anti-agency ceo travis tiger will tesfy before the house energy a cmerce subcommittee, examining what measures the world anti-doping agency are taking in advance of the 2024 olympics. cothursday, coverage continues with a simulcast of the cnn presidential debate live on c-span2. ■ywatch ve this week on the c-span networks or c-span now, our free mobile viopp. also, head over to c-span.org for schedulingd anytime. c-span, your unfiltered view of governme nonfiction book lovers, c-span has a number of podcasts for you. listen to best-selling nonfiction authors and un influential interviewers. hear conversations with authors making things happen.

our weekly hour-long conversations regularly featuree variety of■ ■(a podcast takes ye scenes of the nonfiction book publishing industry with insider interviews and best sellers lists.find all of our podcasts y downloading the free c-span now app or wherever you get your podcasts, and on our webse, c-span.org/podcasts. >> this year, c-span celebrates 45 years of covering congress like no other. since 79 primary focus for o, providing balanced unfiltered -- coverage, taking you where the policy is c-span, 45 years and cable. >> oft committee romanian

foreign minister talks about relations withhe■t u.s. and the importance of the black sea region amid russia's invafthe hn washington, d.c., is the host of this discussion. it is about one hour. doc >> romania foreign minister discussed the war ukraine and that nations relationship with china during an event at the hudson institute. this conversation coming just a couple of weeks befe the nato military alliance summit in washington, d.c. at which romania is a member. this is abo■' hour.m conversati] >> congressman cloud have that effect on good morning and welcome to all of you,■ >> good morning to all of you.

is a scalding 95 degrees out. i would like to also welcome those of you who are watching on our streaming service online at ds and those of you who are to did across the country via c-span. ome to hudson institute. lack sea region asñ; a global inflection romania.aturing the minister of madam minister come in 2000 for your predecessor that deputy secretary of nat accession of romania to nato said his nation romania is a■ european country with a transatlantic location. you really have lived that location. your forces assert alongside american troops in iraq■ and afghanistan, taking 30 cashers,e casualties in both of those conflicts that you remain one of the largest donors or two presidents and the kosovo forcez helping us to build stability and the balkans, and you're taken burden sharing seriously.

just this week secretary general stoltenberg andeport on burden sharing their 2.25% of gdp on defense, 30% of the defense spending numbers have g t both meeting the pledge of 20144 and we thank you for your commitment to burden sharing. of course as a bte to cringe is also played a single in supporting ukraine you and ukraine aft all reasons i think your resident in a described relayed relationship with the united states as a healthier. relationship between hudson institute and romania has never been healt very much for your close partnership and your embassies work with our team here in washington. in april we had the great honor apartment with your embassy on the hudson strategy and batch ws enough to open up his home for a closing dinner essentially

european officials and american private public intellectuals. but we don't just two events. we also do publications.i to ply briefl a matt along witheo a main these new strategy center based in bucharest new geopolitics research network in ukraine published in april, battle for the black sea is not over. there are a few copies■4 outside watching this at home or fromt a your office, you can navigatehee black sea not over. it's rare to meet with the romanian delegation that doesn't bring up the fate of moldova saw thought it would also pitched a new policy memo that my colleague luke and i put together and police just this week. haveou us can in moldova big because alsof

the press that, in fact, it isn't off t it very current and welcome, brian. thanks to all of you who participate in this work and scholarship and writing of course is a centerpiece of hudsons work. with that let me say a word■ mir that you have served as foreign minister since june 2023 and bef presidential advisor from november 2021 t june 2023 picky surgery country and numberghoutr career including tilt chef at the chapters of energy, economy and monetary union, taxation and trade during burmese secession to n membership and, ofoue the first remain president of the council of the eu in 2019. where absolute divide to lead to have your person. last time it wasew remarks whicd make to the putting you wil sit in with her own jamie here who

many of you will know from his■e previous work aspr's and ceo of rad f europe, radio liberty in prague and before that a national security adviser to senator rubio. madam minister, the floor is yours and their afterter level e chat. thanks so much for being here. [applause] or the black sea is not over.

