environment. this rests excitement of the central nervous system. it augmented, it's allowing us to think about our lower back pain and those path ways in the brain involved in back pain can rekindle and show expression again. we believe that is one of the targets. one of the targets for intervention, trying decrease semantic awareness. >> i don't know if that was inherent with you or me, can people be taught that? >> yes. but not all individuals can respond though. that is the trick. dr. pizzo, i'm sorry. >> thank you for sharing your story, i'm glad you are doing well. just a couple of other things if

i may. first the oim report that i chaired along with others was not a call to a specific intervention or therapy, but a call to action. it identified problems broadly and did not identify what root specifically should be taken for an individual, and did recognize that there will be different approaches for difference individuals. i would say that like you, all of our lives are shaped by our personal experiences, mine comes from being a pediatric oncologist, i lived through pain and it comes from being the spouse of someone who suffers from fibromyalgia and has had decades of chronic pain. i've witnessed on a personal level, that approach to intervention, very different

from psychological to pharmacology and behavioral and physical can have varying degrees of impact. the point being, there's not unfortunately a single solution. that under scores the message. if there was a single solution of the problem effecting 100 million or more in this country, we would celebrate it and embrace it. what we recognize is that there are therapies that can impact some, others benefit from other interventions and we need to work on that as well. and not lose sight of those that have tried and not benefitted yet from the medical therapies that are available today. >> i just want to respond. you are absolutely right, and is that is why during all of my tenure in the senate, and being on this committee, i have always wanted to open the doors and windows to everything, i want a lot of stuff looked at.

i don't want anything dismissed out of hand. after all, testify my legislation that started -- it was my legislation that started alternative and integrative medicine. >> i was there when you did that and i was proud when you did it. >> i'm not saying it's the answer, but we ought to be looking at these things and examining. just like what happened with me, i'm not saying it will work with everybody, but it should be looked at and researched and tried. i mean -- >> that is right. >> -- not some foot note someplace. but delve into it. ms. beasley? >> you sharing your story points out that we don't understand pain. there's multiple paths ways that people can develop train and effectively treat pain and you know, similar to what you have

discussed, i have done all kinds of mind body techniques, stress reduction, exercise yoga, bio feedback, all of these things, and i too, in a little different way, am a person of faith, i also speak to my pain, but i'm still left with severe pain and it's only on the left side of my body. i was hit by a car on my right side, i only have pain on the left side of my body. while your experience is very real, as is mine and all the others. we cannot expect to understand pain when we are not researching it and you spend 96 -- when they

spend 96% less than it does on the other diseases how can he expect to understand the mechanisms. there's genetic evidence that people are predisposed to develop heightened pain, there are people that are born without the ability to sense pain at all. which is not to their advantage bought they end up injuring themselves, but there's a genetic component. pain can be a dysfunction of the pain sensing network of the body itself. it can be a dysfunction or disease of the nervous central. so, what you said brings us to the point, we cannot tease it all apart until we have a research effort that looking at it all. >> i could not agree more. senator white house, i have been dominating the question and answer. >> thank you very much. i appreciate very much the witness's work in this challenging area and i invite anybody who wishes to respond in the form of a response to a question for the record with thoughts about the ways in which the paper and electronic reported keeping of the health

care system can be improved to improve awareness about people's pain conditions, forcing the issue of fifth vital signs and making sure the electronic health records address it. i would like to get your comments in writing. i appreciate it. >> dr. serno, do you have any else to add at all to our -- do what we have been saying at all. you are been doing this for 40? >> 45. >> 45 years. you've seen a lot of patients. do you have anything else to add? >> not really. it's just the idea that in medicine in general, there's a habit to look at things from the anatomic point of view and not recognize the impact of emotions on the physiology and that is all i would say, keep an open mind about that. i believe -- >> i hope we will do more research in that area. that is what i hope. that this group will now start to take a closer look at that.

