. >> my name is michael [inaudible] and keeping score back there. 19 proand 32 against and 192 uteral. it seems to me cpmc needs at the very beginning a pr firm finding out what the community needed and going to the community and engage the community, but now it seems like they are having a pr night maer of going to the next steps. i would just suggest to them and hope maybe you can suggest they need to do better job with pr and do the fulfillment of agreements they had. i don't want to get into the the fegative because they already heard 32 speerks saying negative things about the cpmc, but i want to say i'm glad to see the voices of the neighborhood and community come out and speak what they believe is happening to them and has impact in their lives. again, i hope that the wisdom of the board will prevail and come to some-reach out to the community and help the community where their needs are not met >> thank you very much. i would like to ask any member of the public who hasn't spoken to come up? seeing none that concludes public comment for this item. i want to thank colleague frz

it is an excessive burdensome process when you factor in vet proand the application process alone with all of the forms and the various hr levels and committees that everything has to be completed. so it is extremely xegsively burdensome. >> thank you very much for your testimony. i yield back. >> thank you to our chair and voice chair for holding this hearing. i apologize that we have flights we have have to catch but i appreciate you being here and look forward to perhaps another time we could bring dr. lynch back so that more of us could hear. i want to focus in -- i had the opportunity just recently to visit the white river junction vermont hospital which is the va hospital that serves the folks many of the folks in my district. >> i think they are very focused in a veteran sen trick care. they've had good results from the choice act in hiring just recently in fact, they were focused on getting nurse practitioners into our krx box so in the rural communities they would have the prescribing ability to stay on top of medications and prescribe without people having to go down to the v