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And I want to thank you for inviting me to this beautiful State . I would like to again thank our hosts for making this conference possible and for inviting me to address you all . Chairman Specter , Senator Harkin , distinguished Subcommittee members , thank you for inviting me to discuss how Medicare pays for inpatient hospital outlier costs . Thank you , Mr. Chairman and Ranking Member LaFalce , for inviting me to testify at this important hearing about efforts to combat AIDS worldwide .