the fact that thela sea region is -- for security is a within the u.n. cannot bilateral dialogue with the united states. our region, theio the black sea is a vital corridor for the of resources both on the east, west, north, south axis, and ukrainian grain and other bound for market. the black sea links europe with central asia and serves as a ea. think energy resources and

economic is bordered by three no it's also, it is bordered by new member states and candidates, member states. so with the exceptions of russia as i said, although states are either new member states or aspire to be.■■0 in addressing my intervention today, key assessment used by the u.s. administration in describing our work today, namely, that we found ourselves at an inflection point. and romania shares these assessments. however, this inflection point ishat only a time in history,

but whole clear boundaries on -- [inaudible] today, picky geopolitical inflection point is the black region. my statement is based on a set of arguments that i will first listn. first, the black sea is the only region where great power and member of u.n. security council, russia, engaged in state warfare. most directly changes national ordernd have significant -- second, most political aide to establish a sphere of influence in the black sea region beyond challenging the rules-based international(ú

it is, in fact, on them to create -- disorder. the final result ■ will be on global significance. third, the systems and global 0b of most goals on other significant an that an shared with foreign policy. no need to say who are they. china, iran, north korea in one way or another present in the black sea region and acting in support of to subvert and to play the principal of global foth in ukraine is indispensable butxñ insufficient condition for defending the

rules-based international order. in the absence of regional■ approach, we resisting the same issues a few years down the liny facing new aggression in the black sea. a long-term solution wil a secud collective black sea reg i justo look back in history, 2008, fifth, active u.s. and supportncoordination with eu, nato, and regional allies and partners i indispensable for long-term security andlack a region the u.s. black sea

security andstrategy will be inn this< regard. allow me t first, the unique character of russia's aggression in the black sea region. i like the other regions of the world where active and aggressive action against the elow the threshold of full war. the black we speak, the location of armed aggression by a great power. the effect of russia's aggression are global,■3mq acut, cascading, and mutually all major principles that held together the post-cold war order are being challenged byzsus reg.

internationalreignty, freedom of navigation, just to name only a few. for my second argument i wouldko the fact that in the black sea, moscow's aggression has clear political to create an altern regional order where states sovereignty, great powers will, and weaponized by the state. the final outcome russia's challenge to the rules-based sea will be mirrored will have d

implication and effects on u.s. security, not only on our security but also on u.s. security, and on u.s. capacity to lead a diverse global coalition in support of the rules-based internationalt orde. this brings me to my third as russian aggressions against ukraine continue, alluld international order have gradually aligned and have a simultaneous active involvement in the black sea region in■@supn aggression. flying technologies. north korea is supplying ammunition and missiles. chinese compa■irnies are still there. so yes, they are all present in the blackea

the leverage shared challenges such as energy, food, and technology change, sanitary fight against inflation corruption. and their presence creates consequences global competition. in our view, the black sea region is a textbook case of how the challenges listed in the current u.s. national security strategy intersect. we have national competitors lining in support of aggression, colluding by leveraging shared challenges of their revisionist goals. this climate is a key development. it links the black sea to

other geopolitical hotspot and euro atlantic security to indo-pacific helping ukraine is an indispensable condition for defending the internationalrw re order. however, it is not enough. any■ absence of our regional approach we risk, as i said, revisiting the same issue a few years down the line. knew aggree black as russia is willing and able to directly change international norms, powers will remain aligned with this effort enable russia's attempts. need to shape the rio that makes

it possible for moscow to this brings me to my final po achieving a secure and resilient black sea region, which requires an active, predictable u.s. involvement and support coordinated of course with u and nato, and regiol allies and partners. the u clearly placed, it is clearly placed interest to develop it in the black sea region. it has interests in denying reviists powers, a showcase influence. its capacitycross

with all, with all regionalty, y allies andtn unmatched. security strategy by the u.s. department of stateand its futun provision of the national defense authorization act of 2024, are indeed very good news for my country, romania. and romania remains ready to the future development and implementation of the u.s. blackea [applause] .. ■;d

in my on all of thoser elements, preparing for this mean about that, i thinkf the topics of security becausef the event you described. the one thing i will highlight the front important context relationship on many occasions where i was able to visit■p the thing americans need to

understand the meaning in their dna and t was given the work we do for era. most fervent would come to me with tears eyes and broadcasting played during the#e dark. to doe and they were able to return. advancing the values is programs represented time served by youre

reliable, predictable and not to get artisan and it was ■■attracted. a growingge in the would you like to see the crime when i was very young■:jw terms of also

a partner we have but the one of our important pillars. guiding foreign policy.

and our priority our support with the u.s. ot

will all the coordination necessary in this concentration there is a need for improvement. presenting romania thes a huge . will and the geographic base and

what i said connecting the and we are wo considerably to improve ukraine and fear support ukraine.■1 this is in the relations with the two heav legislationz8p its 20 years of being nato er

i think especially where they have the and all of the ingredients in the destination for the u.s. especially in focusing artificial intelligencend will working in u.s.ompanies■■1 and

working it is the potential to extend our. in the energy in this extension of the nuclear power■ is together this we

have today the ways that is.■íle important about what romania is doing grain but also talk about the impact of the workq from central europe about a yearb ag, i don't think most americans have got through having a war in the energy impact and day-to-day lives of your cen and what

the work is active at home why?o ukraine is ournd important for romanians from the very beginningkraiore than 6 million board a remained about .

