embodies the provider treats two patients one white and one black differently. more precisely, differences in the clinical encounter may occur because there is explicit discrimination where a provider consciously withdraws valuable care from minority patients. this is the most mall feesant disparities and perhaps one reason why there's so much interest in this mechanism but disparities may rise from implicit discrimination where a provider operating in a time sensitive environment make decisions that are detrimental to minorities, stereotyping is one of the discretion and it occurs when a provider uses a patient's race about the benefit of treatment. if, for example, african-american patients are on average less likely to be compliant than a physician may assume that her african-american patient is less compliant. such reasoning will worsen outcomes for that patient if he is different from the typical african-american patient and worsen outcomes for all african-americans if the stereotype about them is wrong. the bias from implicit discrimination is compounded b

second, because of patterns of segregation, the same provider is rarely observed treating both white and black patients, so what we have been coming prejudice and the clinical encounter is often a difference in neighborhoods, referral patterns, and the resources of providers that serve in these neighborhoods. this is an unfortunate conclusion, because improving neighborhood schools or change your referral patterns is not the same thing as reforming provider behavior in some hospitals and offices. researchers have made some progress in this challenge by using implicit association tests, where physicians and researchers studying them observe the same information in a laboratory situation. this is an increasing area of academic research, but the findings are still nascent for policy and legislation. we do not know if the decisions made by self elected positions in these laboratory studies are representative of physicians who actually take care of minority patient populations. my main point today is to elaborate on a new explanation for the disparities in racial care, but they are partia

how you were treated by canadian health care? >> no. >> one of the sad things is that what gets into this debate, you hear more stories. some with sad ending, some with happy endings, because people got to the united states and got the treatment they couldn't get in canada or britain. if we move to a government-controlled, politicized medical system, where will we go when they tell us no? again, i don't think they're going to be telling any of the kennedy clan or the pelosi clan that they can't get any health care that their little hearts desire. but i do think that the average americans will run into the same challenge that people in britain and canada have run into. we're now joined by jenny beth martin, the national coordinator for the two-party patriots. tony perkins on deck. [applause] >> thank you. barbara gilbert of florida volunteered as a local coordinator for one of the 850-plus tea parties that were held on april 15. like 1.2 other million taxpayers on the treats on tax day, she is concerned about the out-of-control go

we focused on this procedure because it treats the no. one cancer killer, you lung cancer, and is enormously effective. in an analysis we published in the new england journal in 1999, a decade ago, prior to the report that has been referenced many times, we showed that in medicare, blacks received this surgery 15% less often than bites with the same diagnosis. we showed that this was not due to greater morbidity amongst blacks or differences in socioeconomic status, we showed that we believed the achievement gap was the explanation for their survival lot comes. the study is memorable for me, one of the first major analyses published in the medicare database which is a cornerstone of cancer care and one of the few studies that demonstrates that treatment gaps were important in terms of disease outcomes. prior to that, treatment gaps were illustrated without a link to outcomes. we were unable to determine why treatment rates were lower for blacks. our study was not designed with that question in mind. and data was insufficient to address th

he listed all physicians who had treated him. it will health application was accepted and is h his coverage began in august of 2003. a year later, my brother found himself inexplainbly losing a large amount of weight. his wife, marie, urged him to see a doctor. in september of 2004, my 59-year-old brother at the time was diagnosed with stage four n n nonhodgkin's lymphoma. he started treatment. due to the aggressive cancer he had, he was given six more rounds of chemo by january of 2005. he suffered a lot during the period of time and was often unable to work. he was referred to a specialist in stem cell transplantation and for high dose chemotherapy. he began this for purposes of preparing him for stem cell implant. these treatments were long and difficult in nature. in the middle of the chemo treatments he received a phone call and letter from the insurance company stating his insurance was cancelled. it was rescinded all the way back to the effective date of august 7, 2004, which was before his diagnosis for cancer. this meant

