tv Key Capitol Hill Hearings CSPAN September 17, 2014 4:00am-6:01am EDT
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terrible infrastructure with hospitals but the medical professionals that is available. >> you are right. the number of doctors and liberia and sierra leone are extremely small i think before it numbered in the hundreds and tragically because of a lack of infection control mcorp conditions of the health care facility and the inability of the workers to recognize cases when they come up with the fever they think it is malaria but the workers could not protect themselves tragically a lot of these health care workers have died and many
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facilities that were already rudimentary are closed so we paid to trade and provide protective equipment to get those facilities back up and running safely so we don't continue the spiral of that ebola outbreak of other conditions not being treated right now. >> we learned the hard way they have very few of medical resources when they face this challenge with soviet 10 hour played right away to the united states. >> senator ivan say when you talk about dr. freedman's nomination i don't know how lee dropped the ball on this but it does not come to us.
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>> mr. chairman the affirmation rehab is a u.s. nominated the end of july every run on an august this dash this meeting with him tomorrow and a bipartisan way i urge senator mcconnell the he supported the proposals sled out all why the majority leader and the whip could now work to get that done before we leave. i would hope so and would support that as i imagined the chairmen would. >> i would the meeting but with those little committee meetings to get the job done in a hurry. [laughter] >> they q very much mr. chairman. they q4 organize saying this
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hearing and to my colleagues for such job bipartisan in participation. first of all, i want to think - - take the people for all their outstanding jobs they're doing to organize the american government's response to this and also to dr. brantly and teeeighteen people trying to help people with the terrific challenges facing the workers to or are under incredible stress. that are under such a grip and horrific proportions.
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so too will acknowledge that but mr. charles it is great to have you but dr. brantly is great to see you. but it is great that you are well enough to be here a hunt travel here and that we're not afraid to have you here but this is a stunning accomplishment ice said what it is a matter of hours doing this to city into dr. brantly? you look so much like her. we're glad you are here. first of all, of the issue of who is in charge from senator harkin i think usaid
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is it in charge of responding it a disaster and their to be acknowledged for their ability to do that but the size and scope of watching government agencies this the day higher authority to command personnel on a bipartisan basis to the kinda of resources to do this because what we're doing today just go to use the appropriations we will need dod and hhs and cdc so i think mr. chairman
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across the aisle you should ask the president we gave up point person to do this. >> i just want to make sure i did not have of this conception. i've met on the ground coordination in the middle of that area but i take your point. >> here is my point as the bipartisan group we have the republican party we of work together to create if we wanted to me with any person in charge who would be that person in charge? aid?
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dempsey? >> i take your point senator >> so let's do that to maximize the leverage to also create that sense of urgency. talk about resources. so if you see the so we can have on a bipartisan basis but what i am looking ahead to december of 11 this see our is said down payment to keep the body functioning the year cody to respond in africa to prevent it and my
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correct? >> yes. it will allow us to continue field operations through the end of the cr. but the situation is very fluid and we are assessing what we need for the rest of the year. >> host: when did you have to submit fiscal 60 request? >> ups ran out of the answers. >> let me tell you. >> i thought you might be able to. >> a few months ago. whenever dr. friedman told the white house he needed for the cdc is three-year five months behind soviet courage omb to go back and say what is it that you need
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for the cnr and omnibus as we can usually find a way to cancel the sequester so i would say let's get back and revisit that to get the latitude to come back now dr. fauci you have been tried to find solutions and we're so lucky to have you but you spoke to us eloquently a few years ago about a pandemic they'd had a global infectious diseases crisis to have that infrastructure to respond. and my correct? >> correct. >> this pertains to one continent in one part of a
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continent are we headed to a pandemic? >> no. because as we have mentioned, the spread of this in the west african and countries is a reflection of that extraordinary disparity of lack of infrastructure to handle the help break -- outbreak to get the people taking care of. n the country like united states and it is entirely conceivable to have someone get off the plane to be a symptomatic to land in washington or new york or paris or london get sick thing go to the emergency room and in fact, a person or two because someone did not take a travel history.
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but at that point the capabilities we have would make almost impossible to have the help break the ec and the country that it is driven by a lack of ability to handle infection control and we have that. >> if the disease mutates is that of concern to you? ended those treatments deep effective because it is new or become airborne? >> get a hypothetical you say we have to say it is not impossible but as a person dealing with irises for so long is it likely? no. you never rule anything out and we are following the genetic mutation of this
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very carefully. when people ask me the question i say what i know will happen is not hypothetical that of less lee get control of this it will continue to not only devastate but much more difficult to get control in the back of the mind we concern ourselves with irritation but today it is not the problem but the full court press to get this under control by standard classical control that it spirit that is public health infrastructure. >> quite correct. >> date you senator wearily up running late it has been very informative thank you very much for your leadership and the record
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will remain open for 10 days i hope we can continue to call upon you for advice and consultation. >> now we call the second panel teeeighteen and dr. brantly served as a medical director for this of meriden first care center in monrovia in july his life changed abruptly when he contracted the ebola virus wall street patients we're faithful he has recovered and is well enough to offer his tv can sigh as the provider and a patient. dr. brantly is joined today by his wife and we welcome you here also. and also of note teeeighteen is a survivor of sierra
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leone brutal civil war and a program richer for the relief foundation in sierra leone. he monitors all relief foundation projects include the the ebola awareness project in their rural western district. and again i apologize for the long period but people are interested in what is happening with ebola and you do bring a very unique perspective. you contract did ebola and alive and well today.
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so please proceed as you so desire. >> mr. chairman, chairman harkin and a steam to senators i am grateful for the opportunity to testify before you today about the unprecedented ebola outbreak booker in west africa that has already claimed thousands of lives that threatens to kill tens of thousands more are lost take the opportunity to thank each and every one of the ride no they people who help to play of will to break and be home when i was so sick. thank you. on october 16 i moved to liberia with my family to serve as of medical missionary at the hess -- hospital and worked as a physician in to support the of adequate health care system and a country that is still struggling from a brutal civil war.