they areó temporary ot■a the protection necessary in addition ukraine transit, theory important because it for the budget. in last year romania stepped in

and if transit, 37 million they have confirmation with the u.s. in order to suppo transit so invested. structure in which they using we are perfecting, no

everything that the word is soib centurion support each time■■■l attacks the energy provide

this is what we are doing in support of ukraine. there is another case and russia, the order not to allow ukraine. the global security. this will side the work. then in our territory.

they are very close will. it's a work of the b and this is why it isf> important support maner appraisals you have to help ukraine because russia won't stop there. grain five euros little have time there are others as well■&

they don't stay together gratitude. we expect to have on the european continent. meanwhile, expected a more on the european continent after the revolution joining nato and focus on authority.

it is our responsibility war so is, it's so important.■3 impression that the eopean global consequence for all of it is about the rule-based

international. go back to this interes and collect er what romania and the government of arlington and performed and they are doing a job it is are

fantastic work so this is compl? to act as the romania has been universe base a lot of the same slightly different approach where the right■ in that way. in from you fitted for what you?

after two and half years the score will be a how i how does the world focus on the one element.

>> global this is very clear all of us. i. anyway it is so important he said russia■z russia.

not because what would h, consequence wil purity they are the. nato so it is very important to stay. russia wit thi ukraine

and rs russia is doing russia succeeds■9 together support ukraine not■i■m only theri the black sea is very■ the

quinces security■3 o.■ñ >> it's important to highlight significant pressure occupiey russian forces. liberal media pressure elections and later this year geeta on the side. can we avoid worst- advisors, for your ridiculous?

>> , they have done a tremendous job and they will save this nexl is really important steps for this country. fronthe7a hybrid.

russia conflict going on republic and they go in that he's all kinds cyber attack fro■ one regulation thing■ them will

go fake with and it work together in the progress the

but also energy because theyre , dependent on russia, but also so much it is really important to djrsify and help to cut these links with russia.

they also need help to their products. we are working with them to increase their capacity observe e.u. norms and regulations in order to allow them to export in different markets. so there is a lot of important e demographic, pro-eurn governments, and for presidents to continue not■f only"oaort --t concrete support for this country. >> on to ask you give them some of your experience the years, is the e.. strong enough? it's a big part of the solution here. nato membersp even really on the agenda for moldova

anytime soon, but e.u. membership is and they are about lot of it is creating those economic opportunitieswhen i vis struck, a lot ofe are no jobs, o opportunities at home. e.u. membership will go a long way. but is there enough unitye e.u.t just from moldova, but comi from ukraine and also for the western balkans, can the e.u. chart. forward path in the coming years to be an ultimate goal f c>> i think the e.u. is e we had some different oniat thee succeeded to take a historical decision in relation with the

ukraine and the republic of moldova. we are expected to move forward moldova.s historical we took this important decision. we have a lot of instruments to support them, to start integration in the internal market, to participate in different e.u. programs. we have the micro financial assistance, very necessary for the budget both in ukraine facie and also micro financial assistance for the republic of moldova. we have the agreement. we are now working withhe e.u.,s from t to invest in the improving connectivity betweeny romania, republicand ukraine.

so, yes, of course, as i said, the decision-making process is not always easy in a big family. but, at the end of day, we have been able to take really importantec. we will continue to do so. it is theame with the balkans. enlargement is a merit-based process,forms done by these countries and i said before, just look at ukraine and the republic of moldova are doing in terms of reform. ofwe have a training session for colleagues in both kyiv and in the otr ad them with the

transposition of e.u. legislation. we have, for instance, in kircheno, high-level advisors working with the h ukraine. we organized for instance for the local administration, seminars in order to help them how to help thewi using the new money. not only romania, we are doing in coordination with other member states. so it is strong enough. not always easy decision-making ca the end of the day, we are able to move forward and really important. >> i think romania has experienced some of that slowness to get even with the schengen accession. as a former frequent traveler,

romania joined the schengen a few weeks ago so it is now e.u.. there has been lots of yearsscu. maybe i will just end on china because a lot of the attention in washington is focused now on the indo-pacific. you made the point1úhat the black sea region is connected ultimately tat region as well. but what is the current romanen? i remember the last time i visited romania 11 years ago it was a differe msome remain inint maybe being part of that group was in romania's interest,d ove. how do you look at china, how dc trajectory, as well as politically in the black sea region? roman traditionally --

good relations with china. but, of course, we have to take into consideration t new reality. we align ourselves with the e.u. approach towards china, but also with nato approach, also we discussed china, and es the current global context within nato, and in strong coordination with the u.s. it is an important trade partner r romania. it is true that the deficit is quite high. so we still have to work on the others to reduce the deficit. we really have the same approach as the e. has, looking at china from different angles, as