well, to try to sum up, dr. pizzo, thank you, you talked about how much we were spending a year and how much coming from a state and federal budget, this was a great impact. you said that it's a moral importance and it is a disease in it's own right and that you need collaboration. we need a lot of collaboration among a lot of disciplines to look at this. dr. maxner, we talk about the barriers and mismatch of money, and we will look at that. i could not agree more with that. we will take a look at that. you talk about education, only nine sessions in medical school on this, something so prevalent, how do we get our residencies and stuff, more intune with

diagnosing people and focusing on pain. you mentioned the doctor shopping and what is happen tlg -- what is happening there, we need to educate our doctors and primary care people better than what we have been doing in the past. ms. beasley you bring a very

personal story to this. they are just a lot of people like you around this country. maybe not with the same disease, but with others, back pain, and other things, all kinds of things that we just need to know more about. and how we -- how we do more research, get more research into these areas, no doubt about it. so, you bring a very strong personal story. dr. pizzo said we need new innovative therapies that we may not know about. i think is that pretty pro found. we need new innovative therapies that we may not know about. so how many people do not know about 45 years of practice and treating people and honing this to a fine degree on how you treat people with chronic pain -- i should not practice medicine without a license, but without a physical basis.

and i think that doctor serno mentioned, the first thing to do is look at that, do you that first. and then, if there's nothing there then you have to move to a different modality, this is my own statement. i think there's too many people in our societies, some of us are equipped somehow, different people think different ways. different people can cope with things differently and assess things differently and this is my own judgment, i think there's just too many people in our country that think there's a pill, a drug or a surgery that will cure whatever you have.

and i think maybe we have been brought up to think that. that there's something out there, of, i just get the right drug or pill or surgery it will cure me. i don't know that we put enough into the up front prevention and i'll close on this. when i think about prevention in the area of pain. it's educating not just the doctors and residencies, but people. when they come through school, that they are knowledgeable about pain and what causes pain and how you deal with them. they become more knowledgeable and their own systems and how different things effect them. we will not always be thinking that we can do whatever we want. but, there's a lot here, i mean, we have to do more research in this area. but it has to be broad. and i will continue to say that this whole area of mind body, cannot be just a foot note. it has to be part of the whole

search that we are doing on how to relief so many people that have real pain. real pain. not in your head. it's in your body. where it comes from we don't know yet. but, it's -- that is the one thing that i've learned from the doctor, this is real physical pain. it's not in your head, it's real physical pain. so, i thank you all very much. this was an enlightening session. i look forward to working with you on the committee itself in the future and to do what we can to do again, approach this issue of pain in a thorough method than we have been doing in the past. i ask unanimous consent that the testimony be submitted for the record. in memory of kristi gaffe of williamsburg, iowa, and that testimony be submitted for the

record. if there's nothing else to add, then the record also will be remaining open for ten days for statements or questions from other members of the committee. with that the committee will stand adjourned. thank you.

. super tuesday is march 6th. rick santorum has a campaign stop at lake county republican party in willowbee, ohio. that's at 7:00 eastern. we'll have it live on c-span. also, mitt romney will be at a rally at cleveland state university with chris christie and that will be live on c-span2. also at 7:00 p.m. eastern. ohio is one of the ten states that will vote in tuesday's presidential primaries. 66 delegates at stake. it's the second largest contest on super tuesday behind georgia with 76 delegates. the latest ohio poll conducted by the institute of policy research at the university of cincinnati shows rick santorum ahead of mitt romney, 37 to 26% in ohio's super tuesday republican primary. >> louisiana governor is scheduled to reveal his proposal for balancing the state budget.

