to havere turned out adherence to therapy. that is an important finding. happily, in africa, many of those kids are surviving. , challenging issue with plan b occluding the hiv therapy which looks like their retention is not as good as we had hoped. they are falling off and that is going to be an important challenge. say that finally, the other thing that emerged was how -- you areranular talking about the data and

>> the importance of really targeting resources to where the virus is, to where people need treatment. where transmission is ongoing. given what the global funding climate looks like and given the fact that we are beginning to bear down on this. i have to thank you, because i was at many of the sessions and have read so much that has come out of the conference. that was the best summary of everything that happened. you got the best summary right here. >> thanks jan, and baxter kaiser incurred for hosting us. and congratulations, chris. you're a sent to being president for the next two years and -- and moving towards durban, which is very exciting. i was really struck by the emergence of opinion.

justin sitting and listening to , to michelle sidi bay. degree to which is a very mature in advance consensus around what needs to happen is remarkable. this is not a community the set in deep controversy and division. i was at times a little irritated. this is really a sign of success. it, awas embedded within palpable realism and focus on results and implementation. there was a spirit of constructive forward-looking progress to this. and a sense of advancement and a sense of realism that all came together around those five or six key things. i didn't fully appreciate the degree to which that convergence had happened. testimony to the

maturity of the leadership and the continuity of leadership when we look at the people that were up and eloquently making the case. they hadzed how long been in leadership positions. it is a very unusual -- that we have. i'm going to say a few words about the implications of the m h 17. i think this is truly extraordinary. i'll explain a bit more about that. i think we need to tease out a little bit of the implications. first of all, we have never had a conference in which a geopolitical global crisis sucked the conference in and sucked the host country. australia suffered the loss of 28 citizens.

18 citizens from victoria state died. this became a geostrategic top priority, pressing, urgent matter for the australian government, as it did become a pressing and urgent human matter for the organizers in the aids conference. realityno escaping the that this was going to become a dominant factor going through the week and beyond. thinking about what that means in the immediate and longer-term, i think is important. one is, the mh tragedy will become a signature frame for this in the future as we talk about this conference. secondly, as it triggered a massive spike of media coverage. bear in mind, going off to melbourne was to push the aids

conference into the periphery. lowering the numbers and lowering the presence in a world in which the global media is shrinking in terms of its willingness to deploy to this kind of conference. the media presence was a lot lighter than it was two years ago. that tragedy spiked the media coverage in a. period. the storyline was a human tragedy and impact there and what that meant. for lesson that has been in the past of the sort of programmatic developments that chris and therah -- i do agree that immediate impact was a slightly disorienting and dulling effect upon the population for the first couple of days. there was a somber nest that hung over the opening ceremony. the delegates themselves

individually and in early panels and events. what was interesting was that that was a rebound effect began soon thereafter, in which you saw a community that had an unusual resilience to it. it had an unusual capacity to absorb and process this tragedy. some of that is due to historical -- of hiv/aids. this is a community that is familiar with loss. it is familiar with the rational alliances. was a reconciliation of a kind that happened slowly. one of the key moments, i would like to have from jen and devon

chris on this. i thought one of the key turning wednesday. thatwas not a conference attracted a lot of big celebrities. it attracted bob geldof as a , but only really attracted one global personality and that is bill clinton. clinton came in and the media intention -- attention intensified. he really was quite deft at lifting the spirits of the conference and defining the moment. he was particularly humble and eloquent in the way he went about doing that. 17 emanatingut mh from a dark -- from the dark forces of her injured -- of our interdependence. he reminded everyone of the 2000 people there in the room not to weaken their resolve in the face of this. andupported the dutch

australian and american positions that there was no excuse. then he segued to talk about the vital point of appealing to the assembled community, that it had an obligation to honor the service and lives of those who were lost and the children were lost. he said we have to remind people that the people we lost gave their lives to the proposition that our common humanity matters a lot more than our differences. this is the kind of speech that and obviouslyual driven by this tragedy. two other points about the impact. one is just really government. they were at an exceptional host . they were cordial, there are gracias. it was very well organized on their side. this was a national tragedy for them. consumedt completely

this government and in a way stole any serious high-level attention away from them. they were absorbed in the security council and getting forensics into this crash site and they were rallying in mourning and grieving their own population during the conference on thursday in the early afternoon. leaders touted at st. paul's cathedral which is just across from the conference . in the midst of this conference was this other, larger drama. say has toing i'll do with vladimir putin's actions. mh 17 tragedy aggravated and further worsened was already

a line in which putin's seizure of crimea and ukraine and the battles to regain dominant shares of asia and the baltics and elsewhere has great public-health applications, was driven into the next stage. we need to think about that. that.d to think about i'm not sure there are any easy solutions. it was another one of those dark and somewhat implicit applications for this terrible tragedy. >> thanks. i want to pick up on one thing you said. i agree. that speech was quite extraordinary by president clinton. i'm not sure it got the attention it needed. thething i want to say is ias itself, anyway responded, was also pretty phenomenal. there had been a few calls for

if we should go on with the conference. the ias cannot read away and said we have to go on. that really just gave a lot of energy to people that people needed. the weight you adjusted to the opening ceremony was very admirable. thank you for that. .here is a lot to pick up on i'm going to go to a couple of places. chris, do you want to say anything in reaction to some of the pieces that steve mentioned on the conference? one thing that would be great to hear little bit about is the declaration. maybe just start with another declaration. of the core ideas that we had for australia is that countries now, 30 years and more into the epidemic, each have their own story and their own national response to what is happening. part of the story with australia implementation of

evidence-based prevention, very early engagement in the communities. on the first countries to really seriously take needles exchanged to scale with the intravenous drug use problem. and really heading hiv off at the pass and still having an admirably low rate. it is taking up an young gay man as it is everywhere. this is part of the story, that australia has a place to talk about key effective populations. we are in the south pacific asian. poor public health policies and programs in restrictive environments. that certainly is the case for central asia. and increasing russian influence on public health programming in that region. we focused on the melbourne

declaration to say basically nondiscrimination is totally this point. at if we can't do a better job of delivering safe and effective programming with dignity and human rights for everybody who needs it, we are not going to be able to succeed. the melbourne declaration became all too real and alive during this, i have to say. vis-à-vis the issue with the russians, we wanted very much to have the russians engage in this conference and have central asian governments involved as well. in asia-pacific we try not reached a. we organize a special session on the region in which we invited russian participation in. they agreed. the head of the federal aid program of the person they put forward. 10 days before the conference that person pulled out and said sorry, we're not coming here to russian government is not participating.

in avited them to put report and they didn't do it. on the day of that session, which is on the thursday, they media letter to the protesting the russian exclusion from participation. it put us in a very challenging position. we try to respond with the evidence. we laid out what actually had transpired, but as steve said, is really distressing about this is first of all, that their own public-health programs have markedly deteriorated. the quality of the data and evidence is such that it on think anyone knows what is happening in that enormous country. that, they are also aggressively promoting its policies and practices, pressing hard on anti-homosexuality legislation in their region of influence.