, and in some fields, as a partner. for instcete change. what we try not to do is really to support the so-called outreach efforts of other partners in discussing and explaining to china what is going on in ces of the war in ukraine on us. this is, in fact, an effort romania is undertaking not only in relation with china, but also in relation with african or latin american countriesexplainf ukraine.

plain what is going on consequee war of aggression. so, this is really important. we will continue to diuschina, , because china is a member ofan¡. s all of us, china, to be president and discussions the peace formula. recently there was a summit in ■c based on the president zelenskyy peace

formula. china was not present. china should be present. ande to convince china that it is important work to ukraine. because in fact, it is about ru. in china as a has this responsibility. our approach. but as i said, our app towards china is in close coordination with the u.s., with the e.u., and with the e.u., and with nato alliance. >> well, thank you. we are at a time. to sum up, i think we touched on all the issues you flagged about the cu of the region. we need a prosperous region. we need a connected region. but the overriding take away is you need deal with security first and that is the most important. i think we are all impressed by everything romania is doing to push that agenda forward in the

region. so thank you to all of you for r watching. pleaseoin me in thanki the foreign minister. [applause] [captions copyright national cable satellite corp.ing perfore national captioning institute, which is responsible for its caption content and accuracy, visit ncicap.or rf

>> energy secretary jennifer granholm was recently on capitol hillteas policies and priorities for the house oversight and accountability committee. she faced questions on clean energyliquefied natural gas exports, and oil and gas production. watch her entire testimony tonight at 10:35 p.m. eastern on c-spane mobile app, or online at c-span.org. qm♪ announr:c-span has bn ional coverage for 45 years. here is a highlight from a key moment.

■x ■ c-span. powered by cable. dy cohen. she and others talk about the relationship between the business community and public health, and the ways investments from the public sector can a inzing systems, response capabilities and laboratories.

this was hosted by the aspen institute. >> good morning everyone. thank you for joining us. and ceo of the cdc foundation and we are very pleas tthis impp between public health and business. in this discussion, we will be talking about how we need to create partnerships that can ep is strong and establish a foundation for keeping america's economy the cdc foundation was created by congress in the 1990's as an independent nonprofit, and our charge is to public record -- to help forge the cdc's mission and keep health risksmericans.

the foundation tackles health diseases like malaria and tuberculosis to disease and mental health. the opiate crisis is an example. and emergencies such as ebola. so i to elizabeth cohen forer elizabeth has been bringing all of us information about impot or many years. here in the united states we do focus a lot on healthis critica. however, as a officer, i know public health is where we have the opportunity for the eatest■ impact. and that is because public health is a lot every person, in every community, in every corner of the nation every day. so, disee nt to prevent and control and save lives and money. so investing in public health leads to early detection and ou,

preventing widespread illness and6)it is the most efficient ad effective use of tax dollars, in my opinion, and has the biggest impact on the most people as well as creating healthy businesses andneed to come toget the local, state levels to bolster public health. the workforce, we need to modernize■á invest in our laboratories and our response capabilities. critical that public health and business partner together to address the deadliest and most costly health challenges that we face as a nation and the world. with that, i will turn to elizabeth thank you. [applause] >> judy, thank you so much and welcome everyby,ter the rains last night, to allimporta. i am so honored to be joined by

wonderful physicians. in the center we have dr. mandy cohen, director of the u.s. centers for disease control and evention. to my left is larry bushong, republican congressman from indiana.and burke, senior vpofft optima health. . why do businessndyou have got an budget, why do you need -- maybe not that high,high -- why do you need the public sector to work with you? >> great to be here. thank you to the cdc foundation doing this important conversation. health, or frankly, a virus can turn o l and economy upside down, so we know that

is good for business. i think i really important conversation, but we also know that the mission of public health, to protect healthp=impr. it cannot be done alone from the

cdc, even if the cities he partneredblic health entities. this has to be a team sport as we think about protecting health and improving lives across the country and i am so thrilled that the congressman, who has been a leader in thinking abou s in the conversation. and we have dr. birx -- -- we will do first names after this,

health care companies thinking on the i think this partnership is really, really critical if we ry from emerging health threats, from existing health threats, and if we will think about being tt coy can be both from a health perspective but also from an econ so little talk later about the dream of they public-private health partnership could look like. could we right now that the cdc is partnering with the private sect on that has gone well? before your fourth during your tenure? >> we are constantly in partnership. i want to step back and say, during the pandemic when i in north carolina, i saw so much collaboration that allowed us, particularly in north carssful. i saw a major hospital systems that are usually competitors come together and say, how do we

