These cuts come on the heels of major reductions made by Dr. Jay Scully, our medical director, and his staff to the tune of nearly $6.9 million in expenses in 2009, as well as the cuts made by the Board for the past year. APA staff have over the past two years experienced several cost-cutting measures including hiring freezes initially and then actual reductions in force, limitations on travel, and an elimination of salary increases. In late 2008, the Board approved for the 2009 budget a drastic cut in the components' budget of some $400,000 from its previous $800,000 budget, and this necessitated a reorganization of the components structure. In the process, we eliminated about 70 percent of the positions on councils and committees. While this change enabled us to live within our budget and hopefully to maintain our key functions, there was considerable concern about and opposition to the reduction of member participation in the component and governance structure.