>> in san francisco we have two after hours care, one urgent visit. >> just urgent care. >> urgent care. there is a second that has limited hours. there is one with extended hours with urgent care and we are opening up a second sight in the spring and we have one in the east bay. two after hours and one urgent visit and a second one coming. so we'll have four soon all within the city limits in addition to the hospital services. >> any other questions or comments? thank you. >> good afternoon commissioners. i'm terry hill. vice-president for performance strategy for hills physicians. it's a pleasure to see you again. it maybe somewhat reassuring to you to say that we are in our 5th year of the calipers project which covers 41,000 members in sacramento. for the first four years we just found out we have exceeded our savings target. this is not some idea that is a flash in the pan. it can work long-term. we are talking about making foundational changes in the way we deliver care and holding ourselves collectively responsible which i think is the key. that of course kaiser colleagues have e

it's one of the big surprises in family care giving, and you think of it as just caring for the elderly. and that's not the case. we're seeing so many more millennials who are now family caregivers themselves and a lot of children. alzheimer's is exploding ex initially, but so is autism in children, so there's this tremendous demand for family caregiver services. >> we were looking at a lot of very credible organizations, and they had such a wide ranging number in terms of the number of people care giving for adults and children in the u.s., 67 million. >> i would say that the number is 90 million. and i'll tell you where the numbers are coming from. the rapid corporation put together and there are things that the family caregivers need to use. the numbers came from 2009, and it has been now that we're able to update that, going into 2014. where a few research centers said that 39% of all adult americans identify as family caregivers. >> amazing, coming up, we have heard even the groups that wanted to help sometimes don't hit the mark, but millions of caregivers are finding a source of

urgent care facilities to help boost our access to care. and i will stop there. my colleagues from ucsf medical center and dignity health and blue shield are here as well. we are passionate about this work and feel like it is the key to transforming american health care. >> okay. would you take a moment, doctor and please introduce those folks or have them stand. >> dr. adrian green assistant chief medical officer at ucsf, we have jennifer kesh yann, representing dignity health and patty hobart representing ucfs medical center. >> we are on tv here, so if you stand, we'll see you. can you all stand. >> we have dr. margaret bead representing blue shield. >> thank you very much for your dedication and input to this effort also as well. and brown and toll an, do you have a colleague here as well? would you please stand and have them identify themselves. please stand up. all right. we thank you all. >> all right. i would like you before you leave today to get your names and affiliated titles to our secretary so it will at least be recorded in t

it's created with a lot of opportunity created by the affordable health care and how can better care b be coordinated and the cost savings. there's no - it effects quality and effects the cost of care so with the coordinated care initiative one part is called cal medical connect the dual particle is one of 15 states selected by the federal government for some funding to create a pilot program to better coordinate care for dual eligible since medi-cal and medicaid nationally are two program that are aligned the rules don't fit well, with both programs those people that are dual eligible are people with seers health conditions and have problems getting the care they need instead of what is reimbursed some of the mississippi alignment drivers the quality of care and increased costs. the cal medical connect program is focused on dual giggles medi-cal and medicaid beneficiaries and to combine all health services plus the two into a package it's through managed care. based on the traditionally medi-cal managed care plan and in addition the pace program is offered as an option because of th

about affording health care. or close tothat 40% 50% of businesses that went bankrupt in the last seven years went bankrupt because of health care costs? we could not sustain that system. and that is why we pushed and finally voted on the aca. but unlike what happened 10 years ago when we passed pland for prescription drugs, democrats, most of them voted against that plan because there was the doughnut hole, as the coldest, a huge area where people were paying premiums and not getting benefits. we changed for the aca. that is not the reason why i brought it up. what we did after we lost the vote is go back to our districts and help and educate people to sign up for plan d even though we voted against it. when you compare that, the last two callers, god bless you, but when you compare that to what the republicans did this time, the governors, most of them did this time, this is a total disgrace. so when you talk about compromising, when you talk about coming together, that is a perfect example. we did the right th

no one really wants to take care of you. it isn't really acute care. but both private insurers and the medicare program have been increasingly stringent about whether or not to define a person's illness as sufficiently acute that it is, it justifies admission to the hospital as a medically necessary event. i think we're going to see that in 70% of the medicare population now comes into the emergency room rather than being admitted by a private physician or as a result of his actions. so it's far from clear how much volume or demand growth we're going to see as a result of in this law. >> thank you, jeff. we will now go to tracy watts. thank you. >> thank you. thank you. so i appreciate being here. i always enjoy being invited to share our survey data in these settings. i'm from mercer, my name's tracy watts, and i lead our efforts around health care reform, and i partner very closely with our research department from time to time to gather information on either what employers are doing, have already done or are thinking about doing. and so what i'm goi