solve problems? i saw folks in the public it was incredible to see■3 the chamber of commerce side-by-side with educationh public health. the question now is we are in peak time, what is the right way tobuilt, the right way t forward into the future and that we are all doing what we need to lities? wpthe cdc partners in so many different ways, i will start t to the business community. partnership cared when someone is sickflu they are walking int. office and emergencyoo■bms we need to make sure th data is getting captured but sharing

so we ca have a picture of what is going on so we can be able to respond so weeady in partnership on a data front and innovation around therapeutics p as we think aboutthose vaccinese part of theely systems a partnership every day but on the business side, businesses offer the employee's health insurance and are thinking about a productive workforce so already i know things like offering flu shot clinics and have been for a whil but as we have seen■) a new emerging threat like covid i hope the same employers willír i think theris l of the business community can do and i look forward to their partnership. >> larry, do you have examples in your state of great

public cooperation in the area? >> indiana university came out with a study in 2020 that showed a direct connection between economic prosperity and public so with that the governor's administration developed a commission that comb with privar entities across the state to look this and try to come together and say what can becaut information that economic ■ñ link to public health and it is in everyone's best interest and out of that came a number of things. one of the biggest, 1500% increase in state funding for e systemwe recognize during cod was understaffed and underfunded

and so do not have any specific industries or companies that work>p dectly but on this commission there were people from the private sector working with government officials and they all came to the conclusion that we needed more funding, we needed to up ourlates to public health starting at the local and co level and thosere made in coh government and the private sector. i know we will talk about data later. they also recognized we had to have good data from all counties and i think indiana is one of states that haslkry for data0 where there is a way to

centrally evaluate data and most of the counties in our state participated in that and then also partially came out of this discussion with the private sector and government combining onon. >> as■n we talk about business d public health i think it is important to differentiate different pieces.one is that hed the rwe work with cdc and cdc foundation over the years. :mbusinesses are in the communiy as a primary economic driver. sometimes in a small town there a primary employer and thatpublic. it's not just the health industry, i think any industry has opportunity to do these partnershipsmessage from the heh

departments into a trusted part of that community. on the health side, we all learned a lot and one of the most exciting ones cdc,dd the da give to public agencies to make the right policy decisions and figure out plants.incorporate ain the early days of tpandemice early hotspots of covid. one of the early cases was in a nursing home there. we quickly started tout of

ppe and for the health system or provider to half a down to do every covid test was calls with cdc and other federal agencies, the white house, about how to get in front of this, what can we do as a company very quickly because of our reach and our funds and scale where we can st in partnership with others and started to do the initial validation where we were collecting swabs and saliva samples. t to get there earlythin 10 days information to the public sector to make the decisions for the nation on how to proceed and it was a way for us initially to reduce the amount of ppe we were using.

it was also imagine not doing my own covid test. >> because iis so fun. [laughter] íú

>> people were walking into primary care clinics and were able to transfer that technology relationship we are able to do it more quickly and we are doing avian flu and scaling of that into commercial labs right now so those are the relationships but1oere is also just a lot of work overall trying to make our communities healthier, right, and where we are trying to protect hea and one way we ce data together so we all k together and how do we think about roles and responsibilities. it does relationship together but it means how do we have a

investment so like cdc may say we are investing in■újn work to reduce suicide, here is how we nt and the data we can bring but i really could use optimum's he to -- help with data visibili.or do we think about implementing care during a nonfatal overdose so we can bring the evidence and they can bring the scale and without a financial relationship and i think both are very critical. >> you mentioned data sharing. >> we counties to get that data to the state government but in a forum that is able to basically knowing which phone number to call and getting the data and of course when you have the date of the state can

hopefully share that informati e national data but and am inol e house meant to try to improve the data■4 go from the a usable form and make it more available to what is in real time what is happening sanalyze this datath r public health in general and so i think mostly what we have done in indiana is made it sobe mored and it is not this disjointed -- >> how could the private sector

is primily at i am talking about on the governmental side but let me just say the private sector has a vested interest in public health. dr. cohen has outlined very well what the cdc does. k%i think thed■ in some way encourage the people to work for them to participate in the system sohaget, so they o have information congealed and identifiable way and that was one ofnges during covid particularly in indiana is people were reluctanto participate and have information be collected by the government because there was just a fear of

that a date against people if td and it is their they want to do with their own health whether theyant to get vaccinated for example so the private sector can encourage the people that work for through good what the government is doing state or federal and wise so people have a better understanding about the ance of the information and i think that is the best way. i know that is not a specific answer but every business has a vested interest in the people that work fo healthy because again the multitude of studies have shown there is a connection between■ú economic prosperity and health of the population. an unhealthy purchase -- population has high medical