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we learned there were cases of ebola in the region began to prepare our staff and facilities to be ready to care for patients of the safest way possible should that need arise. three months later our hospital had the only treatment unit and allows only one of two to treat the first individuals in that area. bled to the 11th through july 20th the number of cases continue to grow at the incredible rate as the disease would spiral out of control it is clear we were not equipped to fight to effectively on are on a began to call for more international assistance but it fell on deaf ears. as the ebola virus consumed my patients would witness the for this disease did upon the victims that paid in humiliation, irrational
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fear and superstition throughout the communities and the violence and unrest that threatens the entire nation's on july 23rd i fell ill in three days later i learned i tested positive i came to understand firsthand what my patients had suffered was isolated and ensure privacy my family can. even though i do most of my caregivers i concede nothing of their eyes through the protective goggles the humiliation of losing control bodily functions and vomiting blood aside of internal bleeding that could have led to my death. ungrateful to the team that worked tirelessly to keep me alive and despite a severe lack of medical resources they were courageous i was
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evacuated to every rye was one of the few to recover from ebola as a survivor is natalie my privilege but a duty to speak out to those of west africa who have unspeakable devastation because of this horrific disease. this unprecedented outbreak received very little notice of the international community and tell nancy and i became infected but since that time there was intense media attention and increased awareness the response today however has been sluggish and unacceptable out of step with the scope and size of the problem that is now before us the united states government has been following the events since that time and only now parisienne commitment i had
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the privilege and honor to meet with president obama this morning to discuss his commitment more military of a resources to fight this epidemic is also requesting increased funding for the cdc. i think can for entering into the battle and a larger way now it is imperative that these words are backed up by immediate action. to control the outbreak to stabilize the west africans and americans may need the treatment units the surge of health care workers cover regional command and control and we needed to really also 400,000 home treatment kits that have been committed to be sent without delay. no time to waste to care for the thousands of people that epidemiologists predict will fall victim in the next few weeks u.s. military must
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establish and maintain the air bridge to develop personnel and supplies to bring in more resources in the future we cannot turn the tide of this disease without large cargo loads of equipment i am grateful to the president to move send those test kits to the region but those are only helpful if we deploy all available mobile laboratories and increase funding as quickly as possible the of laboratory we used in patients was 45 minutes away from the hospital and inadequately staffed the turnaround time was a new mayor for 12 for 36 hours after the blood was drawn of the patient is not infected with the virus that could be of life threatening to lay kids and not
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effective as we have the facility in staffing to use them as a first tv to ever received the experimental drug i am a strong advocate for cdc and nih as a research vaccines and drugs that we just heard about that can give patients hope for recovery i deeply grateful even before this outbreak dedicated their lives to combat ebola but we cannot wait for i magic bullet it is beyond anything we have seen before and it is time to think outside the box. realize home health care interventions can be controversial however reid no mandate positive people stay at home and hide after they become infected because of fear and superstition the
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>> the least we can do is try to protect them from this deadly virus. all the interventions that are needed to stop this outbreak requires significant funding and busted and trim budgets must be appropriate. this is not a matter of providing commander terry and eight but a national purity concern. one of my patients was a man named francis. like most patients at first he was fearful and he shared the story of how he contracted the disease. he said i remember who i got this infection from. he said that he was sick at home and when he began vomiting blood, everyone around him lead. but his wife was determined to get into the hot will. since no one else was around to help him, he went to this man's
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house and help to carry him out of the house and put him into a taxi. on the way to the hospital man died. if someone had come alongside him and given him a little bit of education and provided him with the personal women that he needed the family would still have their father and son and brother in the world still might have this good samaritan. unfortunately he fell victim to ebola and died. many is the analogy to describe this outbreak and it is a fire straight from the pit of hell. we cannot fool ourselves from thinking that the vast ocean will protect us from the flames of this summit. instead, we must move quickly and immediately to deliver the
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promises that have been made and to be open to practical innovative interventions. this is the only way to keep nations from being reduced to ashes and thank you very much, mr. chairman. >> thank you, doctor. >> thank you for your current. >> thank you for being here and being an example. >> mr. charles, welcome. and please proceed. >> thank you very much. chairman harkin, honorable senators, and fellow guests of this committee. thank you for the opportunity to allow me to come from west africa to testify in front of you today.
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i am married and a father of two children, two girls, nine months and 10 years. [inaudible] i would like to share with you what my country is going through on a daily basis of the current ebola outbreak. unlike the civil war, it is affecting the entire population. in the civil war it was at the time part of the population was afraid of the attack. so the general atmosphere in my country in the west african region are afraid of fear. the biggest crisis that we have ever seen, bigger than even the
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civil war. and i was able to survive the war. but i fear that this is going to be worse than the war. this foundation based in new jersey supports the rebuilding in sierra leone and provides relief and other supports for war-torn countries like sierra leone. the mission supports families and individuals affected by disaster, war, adverse socioeconomic conditions and free delivery of health care, food and other programs, empowering communities to become self-sufficient.
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the foundation of which i am placed with has participated with us in sierra leone. and this includes justice and advanced good governance and achieve human rights and at the spoke some, we have privileges to show you what is going on on the ground. this affects liberia and guinea and other countries as well. and since the outbreak we have a response project in this
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district and we have worked with the minister of health and sanitation. small budgets and groups are able to make impacts at the lowest level in the community and they understand the reality on the ground. as part of this project we have been walking with a number of those in our district with about 219,000 people including what we can do to kill the virus. and so in addition, we have collaboration in the other regions of the country as well a
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great number of opportunities has made the situation very scary. and each day the situation has become worse and the problem of ebola can only be made worse and so when i was about to leave my 10-year-old daughter, she said dad, are you going to leave us in this country and go to america where there is no ebola? and i stared at her and i said, as i call her, i am going for your family and your future. and i will be back in two weeks
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and she said, are you sure? because every day flights have been canceled and there are only two flights going to sierra leone and liberia and similarly my wife said the money that you use when you travel will not be enough this time around because the price of commodities has tripled. i'm so of what i'm trying to say in essence is that the situation is getting very difficult every day and we have been faced with the current outbreak challenge. and this is getting very heavy on the number of people. my biggest fear is that the
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health system is not functional. when you go to a doctor, even when they are there, they deny that there might be infections or they are afraid and they are not sure what will happen with the patients in the upcoming weeks. ebola has increased, giving people who do not have a chance difficulties. we need equality. and we are not able to coordinate effectively the ebola response. people are losing confidence everyday and the ebola crisis has whited every day which have not been prepared to manage such a difficult situation and we
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have in some towns very few numbers of deaths. and they have the capacity to house a hundred deaths and we only have a few guests at a time. and this keeps dropping fast everyday because we don't have the money or resources that we need to take care of. in a country like this, we have no idea [inaudible] a country with a high population and ebola is decreasing that every day and we are able to make donations to the minister of social welfare and support
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this minister of social welfare. we are also very careful that these orphan children will be stigmatized and at the same time, it is a very dire situation. and people do not have the free will to bury their loved ones any more. and this includes compassion, care, and emotional love and you know that you have a social support around you is very important. flights have been canceled, the economic situation has been part of the result that is troubling. not justice but poverty and hunger and lack of medical possibilities. families go hungry when
