ms. beasley said here is very important. she said it's logical to ask why not see a different doctor or get better treatment. the answer was recently summarized by a leading pain official, quote, overall, currently available treatments provide modest improvements in pain and minimum improvements in physical and emotional functioning the quality of evidence is mediocre and has not improved substantially during the last decade." not to pick on you or anything, but you said here, on this page here, you said," i submit that we now possess the tools and knowledge to conquer this epidemic and bring relief to millions worldwide." well i read this, what was in the lancet, and saying that it has not improved during the last decade and there are other things not being looked at. so i don't know that we have the tools and knowledge right now unless we start looking at all these other methodolgies, again, i'm talking about chronic pain that is not the result of cancer, or putting my hand in a fire or -- tooth problems or things like tha

ms. beasley? >> if i could respond to each of your questions. we hear a lot about translational science and in any area, all the research on any given condition that takes place if it does not come down to the patient for which it's supposed to serve, it's not helping. i see a great opportunity for federal initiatives to supported on going educational and awareness initiatives aimed at the medical community, the public and patients, to continually keep us all informed of the latest research that is coming out of unc and other great institutions around the country. right now, we don't have that. so, everyone though some of these really great advances are taking place, it's not getting down to your average physician and your average patient. in regards to doctor shopping, again, this goes back to research. if we don't have basic research to inform doctors of what the causes and effective treatments are for any pain condition, they are left to their own clinical conjecture to what a patient's cause or treatment may be, this happens in the pain comm