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Your other point was about really the Community Providers and the type of care they deliver. You might have practiced inside and outside the va. I am note going to paint everyone the same picture. It happens to us a lot. I think there are a ton of Community Providers that are delivering extra care. Hopefully strenten them so you dont need to provide. We can provide them in house, timely and state of the art. Thats what i mean for certain things like spinal cord injury we need to make sure they are there to support our patients. At the same time for things that we think are provided at high quality in the community and maybe dont require that expertise as much like a quick exam, a colonoscopy and how do we make sure they are in our network. I think its part of our job to educate and provide resources. We started pretty much a free training program. They can get free cme credits. We have a four Course Program on military cultural competency. They can go to a web site, get that certificat

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