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individuals die or get sick or lose their jobs and with the support of the united states, the international community, we believe will put ebola out. however, our progress will have been lost, especially when already things went badly before the upgrade. [inaudible] and so we will need to help those in sierra leone so that we can sell for live because we
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cannot continue to rely on national support. we have had their report that the doctor has spoke about and she gave a number of points talking specifically about liberia. and probably even worse in the numbers each day of infected people is definitely lesser than what is really happening underground and this includes the support that we have currently with what we have. lastly, i want to thank this house for listening to me and we
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look forward to the continued support of the united states in sierra leone. thank you very much for your attention and the privilege you have given to me. thank you. >> thank you, mr. charles. it is always important to put a human face on matters like this and i think people read about it and you get the numbers and you see that it is horrible, but again, you have to understand the human impact and what this is doing to families in your country. in liberia and other countries as well. and the nature that i am now beginning to understand of how if we don't get it controlled soon, it is going to spiral out of control and it will have a
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devastating effects that mr. charles is talking about. the whole economy will start grinding to a halt. doctor brantley, i am sure that i can speak for many around the world when i say thank you. thank you for being such an example for all of us on how to serve others. we regularly thank our soldiers were marching into harms way. let me say that this is no different. many runs the risk of helping those standing in the path of this terrible disease. so i want to include you and others like you in this. you definitely do us proud. very proud. and i just, i have so many
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questions, but i know that we are running out of time. but i guess, doctor, what i would probably ask you first is, with all the no and you have been there with your family and you know what the situation is like, what is the most important thing that we can do now and what is the most important response that we have now and if you are in charge and you had a magic wand, what would you do with it the maximum one of the most important points is in your question. we have to do it now. this has been in the eye of the government for months and we can't afford to wait months or even weeks to take action and put people on the ground with the bridges and pathways to
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begin going out in the community is and educating caregivers. and it's not that were trying to keep people at home, but we need to increase the capacity to care for them and that means not only creating more beds, by having a staff to care for them in those beds and putting them in a bed may keep them from getting a disease that does nothing to improve their chances of survival and must that they are receiving good polity support of terror. so we need more capacity for the treatment units and we must have the staff for those units as well. and we need to start educating people right now in their communities about how to safely care for their family members who are dying from ebola and are ashamed or scared of their own situations. >> you must have -- you have to have a valuable perspective on
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liberian culture having been there. you know, we talk about a lot of people. some people are culturally sensitive, but they don't understand the situation. could people actually become more afraid of the workers if they are not adequate trained and equipped? >> i think that that is a very real possibility, mr. chairman. i think if we think about the situation in the united states tenures at our own civil war, there are still a lot of tensions and in liberia there are a lot of tensions between people groups and society in general and there is a sense of distrust of government and distrust of authority and distrust of foreigners, so yes, people will be resisted to help. but i think because of the devastation of this outbreak,
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even those people that have been resistant to help are starting to see the need for some assistance, and i think that's why it is important that we just don't march in there with our military and to take over, but we partner with the ngos and the administrative health of liberia so that it is a partnership and we are using people that are survivors fare. there are more and more survivors every day in places where they can get good supportive care. those survivors are the ones i can go out and what you refer to culturally in a culturally appropriate way, educate the communities and distribute the personal protective equipment to protect the home care providers and i think that that is, that is an important part of the strategy. but again, it has to start now in a matter of days.
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just less than two months ago from when i started it feels thick, the death toll has tripled. it takes two months to get a response up and going, if we only maintain that rate of growth, we are looking at now since and tens of thousands in nine months down the road, hundreds of thousands of not only cases of ebola but death. and we just can't afford that. >> that is my hope that our military airlift capability will start moving personnel over there. >> doctor brantley, let me thank you both. thank you for your work and for bringing awareness here. doctor kent brantly, thank you for being a good samaritan and we greatly admire what you have done. you are a survivor of ebola. is that like cancer, is in remission or are you cured?
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>> thank you, senator. i am cured from ebola. >> so it is gone from you? >> yes. one person survived and they recover, they are not a carrier of the virus, they are not a, you know, the doctor at emory university said they would pose no public health risk. so there is no risk to the public from a survivor. there's a lot of stigma attached to being a survivor of ebola, -- >> can a ebola survivor become infected with dan? or are you immune then from ebola to . >> in theory and i think in practice i am immune to the strain of ebola that i was infected with it. there are five different strains of it. so if i went to the dominican -- the democratic republic of congo, he may not be immune to
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the strain that is causing the outbreak there. >> you talked about and you treated a lot of patience. would you say that about half the patients who are infected die, or is it higher or lower than that a maximum unfortunately senator, in my experience, we did not have a 50% mortality rate or survival rate in our facility. we saw patients early on they were usually showing a very late in the course and in a month and a half that i was treating patients, we had one survivor. >> from the time you discovered an infection until death, how long is that typically? it varies greatly depending on how early the person has care. we had a person that died in a matter of hours from the time they presented to others that were under our care for a matter of days, four or five or six days before he passed away but it's not months? >> no, the jet illnesses
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generally a two-week course. in either the person has died or they are on the road to recovery iraq which is why there is such concern because there is so explosive that a move so rapidly. is that right enact. >> i hear you talking about lots of people at home sick for a variety reasons. we don't know about them. we have heard the officials statistics say that less than 5000 infections and felt like there might be many more? >> i think that that is very accurate, sir. as many of the witnesses have said, numbers are based on the cases we have tested and identified and there are many more at home as well. >> so there are many more in what you're saying is that the course of the disease might run a couple of weeks and you're either dead or a survivor after that time in your experience although one died and others, they say, the officials statistics say that the case
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doubles and so you don't have to do much math to see that the numbers are, as you say, tens of thousands, hundreds of thousands go to we don't get control. and we have the benefit of the caregivers that is to keep the infection from spreading. and so it's sort of a hospice from the infected person would ebola. >> i think that that is a fair way to look at it. as he said, we cannot carry out complicated interventions in the home, but you can give people world hydration solutions or tylenol to help with their fever and pain. but the most important part of that is the part that offers protection to the caregiver. because without that, we are not
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stopping transmission and that is what has to happen to control this epidemic. to stop the transmission of this disease area. >> you took a great risk in going there. and it is obvious from the testimony of mr. charles and others that we will need thousands of people in addition to the soldiers that are going. what would you say to others and people like yourself, we have a tradition in this country of doctors without borders. what would you say to americans that are seen as an trying to decide whether to go to west africa to help control this disease? >> thank you, mr. senator. this is a topic very dear to my heart. i think the international presence of doctors without
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borders says that very well in a recent article, she says that comparing ebola to a fire, this is not the time to run away, this is the time to put on our protective gear and run into the burning building. physicians and health care professionals, even if it is just symbolic, they have taken an oath. many institutions take the hippocratic oath and that oath is to the service of mankind. and i think if we can help people overcome this fear of facing a deadly disease and remember that this is not just a disease that these are people that need help and these are societies that are collapsing because of the weight of this burden, we just need people to go help.