, and it example of that will stop after this, it is the occupation of crimea. as you may know, they announced the cessation of the methadone program. ukraine has methadone substitution. on the first day of their occupation in crimea. whereives you a feel for their sense of priorities is. you occupy some houses country with a long list of things you need to do. most people would not put in that -- methadone on the day one list. but nevertheless, we really do have an enormous challenge. debbie, bacteria and then we will open up. two other things that have come up. one is around this -- i think we all felt a global consensus about where we need to go. whether it was the geographic focus, the goals, how we get there, how we use resources.

you relate to that dialogue. a follow-up to the africa summit so we can get that out. i notice consumed all of your time. what is your readout on that for us? , theis particular meeting ias was really helpful for me. it was the intersection of the that reallyrt illustrated where we have done well and really recognizing that, but also recognizing where we haven't done well and immediately be able to go look at the posters and the planners and see you as got something that we can bring back to try to implement in those areas. we looked through everything and where we still have gaps. tb/hiv. we are patients coming in and getting therapy. and notagnosed with hiv getting hiv treatment. we have a gap. we have to figure that out.

that one should be pretty simple because we arty see the patients. we are paying for them to come to the clinics. we need to really redouble that effort and really used data for decision-making and understand that situation. the gap that was clear is pediatric treatments. we really tried to respond to that immediately. we sat down with pete mcdermott. he shares mine and everyone else's global concern for children and children accessing treatment. only about a third of the children who should be on treatment are on treatment. country by country. even countries with an enormously successful in getting . we have areatment area big announcement at the african summit yesterday. because it stands for, but it recognizes that the

european is working together on these issues. we haven't had the kind of alliance with europe during this time. i feel very strongly about the global fund we do, too. we are the largest contributor. having a technical dialogue really helps us to have a broader dialogue very we are very excited about that. there's a gap i think we can all address. i think the bubble diagram in the cap report over the continents was very important. to make it very clear that the vulnerable population in sub-saharan africa is young women. 7000 young women infected every week. if you added up all the other bubbles of audio vulnerable populations that fit within the women circle completely. the size of that group that is vulnerable and at risk. if you walk around to the posters, a lot of people have ideas, but none have been taken to scale. like young men, have their own agenda and their own endeavors and their own belief systems that we have to

really discuss with young women. it takes us back to -- we have to understand what is driving young women's decision-making. to have enough knowledge, are they making correct decisions for them and do they have all the information to make your own decisions? re: giving it to them and are we giving them the correct services in a friendly way where an adolescent feels like they can access a clinic and get advice about someone going, why are you here? do you mean you're having sex? we know this happens. it happened in our household. i think it is happening in others. passed that now. there are 27 and 31. it was a long and difficult time. i recognize that as a mom, i think all of us struggle with this and we struggle to figure out the best way to resonate with young women and we had to figure that out. i think it was a great time to really look where we stood -- where we still need to do better and see if we can connect with science that gives us a roadmap

heard we are excited about those pieces coming together. we're excited about the opportunity to translate gaps immediately into a response. we want your ideas. to put all of our data up on the website. all thego to it and see budgets and results by country. all of our investment strategies by country. us andformation back to say well, i am there, i have looked at is and it does make sense. don't try to hold back. thinkt to hear where you we can do a better job. we are committed to putting additional data as we receive it. wriggling down to the site level and site level quality data so you can really look at our performance and tell us how to do a better job. we are all in this together. this is a global pandemic. i decide to leave it one last thing, because you didn't mention it and i'm sure it is in everyone's mind. ebola. it is a very big contrast in how the united states has worked

effectively in partnership with countries. or six ebola outbreaks you haven't even heard about. you haven't heard about them because scientists and clinicians in those countries had the immediate infrastructure , a laboratory infrastructure, the knowledge base. when those patients came in, they were merely isolated. the laboratories diagnosed them. there is one case in uganda or five cases in drc. another one or two case in uganda. i think all of us should feel guilty in a way that sierra leone and liberia and guinea did not have the resources to really identify that -- those cases in the laboratory. i think it speaks to the infrastructure in the laboratories that have been built, have been really critical to the health system. sometimes we ignore the laboratory and we shouldn't because it is absolutely critical. one more gap. beg acting prep would

amazing. we have vulnerable young women who may not have the ability to take a pill every day. see a lot of birth control pills on my counters where there are still pills and they're not all pushed out. it worries me. prep is important and i think a .ong-acting treatment option it could be abridged for young women and vulnerable young women. tasting pediatric formulations. i understand is, frankly. we made diamond tapped is good. we have coming vitamins, and we can't figure out how to make the gesture treatments taste good day at a mother cannot hold the child down every day to give them a dose of medicine. it is horrifying. if your child is artie sick and you're trying to do this, its horrifying. gaps.have some technical

if you're working in any of those areas, please work harder. [applause] [laughter] >> have another thing that wasn't talked about. it is a question of resources going forward and where they're going to come from. there's a big emphasis on using the existing pool of funding that we have and using it wisely, which is incumbent on everybody, but going forward we know there are these gaps and needs. government commitments for hiv are going down. that was an issue. there are other sectors that can help. that was something we can get into. posse joined at anything else before we get into it. >> just a few quick ones. the melbourne declaration, michael kirby the australian across a remarkably

-- as remarkably eloquent and powerful at multiple points. from the beginning, then there was a session on criminalization . there is a very genetic session. and the u.s. ambassador john berry showed up at that. it kicked that session off. presentation, he turned the view back upon the united states in terms of the body of law at the state, federal or local level, that impedes a sensible rational approach on reaching certain populations that need to be reached. it was a very refreshing self-critical way. it opened the discussion quite nicely. michael kirby came in and blended as well. >> i was quite amazing. iswhat is less clear to me

what was supposed to be done. it was less clear to me after all the pronouncements. the melbourne declaration was great. the criminalization session was great. it pills that were made, kirby's opening address on opening night. it has not yet gelled into a fairly clear set of priority actions that are supposed to happen, to address this urgent homophobia and the proliferation of bad laws. i put that out. another problem area that emerged was fact that there were no serious high-level asian leaders. the president of fiji showed up, which was nice of him to do. there were ministers there. --arcurgenot a there's not evidence of broad gauged high-level political interest from the asia-pacific

region. i was disappointed to see that. e world bank and the study of the financing across asia-pacific, a paper that will be published at -- that david wilson is working on. it shows that in this case, the response is overwhelmingly dependent upon government commitments. it is right flat and very deficient. that is something. myanmar, we do a session that chris was helping us organize. the deputy minister came and presented. there's a bit of a debut. hasrnment of myanmar overcome its sense of embarrassment or discomfort at talking publicly about its programs. it came forward in a very candid, calm transit, honest and forthright way. .hat was so refreshing to see the response was great.

you had dozens of myanmar folks come and those from the region. you have indonesians and tie experts join in that effort as well. i was really delighted to see that. thank you. open it up to questions or thoughts. we will take three at a time. just introduce yourself. there are mike's on both sides. i'll try to facilitate this by pointing. ok, you have-- somebody over there come over here and over here. >>t say who you are and -- hello, i am from usaid. my question is for dr. morrison. you mentioned that there was near consensus at the conference on the five or six things that need to be done to turn the tide of hiv. i'm wondering if you could review those quickly. thanks. >> next question.