for orthopedists amah oncologists are all working together to treat a single human being. where what's best about america's health care system has become the hallmark of america's health care system. that's the health care system we can build. that's the future i'm convinced is within our reach. and if we're willing to to come together and bring about that future, and we will not only make americans healthier, we will not only unleash america's economic, but we will reaffirm the ideals that lead you into this noble profession. and we will build a health care system that lets all americans feel. thank you very much, ama. appreciated. thank you. [applause] ♪ ♪ >> reaction to the president's speech on healthcare before the american medical association. we will hear from ama president nancy nielsen and president-elect james rohack. this is about ten minutes. >> i am with channel 2 in chicago. essie mae for there were scattered boos when the president said he did not favor the med mal caps. no big surprise. he did not favor him-- the state capitol either. unhappy were you with

we treat health care and the economy around it just like we treat basically every other industry out there. i think there are a lot of us here that believe that there is something fundamentally different about health care than the auto industry or the cereal industry or widget industry. and when the consequences of somebody not being able to get

i never treated him for those.they were very minor and they appeared on a ct scan but we never engaged in any treatment for those whatsoever and i never disclosed those. >> ultimately, even that -- didn't it take the attorney general to get it changed? >> oh, yes, it did. it absolutely did. like i said, the attorney general's office and dr. waledman were wonderful and their staff were incredible. they worked daily on this file because they knew that the clock was ticking every day. and their investigations were -- >> what i'm asking is, even if they found the doctor on the fishing trip and the doctor said what he thought, that wasn't enough? >> it wasn't. at that point they still wrote a letter say, no, too bad. it was a material lack of disclosure. and then the doctor had to contact them again and discus it further. >> ms. horton, you're situation was that you were -- your policy was rescinded because you were seeking some insurance coverage or -- how did that work for you? >> i -- >> is it is the mic on? >> it's

you think it is difficult to find a doctor to treat you now? just wait until we have fully implemented government medicine. i like to tell a story about i had -- i will admit that i had an appointment with with fema for many years and when you're out of disasters you see very quickly that their groups that are getting it down on the ground are the volunteer groups and the private sector. they are the ones that make things happen because there is a reference to constrain our earlier and we already have doctors on the ground who are getting it done, we have doctors were actually taking no insurance or government programs now and they are offering $35 medical office visits. they're offering $10 lab tests. those doctors are really taking care of patients. if we have a government plan and mandatory insurance that these doctors are forced to participate in they will not be able to practice medicine that way and they will be gone. they will be out of the system. so i'm going to wrap up telling you that in our response is that tomorrow night doctors ar

i never treated him for those. they were very minor and they appeared on the ct scan, but we never engaged in any treatment for those whatsoever and i never disclose them-- >> ultimately even that, didn't take the attorney general to get it changed? >> yes it did, it absolutely did. they said the attorney general's office and dr. vance waldman wonderful and their staff for just incredible. they were working daily on his file because they knew that the clock was ticking every day and there investigations-- >> what i'm asking is even if they found a doctor on the fishing trip and the doctor had said what he thought, that wasn't enough? >> it wasn't. with that point they still wrote a letter saying to bed, it was the material flack of disclosure and then dr. waldman had to contact them again, and discuss it further. >> and, ms. horton your situation is that your policy was rescinded because you were seeking some insurance coverage, or how did that work for you? >> turn on your mic please. >> can you not hear me? i was

i never treated him for those. they were very minor and they appeared on a ct scan but we never engaged in any treatment for those whatsoever and i never disclosed those. >> ultimately, even that -- didn't it take the attorney general to get it changed? >> oh, yes, it did. ,,,,bsolutely @@xá further. >> ms. horton, you're situation was that you were -- your policy was rescinded because you were seeking some insurance coverage or -- how did that work for you? >> i -- >> is it is the mic on? >> it's green. >> can you not hear me. >> okay. i was seeking the policy when i was going over from a group health insurance. >> so this is just a denial from the beginning -- >> i was accepted and the first time i went to see a doctor i soefed a letter from blue cross stating they wanted all my medical records. and it was a bill for just routine blood work. to test my t-4 level which is your thyroid hormone. and so it was routine blood work that anyone who has an underactive thyroid, which irdisclosed, would get. i paid almost t

it is much more cost effective to treat diabetes than it is to treat the results of diabetes and treated, and on diagnosed. for example of someone has suffered from kidney failure or a stroke those are extraordinarily expensive things, much less expensive and so much better for the lives of americans of we can address these problems before they get to that case yet insurance companies have thought that the state level, the covering of testing for diabetes and even in a couple of states successfully, the coverage for the supplies for the treatment of diabetes that has been diagnosed. we have wehrey too, and it is one of the topics i am sure that those of you visiting have heard about the strain of the baby boomers on medicare but you know that medicare, many people entering medicare has as many as five chronic conditions, some untraded because they said i don't need to get health insurance and in three years i'm going to be on medicare. so it's something hands up not getting treated and it gets worse, so by the time they get into medicare we are talking about a much more expensive treatme