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>> well, this was -- oh, i'm sorry, senator to . >> thank you, mr. chairman. doctor kent brantly, mr. charles, thank you for being here. mr. charles, when you go back and see her daughters, i hope that you share with them that the purpose of this committee should try to make sure that we can process enough to make sure that we can provide what is needed from a standpoint of the resources. there are pieces of government responsibility to get them there and to train and equip and we have to make sure that we have the resources, and what you have shared with us, both of you, it is invaluable from a standpoint
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of how we look at it and, as both senators said, to see the human face on the issue. it's absolutely crucial to those of us that sit on this committee and in this institution and ask taxpayers to fund things from people that they will never meet. but i do have a couple of questions. doctor brantley, are you convinced that z-mapp played a role in your care? >> thank you, senator. my opinion -- >> i.t. program from a standpoint of supportive care -- >> i was receiving the best care that they can afford to give me in liberia. my own opinion is that the z-mapp, i believe, have a beneficial effect in my
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treatment. but as doctor anthony fauci said, this is an experimental drug that my story is an anecdote and while very convincing as one, it is just one. they really were wires more extensive testing an experimental drugs to prove whether it is beneficial on a large scale. and i'm very thankful for it the gentleman and all the individuals because i think it was helpful to me and i think it will be helpful in future ebola outbreaks. >> let me say when the chairman referred to he was concerned about this, i think that we have are ready spiraled and i think that we are in that spiral right now. and i think had we had more time
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, we would understand that we are probably, january at the earliest, for therapy. that is without extensive clinical trials come as you can imagine. the january of the first quarter with potentially some vaccine product. and you know if we are talking about a five-month clinical trial process, we have accelerated it greatly and we are going to break every failsafe that exists at the fda, just like they did in the decision to administer z-mapp to you. because it's under jurisdiction of this committee, we want to understand that we are going to sort of re-create this because this is an extraordinary circumstance and i guess i am asking for your medical opinion as somebody that knows the folks that are being affected.
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and if we choose to go before everything with some type of therapeutic response, is that the best course for us to follow or should we be prudent knowing that we know a little bit more about the turkey? >> i think that who came out with a statement several weeks ago saying they believe it is ethical to use experimental drugs and circumstances like this. and i would agree with them that if we know, my kids didn't even know if it would be harmful or not. i think you're going to start giving it to people who do not have the background to be able to give, to relieve give understood and conformed consent, it's important that we know that what we are giving them if safe and potentially
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beneficial. and i think that those types of drugs and especially vaccines, the other panel has spoken out better than i can. but it would have a role if we don't have this under control by january. >> talking about every infected individuals somewhere between five and 20 additional individuals, the multiples are huge. and i think i have heard both of you say that when we look at sierra leone, in the last 21 days, do you think that those
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are woefully understating the size of the problem? did i hear both of you correctly? >> yes, senator. >> okay. >> may i just speak a moment on that. i think those numbers may be underestimated for sure, but what i think is what you're saying is a representation of how quickly things are growing as compared to the numbers that are growing now and those experimental drugs don't have anything to do with the transmission and that is why we need to intervene in the communities to disrupt the transmission of this disease. >> when the cdc said that now, now it's like tomorrow. i'm not sure that we have this turnaround out of government. facing the reality of what is in front of us is also important.
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and so what are the possibilities of using social media as our tool in west africa and can that be effective reign. >> especially among young people in the population and those that also have access to other forms, and the costs are expensive compared to what i can access on my cell phone compared to what i can access in sierra leone on a monthly basis. and so it is very expensive and
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so definitely has a lot of information that can be missed reading also. and a lot of this information is communicated through what has happened. >> i agree. i think even up until this point using social media and radio and print media to reach the population, there's a catchy tune about it on the radio reminding people that it is real and they need to protect themselves and their emily's as to how the disease is spread and i think it is a very important means of reaching people. >> i want to thank both of you. whenever you have a tragedy
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somewhere in the world, they are certainly there and they are part of the story and i think a lot of those in north carolina and the commitment, not to say we don't have a lot of good ngos in the world that respond, but they are consistently there and for that we are very grateful and i thank you both. >> thank you. >> i had a point and first, thank you to both of you. and i want to make sure i understand something you said. you said that you became -- you begin to treat patients on june 11 and became ill on july 20? >> july 23. >> about how many patients did you treat? >> i believe during that time we had about 25 or 50 patients come through her unit and not
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everyone of those was positive for ebola, but many of those that were negative died within being days within the severe illness. >> so 45 or 50, all of them died? >> there were some that tested negative and we discharge them from the unit. >> so of those 45 or 50, some had ebola. >> i can't remember the numbers exactly, but i but i would say probably 25 had ebola and probably 10 or 12 of them were tested negative and discharged and that could leave another five or so other then ebola that died because of the severity of the illness. >> he became ill on july 23 and he said something about a two-week course, do you mean
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that within two weeks you know whether you are going to recover enact or die if you have ebola? >> in general, most people with ebola, they usually, if they die from it, they died between days 110, but it can be 14 or 16 day illness. so you can't say you're out of the woods. that's not the case. >> do you have become infected and you don't infect others until you have symptoms? >> that is correct. >> there's a period of time of about two weeks or a week or two when you can impact other people, plus the time after you die, there is that during a time? >> correct yankee contract the virus and you have a two to 21 they window before you can become symptomatic and then once
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you become symptomatic, you are illness may run from three days where you die after three days or you may be sick for two weeks. in my case, i was sick for almost four weeks before the cdc decided that my test or negative enough consecutive times that they could discharge me from the hospital. >> so people are infectious during their illness and usually that is less than two or three weeks? >> what is really different about this epidemic is how fast it moves. is that right? >> the virus moves quickly. it kills quickly. and locked in like doctor anthony fauci and doctor beth bell talked about. it's not like the flu virus can get by sitting near someone with it. but it kills its victims quickly. >> within that two-week period of infections, one might infect
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five to 20 other people and they have an incubation period of two to 21 days and they may have a two-week. lack of infection in which they might infect five to 20 more people so that happens very rapidly? >> yes, sir. >> thank you, mr. chairman. >> thank you. and again, thank you very much for being here and for your patience and for sharing with us your personal stories. the obama administration is moving rapidly on this, present obama was down at the cdc. ourselves we are working here to rapidly respond and to support the president in this effort. i think the right time is of the essence. but it has to be done correctly
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rather than rushing in and doing things that may even make it worse. and certainly we need to get the equipment there and the personal protection here for home health care workers in these countries and we need to do a rapid series of educational programs in these countries so that the local populace begins to know what to do and how to respond to not be afraid. and that needs to be done rapidly. i trust that there are ngos and you know that you are here and they can be very helpful on us, i believe. and they have been here for some times and have had good relations with these people in these countries.
