so let's turn things over to lew sandy to get us off started on the discussion of teams. lew? >> well, thank you, susan. good morning, everyone. i appreciate the opportunity to participate in this symposium, and on behalf of unitedhealth foundation which is an independent foundation supported by contributions from unitedhealth group, we're really pleased to have been able to provide support to this issue and to this symposium which we really think is incredibly important and incredibly timely in this post-reform era. in thinking about how to frame up my comments for the purposes of our discussion around teams, rather than talking kind of from a policy perspective, i guess i thought it would be better to share a kind of experience cial view of teams. this is kind of like the narrative matters equivalent of this similar podium for health affairs because i've practiced primary care internal medicine for over 20 years in a variety of settings and a variety of different team structures. and i thought i'd just kind of tell you about that as a kind of set up and share some perspectiv

so, let's turn things over to lew starting on the discussion of teams. lew?>> thank you command good morning everyone. i appreciate the opportunity to participate in this symposium and on behalf of the united health foundation which is an independent foundation supported by contributions on the united health group, we are really pleased to have been able to provide support to this issue and to the symposium which i really think it's incredibly important incredibly timely in the post reform era. in thinking about how to frame the up my comments for the purposes of our discussion about teams, rather than talking kind from a policy perspective i guess i thought it would be better to share a kind of expert initial view of teams. susan says kenneth like the mayor matters narrative for health affairs because i've been -- i practiced primary-care internal medicine for over 20 years and i practiced in a variety of settings with a variety of different structures. and i thought i would kind of tell you about that as a kind of set up and share some perspectives based on

understand what goes through other mind even for a brief moment a split second because what i've been lew but what my family experienced through the last few years reaffirmed and strengthened my unweavering support for life at every stage and choosing life may not be the easiest path but it's always e right path. [ applause ] and i've had that conrmation. the timing of the circumstances may not be perfect, but god sees a way where he cannot and doesn'make mistakes so bristol and i both putting that faith in that belief and learning what are life's greatest challenges turn out to be life's greatest blessings and though it took me time to get my arms around being the mom of a special needs child, as i say, the moment that trig was born, it was truly the happiest moment of my life and things came together for me then. it was life-changing and truly teaching us more than we'll ever be able to teach him so i think the sba list for allowing women to receive that message about the sanctity of life, about giving life a chance and being a pro-life, pro-woman organization that has thi growing voice

understand what goes through other mind even for a brief moment a split second because what i've been lew what my family experienced through the last few years reaffirmed and strengthened my unweavering support for life at every stage and choosing life may not be the easiest path but it's always the right path. [ applause ] and i've had that confirmation. the timing of the circumstances may not be perfect, but god sees a way where he cannot and doesn't make mistakes so bristol and i both putting that faith in that belief and learning what are life's greatest challenges turn out to be life's greatest blessings and though it took me time to get my arms around being the mom of a special needs child, as i say, the moment that trig was born, it was truly the happiestoment of my life and things came together for me then. it was life-changing and truly teaching us more than we'll ever be able to teach him so i think the sba list for allowing women to receive that message about the sanctity of life,bout giving life a chance and being a pro-life, pro-woman organization that has this growing voice