>> mary linfield with creative associates international. i have the same question for stephen. i think consensus at an aids conference is a little frightening. i wondered what you want to see more debate about. what is thed explanatory dialogue going on about low treatment for adiatrics? i worked as pediatric aids adviser terry child health project from 2005-2008. i never thought it was the lack of free agents are formulations. mothers in communities did not know anything about what could be done for the children. beingscussions of parents positive are much more the barriers. what would be the response and what kind of interventions are being looked for is the question i have. >> last question for the strong. and iname is edward green and the u n secretary-general's special envoy for hiv aids in

the caribbean. i happened to -- be at the conference and i share the sentiment of those of the table. in fact, i want to congratulate dustor making the content the context so vivid for the audience. to add a moret optimistic take away. for me, when i reflect on the conference, there was a take away which was a resolve to end hiv is by 2030. i believe that this is a momentous opportunity for health and development. one reason is that i think it was embellished by the unh executive director. not want to ask panel, are you as optimistic about that.

the position of aids in the post-2050 agenda? as a result of the conference, i believe it is ensuring that aids 25thsitioned in the post teen agenda. i think we're all clear on that. less clear was whether or not we embrace it with in the conversion of health. not surehat i was about. i think we have to discuss that thetegy as we move towards u n general assembly in september and beyond. >> so we have a few questions here, one on the consensus and what it was about specifically. low access around and what is going on in pediatrics. this last one is will we be as optimistic.

does your all hard questions about the post-2015 agenda. join to start? lecture. we heard from denver in particular about the fundamentals of the consensus. are really they about making a full use of an expanding and very promising set of prevention tools, including treatment. a sense that in the last several years there has been dramatic improvement and expansion of tools and those in movingtral forward. the sense of the need to systematically retool approaches, from the general to more targeted investments in local and sub regional areas. where the epidemic is most and that includes geographic as well as target populations.

to medically, the imperative to torove use of empirical data guide investments and track and prove impacts that will guide our future investments. the shared common view around girls, particularly rural girls in southern africa, obviously, key populations as high priorities. i would put us a broad frame of this, a shared optimism, a pragmatic approach, a forward-looking approach, a , and i was approach being only facetious really in saying it bothered me there was not a more active debate, there will be more active debates, but i found this broad consensus quite reassuring, frankly. thelast thing on this is whole question around criminalization.

proliferation of bad laws. portion ofprominent all argumentation. i think those are the major problems. to pick up on that? >> i want to get back to the community peace. it relates to all the mothers and fathers in these difficult countries being further stigmatized, being afraid that they will be -- when the perception is that hiv aids is only in the vulnerable populations, then it becomes finger-pointing. we had is in the u.s.. we have to make sure that our responses are less -- that our responses are comprehensive. the community must understand there is a compassionate needs to go with public health. we talk about a lot of technical details, but there has to be a sense that all of us are vulnerable and all of us need access to services and no one should be stigmatized.

what is happening uganda and nigeria and what is happened at cicely's case is intense media, difficult,drc, very and will only drive people away from services, because no one wants to feel like their life is in danger while you are seeking life-saving services. people believe their lives are in danger. and they are. they are in danger. this has to be addressed. a matter of criminalization, but it is a matter of the community accepting that mineralization and turning each other in. we can't and we need to work in that more comprehensive way. i do believe that there are mothers who are not bring the children into the clinic for diagnosis for the very reason that mothers found it so difficult when they only had single-dose medicine. we asked melissa camargo communities and other villages and identify themselves as

hiv-positive to save a child with there's nothing for them. i think in a way we didn't have any other options then. imagine the break of trust with that mother when there was nothing for the mother. b and b plosser going to help us there were mothers feel like they're being cared for, what if you like the children of being cared for. we have to overcome that 10 or 15% that we know are throwing away their pills on the way home. they can't confront stigma in the community. i think involving the churches, who are a very important fabric of the community involving the community leaders and involving the local chiefs to make sure turned away from services and becomes more vulnerable to disease because of what we are doing ourselves. right, thelutely community peace is essential and remains a barrier for both mothers and babies. >> last question is an optimism.

also the post-2015 agenda. every one has heard me speak. i am an optimist. i always approach it very optimistically. i do think in general there was a feeling at the conference. if we didn't convey that, i think what has changed is just in the last four or five years, we can actually say we know what , and that there is a consensus on this things. a few years ago we didn't necessarily have all the evidence and tools. read did a lot, but we have now. there is an not this consensus around doing those things. that haveconsensuses come together. i hope we get carried forward in the next few years to really reach those goals. is anyone want to add an optimism or post-2015? >> let me just say that in my

incoming address at the close of the conference, also tried to share in that optimism, but also back away a little bit from putting ourselves in the position where our concerns are 2030 and saying really, what do we want to do by dermot which is two years from now. if we just kind of keep the pace that we are going out, we should at least 4 million or so more people onto treatment between now and then. that would be actually where we are plus a little better. it seems to me that we need to do with this every to your global convening is to start to use it more as an accountability tool, and really to use it more as a formal way to measure where we are and what we have achieved. i feel its just for myself that the new goals, is a long way

off. >> i think we are a place where we have the community that cares what hav, this consensus that you've heard about, now are really know so much more about what to do. probably the single biggest change is the recognition that treatment is prevention and that by getting folks out there we really are contacting the dynamics. but there are notes of caution there for me. one is these bad laws that actually go precisely the opposite direction. the second is a geographic one which is eastern europe and central asia. we know the epidemic is expanding, given what little it is a toughand challenge. i would say that one bright note about optimism there is that my

cochair for the 2016 conference is south africa's representative to the think tank on the bric s. that is of course brazil russia india china and south africa. maybe there is some hope that that form, which would not include us in the u.s.. it may be is a place where the hiv issues in the global health issues and public health practices can really be brought to the fore many different and new form that maybe will be something of a way forward. i know we have already discussed that. is a stay tuned. cracks one quick comment, if you look in the cap report again, there's a great diagram that shows if we continue to do what we are doing today, at the rate at which are doing it today, the

number of new infections creep up. what is missing in that is where you end up at 2030 is 80 million people infected and a treatment year. $31 billion every there is this for us to take the tools that we have all of us in the room, and accelerate that in all of, because treading water gets us to twice as many people infected. by 2020, it gets us to another five or six or seven million people infected with an $8 billion treatment cap. these are not small numbers, these are not numbers we could make up. they're not numbers any country could make up. look at the diagram and count out the number of new infections there are per year. realistic cost of only doing what we're doing. we're doing a lot, but we are not going to be on a right line

unless we do more. i think that is the call of action to all of us that somehow we have to do more with what we have. we have done it before, and maybe we will get some additional funding, but we can't wait for that. we have to figure a now how we rather more control now than just doing more of a we currently are doing at the rate of the we're doing. that diagram to me is one of the most telling diagrams in the cap report. i think we should all look at it and study it and understand it and understand what those differences and lines really mean. i have one case, maybe 43 million total affection cases and i have 80. you can't of -- we can't afford another 80. we have artie had 75. anotherop of that hundred 50 million people who have been infected by hiv, it is too many. one is too many. >> ok, let's have some more

questions. summons back there. >> you have somebody back there, ? tie e >> my name is veronica swain. i worked in tanzania for many years. i work for 12 years on hiv program. re are very grateful when pepfa began in the early 2000's. what is happening today, i have , oneved two e-mails today from kenya and one from tanzania, and they're saying is beinguse pepfar lessened, their funding in kenya and the funding in tasmania now will go down quite a bit, i understand. they're seeing who can we pressure, how can we start to get the funding back again to a

level? they arencidents, afraid, the incidence will rise again. thank you. >> m juliett hotz from enterprise services. i apologize, i spoke with ambassador bridge earlier about this, but i would like to asked a question to the rest of the panel. especially in terms of educating these populations about the need to seek treatment and diagnosis, i'm wondering if and how you have utilized the extension of social media on the internet and mobile technology to help raise awareness about proper treatment. even correcting some misinformation about hiv/aids. high, my name is anna

schwartz, i'm in the penny consultant working primarily on women and hiv prevention. i wanted to thank all of you for a very helpful discussion. i particularly wanted to thank you dr. bear for editing the lancet series on sex workers and hiv. i think it is a brilliant issue for any of you haven't seen it. it seems to me as though the inirical data that we have that issue, particularly in the study by kate shannon and her ,olleagues, it is equivalent the pickled data showing the connection between the decriminalization of sex work and the reduction of hiv is the equivalent to the data/tipping point we hit in 96 with syringe exchange. we knew we couldn't achieve hiv reduction without syringe exchange on the one case and decriminalization of sex work on the other. what i'm wondering is what can a political response can we expect to see based on these data and

more specifically, how much we can expect the research community to step up and use its political clout to advocate for decriminalization? we saw with syringe exchange after the 1996 data came out, there was significantly increased pressure, not only from the advocacy community but also from the research community for syringe exchange to reduce hiv. now we have canada on the verge of possibly changing and decriminalizing it sex worker laws, or possibly not. we are the south african national aids council pushing its government to decriminalize sex work. i'm sure the discussion is coming up even more strongly in other countries heard how must you think we can expect scientific communities to step up and make an issue out of what we now know is true? >> thank you, great questions. one was around funding concerns. i think it is a larger question.

