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Prevent a reversal of counterdrug gains in Bolivia and Peru We face the very real possibility of reversal of the dramatic reductions made against the coca industry in Peru . " And we face a very determined and willful adversary who will use whatever means available to influence public opinion , including deliberate misstatements of facts or deliberately saying things that are known to be false . Over the last two years , as every medical liability renewal period approached , we faced the very real threat that we will have to close our trauma program because we wo n't have the necessary physicians to provide around-the-clock trauma care . And without these investments , we face the very real prospect that our high-tech economy will find itself without hundreds of thousands of desperately-needed skilled workers .