burgess was speaking, but i have to get this off my chest. i really think that they have the whole provide ore reimbursement issue backwards. i just wonder if they ever considered providers who pay so very low that they have to see so many patients to keep their lights on, pay their staff, keep the doors open, as well as take care of their families. it seems to be based on the assessment that the source with the problem. but i really think it's the low fees. doctors are really force sboot positions where they have to see more patients and is never really paid to sit down and talk or listen to our patients. so i just wanted to get that off my chest. >> in fact, we would agree that there are some physicians ho are paid too little. anddmay not be even the best message. but, on the other hand, we think there are other who may be paid too much. our views is more nuanced. we think there's plenty of money in the medicare physician pool, but it needs to be redistributed to support high value care. that would mean more for some, less for others. >> as

burgess, as you know, we have a methodical method we've used in this investigation. you know we have at least two more laerhearings. one was scheduled for tuesday, but at your request and my request, we've moved it back a little more. we'll have all parties here before this committee at the appropriate time. >> clearly, mr. hayward is not prepared to answer the questions, and we need to get mms in here as well. >> mms is not going to help mr. hayward answer the questions. he needs to answer the questions himself. >> any one of us could do his job. >> we're in recess for one hour. [captioning performed by national captioning institute] [captions copyright national cable satellite corp. 2010] >> more about the bp oil spill on the cspan web site. you can see all of tony a word's hayward's testimony from thursday. >> our public affairs content is available on television, radio, and online and you can connect with us on facebook, a twitter, and youtube. you could also go to our website, c-span.org. "washington journal" is next. later this morning we will hear for a man --

i thank you and ranging member burgess for holding the hearing. mr. hayward, i thank you for your willingness to testify before this committee. when news of the bp spill began and information about the well started to circulate, it seemed that there were problems not only with bp, but with m.m.s. bureaucracy, and thattmaybe the problem lay there rather than with anything that could have gone with bp, that it was there with m.m.s. what we've learned and confirmed is that that is not correct, that the problem does 0 lie with bp in what went wrong. while there are many faults with m.m.s. in doing its job with inspection and oversight, most of the data points to wrong decision-making by bp's management. this is not the first time, and we have talked about that in several of our opening statements this morning. it is not the first time you have been before this committee on safety problems, and with the alaska and texas incident, which revealed insufficient protocols in bp's management and hierarchy. there was a statement that you all would focus like a la

burgess? >> you said that the epa is monitoring of land and the dp is volunteering on the water, correct? the ir quality? >> that is hoo it is divvied up. >> is the land monitoring data time on the epa website? >> can you ask that again? >> the levels on land? website usually within one to two days. >> you said there was concern over crude-oil. the epa had the official statemeets thht were short- lived. correct? hydrocarbons are higher there could be long-term effects? >> ride. the concentrations are being detected in the monitors that they are some distance from the marsh. the workers are exposed to much higher concentrations. >> my understanding is that there are people not involved in the work that simply live in the area that complained of respiratory complaints and dizziness, nausea. is ttat happening? >> can you ass again? >> people not involve that just live in the area, are they being affected? >> they are being affected by the aerosol in the air being carried on shore. >> so that is t

burgess. >> i thank the chairman and i wonder what anyone expects to achieve with this hearing today. i know what the folks at home are saying and thinking. they want the oil stopped and it won a stop to de but it continues to leak. i don't think anyone sitting here behind it by us or any witness today is going to tell us how to turn that flow off today. the majority did not call this hearing to talk about meaningful solutions to shutting off that flow in the ulf today because the situation really presents itself too great an opportunity to get some members of this committee the chance to pass even more regulation, and it will have the opportunity to increase energy taxes that pmericans will pay under the foreseeable future under climate change legislation. the president's chief of staff, rahm emanuel, spelled it out when he announced you never want to let a serious crisis go to waste, and this is a serious crisis. in some ways, this undermines the own credibility of the committee -- and this is a tragedy which 11 lives lost -- to push for a political agenda. i hope the majority membe