the second was on social media and mobile technologies and the this very important question, what is the role of science now in the political sphere on the issue of sex work and the relationship with incidents of criminalization. >> i talked briefly about the budget. we're tanzania come back for week of discussions with us last week. as an important discussion because we're not putting the budget. the budget has not been cut and it is not being cut in kenya. their a funding envelope. it is a mix of old and new money. this craving a total funding. do weyou question is is have enough resources. what we're doing right now is trying to look at how to get to --90-90 in high preference high prevalence areas. we had service provision their.

we may not be able to support any longer. remove the human capacity and funding to where hiv-positive patients are, where they can be found and to the communities that surround those patients. atare looking very carefully the geographic analysis and using data down to the site level of every single site showing how many positives they have for every six months grace in the number tested. we're going down to our very granular level so we can make public health decisions based on the funding level that we have. i think once we do all of that and see what can be done, i think your question begs the bigger question of to the countries have enough resources the hostfawr, country and the global fund. there is enormous working relationship between ambassador

highball, michelle stated they we havele sidibey. grown up together. we have only done hiv-aids, we are passionate around turning the tide of this pandemic. i think there is consensus of how we utilize every dollar we to the biggestly impact. i am reassured by that. incredible work coming out of cambodia, i think. i'm not sure. different internet mitigation strategies that resonate not only with different age groups and sexual practices, so that everybody can click on a site and find the place that resonates with them and gives them the knowledge they need. there was just incredible. they had 40 or 50 different individuals talking and you could click through them and decide what voice resonates with

you based on some profile that was done anonymously. i found that so incredibly powerful. if we can figure out how to do that and get broadband throughout sub-saharan africa it would be true if it. i'm sure you saw more, though. >> it was interesting. i was on a conference call with colleagues today. they dropped off. all the connectivity problems. it is a reality we all have to deal with. there is a lot going on in terms of innovations in technology. not only in mobile technology and internet a stick knowledge it, but also some of the domains like self testing. home testing. getting it out of clinics in getting it to people. diagnostics, where again the technology is moving to replace the street place where there are much more local kinds of facilities that can do

staging. we don't have these problems people waiting forever to get a cd for and and being told to go somewhere else with their results. all of the challenges. , which is in the inflammation -- in fermentation fastestarena, is the growing area. fromast from what we see going to conferences. we are learning that one size doesn't fit all of these innovations. it turns out that there are several studies on this, looking at interactive supports for treatment and prep adherence and use. there are age-dependent differences, even among one population among like men who have sex with men, men under 25 really like interactive sms messages and want to be notified of the time. leavemen, no thank you, me alone.

it is for age specific. say something of a plea that i think one sector that has and for much in hiv has been the social media sector, facebook, google, all of that, silicon valley. we need them. we would love them to be way more engaged. on this expert question. when we do one of his competence of reviews and really try to look at the field, we have an in the graduate students publication. one of the things that is really striking is that a sickly for the last 10 years of innovation in hiv prevention and other domains of hiv, sex workers have not been a part of the research agenda. for men,he trials

women or transgender people have enough strata of sex workers in them to be able to do independent analyses. the weighted sex work is assessed in the research agenda is inconsistent and unhelpful. there is a lot of confusion around what is transactional sex, what a survival sex, what is sex work. themselves have been reluctant, many of the organizations, to engage because of feelings of mistrust and concerns around coercion. the whole issue of illegal environment has been seen as hostile to their interests and needs. one of the things it really came we of the series was, and hope that this will resonate with the research community, is that we need to be doing prevention research studies with this community, very much in a new way of engaging our communities that includes them in meaningful assessments.

have anw, we don't answer about prep for people who have had sex. microbialave herbicides. 19 -- 2015 is a real gap. we sincerely hope that that happens. say, in terms of the issue around decriminalization, obviously, that is going to be a government by government, country by country element. certainly, the communities and people who work with them at community-based sectors, ceo's, ngos, they really have embraced these data and are taking it and running with it. as a researcher, that is what you always hope, that people will find what you do useful and go with it. i think you'll see, hopefully, a lot more evidence-based activism now that the evidence base is doing better.

take two morewill quick questions, because then i want the panelists to talk about , to look forward under been a little bit and what that means. and we will have to wrap it up. nice a lot of hands, of course. one over here and one in the back. and then -- oh yeah. and a third over year. chris and i are conversing. make it quick, please. i am from the office here at hhs to discharge with implementing the national hiv strategy. one of the things we have learned is that by making the most of existing dollars means we need to reallocate to really maximize those dollars. it means that we won't be able to do everything. part of our decision-making depends on the cost effectiveness of new inventions and the efficacy. can you say word about how that sort of process is informing

what you think is going to need pepfar andce through other international organizations. >> thanks, second? >> hype, i'm from into health international. essentialare that considerations in the future agenda include in treatment, diagnosis, advancing technology like early initiation therapy neverng-acting prep, etc. having a well-stocked, well-trained local health workforce is also essential to delivering the services. enormouscurrent shortage of global health workers come it even if new treatment and prevention options were developed, many countries would lack the capacity to administer these services. work fitshere health

specifically within this global hiv strategy in the future. >> that question. at thea fellow international gay and lesbian rights commission. i'm looking at how the global foreign is looking -- form is looking how to engage. the key populations is -- [indiscernible] how they can engage in the stats that [indiscernible] . thatyone want to engage yak are you all have the last

word. thank you, michael, for that question. happily, we now have an adolescent trials network that is also expanding its footprint and trying to do meaningful research and is going to look at a lesson for key populations. i think one of encouraging things relates to the who guidelines. guidelines for the first time address adolescent key populations and has really included them in all of the recommendations. in some countries, who guidelines don't necessarily mean so much, but for many they play a normative role that really allows them for all kinds of activities to occur and for people who want to do more of this critical work with adolescents, including lgbt adolescents and adolescents who are selling sex and using drugs. they are empowered by having those guidelines and being able to say this is who standard of

care now. we have to do this. >> really extraordinary work. we are learning from those groups. that is why we have coming back. before we release the 14 money to really work with the countries to see we know we can't do everything everywhere. what can we do in certain places? what are the right anxiety right place at the right time. getting that right will be absolutely key to either going on this line are this line. we feel such a strong moral imperative to do the hard work that you did and do the hard work that usa did -- that u.s. out how is also finding