. $100 billion a year going to treat tobacco related illness. when you think about something like this happening, so many smokers begin early in life, before the age of 19 and continue smoking into adulthood. when you decrease the amount of advertising geared towards kids, doesn't make a difference. is this going to have an impact? >> absolutely. the reduction in cigarette smoking over the last decade has been a victory for public health prevention strategies. i only wish we had as a fact of a strategy for the rest of substance abuse. this whole issue of regulating tobacco is a major victory for science. i sound a little parochial. the truth is nicotine is highly addicting, you start very early. we have been unable to get a hand on the regulatory side of it. in that process we have been able to reduce the number of smokers phenomenally. some of it is behavior change. what we have learned from research on behavior change, some of it is regulatory. you have to stand outside, that had a big effect. you had to stand outside, this reflects public att

another way we can achieve savings is by reducing payments to hospitals for treating uninsured people. i know hospitals rely on these payments now, legitimately because of large number of uninsured patients that they treat. but if we put in a system where people have coverage and a number of uninsured people goes down with our reforms, the amount we pay hospitals to treat uninsured people should go down as well. in reducing these payments gradually as more and more people have coverage will save us over $106 billion and we will make sure the difference goes to the hospitals that need it most. we can also save about $75 billion through more efficient purchasing of prescription drugs. and we can save it -- [applause] at about $1 billion more by rooting out waste, fraud in a broader system that no one is charging more a service that is worth or charging a dime for a service that they don't provide. let me be clear, i am committed to making these cuts in a way that protects our senior citizens. in fact, these proposals will actually extend the life of the medicare trust fund by seven year

we clearly can't treat detainees as they would treat us if an american service members were captured. that is not appropriate. i talked to audiences, they say we ought to use the same methods, that just brings us down to their level. the thing that's so repulses us against violent extremism, violence against men, women and children, any of our actions, we have to be very careful and we have to, even if it hurts us, we have to assumed the moral high ground on these issues. how you treat them legally gets to be complex, i am not a lawyer, i have some opinions, a lot of legal advice, working our way through this problem. the geneva conventions were set up based on nation state models and more conventional forces so when you get to force is like al qaeda, which doesn't have an identifiable nation, don't wear uniforms, don't meet many of the criteria, with recognition as a pows, how do you handle them? the way president bush decided to

he also listed all physicians who had treated him. his of the application was accepted and coverage began in august of 2003. a year later my brother found himself inexplicably losing a large amount of weight. his wife urged him to see a doctor. in september of 2004, my 59-year-old brother at the time was diagnosed with stage 4 non-hodgkins type lymphoma. the very next day, he began an intensive course of chemotherapy treatments. due to the aggressive type of cancer he had he was given six more rounds of chemotherapy by january of 2005. he suffered a lot during this period of time and was often unable to work. also referred to a specialist stem cell transplantation for high dose fi chemotherapy kagan more chemo to prepare for a stem cell transplant. these treatments work long and difficult in nature. in the midst of the chemo treatment he received a phone call in her letter from the insurance company stating his insurance was canceled. it was rescinded all the way back to the effective date of august 7, 2004. which was before his diagn

pharmaceutical companies develop treatments, what is it you are treating? it is much harder than if you are trying to treat the specifics like getting your blood pressure down. that is different. >> congressman gephardt, i have a great deal of respect for you, followed your career. thousands of issues must have come across your desk. why this issue? what does it mean to you? >> i have always said health care is more important to my constituents than any other issue. i used to tell crowd you could be bill gates and have $50 billion but if you get sick with a horrible disease, the money doesn't mean anything. it has no importance. you have a personal story, i have a son who in 1972 was diagnosed with terminal cancer. it was in his prostate, a rare diagnosis. it invaded is the domino cavity, they gave him no chance that they found a triple drug therapy they thought might work. they combined that with radiation, he is 38-year-old, living in atlanta, georgia. [applause] >> nothing you can tell me about this, we went through 5 years of intense therapy. the doctor

