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[Music] good morning folks were gonna get started I think people will filter in as they arrive a little bit late and thats thats fine welcome to the sixth annual global health economics colloquium co-sponsored by UCSF particularly I want to very much thank my home base the Phillip Arlie Institute for Health Policy Studies and my second home base the Institute for Global Health Sciences the support from both units has been critical in in pulling this together logistically I also want to thank you see Berkeley School of Public Health you will soon see Steph Bertuzzi who is representing the school and the Stanford University Center for Health Policy this here to represent that from both Stanford and Berkeley as well we are at a place in global health I will opine where its incredible what progress we made over the past several decades and starting about six years ago the discussion about where we are and where should we should head started to really pick up steam in particular work th