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so as we do this rapidly, i hope that we will learn from and lean on and ask the help of the ngos that are in these countries. and we need to ask them for their help. >> i hope and trust, mr. charles, that your wife and your daughters are safe and that they hear any of this at all, i want them to be assured that you will be back home and you will be saved. >> thank you very much. >> thank you, thank you doctor kent brantly for your great example. >> the record will remain open for 10 days or a thank you so much. we stand adjourned. [inaudible conversations]
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like us on facebook and falls on twitter. >> bobby jindal was the guest speaker at a rec list hosted by the christian science monitor. the governor who is considering a presidential run in 2016 spoke about his energy proposal and took questions on a range of issues including the louisiana senate race. this is 50 minutes. >> okay, here we go. thank you for coming. our guest this morning is
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louisiana governor bobby jindal. and his last visit was in march, so we will thank you. the son of immigrants, he graduated from brown at 20 are sold with a degree in biology and public policy and then studied at oxford as a rhodes scholar, having turndown acceptances to harvard medical school and yale law. after briefly working at 24, he began as an employee and then he became executive director of the national bipartisan commission in the future of medicare. then came a two-year tour as president of the university of louisiana which led to president bush nominating him at age 30 as assistant secretary of health and human services area and he ran for governor in 2003, but in 2004 was elected to the house,
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the first since 1956 and he was elected governor louisiana in 2007, at 36, the youngest in the nation at that time and reelected 66% of the vote in october 2013. the governor has three young children. he corrected me the last time. now on to the recitation of ground rules on the record here. please no live lobbying work tweeting while the breakfast is under way. to help you resist that obama surge, we will e-mail several to reporters here if you'd like to ask questions, please send me a photo and i will happily answer
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questions. we will move questions around the table and then we will stop at 10:05 a.m. >> thank you all for allowing me to come back. it's a great honor to be here. back in the spring we unveiled our health care reporter and i was the first of an organization i helped to start. voting to create the ability to move our country forward. i'm here to talk about her second policy proposal making sure that america realizes our potential as a superpower. we have given you a report of over 40 pages with policy recommendations for the sake of your time, i'm not going to go through each and every one of those this morning, but instead as i would get some opening remarks and then open it up for questions and you can lead the report and recommendations. >> imagine, if you would, oil,
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coal, natural gas we produce more than any other country in the world. including another country that has more than half the resources in this country, and imagine that same country having the largest nuclear power base as well. not many folks might understand that it's not saudi arabia, but it's the united states of america. we are blessed and that is good news. the bad news is that we have a choice to make. ..
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many others. one of the most troubling things is this new normal. we are expecting about 2 percent economic growth. in a normal where we have been near record low work-force participation. you have to go back to 1978 to see these record lows. more and more people think this is the best that we can do, becoming more and more dependent on government instead of paying -- creating good paying jobs are missing america's energy resources, one very specific and big step toward providing the kind of strong economy that we need so that our kids can pursue the american dream. this is an important policy. there are others to work on this report. wanted thank you for inviting me to come speak and will be happy to questions. >> one or two. you have a lot of experience on health issues.
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today president obama will be at the center for disease control and prevention where he will announce according to what the administration has been saying additional measure -- measures in response to the ebola epidemic. the ap says he will assign 3,000 military personnel to the affected region, training to 500 health care workers a week, iraq 17 health care facilities 100 beds each and set up a joint command in liberia. so what is your assessment of the u.s. response to the ebola outbreak? >> i'd say a couple of things. i think it is appropriate that we are stepping up our efforts direct and indirect to countries that are hardest hit. the widespread epidemic compared to what your seeing overseas, i think we have got certainly both the humanitarian basis as low as a vested interest in wanting to help countries in africa that
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are hardest hit. when you think of the impact, the economic stability, the potential impact on the entire region and ultimately the world it is important but we leaned forward. it does not surprise me that america is the first among all nations offering assistance. more can be done. the world of the organization could have been more effective. other countries could have been more aggressive. this is an epidemic clearly overwhelming the limited resources and the worst hit countries who simply do not have the training, the medical personnel, the basic containment equipment. you can see it in terms of the spread of the disease and the difficulty of providing treatment and anything as simple as cremated bodies. as a good thing that our government is leaning forward, american charities have been leaning forward and providing assistance as well. it is a part of who we are. we're the most generous people in the world to respond to
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humanitarian crises. whether or not there were a direct strategical interest or impact on our country. in this case i happen to think there will be if we don't act, but i think it is the right thing to do regardless. it is a good thing that we are stepping up our assistance. not enough has been done by the who and other countries. i think it has been -- unfortunately it does show gaps in the ability of the who to respond which needs to be addressed. this will be the last potential epidemic that we need to confront. we need to fix what did not work and relieve human suffering. >> you told them as nbc last month that you were speaking in praying about 2016 but would not decide until november. how are you thinking and planning, affected by the new poll of new hampshire voters showing among the potential
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republican presidential hopefuls what does that say about the effectiveness of rolling mills position papers cards i don't have as many readers as i thought. [laughter] >> another nail in the coffin. >> basically dead. [laughter] >> we are doing that later today, by the way. but. [laughter] >> a couple things. >> impeding you as well. >> you're not. >> that's right. you did. a couple of things. it is true that there is a reason to be coy. and thinking about whether i will run in 2016. i won't make a decision until after november. i do not like it pulls the first time i ran for office i was pulling within the margin of error which means a loss of zero at that point in all honesty.
