mr. palone talked about it, this sense that you don't get it when it comes to teaching hospitals, but more than a few members have mentioned that.. but i yield back the balance of my time. >> thank you mr. weiner. >> the gentleman from ohio. >> thank you mr. chairman. and thank you for your testimony today. i come from a very rural area of ohio. very parse district in southeast ohio, exclusively rural, the largest town we have is about 27,000 people. we have historically suffered from an inadequacy of physician force. i think that's true for most rural areas around the country. especially for those which are relatively indigent or poor. can you talk about why this deficit is problematic and the contact of its impact on creating a rural work force? >> which deficit are you referring to? >> the deficit referring to access, not just family physicians, but physicians generally. recruiting specialist, we have a very difficult time recruiting primary care physicians. i'm curious to your thoughts how that impacts creating the rural work force? >> well, clearly recruiting physicians is essential t