animal care and control is one of our basic municipal functions. this agency is our safety net for animals in san francisco. the agency runs a shelter that does not pick and choose which animals it act accepts. accepts any animal that is brought that. this is a very important agency and we've not done a great job making sure it's adequately staffed. we heard in detail a few months ago about the needs of the agency and its budget shord coming. there are not enough, for example, enforcement officers to go out in the field and deal with animal welfare issues. the shelter itself, for a period of time, chosed. i think one or two days a week because it simply didn't have the resources to stay open seven days a week and it's incumbent on us to make sure the agency is adequately staffed. this is a city where we are passionate about all animals and we want to make sure our budget priorities and the resourcing of animal care and control reflect that passion. i know that the department and the city administrator have put forward a proposal that's detailed in

>> accountable care organizations are part of the intermediate species of the health care system because they are a bit like the neanderthal is. with the risk-management function when you add that they are integrated with the delivery system to integrate care over the entire continuum for the skilled a nursing facility. that is rarely begin to increase. >> host: one of the ideas is making information available to consumers. granted it is challenging enough which parameters but how they even understand them if they are well measured how do you envision that working? >> the idea of transparency definitely is key to the future and right now we know we don't have transparency and we don't know how much will that colonoscopy going to cost? for the mri? or the insurance company will pay that will come especially as they say to people here is a reasonable high-quality price something that churches more will pay the differential. and i getting good quality? that is what we've want to know to measure that quality is a little more challenging. we don't have the best metrics across the board but no

care act.the question now is about the president's budget, which is about education and job growth and the future and the investment for the future and science and technology and the rest versus a budget that takes us backwards. it has a poverty of ideas that is really stunning. host: nancy pelosi outside the white house yesterday talking about paul ryan's budget. republicans will use this as a political document to run on for the next round of elections. the democrats plan to use it as well? guest: absolutely. their economic message will be their strongest going into the midterm elections. they plan to focus on how democrats are better for the economy, job growth, middle and lower income workers. that is going to be an essential argument for there's in the midterm election -- their's in the midterm election. medicare will be a big talking point for democrats. they view privatization is selling out older americans s. you will hear those talking points as you head into the midterms over and over

affordable care act attempted to make health insurance and thus health care available to all american citizens and legal aliens. in part this was done through the expansion of medicaid coverage for low-income americans although a remarkable exercise of judicial activism on the part of the supreme court has blocked medicaid expansion in about half the states. but expansion of insurance coverage is also being accomplished by the revolutionizing of the nature of private health insurance. private health insurance in the united states historically has been sold in three markets, large group, small group and the non-group or individual market. many americans, particularly in large groups, are covered by self-insured plans which are technically not insurance but which most employees i think believe to be insurance. a large group was functioning very well for most people covered by it before reform. costs were high and coverage was always precarious because loss of employment meant loss of coverage but as long as an individual was covered, coverage was reasonably comprehensive to a small grou

and now we're guaranteed access to free preventive care and maternity care. women are now paying zero dollars for a chu checkup. zero. this is it. zero dollars to get a test to check for cervical cancer. zero dollars for a mammogram. zero dollars for f.d.a. approved contraception. why do the republicans want to repeal this law? and take away mammograms, and take away tests for cervical cancer, and take away checkups and f.d.a. approved contraception? why? and at the same time saying they don't understand why women don't gravitate toward their candidacies. i've got to say, we should be celebrating this law. yeah, fixing it where it needs to be fixed. but i think if republicans would join with us and say, let's work together to make this a better plan -- if you have someone who can't find their doctor in their plan, let's try to work together and fix it. if you have someone who you think deserves a subsidy, let's work together and try to fix it. but let's remember, folks, i just pointed out the millions of people that are benefiting. do we have a chart showing

and quality, affordable health care, republicans say, who cares? well, i think bigger businesses should do the right thing by their workers and that's what the a.c.a. asks them to do. so what does this bill actually do that's before us today? i would say that big businesses could deny, or this bill says, that big businesses could deny health coverage to someone working 39 hours a week, 52 weeks a year. that's not a part-time worker. their employer should provide them health coverage. five times more people work around 40 hours a week than work around 30 hours a week. that's why this bill will throw one million americans off of their employers' health coverage. that's why it should result in millions and millions of workers seeing their hours cut below 40 hours a week. i mean, what is it? why are republicans claiming people are losing hours right and left because of the a.c.a. but the congressional budget office told them flatly, and i quote there is no compelling evidence that part-time labor has increased as a result of the affordable care act. bu

