did the surgery. easier to give that is one of the tough ones. >> talking about the cost of cancer care even if the approval process was shortened all lots don't have those means. and pat what about the pharmaceutical side?received ran >> he was receiving radiation into his brain.

but the co is very complicated. net one guy who got what he deserved but that was just price schedule but if the insurance company pays for it?ient. if it is n then it becomes a cost to the patient. a system for givi when i was at the institute that worked very well. and in those cases they picked up the cost of the cost u drug if they were happy to do it. enough to give to it it gave them some credithe bf the one company that is still out there have been

hundred million dollars 70 go baker aptiva and have any new drugs. and that needs a lot ofer >> in addition >> with that identification of cancer that have very low success rates. >> of those two big ones because they know it is there for such a long time.

and then to measure that is the holy grail. cell if you had surgery or if you have the indians cancer that go into remission and did you don't have to do six or eight cycles. right now we have one to murder.

and ed windigos two o. is the recommended to add a immunotherapy to chemotherapy? >> i have not seen any data. and then to test something new. cannot so if they are developing how they're doing. and then to knock on

someone's door. >> i take issue just to emphasize it to deal with the barriers to progress. but when you talk about blood well what about those with really si day and age?

to have that momentum had you get the mix celebrated?ons e take 15 years a few doors. it with those rules and regulations that implies. into rete the enthusiasm.ft to have enough energy left. it is a very difficult time but if we listen up the system then things would

happen faster.hank you both for >> thank-you very much so what is the best preventative method does smoking prevention? be smoking what is the future of accuser prevention? >> stop smoking. [laughter] forty% are related to cigarette smoke so now we have cut that it now. new >> and the risk of getting cancer is higher.

but if you smoke and eat bacon and then to keep seven mind. and from the european diet. lodi it is important about 35 different diets. one so all that rigo is don't smoke. >> with people in the s private sector stepping up

to avert that frustration i am just putting this out there with that subject of alzheimer's and then to be venture capitalists. what they're doing is finding certain doctors and programs and to put money behind it. >> but when they put 50 million acres still go through the hoops. there is a little kid will walking intor and.

>> how close are we to what you to a laboratory to comece up with a diagnosis of cancer through dna sequencing? >> i don't know. there are companies there now that exists solely for give you ae. did you show the biggest w cytosine cancer. but what but it is hard to th.

>>. >> with medical marijuana i heard about this system is unique with receptors how do we do with the department? >> no. because of the endorphins that we have receptors for. so it is no surprise that they come from the same receptor.as a fun time to w we actually tested it at the cancer institute.t does work

>> there are other ways to do that but it is useful. >> why does it all happened within the kong finds of theandh system and that goes to either part of the question lini technology is a massive part of this but since the war on cancer begin now here we are.

i mean,, eve assessment? >> to even pick up the newspaper that is worse. and the timeframe is accelerating. converting some cancers into chronic diseases. when i was at the cancer institute we took care of them now they can take a pill and now they have five follow-up calls to take a pill every day. they still have that disease so you can cure them.me patientg

in those in immunotherapy studies are the same way. but it is just staying there with the immunotherapy. it also incurred a lot of people. because then you set that up. and now they do very well that it was the cancer institute but that is a good

point. [applause] >> they q very match.d meet i hope you will come up to meet our speakers. thanks for coming

>> then needs for horses on the farm declined radically in the 30's. not until then they figured out how to make a rubber tire big enough to fit on the tractor. starting in the '30's and '40's almost complete replacement of forces on farms. i do believe i read in the decade after world war ii we had something like a horse holocaust because they were no longer needed and we didn't get rid of them in a very pretty way.

>> one thing the impact of superstorm city on the east coast after 2012. but the elevators no longer worked you could not charge yourself sober --. but the internal combustion engine is the people take for granted.