to do that cheaper so we can dress down women and deal with issues of stigma and discrimination and training at the community level. they're all of those pieces that we feel like we have to respond to while at the same time where china focus the programs geographically and in these core areas. it is an exciting time. have started an entire program of high level hr age and health system strategy. we've gone to every one of the agencies where we know there is incredible talent and we have said give us your talent. every agency has come forward with 5-10 additional people to send to work on these core strategies. we have gotten janice timberlake team coming over from usaid really helping us look at the hr age strategy, what has really worked her task shifting has worked extraordinarily well or itcrabbers are among the best

positions i've ever seen in botswana. we need to bring them into the children's world and other worlds. and we're trying to weave that through this whole health care because that's where patients come and that's often where they first get stigma and discriminated against. so we have to ensure that our training also covered those make sure we funded that adequately. few moreonly have a minutes. i would love to hear from each concluding thoughts and forward looking thoughts on durbin, which is where the next will take place. to 2000, was quite a turning point. so what are your us there?feeting and chris i'm going to end with thisbecause you can use

opportunity to solicit input. steve, i'll start with you and your thoughts. >> okay. to durbin,ing back coming back to the epicenter of pandemic, coming back with others in south africa, that's just an exciting and buoyant sort of opportunity for us. will bememory of 2000 very much there. i'd say a couple of things could done that have been, recurrent problems. one is to work really to recover high legal african leadership into this. that if you go into durbin and you don't have them, it's going yet another sort of sense walked. leadership has

so atreesing that problem priority.is a top second is to figure out in practical, real political terms address the homophobia and the surge of bad laws and wasneeds to be there that not there this time. who need to be there that is can be empowered and can come out of the woods and talk about these problems threatened and be able to put for a concrete agenda. do those twou things you will have advanced the agenda dramatically. africa's transition, of course many of those people that on treatmentought that both chris and deb referred to, are going to be south africans. and the u.s. will also be in the own transition towards lowering its support and the southat off to africans. and the fact that you're coming where our own

achievements and en gainment and partnerships and having are so rich and so deep, gives us all sorts of opportunities to be the create any of the way conference is used. to build congressional support, people excited. it's just, it a very promising sets of opportunities. >> i love the way you talked to durbin as a way to really mark our progress. and i think if we reflect back to 2000 and that very difficult about 2007n then and in south africa where there was awareness with even of hough aid as the agent aids.g i think putting road marks down these things, theh africa has some of most progressive laws, and working with our south african thesegues to say let's in

next 24 hours work with other countries on the african on the yournlt to move towards vision of how, and really act sell south africa's leadership in this area. like botswana and are i vesting the billions of dollars that us going to take to control the pan department nick their country. they've identified the young women issues. so feeting them to have that discussion now, so that that leadership exists in the role up to dr bin, i think will make it vie brante conference, where it is almost a card on did we dole with the issues we identified and did continent will we move together. i think it will be so exciting, out for you.t cut >> thanks. me, helpful, and believe all three of you are going to be part of this effort. please,er engagement really

matters in a big way. things. a couple of up with is of course we have not had or won't have had an aid conference in after ka in 16 years. time.s been a very long and of course south africa's and trajectory from 2000 is just an extraordinary transformation, and that obviously will be a of the story. we always try and have the in places where we hope it will make a difference. buteople don't know this, steve does, that when the president lifted the h.i.v. and we could in fact come back to the united states, were there in you d.c. in 2012, we had had made the decision to come back to the u.s., then we had to choose cities and we ended up choosing watch because it was the highest

city in the country, sadly. zero for women and girls with h.i.v. the highest rates in young women the world.n is a critical part of all of what we need to do, prevention, treatment, human rights and stigma in communities. reasons itfor those really is the right place. the head of the hugh an sigh ens has beencouncil and one of the architects in south africa's national health system is really a leader in how you integrate h.i.v. into a health system. reasons why wehe asked her to do this. she'll be the first woman from africa to chair an international aids conference. so we're very excited about that. brought this up with her and said that to her and course you're

going to focus on women's and girls. she said, well, i think it that we focusnt on human rights. all right, you're on. so we're going to do both of those things. abeall the others that need addressed as well. that the would say i.a.s. is a member organization, you are members, if you're not please join us. lot ofhave quite a input, it's an elected representation, your new representative for north america on our executive committee is prf ken mayer at harvard, and the fenway community health center, a real field.in the and so please go onto the i.s. not ae, join if you're member or get involved. durbin is probably we hope going to be the same landmark that it was in

2000, but in a very different way. trying to prove a point, that h.i.v. is the cause of aids. we're really going to be at, we hope, a real turning start to say, can all right, we have the measures, we have the deliverables, how doing on this. yes. it third week of july, always during that time, i think 27, 2016.ut to 22 to >> thanks, chris, and we're here to help you, for sure. thanks to all of you, please join me in thanking our really richr a conversation. [applause] and thank you everybody for joining us.

>> the president of somalia was in washington this week for the summit.ica he'll sit down tomorrow morning oh talk about some of the challenges facing is country. topics include security concerns and oil exploration in somalia. live coverage from the brookings institution starts at 10:00 eastern. and they, the european court of justice ruled that google and engines must consider requests by any e.u. citizen to delete information about them. a policy, known as the noon to be forgotten, at

eastern the congressional internet committee hosted a discussion on privacy rights. >> american history tv on c-span 3 this weekend. friday night at 8:00 eastern, gate 40 years later with a cbs special report and president the nation.ess to saturday at noon eastern, a live author andogram with journalist john farrell. sunday night at 8:00 on our presidency, gerald ford becomes the 38th president of the united states much this on c-span 3's american tv.ory >> incumbent tennessee senator won his prarytr

party's primary the other night. after his victory, senator reporters.poke to much.nk you very thank you very, very much. thanks for being here tonight, everything. about a half-hour ago the called thisress race, said we were winning, and and the to thank you voters of tennessee forgiving me the nominee. you know, this is one of the largest republican primaries had in our states history. inre are seven candidates this primary, they all run ran 'we're glad that it's

over. why, there are so many verse voters 'our primary this year. one hand, tennessee ans to express how proud they our state.pay he led i want to congratulate him. [applause] and second, those who voted in wanted toican primary set a different sort of message, a message to prawp that we're not happy, we are very disappointed with the direction of our country and we're hoping offing after november a new republican majority in the united states senate. applause]d there was another kind of in this big primary tonight, in a large primary in the most conservative tates in the country, tennessee

it doneominated a get republican governor and a get it done republican for. you what you mean by that. thati mean by that is --ernment the governor i and try to solve the problems facing our country. how the country tennessee has brought new jobs into the state. and the absence of that kind of leadership in washington is why our borders and debt are out of messol, where we have a with our health care policy and so hard to find a new job today. have to do is i

recognize that if we want to going toama care we're have to pass something' if we we'reo function the day, going to have to work with other people to debt it done. tennessee' get it pointind layeredship and it if you read much history, you know we had many more gull problems back in the earlier days of our country. our biggest problem is the answer of the get it done kind of leadership we immediate in washington d.c. we're just as strong as we ever we just needntry, a different kind of leadership. i want to thank all of you, i our campaign team,

alice and tom and all of you. thank the congressional delegation and the governor and the former republican state chairman, and the hundred of young shows who phonequarter million calls and knocked on doors. steve smith in the finance team, thank you, thank you to money honey and our family, taylor and heree and will are all tonight. thank to you the people of ten he. whont to congratulate those cop peteed in the republican primary. women inellent men and that race. they have a real sense of running.n their i want to invite them now to join us, to join us, to try to and changed in this country. and i want to look to independence and democrats across this state and say if we want to change the direction of our state, if we debt and control the border, if we want to control the dealt and we want to of our schools,

if we want a health care policy that has more freedom, more choices and lower costs, we want to make it easier to fine a job, after we make our speeches we'll have to roll up our sleeves, get together, work with other, and get something done. [cheers and applause]