[applause] these are drugs used to treat illnesses like anemia. right now there is no pathway at the fda for approving generic versions of these drugs. creating a pathway would save billions of dollars. we can save another roughly $30 billion by getting a better deal for our poorest seniors while asking are well-off seniors to pay a little more for their drugs. so that is the bulk of what is and help reserve fund. i have also proposed saving another $313 billion in medicare and medicaid spending in several other ways. one way is by adjusting medicare payments to reflect new offenses and productivity gains in our economy. right now, medicare payments are rising each year by more than they should. these adjustments will create incentives for providers to deliver care more efficiently and save us roughly $109 billion in the process. another way we can achieve savings is by reducing payments to hospitals for treating the uninsured people. i know hospitals rely on these payments now legitimately because of the large number of uninsured patients that th

of the mental health condition which is the most prevalent as reliably diagnosed and effectively treated 75% of the time if you do the right thing, which is depression, and general medical setting depression is identified less than half the time and at less than half the time when it's identified as it treated responsibly. so at some point, not necessarily right now because it might just muddy the waters here, but at some point we're going to have to get involved in a conversation about what about this. >> it is the point. you're leading us right into it, and we want to ask chris, you know, who in fact is leading the veteran package and how can we collectively, we, be sure that mental health is covered in a comprehensive, integrated manner for all our citizens? >> well, and i will do that and i would just put in a final point on the public plan, a final point. and i think that i think inevitably something called a public plan option at the end of the day. the day is going to be very important to health plans and providers and manufacturers about exactly what that is and how it's structur

this is a horrible way to treat america's veterans. another patient a. 21-year-old veteran of the -- 21-year veteran of the air force had to remain in bed six months with pain so severe he couldn't stand. he lost his job as a pastor at a local church and his income thanks again to the incompetence of the veterans administration. adding insult to injury, this 21-year veteran of the air force didn't learn of the radiation injury from the philadelphia v.a. hospital. he found out when he sought treatment in ohio at a hospital where he underwent major surgery to retreat the damage because the bureaucratic regulators were covering up for the v.a., it took a private hospital to not only diagnose but treat his injury. that is right, madam speaker. the good old private sector saved the veteran where the v.a. just took a pass. "the new york times" concluded -- conducted its own examinations. they found that none of the safeguards that were supposed to protect veterans were poor medical care had worked. they also found none of the botched implant

know your human composition, they can find a way it treat your condition, say a cancer, potentially slightly differently than they would someone else's cancer. whether it is in the dosage of the medicine or specific kind of medicine. however it might be. the point being is that not everyone is the name. in fact, we're all different. we're all unique. one of the things that medicine must recognize is our uniqueness as individuals and not get into the habit of saying, well, there's a sort of size that fits all year and we're going to say that if doctors will treat everybody with this particular medical device or drug or treatment, then we'll pay for it, but we're not going to pay for it if they do anything else. that would not be a good medicine. that inserts the government in between the patient and the physician. we're saying that can't be done by using the comparative effectiveness research. the bill also makes clear that nothing prohibits the f.d.a. commissioner from responding to drug safety concerns under his authority obviously if a drug is not safe, the f.d.a. needs to say the

than they would treat somebody else's cancer. whether it is in the dosage of the medicine or in the specific kind of medicine. the point being that not everybody is the same. we are all unique. at one of the things that medicine must recognize is our uniqueness as individuals and not get into the habit of saying that there is a size that fits all. if doctors would treat everybody with this particular medical advice, a drug, or treatment, we will pay for it, but we will not if they do anything else. that inserts the government between the patient and the physician. the bill also makes clear that nothing prohibits the fda commissioner from responding to drug and safety concerns under his authority. if a drug is not safe, the fda needs to say that the drug is not safe and we would not pay for it. this comparative effectiveness research should not be used by the government to delay or ration care. the reason for it is that we all want to be in charge of our own health care with our doctor. we want the choice. if a doctor says that we

