This is the 120 Annual Meeting of the Western Surgical Association, one of the oldest surgical societies. This is the 14 meeting of “The Western” in Colorado Springs. In 1997, at our 12 meeting in Colorado Springs, Past President Dr Jack Pickleman’s address to the Western Surgical Association, entitled, “Another Letter to the President,” detailed his concerns about health care to President Clinton. Like virtually all of Jack’s addresses, it was thoughtful, colorful, and entertaining as he detailed proposals for Medicare recipients, medical savings accounts, the Surgeon General’s role in public health, and threats to graduate medical education funding. I have been privileged to serve as your president this year, an honor that I did not deserve though humbly accepted. In this presidential election year, we have heard too many polarizing political statements about our high, though declining, national unemployment rate, the housing crisis that is dissipating, and the slow economy. In spite of these economic and political issues, we are again reminded of our sometimes tenuous earthly existence after witnessing yet another natural disaster in Hurricane Sandy on the East Coast. Today, my objective is to describe a “precious resource” that most of us have experienced and that continues to be a vital part of our profession and discipline. The MerriamWebster online dictionary defines precious as something of “great value or high price,” as “highly esteemed or cherished,” and as “priceless or valuable.” It defines resource as a “source of supply or support,” or as a “natural feature or phenomenon that enhances the quality of human life.” Although I have no conflicts of interest and have no disclosures to make, I do have a passion for this “precious resource,” which has been a major part of my professional life since I was a medical student in the early 1970s. Today, I will speak to you and describe the Veterans Administration (VA). The VA provides a robust and rich environment for the veteran as a patient, the trainee as learnerdwhether
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