Visalia Anesthesia Medical Associates (VAMA). This is the unit that served the Kaweah Delta Health Care District with Anesthesia services and had been for over 16 years. The Director of VAMA, Dr. Walter Walters, had me create this video to present at their RFP (Refer For Proposal) to the hospital committee and Board of Directors. Even after powerful testimonials by many of the lead surgeons of the hospital, it was decided by the Board to go with a lower cost national anesthesia provider.