to testifying under oath today? let the record reflect the witnesses have responded no. the chair will then advise you that under the rules of the house and under the rules of this committee, you are entitled to be accompanied by counsel. does any witness request to be accompanied by counsel today? let the record reflect the witnesses have responded no. if you would, then, would you raise your ri