treatment you offer a payment with a chronic condition like diabetes, but instead paid well for how you treat the overall disease. we need to create incentives for physicians to team up because we know that when that happens, it results in a healthier patient. we need to give doctors bonuses for good health outcomes. we're not promoting just more treatment but better care. and we need to rethink the cost of a medical education and do more to reward medical students who choose a career as a primary care physician who choose to work in underserved areas and stead of a more lucrative tasks. [applause] >> that's why we are making a substantial investment in the national health service corps that will make medical training more affordable for primary care doctors and nurse practitioners so they are drowning in debt when they enter the workforce. [applause] >> somebody back there is drowning in debt. [laughter] >> the second structural reform we need to make is to improve the quality of medical information making its way to doctors and patients. we had the best medical schools, the most sophisticat

they were being treated for acne? does not bother you? >> yes sir, it does and we regret the necessity that that has to occur even a single time and we have made suggestions that would reform the system such so that would no longer be needed. >> well, i haven't heard your opening statement. i glanced at them and nyet not heard the first round of questions. we understand the need to verify that people are telling the truth. we are not asking you guys or the insurance industry to automatically take somebody's word for it. i understand that. but, when i see advertisement at fur advertisement about, be a part of the family and we treelike our own family, and then somebody that doesn't have group coverage that takes out an individual policy and runs into some situation where they have a healthcare issue that requires a major claim early in the policy, if they operated in good faith in taking out the policy and you approved of them, i really don't think it is good business practice to go back and try to figure out a way to rescind that policy.

people based on how they are treated. and not to judge people simply because of their sexual orientation or their color. everybody in life has a story. and the way we learn and we grow and we truly become good human beings is to embrace everyone that we cannd and to learn from them. i realize that's probably a little, i don't know what the good terminology is, blazze or maybe a real undercover type of teaching. but i do believe that's where it is. and i'm very proud to say that i have children that go to school, i have a daughter that's 17 years old and she has gay friends. and i see how their relationship is as compared to back when i was in high school. and if we knew someone was gay and how they were treated. and it's 100% different. guest: well, thank you. i'm the same age as you, as a matter of fact, and i've seen a lot of changes in my 53 years. and we have come a long way. and many of us have had the feeling in the past several months that we have past an historic turning point in our country in the drive for same

with cogtive therapy, and it looked just like the brain that was treated with cogtive therapy. no pharmaceuticals. so there is no difference between our ability to learn and change or to use psychological farm logical interventions was very unifying for me. tipper had also told me the surgeon general's report on fitness, said, wouldn't it be terrific if we had a surgeon general's report on mental health? and we were approached from the surgeon general himself and from howard goldman, who can't keep a secret, that when he was initially approached by the goers, that he didn't think that the science was really adequate for a surgeon general's report on mental health, and he became through the process of the development of the report, a complete and absolute convert. and, in fact, when healthy people, 2010 goals were developed, i think four of the top 10 goals related to mental health because he came to understand that mental health is fundamental to health in every way. you might remember in 1996 we had a parity law passed. it wasn't all we wanted, but it was enormously important

a medical advisory council to determine what treatments people should get and when they should be treated. the goal is to control spending. not to ensure that everyone gets care when they need it. it can tell americans went they can get their treatment and what medications they can and cannot have. the massachusetts senator's plan offers subsidies to those who incomes reach 500% above the poverty line. president obama has said if new government-run health care is created he won't have to use it if you refer your current plan. that's not the way congress is writing the legislation. the way the legislation is being written in the finance committee, after your insurance contract expires and it is usually an annual contract, your insurance is gone. and your insurance company must abide by a new set of federal rules that means you will not have the same policy that you had before. moreover, the government-run care would quickly crowd out other insurers. employees who have insurance through their again could be forced into the government plan if their employer decides it is cheaper to pay a fin

