It's a massive massive undertaking obviously never accomplished in the past.

We then go through an acquisition process that is rather complicated. It requires not only all the technical evaluations but in addition to that it's important to work with the elected officials to be responsive to the concerns and needs they have.

We had worked against the zone. But we didn't move the ball nearly as well as in the past.

Informally, we're saying, okay the states are relaxing their laws and we're able to move wine in.

In the past I've been a little nervous. This year I had a calm feeling. Truly I think God gave me the confidence. I just put my trust in God completely.

In the past, vaccination programs were cost-saving and life-saving. However, newer vaccines are now focused on reducing morbidity, rather than mortality, and we need to carefully weigh the risks and benefits of vaccination. By balancing the costs of a vaccination program and the potential impact of alternative vaccine policies on reducing disease morbidity and improving quality of life, we can optimize decision making regarding vaccine use in the US.