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Kaiser Permanente (KP) began when Sidney Garfield, MD, went into the Mojave Desert to provide care to the workers building the California Aqueduct. He went there out of a sense of mission to deliver quality medical care to people in need. That spirit remains vibrant and powerful today in our many relief efforts from the tsunami in Southeast Asia to Hurricane Katrina to Haiti. The stories of these brave volunteers serve as an inspiration to all of us. I am grateful to all of the people of KP who make sacrifices to help others, whether in our local communities or across the globe. I hope all of us will take the time to read about the work they did and the impact they had.