in american lisk, the family doctor, the general practitioner performs a service which we rely upon and which we trust as a nation and there can be no substitute for the personal relationship between doctor and patient which is a source of strength of our medical practice in our land. fdr was being accused of a government takeover of health care. but he thought nih was a pretty good idea. and think about everything that's happened and all of the lives that have been saved and all of the progress that's been made and all of the commercial activity that's been generated as a consequence of that early investment. now these words are a reminder that while we've made great advances in medicine, our debates haven't always kept pace and these words remind us that there are always been those who argued against progress, but that at our best, we've never allowed our fears to overwhelm our hopes. for a brighter future. that's been at the heart of the work of the national institutes of health for decades. it was here that dr. roy hurts would develop the first successful career of metastatic cancer

not only for the people lisk in sweden, not only for the citizens of europe, but for all people in all nations. this is one of those moments. this is our opportunity to help shape the world and change not only our own children's lives, but their chirns and for generations to come. climate change is affecting the conditions of life for all of us in one way or another. some peoples notice that the snowyy winters have now disappeared for others, on small islands, climate change is a question of survival as sea levels continue to rise. but for many yet, it is not only top of the agenda, poverty is quite enough a challenge to handle. i'm not saying this to diminish the need for action. i'm saying it because even if this crisis indeed affects us all, some are not yet experiencing the gravity of the situation. others have more immediate threats such as hunger to fight. but one thing is sure. for every day that goes by without us taking action, the consequences will be more severe for all of us. two years ago on the eastbound of the high level event on climate change, i informed the secretary