york has become the sixth state to legalize same-sex marriage. governor cuomo signed the equality act this morning after the republican controlled state senate passed the law. i'll be back at the top of the hour with more live news. right now, the state of new jersey has been paying for a boy's therapy. it may stop. dr. sanjay gupta right now. >> good morning. welcome to the program. we will talk about the science of pleasure and why good judgment might sometimes be bad for you. this woman and others say a well known medicine saved them from breast cancer and it may not be available. a rock 'n' roll legend gets a liver transplant and finds himself back on tour. this man robs a bank to land himself in jail to get quality

medical care. i did some digging. first, from coast-to-coast, families who depend okayn medic are getting less and less. medicaid is not just for those who need it financially, it provides supplemental care for those who need it. especially ofor one little boy. >> mom, can you be the reader? >> sure. >> justin frye is going through physical therapy. justin suffering from a disease affecting one in 125,000 people. >> when i gave birth, i noticed that his thumbs were angulated.

in the first hour, life changed forever. >> justin was born with rubenstein disorder. it has varying degrees of mental retardation. justin will turn 11 next month and performs at someone half his age. justin is covered under his father's insurance, but that money doesn't come close to covering all the family's expenses. supplemental medicaid coverage from the state of new jersey helps to cover payments and medical equipment and therapy sessions. >> i received a letter saying we need to select an hmo for justi

justin. our doctors are not on any of the plans. my fear is we not get coverage for him by doctors that have the type of background necessary to work with a child like him because he is a unique situation. of course, the bigger fear is when medicaid is his primary insurance and my husband and i are no longer here and it is not a program that can cover all of his needs, what will happen? he doesn't have a voice. >> that is the most vulnerable who are in trouble and at risk. i want to bring in andrew rubin. he is the host of the health care connect. thank you for joining us. you just saw the story on justin. under the stimulus act of 2009 and healthcare reform 2010, the states will be required to maintain eligibility levels for adults when this all rolls in in

2014. until then, what is happening right now? what is happening to someone like justin? >> under the stimulus act, they pumped in money. they agreed to not cut services. what you are seeing now is the money starting to run out. it runs out at the end of the month. states are scrambling to find ways to maintain what they have, but cover the cost of these programs. in the case of this story we just saw, new jersey is moving many of its beneficiaries into a medicaid health plan to limit doctor access. >> that was the big problem. none of the doctors taking care of justin are on the plan. is this a case of robbing peter to pay paul? >> there are not a lot of options. when they agreed to take the money, the government tied their hands in terms of reducing eligibility for others who might

want to drop off the program. each state in the medicaid program gets to establish the level. in new york, it tends to be more generous to apply for medicaid as opposed to another state where they are more restrictive programs. new jersey has to maintain the eligibility. they will look to cut other things. what can you do? you can cut doctor payments. you can increase co--payments on many classes of people who are currently eligible for medicaid. they are limited in what they can do. they will go after whatever limited things they can do. in this case, it is putting people in medicaid-managed care plans. >> republican governors want the rules changed? is that what are you finding with republican governor states? >> this debate is not just medicaid, but medicare.

the republicans want these maintenance effort requirements to be reduced. to give the states more control to oversee their budgets. the states have to balance their budgets with their medicaid dollars. this is something they would like to reduce. their hands are tied in what they can reduce. there is legislation submitted by senator hatch to give the states more flexibility. the states have to sit tight until 2014. until then, they will tweak at the things they can tweak out which put more burden on the most vulnerable. >> it is fascinating. justin is an extreme case. i hope we don't see more and more stories over the next two or three years. a lot of people are desperate for health care. this man walked into a bank and handed the teller a note and by

the time he was tracked down, he was in jail. here is what he told them. >> the note said this is a bank robbery. please only give me $1. i want to make it known to whoever would know that, you know, it wasn't done for monetary value. it was done for medical reasons. >> the man's name is james richard verone. he said he has had problems with his foot and back and has a strange lump on his chest. he is 59 and unemployment. it got me thinking. we called around and learned in north carolina, if you are under 65, you cannot get medicaid unless you are disabled. the director of a local

