we see it in child care and other parts of our health care and care landscape. workers are struggling to support their own families because direct care workers are paid an average of just $15 an hour nationwide. workers provide a higher level of care to support residents rowing needs, especially residents with dementia. but training requirements and worker support look very different in each state. as we will hear from our witnesses, these challenges make it harder for families to find the information that they need about assisted living facilities including how much it will cost, the quality of the services they receive, and how safe their family member will be. a recent washington post investigation found that since 2018, more than 2000 people have left assisted living facilities unsupervised and have been left unattended outside. tragically, 98 of these 2000 incidents have resulted in the death of the resident. and those are just the cases that have been reported. the findings of the post investigation demonstrate how urgent it is that congress better underst

but for us, home care and elders care of generally. and what challenges might arise in needing the increased demand for long term care. so definitely the, the caregiver pool is trained. so we spend a lot of resources just looking for the perfect caregiver. we don't want to hire any caregiver to work with our clients, obviously. so the quality of the caregiver is also a vital and that's not an easy process, and it's certainly not a cheap one there. so just those recruiting cause that we occur, you know, make that very challenging to, to find the right caregiver. um, also another aspect of this would be, i would mention again, we're still recovering. it depends on where we had a healthy pool of caregivers who are available on the older side. but we're very experiencing, very knowledgeable, very is joyful. and they took that opportunity during the to so to leave the field . and so we've been in the process of replacing those folks basically ever since. and sort of that learning roads is also a big challenge of this and in training and ins

we cover preventive care, chronic care, long term care, dental care, vision care. and everybody gets to take their health care with them wherever they go. in other words, if you change jobs, your health care goes with you. if you move, if you get laid off, the whole idea is cradle to grave health care coverage for every man and woman in this country. so we don't have to worry. that if you change jobs or you get laid off or you move, that you somehow lose your health care coverage. now, let me just a truth moment. my plan is not free. i don't claim it's free. it costs 90 to $120 billion a year, but it's paid for by getting rid of bush's tax cuts for people who make over $200,000 a year. but these are the causes that this election is about? it's about natalie. and it's about the 47 million people who have no health care coverage. it's about america meeting its moral responsibility to future generations by actually leading in attacking the moral crisis of global warming. america must be leading, not being dragged, kicking or screaming. and by the way, i hope somebody

2019 child care, whether in the form of day care centers, preschools, or in home care is a vital service that allows parents to work while ensuring the wellbeing and development of their children. however, the costs associated with these services have risen from medically in recent years . outpacing installation and wage growth. roughly 2 thirds of families who need child care or reading, dedicating more than 20 percent of their annual household income towards paying for it. in the u. k families could spend a whopping 75 percent of their monthly income on child care, which then discourages women from going back to work. the landscape of child care is also changing with more families moving away from the traditional reliance on grandparents to an increasing preference for early education programs. a childcare was, was primarily a family affair, often handled by grandparents, families lean on the support and experience of grandparents creating a strong intergenerational bond. but today we're witnessing a growing trend where families are choosing early education programs, such as the montes

care courts. there is a thousand to 2 thousand people in san francisco who can benefit from care court. we can accept that analysis, we can reject it, but we know there is a lot of people who need help. there is also sb43, which seems to be a rather significant expansion in conservatorship authority. brings substance use disorder within the criteria for conservatorship. allows inability to care for one's medical needs a criteria for conservatorship. so we have more tools to conserve people. we have care court, but we have that basic problem that we had for a long long time of not having the right places for the people we want to get care to. i think the work that has been done highlights the need and now we also have this potentially significant opportunity in the form of proposition 1, which is both going to create a huge source of funds for capital investment, and also hold counties accountable to spending a set percentage of our mental health service act funding on long-term care for people who

the long-term care sector. we have a responsibility to make sure every american can age with dignity in a safe place of their choosing. that is why i have worked with my colleagues to expand access to home and community-based services, improve nursing home oversight, and strengthen the long-term care workforce. now we're going to continue our work on assisted living. as this sector grows, we must work to provide similar protections and safeguards that are in place for residents and their families as we strive in the nursing home context. we also want to ensure that any facilities and corporate owners that violate the trust of american families are held accountable. i look forward to working with my colleagues to ensure everyone who needs long-term care has safe and accessible options. one way we will do that is to determine what the costs of assisted living are to families, and how federal dollars are being used. to ensure these funds are being used responsibly to pay for quality care, along with all of my demo

care on her own.wn.— 78-year-old will be providing all their care on her own. you have not been well- — their care on her own. you have not been well. natalie _ their care on her own. you have not been well. natalie has _ their care on her own. you have not been well. natalie has cerebral- been well. natalie has cerebral als , been well. natalie has cerebral palsy. and _ been well. natalie has cerebral palsy, and andrew _ been well. natalie has cerebral palsy, and andrew has - been well. natalie has cerebral palsy, and andrew has a - been well. natalie has cerebrall palsy, and andrew has a genetic brain condition that means he has uncontrolled seizures. he needs total care, somebody with him all the time. you can predict the signs, but not always because sometimes they just the signs, but not always because sometimes theyjust happen out of the blue with no warning.— the blue with no warning. natalie nets some the blue with no warning. natalie gets some council _ the blue with no warning. natalie gets