health care system generally, not just in the affordable care act. there is more that we can do to make the a.c.a. work better for women and families. medicaid expansion is an example. a critical step that my state, virginia, has yet to take. without medicaid expansion, uninsured women will face a coverage gap. with medicaid expansion, over 400,000 virginians will receive health care coverage. the a.c.a. was designed to provide subsidies and tax credits to individuals and families who are making between 138% and 400% of the confederate families. without medicaid expansion, it's these families, working people, working people who remain uninsured. we have also got to work on some proposals to continue to improve affordability and choice for all consumers. madam president, you have led an effort with others to put a number of positive reforms on the table, and let me just mention a couple that i am very excited about. the expanded consumer choice act, senate 1729, would create a new tier of coverage copper plans to give people shopping for health insura

of care.third group is individuals who have of milder form of mental illness fact so we have three distinct groups human to be be a different emphasis and it is also where we received care. we have opportunities to you and there is an obvious need to do several things one is the new buzzword with collaborative and integrated care. simply that psychiatry and mental health care needs to be embedded into the primary care system. embedded just like journalists go to war and mental-health care providers need to be embedded. similarly psychiatrists don't take on general medical care because of their responsibility by primary care professionals need to be embedded in the clinics treating cup population. if we really want to get serious this is the next thing we will try to push congressman murphy is a public health initiative just like hypertension and screening cover diabetes, yet what me as easy but their deeds to be mental-health efforts moving data of clinical settings and to the community whethe

care. -- without jeopardizing anybody's health care. the bill on the floor today simply allows american companies to continue selling insurance to people who live and work overseas. many of our neighbors and friends. we don't -- if we don't pass this bill, the business will go to foreign insurance companies who will be selling these plans and possibly getting many of these jobs. why would we want to do that. more importantly, why would we even allow that? this bill represents a very narrow change to the law that saves jobs. this bill simply amends the law. it does not end the law. this is not a paragraph zahn bill. voting for this bill is a vote to keep jobs here in america and pennsylvania and delaware and california and other places, and to take sensible steps to fix the law that we all know needs to be fixed. again i know it's difficult, but we need to focus on the trees here and look past the forest, so to speak on this bill. we need to take action and save jobs for american workers. mo

the high demand for the quality affordable health care available under the affordable care act is realit is evident by the recently released enrollment figures haveng 7.1 million people signed up for the private health insurance plans easing both the federal and state exchanges, beating both administrations own .oal and popular expectations if the market demand isn't enough, the health-care bill is more popular than ever. about half of all americans now support the law, despite the misinformation being disseminated over the last four years. i want to say, i'm glad that many many more people in places like oregon, maryland, california, massachusetts come hawaii and minnesota have health tourance than they did prior october 1, 2013. i am interested in hearing how the states did this despite glitches with the rollout in each of those states. i look forward to hearing about the best practices from the state of california, from which i think we can all learn a lot. i welcome our witnesses and thank them for taking the time to be with us today. i yield back, mr. chairman. recognize the chair

the affordable care act gives people greater control over their own health care. since october 1, over seven million have signed up for insurance in the health insurance marketplaces. because of the affordable care act, americans have previously een denied coverage due to pre-existing condition now have access to coverage. additionally, the law helps millions of americans stay on their parents' plans until age 26 and provides access to free preventive care like cancer screenings that catch illness early on. while the administration welcomes ideas to improve the law, h.r. 2575 would undermine it by shifting costs to taxpayers and causing employers either to drop or to not expand health insurance coverage. if the president -- and this is underlined -- were presented with h.r. 2575, he would veto it, end of quotes. with that very effective, i think, so convincing statement, i hope all listen to it. i reserve the balance of my time. the speaker pro tempore: the gentleman from michigan reserves. the gentleman from indiana is recognized. mr. young: mr. speaker, i cannot

not only the cost of care has been reduced but the coordination of care has been approved and blue shield has been maintained a competitive offering. as you heard earlier, aco is designed to decrease utilization over health services or to increase coordination of care. the structure, we were the first in the bay area to do this. so calipers did in sacramento and we did it here. when the first accomplishment of this patient center care was the partnership between the hospitals and physicians. previous ly the hospital and physician groups didn't talk that much and i remember the time when the social workers and the medical groups weren't allowed in the hospital and they didn't talk to the discharge plan in the hospital. and the whole idea is what ms. jones was leaving with and this is a whole area to establish and it took a while to get used to the in fact they were working together. blue shield make it clear that the primary care physician has to drive the aco and we monitor the direction of key indicators. i also just want to point out that we are different than other aco's because we hav

