First, I want to recognize my family. My son Paul, a journalist writes for the Huntington Herald-Dispatch newspaper, my daughter Jennifer, is working on a PhD in Rehabilitation Science at the University of Kentucky, my son-in-law Alex Howard, is working on his doctorate in Public Health at the University of Kentucky, my brother David is a dentist in Fairlea, West Virginia, my sister-in-law Gay, is the nurse manager and administrator of the Greenbrier County Health Department, my brother-in-law Kevin Westfall, is an electrical engineer and is a vice president with Preiser Scientific Corporation, which is located in St. Albans, West Virginia and makes analytical instruments that are used in the coal industry around the world and his wife Ronnie, is the secretary of the mayor of St. Albans. Actually, she is the person who runs the town of St. Albans. And, of course, my wife and my best friend, Janet, who has allowed me to be gone for years to state medical and AMA meetings. She is a social worker and runs the Wellness Program at Lincoln Primary Care Center in Hamlin, WV. It is with great humility and some trepidation that I stand before you today as president of the West Virginia State Medical Association. I grew up in Fairlea, West Virginia, which is 9 miles West of here. Fairlea is home of the West Virginia State Fair and the Seberts. I went into private practice in Fairlea after completing residency. Greenbrier Physicians, Inc. is a group practice located at Greenbrier Valley Medical Center. They were invaluable to me during my private practice career because they provided backup call, consultations and advice for me as a solo practitioner. Also, while I was in practice in Greenbrier County, I was the Greenbrier County Health Officer.