>> primary voters go to the polls in michigan on saturday. incumbent u.s. senator brian is facing fellow democrat, congresswoman colleen hanabusa. brian schatz was appointed by death ofnor, after the inoue's term. >> from hawaii news now and the

honolulu star advertiser, this is campaign 2014. senate showdown. host tanya joaquin. krugz senator. welcome. >> brian schatz became what you your senator at 212. not just the loss of tonight your but those .elationships chair,ced back as party l.g. >> this is the first time that the people of hawaii have a say in who to succeed and serve out the remaining term inoue.tor >> both candidates say ultimately it comes down to trust. who they know

will -- >> it comes down to getting along with your colleagues, working with them, establishing that trust. >> tonight that's and hand abuse that in a senate showdown. evening and welcome. i'll be your moderator for tonight's debate. a special thanks to the democratic frontrunners for joining us. senator brian hats and representative colleen hanabusa. each candidate will have one for their answers and 30 seconds for any followups. i'll be watching the clock closely to make sure they each get a fair share of questions. the candidates will field questions from each other, ocial media and our panelists. stephanie? >> i'm here with the hnn web we'll be looking out

during the debate for your questions for the candidates, twitter, facebook and our station e-mail. it is very easy for you to get on twitter,you are mye sure to include mash tag senate, or facebook document for a.h of havingthe honor the first question. a june poll says only 7% of the greatan people have confidence in congress, of course you're part of that body. they're talking about you. the american people wrong? tanya, and thank you to hawaii news now and the star advertiser for putting on important debate. they're not wrong. i think people have a light to therustrated with performance of the congress, and it's not just that they haven't gotten important things done. work to do in terms of

infrastructure, in terms clean energy, immigration policy. but last year especially it wasn't just that we didn't much, it wasry that we affirmative will inflicted harm on the economy. did that through sequestration, through the oftdown, through the threat defall. so i think people's frustration is justify. is work work do across the aisle where we can fine common ground. ways to collaborate and thet beginnings done. >> representative, the same you.ion to this is the lowest in history we've -- >> it's unfortunate but it is true and a lot of it is because aey look upon us as dysfunctional body, not in touch with anybody and not hearing what the people want. the most amazing things about in particular race

hawaii it affects us in is people seem to be so engaged. and i think it may be for a variety of reasons much one they feel this election is very important. as both a national feel, but there's also a sense locally as well. i think that with a people need to feel more than anythinges is that's withope and a we are here to do. we end of this evening we're asking time to trust one of us, to represent them. not trust of our colleagues the congress, but crust the people, that's what we've got to build up and that's what's going to make the difference for the election. people have got to get engaged and i'm hoping this will be with a exactly with a we knee. first question. >> good evening. this question is for representative hanabusa. one reason the governor see he

did not appoint you was his fear a republican could win your seat in the house. very real.io is when you accept responsible for the damage that could inflict on party, if that seat goes to a republican in this election? should be asat i responsible as the governor was, because remember what happened the governor triggered the special election when he stepped governor.n for that's when we have the special .lection this is an issue of who the people want. will feele people met you would either succeed .r shape succeeds i have full confidence in the of hawaiithe state that they will vote who they

believe is the best person, not to succeed senator inoue, but also to succeed me. who arell the democrats running and i have confidence that they will mount a campaign, them hope to see one of succeed. >> representative, a quick followup. it was your choice to run for the senate seat as opposed to staying in the house and that is a question. do you take responsibility if your currency goes to republicans? this isn't necessarily about the governor. >> no, as i said it is really the people's choice, and the people will make that decision, to who should succeed me in my seat. a republican, and the seat just like abercrombie vacated his. this is not a matter of which party has to stay, it is a the people of this state feel confident in and want them.e represent >> senator schatz, one minute to

respond to the initial question. >> thank you, i think it's critically important that we democrats after the primary they behind whom ever is nominee, and that's something i'm going to make a priority for party, it'sic really important that we help tocy pelosi, that we try butt rest the democratic current minority in the u.s. house. colleen can run for any office she wishes to run for, and i think people ought to don't fought so i her for making this choice. i think this race ought to be thing.ne simple which is our records in the congress. she has a record in the united i have a record in the us senate. i believe i've shown that i'm more effective than colleen in the united states congress in terms of building the terms ofhips, in garnering the appropriations termsre important, and in of letting the values of the people of the state of hawaii and i think that's the ground on which we ought to have our

debate. >> let's move onto our next panelist. >> good evening to you both. despite the faith placed in you governor abercrombie, your campaign website no mention of him, no photos of him. omission or not, what does this say about how you loyalty. >> look, i am running against could lean hanabusa. against me.ng there are other races going on and they are important to lots across the state of hawaii, but we both have to own. on her this is an important race and i basic question in front of the people of the state of hawaii is who has been more the job. in i have been more effective than colleen on the job. last three ande a half years has been not a terribly active legislator. hasn'tt just that she passed very many bills, but also on keye hasn't focused areas that i consider to be

important like social security, clean energy, you've got to legislate, work hard, and i that's the ground on which this debate should carry forward. to be loyal to my friends in politics, but that's about.t this race is this race is about who is best going to represent owe >> senator, we have to cut you off there. apresentative, you deserve chance to answer that. >> thank you. i think that brian should acknowledge the fact that he was appointed by governor abercrombie and what i means. in the would not be united states senate today if it wasn't for governor ambercrombie. maybe it just the way we were raised and how we leak at loyalty and honor, but it says a lot about the candidate. and brian goes off about being senate, when you're in the majority it's different, but will put my report next to is

any time, threes when it comes brings it hope for hawaii in the one area that's been able andtablize our economy, that is federal spending and the military as well. to see that when you're in the feelity of the senate, you you're more effective. the chamg challenge we face is do you per under all circumstances, and i have the best records and the best being a member of the minority party. hanabusa, intive your campaign commercials and during the campaign you youstigated the fact that were a legislative leader. can you give some examples of leadership and what specifically you did? and mostfirst important thing is that i am the first woman to be elected as the senate president in the history

of the state, and also the first asian woman nationally and the first woman to hit any house in the hawaii state legislature. when i firstat, got elected, it was decided by states supreme court -- we took hears hearings. i lived that investigative committee. when we were facing the crystal meth, we did that special task force and came up with the pieces of len legislation that turned it around at that time. and when the youth correctional trouble, we did that as well. in addition to that health fund civil service changes, all pieces of legislation which have my fingerprint on it. those are examples. >> senator, one minute the upon. >> i think you'll notice that colleen really zeros in on her

state legislative record. the question in front of voters is how have we performed in the congress. introduced 28 bills and about three and a half years, that's about a bill about every six months, four or five have been ceremonial in nature of them has passed, post is to prename a on the other hand, i hit the ground running, i am new the chair of the tourism committee. chair of the water and power committee. i've been able to garner key forations that are hawaii like the east-west center. and when i comes to our values been prioritizing social security, clean energy and college afford ability. notice colleen wants to talk about her record in the legislature rather than her record the the u.s. house. you're both talking about record and effectiveness,