connected to reproductive, reproductive care and maternal care. and that's absolutely important to women's care. so all of those things are connected. having a reproductive choice, having birth control, making sure that you have that. um, in most cases when you have a insurance, you get a g y n, as well as a general practitioner, the doctor. and so women's health care is, is very connected to general health care. and so when we put it this way, when you ameliorate the lives of people who are the most marginalized, then everybody wins. everybody wins when you improve health care for women? men do well very they do. they do very well. children do to do well and, and people in general will get more of the expansive and holistic care that's necessary when you begin to recognize how attached women's reproductive rights are to health care. angela, we only have about 2 minutes left, especially coming from the libertarian perspective. do you agree with that, that when you attach things like birth control, does that help everyone and is it right to attach

of long term care? so i would say that a lot of our best caregivers are our parents or mothers and fathers. and so all of that comes the child care and need, of course, and i know that's a challenge, a lot of them navigate and, and have difficulty with. and so that, that's from this definitely another challenge that we see. transportation also continues to be a challenge for our caregivers, reliable transportation, and i can get into their clients, you know, reliably it is, is there's another component in that that, you know, we often face. thank you so much case, but please stick around. keith mark will stay with us right here after the break. and when we come back, we're going to explore how much it costs to take care of the elder and countries like china. well have more after the break, the a hi. acceptance. and i'm here to plan with you whatever you do. do not watch my new show search like why watch something that's so different listed of opinions that he won't get anywhere else. welcome to planes o

but life threatening situations on the intensive care. we aren't always the slow and steady intensive care medic, elise neu, decker is on her way to an emergency one floor down. a woman has been recessive, dated, and needs to be taken to intensive care. now for further treatment, it's unclear whether she'll survive the pieces and then again quickly once in intensive care, she's immediately attached to every live sustaining machine possible. of course metix, one to heal people like many who come to the intensive care unit don't survive. or the 20 minutes have passed the least. could you describe what's happening? you asked me push buttons and it's in ask of faith. as of is a patient has been on a heart catheter. they did everything they could to help her, but unfortunately nothing was working. and she died again, we're waiting for the family now. it's what was important to us for the last step. that's what it was that we were able to be with that patient. make sure she had no pain or fear to kind of dogs, us and to see me to come in to ok.

care. again, not at a hospital, but we need something. and now in here, right? my friend jim broke his leg while he was trying to do something. well, need to stabilize that legs. i could even hopefully get him out of the mine. right. or going to bleed out because i can't stop the bleeding there. right. so again, very very basic things. right. of course, we've advanced in regards to our first aid training based on, you know, better equipment, stuff like that that we have. right. but here's a picture of one of the first original. right. first aid textbooks back in the day. all right. so like i said, with advances in, equipment comes cooler toys, right. and also ability to provide additional care. so 1928, julian weiss, which i believe he worked for, the railroad, i believe was a group of railroad who developed this initially but founded roanoke in roanoke, virginia the roanoke lifesaving and first aid crew right here is their kind of setup that they had originally and they were kind of known

to reproductive, reproductive care and maternal care. and that's absolutely important to women's care. so all of those things are connected. uh, having a reproductive choice, having birth control, making sure that you have that. um, in most cases when you have a insurance, you get a g y n as well as a general practitioner doctor. and so women's health care is, is very connected to general health care. and so when we put it this way, when you ameliorate the lives of people who are the most marginalized, then everybody wins. everybody wins when you improve health care for women? men do well, very good. they do, they do very well. children's do to do well and, and people in general will get more of the expansive and holistic care that's necessary when you begin to recognize how attached women's reproductive rights are to health care. angela, we only have about 2 minutes left, especially coming from the libertarian perspective. do you agree with that, that when you attach things like birth control, does that help everyone and is it right to

and access to cancer care. can you break down the typical expenses involved in cancer treatment, including medication surgeries and other interventions? well, well, good talking to in terms of cancer drugs, basically in early 2000 and ten's, you know, cancer care for certain medications to undergo chemo therapy was about $1500.00, you know, in terms of medication out of pocket for the patient. now in 2020 are, you know, from the, from the studies that we have from 2020, nothing after 2020 that are designated, but the average cost for a person to undergo keyma therapy in terms of medications. doctors appointments, no transportation or social economic factors basically went from $1500.00 to $5000.00. now as far as chemo therapy goes for a certain drug, one type of amino therapy, 3 doses are equivalent to $12000.00, which is pretty, pretty high. for started surgery that would be almost as the cost of a surgery or even radiation therapy itself. these costs of these newer drugs which are amazing in terms of breakthr