costs and cannot parpaciaqto ths leadership on the bill he is talking about that would hgivend authorities to identify data so wean respond better. it did not get over the finish e progress within the authorities we had and so what i would say for prive sto there we are certainly working with all of submit ectronic case report so for example and i would love even for you to jumpn -- ethan for you to jump in. we have big hospital systems thatport so if someone has measles we want to know about ande can make sure we can connect the dots maybe

room and the second case walks into an emergency room across town, right, having that data say are these cases linkedin we need to investigate and doing it quickly can prevent a larr we sure we are getting electronic submission of that data in a way that allows public health to respond both at the state level and>> and the repts■n the cdc or state health department? >> both.it's a big effort we arr 2024. but that was not happening at all before the pandemic on datam our we could get real-time data and the good news is we have real-time data from 90% of the emergency rooms,ig that is a major partnership right they are so right now we are able dad visibility but we need more

specificy m sure again we are responding to individual reports diseases that we want to as well so that andwant our help but we do not need our help -- >>3 i think we are doing pretty well but we have challenges. we are large and have a lot of data obv it is very fast data we are working with with those early warning signals but the challenge across u.s. health care is that there are different -- a million different systems t it to you in a useful way quickly. there is not public healthand ht

health data. schism is nonsense and if we areing to understand what is happening in a population, how do we start to see this as unified, a continuum from public? the second issue is trt. there is trust at the level of the individual orata and also at level of the hospital sharing data with other entities, will qualitywill they get in trouble, what is the give and get and in data sharing. if i give you my data as annow s useful for me or my family or communit hing used in a good wa?

how do i know it is advancing the shared mission of health and i think sometimewe lot in health care and i'm not sure we do a great job of why we are asking and how we give it i think we learned that lesson from covid and it makes it easy nurse so the technical stuff still has to be solved with the trust issues are key to this type of data sharing. >> d think united or hospital might be concerned it is not advancing your purposes or th ncerned? >> both. iduals or families might not want to share their data. >> if it i>> what is the governg is it truly anonymous?

that's a hard concept to understand. >> with made a lot of advancements on the public health side to make it easier to share ■ta bec■ s there is burden and we recognize that and i think were we have been doingn the public health side is to align with the data standards ah delivery side so we arethings ns but to make sure publicot doingt than what wefor in the health de so there is a lot of worich i ts burden and allows organizations to say ok, i know where my data is goi better at sharing back. we ask for a lot■k and different

hospital systems want a view of what is going on in the community. some hospitals are the only game in town but most places are they can operatendbetter if thes happening in their communitythe. there is lab data, wastewater data, what's happening in the school. we are focused on health care because i think that is a place align but we have a lot of work to d>> look e doing on climate and the heat index maps, the contextual data is so important for public health. it's not just your health, is your education, do you

foods. >> with sharing between private organizations like yours? >> back to the delivery system saying it is not juemperature, there is really -- a real risk with heat in different parts of the country and here is some clinical information about things to do different nd that is i think the value add we can give back from cdc side when we see data we get it from the hospital system b identified we can analyze it and say this is what we can see back to you to b be experiencing -- >> great. we benefit from cdc data in a way that is actionable for communities at the community level in a way that is may be more approachable or reachable than data so i do think it is a very symbiotic relationship. >>■e■!■' you mentioned before yt

to make sure when you are sharing it is promoting the sorts of things patients would want to have happen and things you would want to have happen so what would be united concerns in sharg is it that it might beg@ burdensome andou hav to devote a lot of stuff and hours to itompetitor might see somethg you do not want them to see? what are the impediments to sharing? >> data sharing is not free. >> what is the cost to united? >> the cost to us in terms of -- >> sharing. what is the burden for you to share.

it's a complicated answer. i think some of it is the data use agreements we are under. we cannot co-mingle one state's medicaid program with another's to create universal because we have agreements to we are not necessarily we are not always autonomous and how wcan control the data, we have to be careful about who owns it and patient rights and employer rights and state rights and figure out how to use it in a wa$óy thatsé0till protected for the greater good but a l o there issues. e needs to recognize we have been collecting data for decades on all kinds of tng where do you immunization numbers come from

when you look at a national map. a perspective what happened we do better with quick moving things like covid don't get me wrong ;e■ people realized we have been doing this but we need to do this better and we did find with covid that there were gaps in t sma local and state level as far as it relates to quality data but i tried to get across to some of colleagues and constituents that this has been a very important part of public health this data for decades and so fio this in a way that makes people ■c to have their identified and shared in an effort to overl create a healthier society that we live in and again as i menon there it