in michigan investment in wind turbines and technology is treated to 2600 jobs.n florida at three new solar projects are as predictable it for 200 people. the list goes on and on, but the point is this, this legislation will finally make clean energy the profitable kind of energy which will lead to the creation of new businesses and entire new industries. it will lead to american jobs that pay well and cannot be outsourced. host: the president's saturday address there. john boehner, republican leader in the house called the crime bill a pile of -- it is a four-letter word beginning with "s." he had a few choice words when asked why he read portions of the cap and trade bill -- people deserve to know what is in this pile of "--." john boehner spent one hour reading from the 1200-plus page bill that was amended 20 hours before the lower chamber voted to approve it. nancy pelosi is office declined to comment on the jack from john boehner. but one democratic aide said what do expect a guy who thinks global warming is caused by cow manure. go ahead, on the democrats'

she said that several of the women attending cabinet have been treated by u.s. little more than female window dressing. she went on, i am a natural party loyalists. you have strained every sinew of that loyalty. the prime minister have told -- said that he was told by his father to always tell the truth. they came very close to accusing him of lying. >> you said you're going to be candid, you are not being candid. everyone in this room knows that you wanted -- that that is what you wanted to do. all of your closest aides said you wanted to sack the chancellor. at the last minute, you have not been able to do it. >> the fact is, many journalists in the room will tell you that they had received such a briefing from #10 sources that alistair darling was finished. gordon brown has a reputation for giving somewhat boring press conferences. not this one. this is a very diminished prime minister from the one we saw a few days ago in the commons. he has made it very clear today that if there are still people in his party wanted to quit, they will have to try to drag him

depression, heart disease, diabetes, cancer, by treating the mental bell that -- illness the cost goes down and it is a powerful argument. >> i know from my mom who lived with diabetes and depression, when she was not taking care of the depression there was no way she would take blood sugar levels. no way. this goes from me to something else that may be is premature t

we'll see how the senate treats her. my view is she was a reasonable choice for president obama to make. >> you mentioned among the finalists, but she had a long tenure as a circuit court judge and that was one of the results of justice sooter, the president might want to have someone with more record to see how they would make a decision. do you think we have reached a point where if someone has not only had a long record as a circuit court judge but hasn't even served as a judge we're not going to see that person nominated, governors or other people, and do you think that's a good or bad thing? >> i think that is definitely a relevant factor in tchay and age. i think the fact that judge sotomayor had 245 record and others didn't was a very important consideration to the president. whether or not it was positive or you have to have that record, i don't think i would go so far to say that. had the president appointed secretary napolitano or governor graham, it swoub a shock, but i wouldn't rule out the person with no tra

there is an enormous wall of the care system that you were treated at. that becomes more important when you narrow the window over which you are looking at outcome differences. if you change the outcome measured to what is the measure of geography in explaining 30 day mortality, then that explains that 100%. the hospital is going to be very important for the first week. once your discharged from the hospital, then a bunch of other factors -- one short discharged from the hospital, then a bunch of other factors come -- once you are discharged from hospital, then a bunch of other factors come into play. we have, essentially, no preventative measures. in the paper, i alluded to this. if it were published, i could talk more about it. we look at the delivery of preventive services and we were able to assess that, on average, about half of the services look at the socio-economic status. blacks were going to doctors that treated more than provided lower quality care. then there was the residual that had to do with other issues. these were due to different treat

they are being treated in a manner that you would expect americans to treat prisoners from other conflictsd that is certainly what has been done. i think it is going to be very difficult to close guantÁnamo. now, the current administration is finding that out. we found that out. there were debates about guantanamo in our illustration. the president said at one point that he would like to close guantÁnamo. no one could never figure out what you're going to do, because you could not figure out what to do with bad actors at guantanamo -- no one can never figure out how to close it. the other day, the inmates at guantanamo were referred to as "abductees." this sounded like people who were kidnapped on the way to the movies. these are bad actors. these are the worst of the course. during the bush administration, we had reviewed all of the cases of the people down there, and they are all entitled to an annual review of their case, and several hundred of them, i believe, 500 of them, they were released, sent back to their own country on the grounds that they no longer constituted a threat to unit

tell you the medications, all the stuff, but i have -- flat forget i brock my leg and was treated for a doctor paid by the the waco independent school district in 1967. >> congressman, our underwriting guidelines really kind of dictate that. but it is my understanding of how our underwriting guidelines work, is that since that condition would the not be material in our initial under writing decision, because it happened so far in the past, and was of a nonserious nature, that that would not have factored into the underwriting. >> and i understand you might not cover me because of my heart attack, i understand that, that would be totally westbound your company's right to say, congressman barton had a heart attack in 2004, 2005, and therefore we cannot issue him a policy. and and i understand that. my question is really, about my leg injury, from way back when if i don't disclose that, does that disqualify me potentially down the road? >> mr. collins? >> sir, the application is looking for information going ten years back, so, that would -- >> would not be material into would not be mat

