I was deeply saddened by the death of Carl Kulczyk last week. I knew Carl the way many other Iowans didthrough his passionate commitment to the work of bringing hope and health care to underserved communities in our State. When Carl began his work with the Iowa Department of Public Health 14 years ago. there were just four community health centers in Iowa. today there are three times as many health centers. a migrant program. and yet another community health center well on its way to getting permanent funding. Carl never cut a ribbon or spoke at a groundbreaking. but let me say this: The expansion of affordable. accessible health care services across Iowa would not have happened without Carls hard work. But that is not all.