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The ushering in of 2009 brings the orthopaedic community in South Carolina opportunities to play a leadership role in numerous debates that will shape the practice of medicine for decades to come. Our nation and communities face uncertain times as we cope with a faltering economy and the impact on personal, corporate, and government budgets. At the same time, a transition in administration on a federal level introduces new leadership and ideas for health care reform. It is in these times that we must rely on our unity as colleagues to provide leadership as our patients, families, practices, and public officials consider measured responses to the challenges we face. We must draw upon our collective knowledge and experience to provide much needed leadership.
 
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