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at this point polls are measuring a mighty but if i were to decide to run every time i run for office the reason i decided to run had nothing to do with poll numbers or fund-raising but i made the decision to run for governor in the this is to run for congress because i felt like a man something to offer to buy unique perspective, offered to a server solutions or experiences that i did not feel other candidates were offering at that time. iran for governor i felt like we have to make big changes. the only state in the south where we have more people leaving and coming. we needed to make big changes. that is what i got elected to do i will not bore you with a long rest of what we have done. after 25 years of out migration we have had six years of immigration. our economy has grown two times the national gdp. a higher per-capita income, more people living in louisiana than ever before.
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$80 billion of capital investment and private development projects. over 50,000 new jobs. it is the best economy we had in over a generation of the louisiana. we did that by making big changes. it was not easy. we cut our state budget 26%. the largest cut in our state history. the point of all that if i were to decide to run for office, it would have nothing to do with polls or fund-raising but simply be based upon the same calculation that i made when i ran, the same decision making progress robbers out of where i would run for congress or governor, do i think i could make a difference for maps of the unique to offer in terms of specific areas and experience, is is a progressive supposed to be doing. lester focus on winning this in the back. thirty-six governors races. of the campaigning with governors and gubernatorial
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candidates. we have other elections between now and then. >> a good segue. [inaudible question] >> a couple of things. we absolutely have to be merry land group ppg is double down on failed policies and harry reid and the president well over 90 percent of the tide, a double down on a vote for obamacare. even though she is now chairman of the senate energy committee she is not been able to do anything like getting the keystone pipeline approved, an action that would create thousands of construction jobs in our country. yanase the canadian prime minister calling obama's -- obama frustrated in chief. canadians a looking to send their oral toward the chinese instead of the preferred customers, us, the united states. it makes no sense. whitney to replace her. i think that it is going to
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happen this year. it is possible we could have a december runoff. we have an open primary in november. we used to do it before november, run off. now our first elections to our runoff if necessary. it happened in 2002. she has multiple opponents. it is possible. i look for to seeing everyone of you in my state in the weeks between november and december. i think it would be bad piece she is trying to hide from our record to win harry reid, president obama. she cannot hide in a december runoff of the entire focus of the country is on an election. the runoff as possible energy is an important part of alysian and economy. the leading or real and gas producer. we have many companies are support industry and are involved in other aspects of energy production. and last couple weeks ironists
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to major capital investments from companies using sugar cane waste products to convert into energy. we have complete -- significant companies that work in the nuclear and other industries as well. back-to-back that barry will certainly despite her position and seniority of the senate in d.c. she is not been able to actually produce policy results the beneficial to our energy, economy, energy industries back home to bed don't think that her experience and time will be an advantage. if anything it is a disadvantage . she will be one of the senators we will remove it as part of taking the majority this year. >> you were the originator of the new republican position on birth control, over-the-counter birth control. i am wondering, if you see races were candid it's have adopted
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this position and do you think that insurance companies should be required to cover over the counter birth control because they don't do that now? >> a couple of things. one, i do see this becoming more common in many different ways. colorado and north carolina in particular. i think the left as reacted so loudly says it is working. this is no longer a tactic that they can use. when i originally offered this idea we wrote following the recommendations, the recent recommendations of the medical societies themselves. it think this is a safe product that should be offered over the counter. a lawyer with the product to be offered over the counter does not stop a woman from being and
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would still be covered. sandra kranz are trying to attack republican senatorial candidates. we're not saying that it cannot still be offered with a prescription through the doctor. there would still be covered by insurance. nothing removes their obligation to pay for it. a patient can still have an insurance company pay for it if they get a prescription. nothing takes that away. in terms of over-the-counter, not just about over the counter drugs and general, not in favor one-size-fits-all mandate insurance companies will continue to pay for it. under current law they have to pay for it as a prescription product. it would be cheaper for them to pay for it over the counter instead of requiring customers to go through doctors and pay for the doctor's visit. secondly, there will respond. insurance companies tend to view things in terms of dollars and cents. it will make the calculation
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that the birth control would be cheaper than paying for the pregnancies just for my dollars and sense perspective. they view it as an expense. it would be in our economic interest to pay for it over the counter. to be clear, over-the-counter does not take away the woman's ability to get the product with a prescription from a doctor where it would be covered under current law. we are giving additional options, not taking away if i hope. >> right now it's totally hypothetical. do you know of any plans by any company to do that? is this just a good political answer to the war on women? >> i think you see any collusion right now. right now you have these big companies and government benefiting from the current system. you have big pharmaceutical companies to make more money when it is a product requires prescription. parks offer over the counter.
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it does lower-cost but we have seen drug companies resistant previously to offering drugs over the counter. they have done this to protect patents when it will losing patent protection to protect their assets and sales were they did not have exclusive rights. it then in general the drug companies have not necessarily done this eagerly or aggressively. right now you have a government and big farmers. his water wrote in the op-ed. these are products that have been adamant used for decades. would you like and other products that have been used as safely the have come over the counter. there is no reason a woman should have to go to an insurance company. no reason her employer should have to be involved in the decision. again, making it available over-the-counter does not stop her ability to get it written through a prescription is to limit pay for a bickering of.
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in this hypothetical when it is offered over-the-counter insurance companies will still pay for it. it might be cheaper over the counter. in the think unfortunately look at it in terms of dollars and serbs. cheaper relevant to pay for this over-the-counter drug and the number of births there would otherwise prevent poor reader think it will. finally there respond to consumer pressure. >> regard to your next. >> a wanted to go back from an. a number of fairly harsh things to say regarding plan to change.