>> watching the nonfiction authors with the best television for serious readers. and to delve into their subjects. >> booktv weekend. it is like the work of fascinating people. >> welcome to the alexandria center for life science.

and proceeding of pharmaceuticals and with those of parallel the vanities. amon and that is designed to foster innovative collaboration among of the academics of the top tier investment capital. the largest lead developer and collaborative celt -- campuses in triple a and has campuses all over thesetts country there was little

commercial license now we are proud to be a part of the ecosystem in the past few months over half a dozen life science companies have been started and is truly amazing how far we have, but a short period of time. we built clubroom -- collaborative ecosystems.ound is and to bring that commitment together and with those life chichi treatments for those who need them most.

because the way to bring together to address the most critical issue with research development and global health. including in less january dedicated to neuroscience it is the voice of the patient. and the opening keynote the mental illnesses or comedy thank. one now before experience the illness of a given year. wih to live with the seriousus mental illness for

schizophrenia. to impose one of the greatest health burdens fell with the enormous social and economic consequences.2.5 trilld severe disorders are casting -- without a better understanding of the brain and it continues to destroy patients and their families to undermine the health system for a global economy and it is imperative we work together aha for regulatory policies for public and

private funding for innovation for research and development to increase public awareness of these diseases. we believe there are some solutions to be found we are honored to host to the seabed in grateful with the ongoing partnership and as we work to decrease stigma and improve health care for those with disorders., senior ve i will start with bob. the senior vice president of the group from the global strategy firm based more than 25 years of experience

in the nonprofit sectors working with public policynd puo for the center for american progress and continues to revise fortune 500 with the national security counciles to e during the clintonon administration and.disease was diagnosed with bipolar diseased to be outspoken advocate for people with built - - angeles and with the clinton white house he would review its policies with the coverage from mental illness across the united states use in europe and africa.atry at the and then i will introduce jeff lieberman chair of the

psychiatry department with the american psychiatric association and. had been using the understanding of the schizophrenia. he has co-authored over 600 papers and has written her edited books and the recipients of many national the na. in during the term the american psychiatric association including that mental health parity the patient protection and affordable care act and was a visible spokesperson and recently and what we will

discuss tonight i just want one quick word everybody has a copy of the book on their chair in when we're finished the dialogue will move outside for the book signing and cocktails. >> thank you very much. we are excited of the dialogue after a career is psychiatry and as that was

developing that seemed incomprehensible the capacity to provide care to help people and when you think about that with 20 percent of the population and the barriers to a treatment and with the lack of access. i could be much more poetic.

>> and what psychiatry could do. and with those professional accomplishments one of the most admirable people that i now. >> and thanks for sponsoring this tonight. i am here because i am a big admirer and you should be because he survived a year as president of the marriages psychiatric association. that is one of the most difficult jobs in thend reason h country.e opportunit

the second reason is i could not pass up on the opportunity for role reversal and to ask questions now i get to ask the questions of the only for an hour.about that? i promise not to nod incessantly and say how you feel about that? [laughter]e to talk about a few of the issues involved in mental health right now but before we crack the cover people talk about mental health or mental illness but how do you define that? what does that include?

>> talk about respiratory disorders. >> but it's so complex with psychiatry that was the most highly evolved in the animal kingdom. and that cognition have perception so based on that in those traditions of depression of disorders and a anxiety.

in the editions of alcohol. and then disaster read byy various degrees. >> added is the expansive definition. this so keep that in mind i pick up the newspaper and there is a headline screaming for maternal depression but this is the headlines were they

say it is a mental illness. are we experiencing the definition when it comes to mental illness? we talk about mission creep and it can be a real problem. but not to apologize normal behavior there was with a called save the normal. we have hangnail disease but that is untrue. the reality is everybody

needs to shrink that was popular in the heyday. there is a line everybody has issues. and what took us so long? but with those and anxiety disorders most common of his population in the world.. but by 2020 depression will be the most second expensive.