yourself,ch grade give yourself a letter grade on how you have performed and grade your oh point inlt as well? >> well, i'm not ready to great i have hit the ground running in the united states suit. specifically when it comes to the procedures, bought there's the senateite like in terms of the arcane rules, but the other thing i've been is milk friends. thecan't run people over in u.s. senate. you really have to dole those relationships, and there are a few freshmen senators who i've with. close >> senator, your representative, if you could great your representative. >> my basic country simple of colleen for her type in toughs that she has not been terribly active and it not just a question of not passing bills, also a question of not even legislating at all, not

legislation ing areas like clean energy, social security, college afford ability. she's got plenty to say about what's wrong the legislation introduced, but she happy done very much. >> i'll take that as a failing grade. to grade brian, grades foring high saying things, because he doesn't really have the report has.airmans he he claims to be the chairman of the tourism committee. hearing, you were appointed in february of 2014, one hearing. most critical issues that we faced in hism. and look at what happened, no that hearing. now, he says i don't have a record. look at the national defense authorization act. you don't need to have a bill, like his social security bill says that he wants people to sign onto that he's on

convinced two other senators to sign onto. look at what actually passes for hawaii. taken firm positions on the look at the -- counts.hat >> no letter grade. perhaps on social media, you would like to take this time to grade our congressional delegation, let's check in with stephanie woods. >> it's been pretty busy since the start of the debate, we've been getting a number of comments about the candidates and for the candidates. here's a question from our news now. katie asks, with the crisis in escalating, what is your inition on u.s. involvement this region my tarly and monetarily. --the question one

>> this situation is escalating very quickly. ground invasion right now of the israeli defense forces in gaza, and certainly to defend a right itself. but we hope that it is limited and in time. what we hope their objectives are are to shut down the tunnels, which were the conduits through which materials for the transported.re and if it is narrow and time limited, then that would be the best case scenario. best no in israel's interest, it's not in america's best interest if this is a long-term ground invasion or occupation. scenario right now is that egypt plays a role in cease-firen initial and investment peace. but we are a long way to go from that. the idea --

gazae way we have to fix is there's got to be a cease-fire, there's no question that. i believe the country that can broker it is egypt. and it not because of the tunnels that are going from gaza israel, it's the tunnels that go from gaza to egypt. they on the lot of the trade goes through, when they did it --putting egypt plays a critical role and that's why you see the vice sent conceding to egypt. we need to have the steps being taken. to step up to the ones,because they are the we need to stop the killings and we need to stop the bombings, s

we need to have someone who gaza wants, to bring them all to the table. >> another facebook question. will be first for representative hanabusa. here's a facebook question on sovereignty. would you as senator support the interior's efforts to bright a distinction as a tribe for federal recognition hawaiians. what about those native hawaiians who disagree. >> i do not believe that the native hawaiians should be a tribe.s i do know on the department interior's website that it did and something was put there for a of years that said four tribes.e that is not what i believe they are here to do. they are here to ask the question, should we reestablish the relationship of a government government, with the native

hawaiian community? that is the question. it is not the creation of a tribe. so the next step has to be that the department of interior must come back, because this is an advance rule. they are asking the question and defying what would be reestablishing, what would be that nation to nation relationship. >> senator you also have 60 seconds. >> this is the question of justice, this is a question of making sure that native hawaiians are on an equal footing legally with american indians and alaska natives. so it good that we may never get the consensus, but with some working very hard listen carefulfully about what the best configuration of a hawaiian government entity and how that would interact with the state and county and federal government, i have some confidence that we'll be able to move forward. but there's no doubt this is several years to get to the place we need to go. it good that the president has tarted this conversation. >> time for more questions from .ur panel >> senator, the national journal as one of the you three most liberal senators in the nation. that stance that accurately reflects the philosophy of the voters in hawaii >> well, thank you for that question, we joke about this ranking on the senate floor

because that ranking, first of il i'm a strong democrat and believe strongly in the values that i think a lot of people across the state of hawaii in.eve in a lot of instances that makes me a liberal, but let's be clear. journal ranking i think had elizabeth warren at sanders at 37 so i went up to them, bernie sanders a democratic socialist from investment. ranks get goofy sometimes. but i believe in democratic values. that sometimes you have to basically lay down your partisan arms and find across thees to work aisle. i've been able to do that on defense bills, i've been able to when it comes to the native american veterans wact bruised and passed into law. that i haveo doubt views that are left of center, but i've shown i can work with

republicans. the,w does that reflect your constituency? do you think you are more, less liberal as your -- >> that sound a little like a not suretion, so i'm how to answer that except to say believes in progressive values, green clean energy, we believe in a social net.y we belief that college affordability is critical. we don't always agree with our president, but we're very proud of him and we agree with him on many many issues. so i reflect those values and i take them to the united states senate. >> one minute to address them. me?ou have a ranking for so without a ranking, i would assume that one of the things i have always done done in the to remember the most important thing. be asked in a

bipartisan manner. unfortunately bipartisan has taken on, in some situations, as kind of a negative connotation. the the ranking member of indiana has can native affairs committee the reason i'm there is not because they created the committee for me like they created committees for brian. of the fact that my colleagues felt that that's who for nativehere hawaiians. in addition, when it came to the -- at may that i bes the ranking member because i'm passionate about those issues. represent i represent what the people in hitch want and believe in. questionas the next for representative hanabusa. >> you have just loaned your $117,000. you're trailing heavily in funds, you've is

more peoplethat believe in him and are willing to put their money on him? grace, it believe so, think it's a sign of what it knowns to be considered an meansent, and what it when brian is ranked wherever he's ranked because when you look at what he votes for, i think you can count on brian to vote with the leadership. # and that is something that you get rewarred for. that.t do i am not an incumbent, albeit devine was elected by one person, governor abercrombie. not an incumbent oh i will have to raise the funds for believe in me. but the fun raising component is not what's going to make this election. it's going to come down to how feel and whether you'll have a grass roots out there, hilo wille people in

come out from you, all the different islands will be there of course oahu. it's about the people of the full confidence in the voters. >> one of the things that is the ideaerwhelming is that almost 3,000 people across of wisconsin have tonighted financially to the campaign. across the state of hawaii believe in the message that we're carrying. the donorst just much it's the people who are on facebook, on twitter. who are pounding in yard signs. some people, every weekend six hours a day in the hot sun pounding in yard signs, whether hilo or, i can think of all the people in my own line those streetsg getting sun burn, getting yeseses, getting turned down, at, that's what a

campaign is all about. we're so thankful for the toport that we've been able garner. we don't take it for granted. i think it's 23 days left, we've hard, but i'mry honored for every bit of support that i've been able to get. >> 23 days, early voting starts earlier than that. >> i think everybody knows i'm a strong supporter of the president. but when it comes to off shore we have a difference. i don't know what he's going to do with respect to the keystone pipeline. i oppose that. when he proposed fast track authority and a partnership which would have given the authority to an trade agreement to supersede federal law, i opposed

all those things. you can be a supporter of a leader but necessarily agree with them in every instance. and i've been able to find time his agenda and that tends to be the majority of the time, but there are certain andes where we differ that's what it means to be a good united states senator. >> you have one minute. >> i don't have his support, but not support from him the very beginning and issues such also iraq.yria, and now the only amendment that military the house appropriation measure was an amendment that i proposed, on iraq, which said that the warident has invoked the powers act, he has to come back to congress and seek our approval. way when hethe same proposed syria and a limited bombing of syria. have the didn't authority, and then he changed his position and said i'm going