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your recommendation on the subject seems to be to overturn the massachusetts verses epa supreme court decision which allow the epa to regulate withdrawing from the international negotiating process and then in terms of dealing with the problem funding more university research in approving force management to cut down on forest fires and tinkering with the air traffic control system. my question is, can your party succeed or writing off voters regard this as an urgent issue? >> i recommend doing more than that. when i say withdrawal -- he simply said i said withdraw from the international negotiating system. i said withdraw from a specific system, the you in kyoto protocol which i think has become corrupted even some people who are concerned about
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climate change has said it is not an effective system. i do think that the united states should engage in realistic international discussions with our major trading partners and major economic competitors in the report saying that one does not have to be -- and he says it better than our when terms of one does not have to be a believer organizer to be also convinced it is a good thing to control emissions car reduce emissions and to be seeking to be more efficient. and expressly said let's define it. my point is that unilaterally hurting our economy will do nothing to help the environment and will end up destroying millions of get paying american jobs, especially when you look at the fact that china has added more new coal production capacity and our entire country. the majority of the growth in emissions is coming from the
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developing countries. china in its more co2 and american and all the countries of the western hemisphere put together. if we simply take unilateral action now we will do is drive energy intensive companies overseas, manufacturing processes to other countries. that does nothing for the environment. i give you a practical example. in my state one of the largest steel companies a few years ago was thinking of where to put the most modern steel plant ever. and we were competing with that project we were competing with brazil. they wanted to go to brazil. there are able to persuade them to build in st. james parish. if they do all five phases, the 4800 iraq jobs this deal with chairman severe building a steel plant as part of the integrated
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operations. the only question is whether they build it here or overseas. if we unilaterally hurt the economy companies will shift capital and investment overseas creating jobs elsewhere. absolutely let's listen to the scientists, our job creators and work with our major trading partners and competitors, have china and europe at the table and work together to address these issues and not to sell away unilaterally hurts our economy. there are no regret policies. there are regulations or policies that actually reduce the amount of energy we use. the cheapest energy but you have is the energy you don't need. we encourage the use of sustainable renewal will. we just want to address for
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those that have concerns american do repairs on sound science. a stronger economy and a strong protective environment are not mutually exclusive. a weak economy makes it harder. we can do both. part of it is carnage in our own energy resources and our major trading partners and competitors one of a fixed amount manage sporting over 10 percent of our coal and other countries. affordable energy, or simply sending it to china and other countries. there's simply exporting our energy resources as hamas energy intensive manufacturing jobs. that's bad for the environment and i come. [inaudible question]
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>> i have said this and a service several months ago when bill made some comments at the beginning of the year. he is perfectly capable of explaining and defending his own words. i said that the time he certainly could have used -- he sent some times i would not of necessarily serve. a stand up for his right to speak. or the people agree with him or not he is a right to say when he once. people that want him to be signed -- silenced. hours by saying that they had to kill the show. there are private company. he had every right to suspend or cancel. replan was wrong to try to
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silence some relevance of the series was a channel and did not agree and i do not necessarily agree with everything he says. in terms of the bigger issue of the cultural -- i will say in terms of those with aids and would certainly think as governor and husband and father are more everybody to be treated with compassion. i think officer major slide we would treat somebody with cancer or any other illness we should do everything we can to help to recover and lead a fulfilling and productive life and everything we can to ease would ever challenges they face. bob barr was born with heart defect. any imminent. anyone from row of forms of an
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account of physical and mental the illness or how to challenge we want them to it and would not treat someone with aids in it differently than i would someone who have heart disease and cancer returned user meeting owls to be ready to continue research and it provided compassionate care to those in the house challenge again the speech of the reagan library and liberty university. of the biggest challenge or it comes to the social perspective it's a war or religious liberty. right down there is now something in our society. and it feels like they seem to confine it to be her will to her religious views as opposed to
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living area religious views the real assault is on religious liberty. correctly decided when it was five to four. this is violators example of assault. the cases cited 90. a lutheran school. no ministerial exemption that has been long recognized in the employment cost did you think about that. it did not have to claim that the government was claiming that there is no protection for churches to selected is to teach him the minister of the gospel. it did not even have to argue
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that. it was a dangerous it was decided 9-0 against the of restoration. a recent print court justice. it was worrisome to the administration should not have made that argument. those clavichord turned it down. the bigger issue was the assault on religious liberty. it did in the homes of to heyman for many of us it was shocking to hear and speak so eloquently about what happened overseas while ignoring what was happening and how to read religiously rigid not create the united states to firms are trimming the united states did not create religious liberty. it is the reason the agree to for our country -- or of the fundamental reasons why our
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country was founded and is the foundation -- without religious freedom there is no freedom of speech. there's a growing issue. my hope would be even those that may not share conservative -- conservative social views of those who happen to be right now of the forefront of the religious liberty fight, help would be that even if they disagreed with the particular views it would still far for the ability of those individuals to live their views and so we may not agree with your views on marriage but we think in this country it is right that you have be blended to live your life according to your views. we have helped as the country. i would hope this is something he bubble was across the political spectrum but would not be an issue for conservatives and republicans but there would be a bipartisan consensus that we live of a country divided as
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religious liberty for all. they just happen to be the ones that field of their rights are being infringed upon. religious liberty is an important issue cards receive the our reporter in medicare is spending more outlined plans to cut the cost of retirement these entitlement reforms being nursery. >> part of the challenge of reforming programs, five-year or ten years. the gingrich being done to a charity give too far to make policies and really don't long term impact trajectory of the program, the trust fund insolvency date, the actuarial
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report, not just a short-term report. he still our program but as in credible distress. and who want to continue and sustain and preserve the program for a are her parents and grandparents future generations. he did a lot of band-aids. you never address the real problem. the costs are growing faster begun to retire, they're not yet become or guidance of the race as a cohort were there will be consuming their medical resources. in the future you will see baby bell rushed consuming more medical resources. rare at the front of this tidal wave that will change the print
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room. so it's certainly good news? sure. you still face a trust fund the will run out of money long before the baby the wars are finished. a program where the costs are rising more quickly in of a program that is not efficient in responding to the needs of its members cannot nimble and adapting new technology or procedures, responsive and provided the best quality care. this is important to continue and improve the program. the specific description would allow both taxpayers and beneficiaries. at the the urgency is there in do will be important for leaders of both parties to come.
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did you go back to the 90's there was a bipartisan willingness to work across party lines. you have senators working together on legislation, some others, the republican colleagues to offer its endorsing premier support, willing to work across the aisle of the time. republicans -- there were willing to add prescription charge of the program. democrats were trying to have support. their is a path toward. they will require the use of both parties to work together.