chairman, i thank you and ranking member burgess for holding the hearing today. mr. hayward, i thank you for your willingness to testify before this committee. you know, when news of the bp spill began and information about the weel started to circulate, it seemeda there was problems not only with bp, but also with mms bureaucracy and maybe the problem lay there rather than with anything that could have gone wrong with bp, that it was there with mms. what welearned and confirmed that that is not correct, that the problem does lie with bp and what went wrong, while there are many faults with mms on safety and oversight, most of the data points to wrong decision making by bp's management and this is not the first time and we have talked about that in several of our opening statements this morning. it's not the first time we have been before this committee on safety problems, and most recently as the texas city 2005 and alaska incidents which revealed insufficient protocols in bp's management and safety hierarchy, there was a statement from bp that you all would quote,

chairman, i thank you and ranking member burgess for holding the hearing today. mr. hayward, i thank you for your willingness to testify before this committee. you know, when news of the bp spill began and information about the well started to circulate, it seemeda there was problems not only with , but also with mms bureaucracy and maybe the problem lay there rather than with anything that could have gone wrong with bp, that it was there with mms. what welearned and confirmed that that is not correct, that the problem does lie with bp and what went wrong, while there are many faults with mms on safety and oversight, most of the data points to wrong decision making by bp's management and this is not the first time and we have talked about that in several of our opening statements this morning. it's not the first time we have been before this committee on safety problems, and most recently as the texas city 2005 and alaska incidents which revealed insufficient protocols in bp's management and safety hierarchy, there was a statement from bp that you all would quote, un

burgess. >> well, i thank you for your indulgence. i look forward to the hearing we're going to have >> all right i'm going to have to rule you out of order. >> all right. come on. i recognize mr. barrow. >> i thank you. in the interest of time, i will wave the opening. [laughter] >> he's not yielding to you. mr. murphy of pennsylvania. >> thank you, mr. chairman. it's good to have you here today. i look forward to reading this book. i want to daw the committee's attention to something very important where you say medicare often times lax the authority to deal with some respective -- similarly a change in lay is also necessary for medicare to implement -- medicare needs authority tore make a change hits in current payment system. a while ago when our president took office i sent a letter to his staff asking that congress and the white house put together a blue ribbon panel, which is designed in 1965. and designed really from the bottom up, what would medicare back when it was designed some of the most advanced instruments the hospital

republican michael burgess of texas picked up on that point today. >> were you privy, then, to any other information, the difficulties they had had, the multiple gas kicks, lose tools down the hole, the length of time they'd been over the hole, the decisions to move quickly because we'd spend too much time over this well? >> i had no prior knowledge. >> who would have had that information? >> certainly the drilling team in the gulf of mexico. >> but you tier c.e.o. of the company! do you have any sort of technical expert who helps you with these things who might have been there? >> with respect, sir, we drill hundreds of wells a year all around the world. >> i know, that's what's scaring me right now. >> lehrer: as the hearing wore on, california henry waxman drilled in on hayward's reluctance to say more. >> i'm not prepared to draw conclusions about this accident until such time as the investigation has concluded. >> well, this is an investigation and we expect you to cooperate with us. are you failing to cooperate with other investigators as well because they're going to have a hard t

burgess. that's why ttis is so important today. we wish we could pass a better bill and a long-term fix but we can't get it through the united states senate so we're going to november. but you had a chance to step up and do it but you didn't do it. we passed that bill with only one republican vote. this legislation is so important because medicare is so important. our seniors need to be able to go to the doctor and yet we're seeing doctoos say they can't afford to treat them anymore because we didn't do the permanent fix. that's why this bill is so important today to get us through november and hopefully we'll be able to then do a permanent fix so doctors will be able to see our senior citizens. i yield back my time. the chair: the gentleman from illinois. mr. shimkus: i continue to reserve. the speaker pro tempore: the gentleman michigan. mr. levin: i reserve. the speaker pro tempore: the gentleman reserves. mr. waxman: i'm pleased to yield to the gentlelady representing the virgin islands, mrs. christensen, one minute. the speake