a budget $900 million in the red. in shreveport now, it's mostly cloudy and 37 degrees at the airport. 38 at barksdale. you're listening to news and weather station news radio 710. >> this weekend, book tv and american history tv explore the history and literary culture of shreveport, louisiana. zalt, starting at noon eastern on book tv on c-span2. author gary joyner from one dam blunder from beginning to end, the red river campaign of 1864. and then a look at the over 200,000 books of the john smith nobel collection, housed at the lsu shreveport archives. then a walking tour of shreveport and the city with neil johnson and on american history tv on c-span3 sunday at 5:00 p.m. eastern from barksdale air force base, a look at the base's role on 9/11 plus the history of the b-52 bomber. also, visit the founding

father's autograph location at the museum and from the pioneer heritage center, medical treatment and medicine during the civil war. shreveport, louisiana this weekend on c-span2 and 3. earlier this week the associated press reported that israeli officials have no plans to warn the u.s. if they decide to launch a preemptive strike against iranian nuclear facilities. remarks now from the defense minister who recently said despite media reports israel is not trigger happy about attacking iran. it is one of the featured speakers taking part on a panel discussion on what a nuclear arm's iran would mean for the middle east region and the world. this is about an hour and a half. >> good morning. >> good morning. >> good morning, everyone. i am jane harman, the not so new president and ceo of the woodrow wilson center, almost a year now. time flies when you're having fun. it truly is an honor to succeed

lee hamilton as head of this extraordinary center. today's panel has attracted an enormous amount of press attention as it should. the title is israel, iran and the arabs, a regional perspective. that is something we surely need. the presence of the press does remind me as i think everyone here knows a i have highly regarded reporter and former wilson scholar tony shabid lost his life in syria last week and just today the news is that a noted journalist and her photographer have been killed. these are people who obviously put themselves at risk to bring us accurate information. the wilson center also endeavors to bring you and the press and policymakers accurate information at obviously less

risk than those who are in war but we think it matters enormously to use the convening power of this nonpartisan institute to provide what we call safe political space where people from different countries, with different perspectives can talk candidly and civilly -- isn't that refreshing -- about the important issues. and that is what we intend to do today. i want to recognize the chairman of our board who is in front. his wife is a member of the council. aaron mill keer can defend hims. as a point of personal privilege, let me say a couple things about the panelists and the topic. in 1991, i made the decision to

run for the united states congress. it was the first elected office i sought since junior high school treasurer which i lost. i visited the region 25 times as a member of congress. but while in israel, i was introduced to a person that was -- although a highly decorated military person and medical doctor trying for his first time to run for the kness knesset. so we had lunch in jafa and the symbolism that should not be lost, the history of jafa right along the mediterranean, walking distance from downtown tel aviv. and we talked about what it was like to run for office. and we were both elected at the same time and we both left at the same time. and hee has a think tank now in israel but he

isn't paid. this is volry him a more -- a better person than i am. but at any rate, it's interesting how the wheel turns. today we will address the subject of basically iran and how those in the region see iran and certainly speaking for myself, this is probably the most confusing and complicated time in foreign policy in my lifetime. and it's a subject i study carefully. the opportunity for miscalculation and mistake is huge. and the mistakes will be compounded not just over time but almost immediately given the amount of social media and attention paid to the region. it is extremely important that we get our facts right.

we can have a different view of what to do. it is important that we get our facts right. let me offer one bit of perspective as a former long-time member of the house intelligence committee and the house of representatives homeland security committee where i studied intelligence closely. intelligence is a prediction. it's not science. predictions can be wrong. we saw the intelligence about iraq's weapons of mass destruction which many people all over the world believed, not just a few people in the bush white house. i think that's an unfair hit. we saw that that intelligence was dreadfully wrong. so when you look at iran and try to measure the capabilities and its intentions, think of it as a matrix, the information we have, not just we, the israelis and others studying this is likely to be imperfect. if you think the intelligence is imperfect, the views of

policymakers and policy commentators are probably imperfect, too. and so the opportunity for miscalculation is compounded. i just -- i think it's important that a panel like this drill down as deeply as possible into the views of the different countries in the region and very knowledgeable commentators. remember, the opportunity for miscalculation is enormous. i think as we search for best answers, we have to be mindful, at least i believe we have to be mindful of what the complications of a nuclear armed iran will be, not just for the region but for the world. i think they're huge. i applaud the fact, personally, that our administration and most in our congress draw red line ahead of a nuclear armed iran. but drawing that red line and then figuring out how to make the red line stick is what --

what the hard part is. and so i applaud the effort of the wilson center to try to bring you a very good conversation and i can't think of anybody better than aaron david miller who worked for six administrations so far, i won't out his favorite one. but six secretaries of state. i guess it wasn't six administrations, six secretaries of state. he's not that old. six secretaries of state so far. and writes and talks knowledgebly on this issue to introduce our panel. welcome to all of you. welcome to our audience and our broader audience. this is a time when it's important for the public to understand the facts and it's a big honor to head an institute that cares deeply about making sure we present the facts. thank you very much.