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[inaudible question] >> a couple finds. the report, the a ministrations report for funding as well as the use of strikes, their in the process of approving a request to r solicitors tricks are was critical and very critical of the president's rhetoric and policy. his delay has allowed his group together strength and it made america weaker in the world more dangerous. after the barbaric beheading he was eloquent in expressing grief but unfortunately the president's as he always is his very eloquent but grief is not a strategy. he talked about containing isis,
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iraq expellant isis. order wanted to your answer was we would hunt them down and kill them allowed them to gather land and resources and this was a greater threat is speeches with the same as results who would have the best president in the history of the country. we would have the best foreign policy in a generation. unfortunately we do not. the president has been eloquent. in terms of where we are to very it is incumbent and he has the authority to do limited attacks and strikes to defend our country. it's right for him to go to congress to make his case to get proper authority. nobody's doing that. it is incumbent upon him to share his trench you with the
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congress and the american people about how we will eliminate this threat, how we will hunt them down and kill the. their is a discussion about the international coalition to read hansard would think it is better to have a coalition and not commit better to have allies helping us, especially when you look at the financing element and controlling the borders and providing resources. the end of the day america needs to be able to lead. the challenge we have with this administration's approach to foreign policy as our friends don't trust us. there is no doubt in my mind that russia would not be meddling in the ukraine if they truly feared, respected the folks in the white house. there is no data in my mind that it had an impact. in his first year the president unilaterally withdrew missile
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receptors that would be based in poland and would not allow georgia ascension into nato and offered their recent to russia and the president later drew the red line and there were not consequences, not the promised consequences he had threatened. with this administration did not wholeheartedly and unequivocally support his rule all of them has consequences. our allies and enemies are watching. the greatest concern is what take away message iran takes. it is an existential threat to us, our allies, the world. we cannot allow up to happen. what risk reward carburetion of a making based upon our unwillingness to follow through. america must lead a stronger america least of your appointments of american troops.
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his actually true. eleusis of ministration would believe it practice that. the support of congress, the strikes on targets, against isis , they should approve the funding in the resolution. >> i want to ask you a couple of science questions. i thought you said at the beginning, and a biology major. did you say that the administration or science tonight? >> i did. >> what did you mean? >> there are several examples of their approach to energy policy. over five years since the keystone pipeline, the state department says there would be no material impact, yet they keep delaying and denying
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approval to one of our closest allies who simply wants to sell as crude oil and then buybacks some of that has refined product topping our respective economies there is no scientific factual basis for this to continue rather than politics. when you look at their approach to funding -- the conservatives used to like to say the government picks winners and losers. you look at solyndra and some of the other companies that they have found it, they have an awful record as the venture capitalist. the only type of energy sources they want to fund of those that are expensive and will once exceed. you look at the approach to the epa and the recent corona extra rules. the massachusetts supreme court ruling, look and louisiana. a 40% reduction from power plants. when you look louisiana, our
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biggest source of electricity and natural gas, 20 percent nuclear. we are not a high coal burning state. when we asked where they came up with 40% would go one of the intelsat rejections. they could not explain the rationale. it is not like we have low hanging fruit, plans that we could replace to modernize, or upgrade. we significantly relied. there is no basis. when you look at their approach, simply shifting under this demonstrations policy rihanna exporting. it does nothing to help the environment. hell is that a science based approach to addressing even if you believe the premise that what they are addressing these to be addressed? >> with you personally believe that human activity -- do you
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think that the earth is changing and human activity has something to do with that? >> the client is absolutely changing. there are question is how much and what of the consequences. it is not controversial decision of human activity is contributing. in terms of how much and how serious, of the scientists decide. you don't have to be climate change believer organizer to believe that it cannot be get for us to be -- there is nothing wrong in terms of wanting to reduce emissions coming out of our economy and industry. >> to you personally believe that human activity is leading to changes? >> i hope it is not.
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i am sure human activity is having an impact on the climate. i would leave it to the scientists to decide how much, what that means, what are the consequences. >> isn't that pretty much the consensus? >> i'm not trying to litigate. to the extent we are addressing it we should be doing it in concert with international partners and competitors. the action this administration is taking don't improve the environment and hurt our economy . exporting coal does not change even if you accept everything they believe, simply exporting coal does not do anything. you are actually going to be making it in countries with looser environmental laws. my point is, let the scientists to be configured and of. the policy perspective should be that we should address that in concert with international
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competitors in trading partners. he made more co2 in america and all the other countries combined how does it make sense for us to export more jobs? it is going to make the environment wars. >> to you personally believe that the theory of evolution explains the presence of complex life on the earth. >> i was not an evolutionary biologist. local schools should make decisions on how they teach. we can talk about common core and why i don't believe in a national curriculum. local school districts should make decisions. what my kids to be exposed to the best critical thinking whether evolution, and evolutionary biology.
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>> t think that is the best scientific thinking on the development of complex life on earth? >> has a far more mike is to be taught about evolution. but local school districts should make the decision. >> what you think. >> i told you what i think. local school districts, the federal government should make the decision of how they treat topics. want my kids to be taught about evolution and other theories. >> go ahead. >> i'm trying to get in a couple more. we have about seven minutes left sphere physicians. >> the scientists decide. have to take a position at some point. when is enough in of to make you move one way or the other?
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are you need a believer or denier? >> two things. the most important and full political perspective, the policies we adopt. the policies we are adopting our bad for the economy in the running clean-up and for the internment. forcing him to consider going overseas and does nothing to help the environment. of a problem that the left has, the left los energy than is scarce and expensive. there have the fracking revolution, natural gas. all of a sudden, wait a minute. we're not so sure reelected. we have got to stop with the radical left, stop with his almost religious approach towards energy to be scarce and
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expensive. a policy perspective, the important thing is that we cannot protect our internal and rorer economy. there are not mutually exclusive we should want energy intensive manufacturing jobs. many do not require college degrees. to the extent we are pursuing these policies, the job creators and consultation in concert with the country's that the competing against. otherwise it would unilaterally shut down our industry in shift more of it. it does nothing for the internment. >> please. >> could you tell us. [inaudible question] >> and stuff. i barely got three choices. president carter, clinton, and
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obama. i have already rolled to of the mouth. but since president obama was the worst of my life time since jimmy carter. then i had to apologize to jimmy carter. i would say president when for a couple of reasons. he was a former governor which gave him more practical experience. believed in american exceptional some. in nothing president obama's competence. just incumbents. i don't think he was very critical to the illogically. he did believe in american exceptional as a permanent just don't think his policies were competent. this administration's energy policies with a lot like carter's, based on abundance. i do think though clinton, that
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was better. and he had to balance the budget will work with the legislature, set priorities. based on the republican congress a from a good piece of legislation to no one of the more successful modern pieces of legislation in terms of decreasing poverty rates is well as helping folks into the economy republicans in the congress. the greatest missed opportunity, he had the opportunity. i was not in the room. he was on the verge of doing it and then changed his mind because of the impeachment. i do know that two of his appointees were close to endorsing the commission's
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product and at the last minute change their mind. they later testified that he regretted that. that was one of his greatest best opportunities. so up to three. i think that he was the better of the three. in part because his experience was formed by being governor. the last six years or better than his first two. the republican congress forcing the come to the table and compromise. >> the people who still want to question. we only have about two minutes left. >> this seems the experiment in that state suffered some backlash. >> i think sawi
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