however they were treated? general petraeus has said in his judgment that the release of these photographs will help recruit additional terrorists, additional jihadists to the team and they will be used to spur actions against our military, against our troops in the field that might not otherwise be there. and so i don't think it's too much of a stretch to say that the release of these photographs in all likelihood will result in additional deaths and injuries to american troops that don't have to occur. the senate language would restrict acksess to these photographs which is the right thing. the white house said these photographs should not be released. i encourage my colleagues on both sides of the aisle to support our motion to instruct because it does make sense to not release these photographs. i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. the gentleman from california. mr. lewis: madam speaker, i yield two minutes to the gentleman from texas, mr. gohmert. the sp

care, so as you move down this list, looking at each of the elements of how diabetes should be treated and scoring that and then through minnesota community measurement, making that visible to the consumer on line, where you can go and see how one clinic versus another is performing. and this is just a quick depiction of what that would look like, given that i'm presenting in washington, d.c., i didn't put anybody's name on this, but literally in minnesota, you can go and look and the names of the clinics are on there and you can see how one compares to the next through an element called health score and this is just a valuable piece of data for the reform of the system. when we look at minnesota and think about it as a model, a potential model for the country, a lot of it is built around how integrated the delivery system is, so the hospitals in the twin cities in particular, have the physicians are employed by the hospitals, ancillary services employed by the hospitals, and these are very tightly integrated systems, so they're in position to take on a global payment and to manage tha

we treat people humanely and properly at guantanamo. people were mistreated in another prison called abu ghraib. they are not the same. and abu ghraib, therefore, does not represent the example of what we should be doing with respect to guantanamo. we'll have more debate on this subject. i note that the time is very short and i meant to leave time for my colleague from texas and i hope to engeaj my colleagues in further -- engage my colleagues in further conversation about this. the presiding officer: the senator from texas. mr. cornyn: i ask unanimous consent to speak as if in morning business for up to 15 minutes. the presiding officer: without objection, so ordered. corn con actually, madam president, i intend to speak on the underlying bill but because the bill manager is not here i think my remarks are just as appropriate here in morning business. madam president, i want to rise to offer my support as a cosponsor of the family smoking prevention and tobacco control act, the so-called f.d.a. regulation of tobacco bill that's current

had my use of the medicine to treat his mother caused this awful tragedy? full of self-doubt i felt a desperate urge to undo what i might have done. a tiny motion caught my eye the abdomen of the small infant stirred faintly. i placed two fingers across the boy's belly to confirm his diminutive movement. my pulse quickend. her child moved to the edge of death but had not crossed that fine line. i stuck a latex glove in his mouth. a healthy infant would start sucks. her newborn had no response. what happened i asked amy urgently unable to take my eyes off the baby. too small to live, she answered. previously a traditional birth attendant amy had delivered the child early in the morning. she reported as a matter of factually that the labor had left her exhausted despite her child's small size. did he cry, i asked? still confused as to why the infant had done so poorly. >> i knew improper treatment killed many of them. with the worst maternal rates in the world even those born under the best of conditions in sierra leone had an uncertain future it was a cruel

with conative and behavioral therapy in a look like the brain treated from a cynically so the point of that is no meaningful distinction between our ability to learn and change or to use psychopharmacological interventions to get that chemistry back again was in a fine for me. tipper and al gore i am told at the olympics in atlanta and said that that had motivated us, the surgeon general's report on fitness, wouldn't it be terrific if we had a report on mental health and they approached the surgeon general and as i am told from the surgeon general himself and howard goldman who can't keep a secret, when david was initially approached by the course he didn't think that the science was really adequate for a surgeon general's report on mental health and he became to the process and complete and absolute convert to an impact on how they people, 2010 goals were developed for of the top-10 related to mental health because he came to understand that mental health is fundamental to howff in every way. you might remember in 96 we had a purity law passed, it wasn't all that we wanted but was