>> jane, thank you very much. you had large shoes to fill in the wake of these departure but your intelligence, experience and style and witt has really begun to fill them in. it's a pleasure and honor to be with you and to join al. thank you for your generosity and supporting these programs. and welcome to all of you. today's panel, i'm hopeful, will be as entertaining as it's going to be informative. woodrow wilson was our only phd president. there's a reason for that, of course. but wilson was committed to the notion of breaking down the barriers and the walls that separated the academy from government. and he was right. because we need the best of both worlds in order to come up with wise and judicious policies. i invoke wilson's spirit. he may not have been the embodiment of his own fondest hopes, but i invoke the spirit because we're going to need his help. rarely have i seen a region that

is royal with so much uncertainty and so much confusion. and rarely has american influence been as constrained in dealing with these problems. three in particular. and i offer them as a way to, i guess, define and highlight some of the challenge that's are facing the united states. number one is the problem of iran which has continued to suck all the available oxygen, sometimes rationally and sometimes not, out of the conversation. we have a budding crisis. there's no question about that. and no good means to resolve it. second, the arab spring, arab winter, asia wakening, once in a century set of changes which are literally transforming the arab world as we know it, again leaving america unsure, unbalanced and very uncertain. finally, the problem, of course, of the much too promised land, what do about the israelis and palestinians which over the course of the last several years has offered more process than it

has peace and has, i think, shown the triumph of experience over hope. but these three challenges need to be examined. and that's precisely what our panelists are going to do today. it doesn't take a profound bit of thinking to make the prediction that they're all going to be playing probably at the end of this year and well into the next administration. regardless of who the president of the united states is. and i'll echo one thing that jane said. it is not time, i would argue, for cruel and unforgiving analysis, cruel and unforgiving analysis. we cannot base our policies just on the way the world is because you must factor in how you want the world to be. america is not a potted plant. it does have influence. but statement, the risks of only basing your policy on the way you want the world to be rather than on the way it actually is,

is an rx for catastrophe and disaster. particularly for a great power. and we've seen too much of that when not enough thinking has been replaced by wreckless and premature action. i don't think there are three better panelists that i could identify to grapple with these issues today. all have had long and deep and rich analytical experience. they're all authors. they've had experience in and around government. and they represent, i think, the best, in my judgment, of this analytical tradition. one final point of housekeeping before we begin. there will each speak for 10 to 12 minutes. i will take the moderator's privilege of asking a question or two and then we'll go to your questions. and your questions, i hope, and i hope that everyone will identify themselves. but we cannot afford nor do we want what i call station identification. that is to say questions as

questions. and i will try to be cruel and unforgiving in exercising my powers such as it is in trying to control that discussion and make sure that we have enough time for questions. they each will address any or all of the three issues that i identify. so welcome. let's begin with you. >> thank you. in israel, we always make the distinction between the important and the unimimportant. the most important issue for is czys to rea israel is to reach a final agreement with the palestinians. because of thet would finally define and shape and protect the character, the

democratic and jewish character of israel. that's the most -- if we come to the essence of israel, what is israel all about. this is the most important. the most ar jent is to remove the threat of the iranian regime. now let's see the last year. how did it affect this? mainly, the most important is e issue. what we see in the news is actually how three, four characters in the region are brutally fighting about -- not about their identity, about to preventing their fragmentation which is libya, iraq, syria very soon lebanon. because syria is belongs to lebanon. but in the broader