and access to cancer care. can you break down the typical expenses involved in cancer treatment, including medication surgeries and other interventions? well, well good. talking to in terms of cancer drugs, basically in early 2010, you know, cancer care for certain medications to undergo chemo therapy was about $1500.00, you know, in terms of medication out of pocket for the patient. now, in 2020 our, from the, from the studies that we have from 2020, nothing after 2020 that are designated, but the average costs for a person to undergo chemo therapy in terms of medications. doctors, appointments of no transportation or social economic factors basically went from $1500.00 to $5000.00. now, as far as chemo therapy goes for a certain drug, one type of amino therapy, 3 doses are equivalent to $12000.00, which is pretty, pretty high. for started surgery that would be almost as the cost of a surgery or even radiation therapy itself. these costs of these newer drugs which are amazing in terms of breakthrough technolog

i want to thank haley and all of our mental health-care heroes for the amazing care they provide to our people. thank you. [applause] gov. beshear: tonight, let's commit to moving forward together on our people's mental and physical health. to do that, we need to fully fund medicaid including expanded medicaid to make sure we're continuing to care for more than 1.5 million kentuckians. we should further fund the expansion of the michelle p. and supports for community living waiver programs. they help our most vulnerable citizens. because we're seeing more opportunity for us. more opportunity for our people than at any time during my life. we need all of our people healthy enough to be a part of this future and the prosperity it will bring. so, let's continue to expand access to quality health care for all of our people. [applause] gov. beshear: we also have to thank those treating addiction and helping those in recovery. across the nation the opioid epidemic continues to devastate communities and families, with fentanyl taking a deadly toll. we've lost too many parents, children, relati

i think health care will shoot to the i health care will shoot to the top the agenda _ health care willthe agenda. when we get stuck into what is _ the agenda. when we get stuck into what is the — the agenda. when we get stuck into what is the state _ the agenda. when we get stuck into what is the state of _ the agenda. when we get stuck into what is the state of the _ the agenda. when we get stuck into what is the state of the nhs, - the agenda. when we get stuck into what is the state of the nhs, that'sl what is the state of the nhs, that's going _ what is the state of the nhs, that's going to _ what is the state of the nhs, that's going to become _ what is the state of the nhs, that's going to become one _ what is the state of the nhs, that's going to become one of— what is the state of the nhs, that's going to become one of the - going to become one of the most hotly— going to become one of the most hotly contested _ going to become one of the most hotly contested things, _ going to become one of the most hotly contested things, and - going to become one of the most hotly contested

hammer set up the care for ambulatory care for vaccinations and testing in the community and shifting the clinical approach to meet covid for alcohol entertainment and brown dr. hammer has provided primary care for all san franciscans will be missed by her patients. and whereas, dr. hammer has been a colleague and public health leader and thought fullness and integrated care and childhood and other behavorial health and san francisco health commission honors her for her it's been a long time coming. leadership and wishes her well in their combraerz and holly will give a little - >> who gets the honor to move this resolution? >> okay. >> so moved. >> laughter. >> (multiple voices.) >> so moved. >> yes. >> let's first quickly check any public comment in the room? >> anything online i see no public comment. >> so i guess we have a motion and second. >> so commissioner comments start with the end and work our way down. >> commissioner chung. >> i don't know where to begin i them like i'm so old and quickly how long i've known you it's been inspiring and i'm glad to have an ally like you t

he's been in intensive care for several weeks. he's been kept alive on a ventilator deep behind because of his deteriorating ability to breathe. treatments requires ventilation. he is experiencing different phases of infection infections. that's all healing phases of wakefulness and of confusion. co pays out his physical limits every day. would you like to add anything between looking to types of data on so we're really just trying malta and this future is not looking much better because we don't cnn. okay, and that's the question was, was it a this, this series to assess the fargo? how much longer can we continue doing this? it's not where's the and what is all call inputs? that's an issue. one of us may have been looking for satellite. we've already been trying him for a long time to get some of the ventilator. we keep reaching the 4 hour mark by continuous spontaneous breathing has failed the several times the most, the most glue that is ever if the risk is so great. if we took them off, you would certainly suffer oregon failur

and finally, got to have basic long term care for the elderly and the disabled and health care clinics in rural areas like the tiny places in new hampshire and the rural areas in my state and the big inner city areas. if you do that, you can provide for the health care we need with the money we're spending now and get this country back on the road to being healthier and more competitive. we need a national education policy. i met a woman in the crowd there who said that she was to vote for me because of the three little children she had, whether that you hear george bush's education last night, he's a born again headstart advocate right at? the rate we were going to for last night, we were going to fund headstart in the year 2050. now, he wants to do another $500 billion this year. the republicans say we ought to limit the terms congress conserve. i say if you're going to leave george bush in the white house, you ought to force us to have a presidential election every six months and we get all the government can stay on. it would be good. he wants to let people deduct the interest on t