>> measure it in how you treat a patient, how you interact with patients, how your staff interacts with patients, there are a number of sarah goods. one of the things we have to do is educate people in the role of culture. we have a large and growing student population in my part of the state, as well as the mexican population, there is no question that language, understanding the impact of the culture, making sure that simply writing a prescription or telling them what to do is going to have them follow through, that is not even upon the physician and health-care provider. to communicate in family structure in order to adhere -- >> isn't that true of low income whites as well? i know a physician who was running a clinic in a low income area, finding exactly the same problem. >> that is why i go back to understanding and respecting those differences. >> that is a class difference. >> it might be a social class difference, but it is much more broad if you look at it. my point was it is an education that needs to be given to the whole issue of one's culture and cultural confidence and goo

we want patients to be treated like human beings. they want to be treated like people. not some number. something abstract. we want to be treated like a human being. because at the end of the day we all want our loved ones to be cared for. we don't want them to wait. we don't want to see a mother like mine who is 80 be told she's contributed her whole life relatively healthy, we don't want to tell her we are sorry we are going to discard you because you have reached a certain age. that's what we are concerned about. we are going to try to work i think in a bipartisan manner. try to work in a way that embraces a lot of ideas that we can all share. short of of a government takeover of our system, i think we can do that. we have the compass to the do it. the american people expect it of us. i look forward to working with my colleagues to come to that kind of result. i yield back. mr. kirk: i thank the gentleman. we will be outlining a positive set of reforms that we think can attract tremendous bipartisan support. this tuesday from the centrist. with that i'd like to ask u

you cannot treat us. california. we hear from lou from -- who is a physician. caller: i have been a physician since 1962. i have lived through medicare. my major paoint is that medicare is not the same thing as profit. people should be paid reasonably. the insurance companies have corrupted the whole concept of medical care by a huge -- by the huge profits they are making. they are difficult to fight. if obama's does not fit through his government plan, we will have the same thing we have now. it does not work. guest: i think the insurance companies have done a terrible job in not recognizing that they and the doctors are on the same page. they make these astronomical profits, some of which -- and for-profit organizations. the do so often in hostility with the doctors and disallowing many legitimate treatments and making it impossible to render care. a lot of the administrative costs the president spoke about come from insurance companies. i think the insurance companies have lost and enormous amount of goodwill. there is concern at they are not making a lot of

women fighting cancer have a 65% chance of surviving if they are treated in the united states. that survival rate drops to 56% in europe. for men, the difference is even starker. 66% of american men will survive a cancer diagnosis. only 47% of european men. bottom line once again, we see across both men and women, you are much more likely to survive cancer in the united states than in european countries. and much of the reason why is because in countries in which the government controls more of the health care sector, they restrict access to oncoling medicine and to imagery. and cancer is found later and fought with less aggressive drugs, meaning that europeans will die at a higher rate than americans. when we look at high tech medical procedures in britain, canada and the united states, many people would say that health care costs are driven by too much access to medical care. what we see here is that survival rates are higher in the united states, meaning that high tech is good. and the chance of your family member surviving improves when you have access to medicine and m.r.i

but treating them like the worst criminals in the world -- causing eight good individual to go out and commit suicide. that concerns me. over 100 federal agents were used in this operation. that presence has been perceived by the community as not only unnecessary but brittle. unquestioning the motivation of some of the higher ups and of the interior. a day after these rates were

we have a system now of treating illness. we need a system of maintaining and promoting wellness in america. it is about diet, exercise, not smoking, and other things. and also good prescription drugs that help people to stay well and out of the hospital. thank you for those comments which are right on. host: republican from ohio, you are on with senator mary landrieu. guest: hello. caller: i think the whole agenda of the democrats is a backward. host: give an example, vincent. caller: clean energy. we have oil, coal, gas, air. but it is all complicated, that is all i hear from you guys. because people from this area do not want this. you are the government. you are supposed to at least protect us. all i heard was that we were over there after their oil, welcome yes we are not producing enough to take care of us. guest: let me say this. i am for more domestic production. i began my conversation by saying that we do need to produce more oil and gas here. we need to continue to produce coal, mine it, but need to clean it, of co