 Dr. Abdul El-Sayed, Wayne County, Michigan, Department of Health, Human, and Veterans Services Director. Dr. El-Sayed, thank you very much. Our next witness is Dr. Luke Messack from Boston. Dr. Messack is an ER doctor and attending physician at Brigham and Women's Hospital and an instructor of emergency medicine at Harvard Medical School. His research focuses on the history of medicine, medical debt, and patient access to care. Dr. Messack, thanks very much for being with us.