economic impact on that so that is the other thing. in many respects we have been analyzing dataor just became i think overly politicized duringdifficy people like the cdc can have this good data to really help not only us but everybody in the world. >> you have asked different private entitiesor whatever els. it is one entities? is there hesitation that it might give a competitive edge? >> absolutely. i pratems in north carolina during covid where i saw cohesion amongst co data allows them toe

question is how to overcome that. we have rules and regulations about interoperability and i think that is where partnership wi lre we are helping understand the privacy side i thinke can make and but are entities like our big hospital systemmmunities that data is a national asset to protect -- >> a national asset not owned by the nation. >> make sure is visible for the nation to do our job. >> so you go to one of the large hospitals and say this is a national asset that will help everyone, please share, why not? is not the way it works? >> there is an interest in

sharing but we want questions to be answered. how will the data be insured to remain private, how will it be used, if i'm work on the health system side, what value will i get back. progress is bein made is t 4 make faster progress on this is alof this private public partnership because without the data we cannot know problems to prioritize or have clarity on roles and responsibilities so that is really the underpinning a lot of this. >> because we are not required to share anything with you. there were a diseases. measles is nationally reportable. but how did a report, how quickly, how much burden is on the health system to report it into which system? it needs to be easier to collect

the data timeline for doing it and to quickly look for pa>>ál state and local health departments, and how does it get to the federal level, there are different rules by state and that is another source of data >> and what can you give the partnerships? >> we were having multiple conversations here at■jspen where we are hearing i use your daorts and i think we are trying to be better to make suata but we are displaying it back in a usable and actionable way and we are turning our data into action for people more quickly anwe making for example a big investment on the opioid side wy

ahead of what is on the street and what may be impacting people with overdoses so how do we turn ■ ickly for folks so i think there are a lot of ways in which we can offer goodactionable fore moment so there are a lot of ways vaccination data i think we need to get better■ at gett■ing real-time vaccination data so we know who is not vaccinated and can target resources appropriately so we are making progress but more means to be done. be done. >> anyx, partnership■e, you have the mony and cooperation, what would be a ■zterrif partnership that could really benefit public health?

>> one area i think we can all better but there are some success stories that comegg thie incredibly smart people all around. sometimes we dno of communicatio stakeholders, whether public or employer or a fami■ly. there are entities that are really good at communicating an understanding ■sat talking to one person with one set of values might need a different message about the same person.fic data that anothe i think we can do more refining of the messaging to make it more personable and aligned to

values so that they trust it and maybe take the action we hope they will take on that is an area where i think the right partnerships could improv our ability to communicate and it goes back to the scaling of trust on relationships, how do we do that at a national, by reaching people as individuals. ■v■g>> indirectly i think the bt partnership the government level is what are the things the private sector is trying to do in the public health space or other are and there governmental regulatory or statutory barriers to how do we work together to identify theto be ie ones that really probably need to be looked at and say this is

a barrier for us to make advances in public health and thatarri■ter is a high bar congs at it and takes down som barriers, you are going to continue having the situation we difficulty probably cooperating the best partnership as a member of congress, tell me what are the things in the private sector are barriers to progress. i want fair and appropriate lation and statutory requirements in law that areotbs very true in the publi if we wee thingsi would love the private

partner partnership to help us be ready to respond to any healthso we ad workmental health. third, supporting young families . if we want to be the economic superpower i know we could be■, we have to be the healthiest we can and lifelong health pattern start when you were young. making sure kids get vaccinated and that parents are healthy and we are presentingeart disc>ease and diabetes and we stop smoking. if i were to say one thing i hope we could all align on, those are the three important on being ready to respond to health health , coming out of a crisis we have

futureyoung families so as a wao f you are ever having trouble sleeping nht we wrote a new journal piece on how to y tackle it together and it has a framework ok those of the three gs want to accomplish, how do we do it. we've had a lot of about data which is important because without the right data infrastructure we will not righn alignment and then we all have to think about ok we have the o we have shared priorities, i articulated tee, at the community level let's have those shared investment together so if the chamber of commerce and local public health cainve together maybe it is in maternal mortality or taking sponding to avian flu because there is a big dairy industry in their locality and then making sure■glities.

