kyoko disturbed by dave allegations that the average cost of a prosthetic limb fabricated in-house bya is about 25% of the fabricated an outside contractor. the cost quoted for the v8 fabricated ones certainly omit the cost of things that va salaries and benefits, facility costs and administration. we believe a complete and accurate cost comparison would show contractors provide excellent value not only to veterans, the two attacks payors. it would be to elevate the clinician expertise and experience. over the past decade, orthotics and prosthetics has grown increasingly complex and technology has grown increasingly as instigated. in response, the field has changed the entry level credentials are that of a masters degree. currently there are really only six dictation and when approximately eight to 12 students and masters degree programs with a few more in the credentialing process. this is simply an insufficient amount to meet the growing demand. kyoko recommends creation of small time-limited grant programs to offer grants to either create or expand masters programs. we are grateful