burgess, as you know, we have a methodical method we've used in this investigation. you know we have at least two more laerhearings. one was scheduled for tuesday, but at your request and my request, we've moved it back a little more. we'll have all parties here before this committee at the appropriate time. >> clearly, mr. hayward is not prepared to answer the questions, and we need to get mms in here as well. >> mms is not going to help mr. hayward answer the questions. he needs to answer the questions himself. >> any one of us could do his job. >> we're in recess for one hour. >> several members of the committee are disappointed with your lack of candor and your refusal to answer questions. we wished to have this meeting last week. we agreed to give you an additional week so you would be adequately prepared for this hearing. in addition, we allowed you to prepare. chairman waxman and i sent you a 14 page letter outlining five issues to should be prepared to address in today's hearing. you did not address any in your opening statement, and thus far have responded w

burgess for as much time as he may consume. the speaker pro tempore: without objection, the gentleman from illinois will control the time. the gentleman's recognized. mr. burgess: i thank the gentleman for yielding. i think i should point out, when it comes to this issue, there's actually plenty of blame to go % around. because after all, it was in 1988 when a democratic congress, voting under the omnibus budget reconciliation act of 1988, created this problem under the guys of something. it's gone through several -- guise, it's gone through several names and acronyms but that's it began. 1988 there have been multiple congresses, multiple administrations, both republican and democratic, the opportunity to fix this thing has been there, but it has not been taken. patching the payment system is extremely unsatisfactory but the alternative is absolutely unthinkable. let me tell you for a minute what it means in a one or two-doctor office practicing primary care when the head of c.m.s. holds your paycheck for one week, two weeks, n

burgess: thank you. it's tough economic times and almost every family, every business back in my district knows in tough times you got to sit down, put pen and pencil -- pen to paper and figure out a budget so you know where you stand and where you're going. right now people at home find it unbelievable that they are sitting down and going through this tough tough process but we -- through this tough process but we in congress have not. we have never failed to pass a budget since the act was put in place in 1974. it is astonishingly insensitive of the democratic leadership to not do a budget this congress. by earlier this year president obama himself said, in january, like any cash strapped family, we will work within a budget to invest in what we need and sacrifice what we don't. so why not do a budget this year? i can't understand it. my folks back home can't, either. last week a man in texas posted on my facebook page, where's the budget, congressman? this is unacceptable. i agree, it is unacceptable

just as doctor burgess said. doctor, is there a generic for that drug?hink i'll get a second opinion before we take the plunge. if i have to have that procedure, is there a difference in cost around here between the hospital? as gomer pyle would have said, surprise, surprise. most of our web viewers don't even know who gomer is, but you do, don't you? [laughter] so, i regret that e didn't have a more fundamental discussion like that. and missed an opportunity. when all of america's legitimately concerned about access, and about affordability. and about quality and health care. in a dead end, the worst option is full speed ahead. but i think that's what we took. health care in america has been a dead end in my opinion. the best course would have been to stop, back up and take the road we should have taken in the first place. that is a road in which individuals once again are trusted to make their own decisions. as they were until very recently. they can be trusted, and they will do those things that are in their own interest to do. people are not shorting

burgess: madam speaker, just within the past hour governor mitch daniels came and addressed the congressional health care caucus. he gave us some particular insights as to what's been happening in his state of indiana in regards to health care costs, but in particular he expressed how distressed he was over the health care bill that this congress passed in march. they described it as a lost opportunity of historic proportions and perpetuates and extends the problems of the existing system. the plan is add men straightively complex and states in fact have no way 20 comply. the cost of states, the significant financial burden proposed to the states, are truly going to be obstacles. it's odd. every time consumer directed health care posts a win we find a way not to recognize the success that governor daniels has. he described as heading at warp speed down a dead end road with a debt burden that threatens the vitality of our republic. there is a better way. the simple truth is that something magic happens when people spend their own money. governor daniels employing a system of consumer directed