non-profit health net told the pap paper, there are other programs available. you don't have to rob a bank. at this point, it was a bad decision for him. up next, we are asking this question. why does pleasure feel so good? does it matter? we will examine the basis for pleasure and why some of us just can't seem to get enough. ♪ hello sunshine, sweet as you can be ♪ [ female announcer ] wake up to sweetness with honey nut cheerios cereal. kissed with real honey.

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♪ yeah ♪ oh you know, some of us can't help ourselves. lots of high profile men have been in the news airing their dirty laundry for all the world to see. don't they know any better? maybe not. i spoke with david linden. i'm interested in the idea of the behavior. the question i have been getting a lot is when you look at people

like weiner and you look at dsk, dominique strauss-kahn. is there a basis for the indulgent behavior? >> we have to realize it is not an accident. these people got where they are because of the personality traits. these are people who are novelty seeking and risk taking and compulsive. those traits can serve you very well in government or entertainment or the arts or sports. but those same traits can also get you in trouble. >> is it that everyone else that is not doing this is better at controlling it and these traits are more prevalent than we think? >> so what we now know is that there is an evolutionary pleasure pain in the brain.

this circuit exists to find food to be rewarding and sex to be rewardi rewarding. if you make this pleasure circuit work less efficiently, if it is ratcheted down, what seems to be the case is in the blunted pleasure situation, people need to seek more pleasure. they need to be more pleasure seeking and more novelty seeking to achieve the same pleasure set than the "normals" could get with more moderate behavior. >> do they have a choice then? i mean, are we providing a defense for the behavior with what you are saying? >> i don't think so. the fact that something has a genetic contribution and addiction and compulsive behavior have approximately a 40% genetic basis with the

remainder contributed by life experience and stress, that is not an excuse. it is harder for them. they are feeling stronger s subconscious urging. >> when you talk about pleasure as a general thing, what is the compulsion to control pleasure? where does that come from? how did that evolve, do you think? >> i think what you have to realize is evolution is a very slow process. cultures and technology change very quickly. what we are well adapted to is not modern day life. it is life in small hunter bounds. in the bounds, there are a particular set of traits that served us well. novelty seeking and compulsion in moderation is good. if you are too timid and not pleasure seeking enough, you will not find that new food

source. if you are too novelty seeking, you will go over the line and you will become food for the lion. the same thing plays out in our modern society with the media. >> are you calling us lions? >> of course. absolutely. >> there was one thing when were you writing this book which was surprising. you had ideas which you would find. what surprised you? >> the thing that surprised me the most is i imagined people who were addicts were addicts because they took greater pleasure in their alcohol or heroin or gambling than other people did. it felt particularly great and they were compelled to do it a lot. what seems to be is 180 degrees the opposite. they take less pleasure in it so they have to do it more to compensate. we find it in lab animals and across the spectrum of substance

and behavior addictions in people. >> your work is relevant in our society. i appreciate you coming on to talk about it. >> thank you for having me. coming up, a drug for breast cancer costs almost $90,000 a year. there are big questions. does it work? this past year alone there was a 93% increase in cyber attacks. in financial transactions... on devices... in social interactions... and applications in the cloud. some companies are worried. some, not so much. thanks to a network that secures it all and knows what to keep in, and what to keep out. outsmart the threats. see how at cisco.com cisco.

