Jon Tester actually said...

What are you doing with those VISNs, just for an example, to get them fired up, get them off their duff and get them going in the right dire...

I worry about the internal aspects of peer review, the people who are reporting on their colleagues and that they may not want to do that.

I think you can look at peer review as a punitive mechanism. I think we try to approach it from a viewpoint that is a learning mechanism.

If there is another round, I will wait. If not, I can keep going.