there are things public health should absolutely are report and important responsibilities for the health delivery system and thelity for- government officials a how do we clear about all of this so read about that in the paper. >> q&a. i will let you decide which one. you look like you know each other. [laughter] you. one and then the other. you talked a lot about data partnerships. i feel like out that the level sharing data was not top of mind for me, it is that we were under resourced. i thought we were going to hear

about corporate responsibility or because theyand underfunded public health department is a problem for them as well givg supplies or personnel or free access to electronic health record or have in this kind of pre examples of it? >> let me about what indiana did. they looked at it and 1500% increase forag funding for publc health system. to your point, underfunded and understaffed and covid brought that out so at thetate level in indiana that has been recognized and then also as it relate to coordinating with all the counties with the local dat level, we have also so i think those are the type of things that at can speak for indiana that has been recognized from a

governmental perspective that we need to do. >> the corporate philanthropy part is but it does not feel like systems and structures to me so i want to just corporate partners but even smallin right, because they will get more workforce and one thing that actually works to keep your workers healthy at some of that is making sure they have good health insurance coverage and do the things the need to be healthy and happy and how do you incentivize and that as a worker and how do you incentivize a vaccineabetes preg cessation and there is a t agaic data we can be better partners and want to be with the business community on that. i heard for the first time we have a vaccinezation for ours to be for babies and one thing i urgent business

communitieey that is fantastic and i was like, a lot of moms and dads are ouof wp right so i want businessnk aboua more productive force -- forc■çe ere pares not out of work because their kids are sick vaccination and so how do we make those connection points i thinkhere is a lot of opportunity for business and how they would design their benefits and how they use public health data and think about that also h needs to reach out to the business community more. good about alignin i think the emergency put us at the same table, let's make sure we stay at the tab>>%] ok. right up here. >> this is a response to question youyou asked howtt manc

case reports are submitted each year. obviously that will increase as we get more practices and hospitals to submit using this modern modality and as we modernize publea ability to receive electronic case reports for more than covid. >> t you. great insight. back >> i wantown on something mandy said briefly tcs dhs data exchange framework of the common agreauwhile want to double downn th data have joined that

as a government standard back to model that is national, which is totally novel and i wanted to answer your question about why we doxchange data more freely. one reason is just the standards are not there. one organization needs to say i am recording for and another record that but they are trying to get the same thing so we need a finallye one and so it is just we need the diffent health care organizations and entities to join onto this. it is not state specific. i think is going to be the keyo ds to go. my question would be, what are the barriers to getting organizations to either take that on, understand it, what can

we do to better communicate, is there a different way you would suggest? >> we are putting real behind public health and saying let us help you states localitiese the first to adopt this, we will help you through it and well, weof interest in the public health side so i think this]■

what is myof doing this, it is a lot of resources, i cannot do latest upgrade because i am putting all my money into it? er■if health systems start to see the benefits, if i'm managing a population of millions of people in mybetter t into the better management of ation because i am getting data from sources beyond just my own and now i am ■ñ■ar the -- starting to see the economic advantage and health oether and sharing so i think when smallert models it's another carrot for them to get onoard. if it is only a gave it is harder for them to make the jump because they have competing priorities. >>b# i will look into this more.

it is a fascinating thing. my recommendation would is try s much private sector as possible and if you start seeing where more, i'm not talking ab cvc, i am talking about other federal agencies, be, and up just with a large bureaucratic system participate and in my personal view it is great there is i butu want i think if you are really goin■/to dit right and you want large participation you have to keep it a public-private partnership that leans more towards private. >> i think there was a question in the back.

>> world to fund efforts to fight tropica■l diasusing footwe uptake. we a factory in ghana with 200 employees as a for-profit independent economic development which leads to healthier communities. can you speak to what the cbc or u.s. government might be doing in underdeveloped countries to provide independenceou partners, funding beyond may be vnedistrie independence of and fighting their own diseases? >> cdc works extensively globally offices around the country. the work globally

is on capacity building. instead of giving people fish, we teach people to finish. instead of building a school of public health, we train, we train thousands in africa and asia and all around the world and so i think there is a lot of that is ongoing from a capacity building but it starts from aceright, and understandint are the problems that individuals come to communities and countries want to solve■! sometimes it is focusing on hiv burden, other times it is malaria, other times it is they want to do general capacity t partnership with those countries of private public partnership in those spaces in the lab space, diagnostic, so a lot of opportunities globally and i did not get to touch on all of them

but a lot of opportunity internationally. >> we ha run out of time bu up m with your questions. thank you so much. this was really great. thank you. [applause] ■)■c■4live coverage of the 2024 national political convention, starting with the republican four-day event in milwaukee july next, the democrats convene in chico off august 19. stay connected to c-span uninterrupted, unfiltered glimpse of democracy at work. conventions this úsummer on c-span, c-span now, and c-span.org. c-span. your unfiltered view of politics, powered

omineeonald trump made a campaign stop at a philadelphia restaurant fore attending his scheduled rally in the city. he was greeted by supporters and signed autographs, and talked about his potential choices for the upcoming debate with president