so why would we stay here?men wr especially postpartum will have a psychiatric condition that is most like the geriatricn. the other is the elderly for routine screening.demographic depression is very common with that demographic group with elderly males.sion screeni diabetes, hypertension, why would do we do depression at the very least? >> turn to the book.. is of books that i like aa subjl

lot it is close to my mind and heart one of the few non memoirs of psychiatry. but there have been others under just terrific. to but his medical and andsonal. but you don't pull punches. you talent like it is. let's start with that. get but in the book reading the interpretations about having a career issues psychiatry

at the same time by a new leaves go easy at certain points in the book that he ended up strewed the psychiatry in the intellectual desire for more than half a century. putting the profession and to one the most dramatic from nt medical specialty.ght. so what did freud get right? >> a lot. colada of the ventures are discoverer's of great ideas that in some ways produce problems of the evolution

and. for '08 by the way studied disorders related to the brain. at the time there is virtually no understanding of the brain in the conditions associated with depressi anorexia to depression and. that research methodology that was available to pick up cadavers and looking at what people had before they died ages by his own powers of observation with his

imagination the psychology had not been invented yet. so with that experience as you grow and develop physically and mentally and that could cause you to feel like you were paralyzed were fewer in great danger if there is something wrong in your life to have a hallucination and then try to understand that we still

use the conscious in the unconscious to have the idea of the defense mechanisms with the idea to have conflicts with the impulses or desires. but the first was that he was a control freak in subject to testing. but he was controlling.

and disloyalty in an obedience. in to be talking to her so the reality is of psychodynamics therapy that has virtually nothing to dohe with depression or eating disorders or dementia of all these horrible things homosexuality but they were

not only not true but to be tainted by those applications. >> as someone who went to analysis to have a divisional breakdown to have the psychoanalyst to say maybe you need medication.ine. the referred to ruth psychiatry as a stepchild to madison as it is a legitimate. but the book is full descriptions of a cure is similar procedures and ideals that legitimately could be called illegitimate. ended one section of the

book it is nothing that i can fix. so to questions.gma problem how much of psychiatry's current image is attached to it could be laid at the foot of psychiatry as people claim to be doctors of the mind? deal think that was inevitable given the crazy complexity of the brain? >> i think it is 6040 the with that cultural environment so what i mean

by that is psychiatrist dart off like any other doctor. you had midwives him bone doctors but pulled enologist and everything. but that was one of theer first specialties to be the oldest medical professional association because basically they took care of people but what happened was as a was adjusted trade but

as scientific research on how illness was treated you had surgical instruments they concede the strokes you could see those plaques from dementia. there is no basis but freud was so compelling intellectually but when i was in medical school training my supervisors

would joke how they had forgotten everything they learned in medical school. and then you have the people who in 1929 to develop therapy with those tours of duty in tropical areas where a contract malaria but he did that to reduce the of fear as the symptoms would temporarily improved.

but they didn't improve but what happened at the time they had syphilis in the brain that produced the psychosis that was susceptible to hypothermia and died and got better. but then of course, so this sounds barbaric the guy that discovered that is said there is nothing to treat

but nevertheless the legacy of suspended a cultural context but to explain new alleviates and 82 stigmatize you can do that.ok to but then develop a treatment but there is one other thing but those illnesses that cover behavior in mental function that who we are as a person that you are not

you if it is an accurate reflection of your circumstances that shakes the foundations of your understanding it is very difficult to suspend their own belief it is incorrigible somebody asks about something that is not accurate or real but nobody could talk about it.ation of when you say your anxiety is done to the exaggeration of fear would you say to someone they you are depressed and is harder to

except that so let's get the military how do they say i have ptsd? that is why still they cannot develop effective treatment. >> now we have advanced to the sage but to a period of seiko pharmacology in which there is a general consensus that a combination of drugs and therapy in the case of most people was a serious mental illness if not cure

but help to control of a regiment. do you think the medication is as much as an art as a science? >> but that continues to be even with precision in psychiatry more than any other discipline has central part of the relationship have they call physician patient experiences is to have a baby with the obstetrician or surgical procedure although surgeon is

different but your cardiologists, a dermatologist with financing the way it is but there always will be health but that it is misleading there is pharmacology and my adulatory their pianos are some extreme examples in stimulation given the thinking that many are

circuit based with transmitter activity to be the most effective way to stabilize but it is highly unlikely that represents the over activation where you have a record and there is a circuit so then magically you can alleviate these functions but how do you do

that in not have to drill into somebody's school? but these are potentially usable. that our psychotherapeutic or those personal aspects. >> we will stay on interpersonal but in your book you have a number of case studies share with the audience the case of someone that you succeeded bayou didn't thank you might.er. >> i could go on forever.