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the fda unveiled new warning labels for cigarette packs. the hope is pictures of a diseased lung or a dead body will make people think twice before lighting up. let me show you the existing warning. "smoking causes lung cancer and heart disease." it has been there for a long time. 25 years. it is too easy to miss.

let's show you other ones. warning, smoking can kill you. they are saying labels must appear by september of next year. take a look at this one here. the warning will cover the top half of every package front and back panels. they will have things like this. a phone number number that you if you're trying to quit smoking. again, some of the graphics are tough to see, in fact but there will be nine of these type of graphic images in all. this final one, 443,000 deaths per year from lung cancer and heart disease. this is something that's been in place in other countries for many years and start seeing it in the united states this fall. a controversial cancer drug is back in the spotlight. on tuesday the federal drug administration is holding a hearing on avastin. until last fall it was approved for breast cancer for women's

tumors who came back after the first-round of treatment. marsha gilbert is one of those women. >> when i had the recurrence, my daughter was a junior in high school and my son was a sophomore in college, and i did fear that i wouldn't even see her graduate from high school. i had been very blessed, and not only did i attend and see those but also my son's college graduation and then her college graduation a little over a year ago. i personally feel like avastin has been a major contributor to me doing as well as i have. and concerned that this committee is just looking at the statistics, and not the individuals. and we are all, we are all individuals and respond individually to treatments and we're not just statistics.

>> you hear a story like that and it's extremely powerful. let me lay out the controversy. approval to treat breast cancer was based on some preliminary studies. women who got avastin went longer without symptoms of getting worse. when the full results came out it was disappointing. for the group as a whole there was only a slight slowdown in symptoms and no improvement in survival. even with success stories like marsha's the fda with drew their approval. many breast cancer groups say it was the right move. >> at the core we cannot settle for hope. we need to demand treatments which perform, which actually improve overall survival and improve the quality of life for women. >> it is extremely unusual for a drugmaker in this case to get a new hearing to appeal an fda decision. it happens tuesday. we'll keep you posted on that.

avastin is still approved for other cancers so doctors can prescribe it but without approval as a breast cancer therapy insurance companies are less likely to pay. avastin is expensive. $90,000 a year for treatment. fda says it doesn't consider cost but this is an issue. other breast cancer drugs about 50,000. a drug for head and neck up to 80,000. the companies have programs offering some help to people who can't afford it. with numbers like these there's a lot of pressure to make sure these miracle drugs do help. recognize that guy? what about his music? you know the allman brothers. do you know what gregg allman has been going through the past couple of years? we'll tell you his story. that's next. [ male announcer ] it's simple physics...

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yeah. [ male announcer ] half a days worth of fiber. not that anyone has to know. fiber beyond recognition. fiber one. last month federal health be officials approved a new drug to treat hepatitis c. it lurks in the body for years. by the time it's found it's usually done some pretty serious damage and gregg allman knows that all too well. you know him. he became a legend with the allman brothers. his brother died at 24 in a motorcycle crash but gregg lived the rock and roll life i'll for

four decades before learning he had hepatitis. it lid to liver cancer and a liver transplant. we caught up with him in macon, georgia. >> three rules of the day don't mess with my wife, don't sit on my harley and do not mess with my hammond bt. >> the rock legend, the good old days were filled with good times and great music. a lot of it here at the big house. >> we thought, we should go find us a big huge house, you know, big what we call a big huge hippie crash pad. >> today that big house is a museum. a testament to the allman brothers band. >> every time i look somewhere it brings back a different memory. >> but allman is here for more than just a tropical down memory lane. he's taping a public service

announcement for merck about hepatitis c, a disease he said he got after years of heavy partying and risky behavior. >> they think i got it from an early tattoo. >> he wasn't diagnosed until a decade later. >> i started to get real tired. energy just ain't there. >> for years the virus lived undetected in his system. doing irreversible damage to his liver. after ten years of failed treatments allman developed cancer and he needed a new liver. >> they put me on the liver list and in five months and five days they found me a 29-year-old liver. >> now just a year after the transplant allman is back to touring full time. >> your energy comes back a little bit at a time. it's so much better than it was. >> he still has hepatitis c but living with it. while a liver transplant is no picnic, it's much better than the alternative and he wants to