to come back to something and ask them for their authority. t.p.a.ot support his request, the trade promotion act, which gives him the ability send through congress up and down vote on the transpacific partnership, i did not support that because it takes us out of the picture. i believe we have differences i always vote for one thing, what is in hawaii's best interest. for eachtime how candidate to ask each other a question. respond,one minute to there will then be 30 second for rebuttal. >> being a leader means you have to stand up for what's right. i did not support sending troops to iraq, period, it a sectarian civil war. took action and my iraq amendment unanimously passed the mouse. strategy, why do you support president obama's decision to send almost 1,000 and apache drones helicopters? >> well, first of all, there's

iraq.itary solution in and i've said this over and over again and colleen i think the only dips between the two of us issue actually is that you're running ads about it. look, there's no military solution in iraq. the future of iraq is up to the iraqis. an embassy there, and that is the way you expression your diplomatic efforts. in order to be engaged in diplomacy you need an embassy. an embassy, you have to protect it and the idea that you would have a few apache you need toin case evacuate and you would have servicemen and women protecting personnel, makes perfect sense and especially in inht of what happened benghazi. but let me be totally clear. there's no military solution in iraq. is no difference between the two of us on this issue except that you seem to be sort of really focused on criticizing the president's foreign policy, and it's not just iraq. why, libya, it's iran, it's iraq. you find a way to never agree

foreign president on pom. policy. is in dangerassy you should support the withdrawal of the people. anotheryou can add thousand troops, you can add helicopters, drones, you can do things.e look at what the president is doing, brian, he can't even put the people there in with the shiites because he doesn't know if they're going to kill us or not. >> are you suggesting we actually just pull up stakes and withdraw our embassy? two choicese are here. either we have an embassy and we don't have an we embassy. and if you're proposing that we withdrawal all embassy personnel, i think that's a pretty radical position. it's not a responsible position.

you're proposing that we keep an embassy there but don't protect our personnel, that's a nonmainstream, quite radical position. >> senator, your turn to ask a question of your opponent. >> thank you. the v.a. waitlve times that hawaii veterans are facing, you wrote an opinion piece entitlessed, new hospital in guam can help far-flung veterans. the veterans i talk to just don't understand this. veteransell hawaii's how building out an expensive time consuming project on guam help them? >> you know, brian, i don't know which veterans you're speaking to. thing i knowne from the veterans i speak to is beerans want all veterans to taken care of. and i'm sure you're follow what andwail times look like, the most reason numbers are 303 that are still on the wait list. there's still a lot of time there, because 83 of the 303 are

guam. now, think about when it takes for them to get service. the guam hospital idea is one in the long term as fix this whole issue of serving our vets. of's not take our eyes off the bouncing ball the most important thing is how do we get service to our vets. and the wait list issue is one that we can resolve here, they job.oing a but how do you explain, 303, are from guam. >> 30 second. too many,o me 83 is but it's not worth literally building a new facility in with a naval hospital on the ill of guam. s127000 veterans in the asia pacific region, s17000 of are in hawaii. if we do this on guam it going

take forever, get hung up in the environmental review process. it's very unlikely to happen and meantime our local veterans will be i waiting. >> that's not true, brian, there'syou know that going to be a bill that will en man's the amount of money for well as nurses. we already have the daniel kch akaka facility on the books. but look at what you're saying, makeve a situation and to the misrepresentation that we it isbe able to incorrect. we just need to modify it a little bit. already seeing three vets a day in guam. so how can the misrepresentation that it would take more point long? long?

>> the next question. >> she has criticized you for wasting your time in office as a senator.

what's the most important thing you've accomplished that has helped people. something your constituentings say i had this today because of for that's. >> when i said he was wasting time, i was talking about the that he says that he has these committees and he's been appointed, that's in february of this year, that he got the committee appointment. in also he had one hearing the whole time on an issue that's important to hawaii the tourism committee, one hearing. there is no bills that have been marked up, no bills have even from thated committee. that is what i was referring to. we serve our members, and our people of the state, we need be very cognizant about what's important to them and how do we serve them.

i look at how we can build the economy, what are the jobs we not just pie in the sky ideas. what are the concrete ways that aople will feel that there's better tomorrow for them and their families. >> representative, i just want to follow up. saying he's exaggerating the roles or is he lying about the tourism committee? think brian lies about it. i think he may embellish or exanl effort. like, for example, when he talks about the social security offered. he's the question is, it hasn't had a hearing yet, and i said i would i have looked at it and i can tell you that there's only two other senators it.signed up for there's more members in the onto who have signed companion bills. so if you're working so hard on it, this is an important issue, have you only convinced two. >> senator, 30 seconds to address that. to be clear, on the tourism committee i did just get appointed to the tourism

ofmittee because a sort chain reaction when max baucus to china, ambassador so that position became available. i've had two hearings. are marking up brand u.s.a., which is a piece of legislation, colleen, which you know is very important. we've also may progress in terms of preclearance in terms of protection. on the japan sigh visitors are do customs into japan, and arrive and start sending their money right away. incongresswoman, you've said the past, and we just talked about the v.a., that you ofagreed with the demize general shinseki at the v.a. how far, now that you know the problems he faced including here at home and hawaii, where we're the worst to seee way times doctors, do you still feel you should not have been held

accountable? been holding back information even from you? >> my position has been that i believe that the president should have thwarted -- aafforded shinseki the same courtesy he allowed kathleen sebelius. kathleen sebelius' resignation was not accepted. was. i would have liked to have seen what the general could have done is not something that occurred overnight. this is something that we know in the problem along the way. he would have been able to at

least have the same courtesy that sebelius had. >> if this didn't happen overnight and he would be opportunity to fix it, certainly would have taken the time to fix it. much time should he have been allowed to get it straight? was given aebelius year, before she finally resigned from the time we knew now. was a problem to and look at the regional, he three months he would be able to make our wait time in days. get down to 30 at least general shinseki should given the opportunity to say how long he felt and what marks, asis befnl opposed to saying he doesn't have the opportunity to fix it. >> i don't think the issue is whether they were treated fairly under president obama fair toe is what's veterans. the issue is that these people

put their lives on the line, and come home and they have to wait in line to get basic medical care. what we've got to be the politics not of what republicans and democrats say about political leadership is with a are we going to do now. the legislation i support would double clinical services on the island of oahu. fireould allow us to incompetent or dishonest managers. that's what we've got to stay on.ed in we have a tendency to try to play a blame game. sick --general then hin second >> we've already been extensively exploring the iraq war question. if the president announces increased troops on the ground, what's your reaction going to be?

>> well, i do not think there should be additional troops on the ground. i think they have sufficient troops to keep the embassy safe. i think anything else would be in the category of potential mission creep and i wouldn't support it. look, i think there are two threshholds. first is the total number of troops -- they now have u enough to protect the mission in terms of the embassy. the second is whether or not the service members are engaged in hoss tilts. so if those are met i would be the first to oppose the proposal. but i don't think president obama has any appetite at all nor does the congress nor do the american people have any appetite at all for increased military engagement in iraq. this is something colleen is talking about but not something that seriously meaningfully on the table in terms of foreign policy or the congress. >> one minute. >> let's be very clear. i believe that embassy if they

are in danger they should be withdrawn. we shouldn't put in troops to try to protect them. because you don't know what the situation will be. if brian would just look at what's going on he wouldn't make the statements that he did. the troops are not there for embassy. so many of them are to train commandos. so many are there to help with different kinds of anti-terrorism kind of actions. so if you think the thousand troops on the ground doesn't mean that we're there to put boots on the ground you're absolutely wrong. look at exactly what he has proposed and what he is doing. why do we have drones? why do we have the helicopters? the drones are there because they want to use them. they just don't know who to use the drones on. >>