a good friend of ours attractive man sophisticated woman suffers from depression but doesn't what medication because she will gain weight but she couldhe not get better she lived in the city iran she was suicidal and her successful husband was beside himself. he transferred her end tookro

that treatment and sometimesng now she is gallivanting around the world in leading a glamorous life.ut moder and that probably wouldn't have happened without that sophistication of the 21st century psychiatry everybody should avail themselves of that the daughter of a famous celebrity 20 years old lady the school had all these new-age treatments and had schizophrenia is vichy

gets better than she relapsed but the epilogue tells the happy ending of the story. you but on either hand the occupational hazard is to don't have a treatment for alzheimer's disease and there still people with other conditions everybody has cases that haunt them in day dated work out like they hope to and that probably resonates the most grave

prominent surgeon but could not work and gave him the standard antidepressant treatment and usually you tree into you get symptomatic remission but then had five effects like niagara.d tell you.

the usually when they have symptoms they call you or they come back. looking at 86 st. and the patient overdosed for combat? very bad. but he could not get off the medicine on his own.st like to so then there was a loophole. one of the most devastating conditions the selfie

deletion behavior the wall tile motions and those that knows the difficulty in there is the patient in the icy you in the early twenties i worked with her for about one year and saw herb multiple times a week and then she just quit. so i feared the worst. so how the years later i had

written about suicide so i get an e-mail and i recognize your name to deal with borderline personality disorder even depression. one wishes of larger overdose. that and probably did not see ittu that way by acting now with self-destructive behavior. i got married and graduated valedictorian.

i look back at how mentally ill i was. and i fail to have a pretty happy life. so this kind of thing did not exist before. so they don't have access. >> i'll ask people to pass out cards for questions. >> i'm sorry they are in front of you. going from the personal to the political. to talk about a couple of issues that has been raised with mental illness in the news.

the candidates for the campaign? >> of all the years i have been involved i can honestly say this is the one word they need more psychopharmacology. [laughter] but in any case we should be positive and constructive f if you have time with the next president'' would reduce suggest other than increasing funding? what would you suggest he or she do to improve their lives?unity to >> actually i had an opportunity to meet with the

chief policy advisor in the upshot to make health care this signature issue of the campaign to panel the blue ribbon committee to reform mental health care for gun-control but the key issues that it would resonate.

the good news as like a lot of things of alzheimer's or als or cancer there isn't much that could be dead you have to wait for the next discovery but the vast majority of mental disorders we already have enough to make a huge difference reduced to provide that in a you positive way. so this gets the attention of the media and some individual who is mentally ill who kills people. this is the tip of theg iceberg. and those pathologies that occur as a result whether

it's rising rates of domestic violence. but the rate of suicide in this country has not gone down. so we don't take it seriously.e have a 90 percent of people commit suicide. there ough most the majorityty have the health professional. there is the story in the news recently of the navy seal that committed suicide he was high risk so it is a

lack of social and politicalolil will. so what is that motivation? it is like the death knell. but. >> it is interesting because now you see some candidates because they don't want to restrain their access to firearms they now turn to mental illness and mental health and they're proposing to pour lots of money into a relative term.

and i find myself complectednd because i have been fightingg for more money. so even though some analysts feel the reason is mental health it is under a false pretense should be shut up and except the fact we get more money? >> my two years there was very cynical. of that cynicism that drives behavior. it with a series ofwe executive actions what is it the government is intest