Wyoming families deserve access to affordable, quality healthcare. Wyoming is not just a rural state, it is truly a frontier state with unique challenges that must be met to make sure that the people from Evanston to Sundance have access to the same quality of health care as folks in larger metropolitan areas. And as a physician who has practiced in Wyoming for more than 20 years, I know the hurdles we face to improve our health care system. We need to continue to invest in new telemedicine technologies. We need to make sure Wyoming's doctors are fairly reimbursed by Medicare and Medicaid at the same rate as their East Coast counterparts and we need real tort reform.