>> the american health care system as i say sub title is terribly complex. >> are the affordable care act will improve her terribly complex, blake on just -- "reinventing american health care: how the affordable care act will improve our terribly complex, blantly unjust, outrageously expensive, grossly inefficient, error prone system." >> the health care system and to does make him a thousand nine saw the same spirit is incredibly complex, still trying to explain to people was paid for through insurance, medicare, medicaid and takes about 40 pages. i don't even go into all the details. the next and how doctors are paid, hospitals are paid, with the incentive structure is, what the regulation for curt says, devices. all of that is incredibly complex. we were doing well. 50 million people were uninsured. yet uneven quality. some academics are fantastic outstanding quality, that pretty uneven. millions of people who have high blood pressure. not hard to diagnose, not hurt to treat worried they're not diagnosed or inadequately treated and we know that increases your risk of stroke, heart

i won't be refused care.i hope to send a follow-up letter in a few months saying, i am free and clear of this disease but until then, i know ill be fighting just as you have been fighting for my life as a working american citizen. and after her first wellness visit under her new insurance plan, mar la marie from ft. collins, colorado, shared with me what it meant to her. after using my new insurance for the first time, you probably heard my sigh of relief from the white house. i felt like a human being again. i felt that i had value. that's what the affordable care act or obamacare is all about. making sure that all of us and all of our fellow citizens can count on the security of health care when we get sick. that the work and dignity of every person is acknowledged and affirmed. the newly insured like marla deserve that dignity, working americans like jeannie deserve that economic security. women, the sick, survivors, they deserve fair treatment in our health care system. all of which makes the constant pol

that's what the affordable care act or obama-care, is all about. making sure that all of us, and all our fellow citizens can count on the security of health care when we get sick. that the work, and dignity of every person is acknowledged and affirmed. the newly insured like mar let deserve that. women, the six, survivors they deserve fair treatment in our health care system. all of which makes the constant politics around this law so troubling. like every major piece of legislation, from social security to medicare, the law is not perfect. we know something about that, and yes, at times this form has been contention and confusing and obviously it has had it's share of critics. that's what change looks like in a democracy. change is hard. fixing what is broken is hard. overcoming skepticism and fear of something new is hard. a lot of times folks would prefer the devil they know to the devil they don't. but this law is doing what it is supposed to do. it is working. it is helping people from coast to coast. all of which makes the links to which crit

this debate, keep the government out of my health care, and the affordable care act actually fix things? this is a graphic i came up with to visualize the progressive of health care regulation or back to the 1800 some of the public health regulations sanitation, and layer upon layer, medicare and medicaid and today health reform in the form of the affordable care act. with significant is the latest don't tend to go away. with very few exceptions. wantonce a program is in place it stays. we tend to build. the conventional view would say this is crowding out the private sector. has it? here's the growth of national health expenditures in the united states. if the work a crowd that out that my be good thing because we have seen astronomical growth to the point that health is now almost 18% of our entire economy and it continues to grow at a rate of unknown and the rest of the developed world. what happened as it's going on the left hand column as a percentage of gdp goes up, the percentage of spending for public sources has gone up. it's now over 50% or counter spinning as a percentage of

the affordable care act is here to stay. and those who have based their entire political agenda on repealing it have to explain to the country why genie should go back to being uninsured. >> conservative commentators are beginning to urge their party to move away from the repeal rhetoric with headlines like, stop waiting for obamacare to implode. conservative weighed in, if the republicans are dumb enough to think they can win on obamacare alone -- two words, terry mcauliffe. even fox news is beginning to lose hope for repealing the affordable care act. >> i think it is the essence of pragmatism to recognize this thing isn't working, let's start over, let's repeal every word of it. >> you're kind of in a minority when it comes to that. i know the democrats are saying mend it, don't necessarily defend it. but you look at the polling, senator, and a lot of americans like parts of it, would like to see parts of it continue, so to blow the whole thing up, i don't know if people are behind that. >> if you look at obama care and s

lower job growth and no health care? i think the preference would be for the former rather than the latter. >> well, we don't even really have job growth that can sustain population growth at this point. when you add on obama care, what does that mean? >> not even close. look, when the guy's buddy throws him under the bus and says, my numbers are bad because of this health care thing, you know, the ceo of ge, you know you have issues. come on. if nothing else, he should be working his way around it and trying to defend around it and he's not. he is saying, look what's happening to my bottom line because of? that to me was the biggest sign of the entire week's news. little businesses, talk to them. all right. they're not going to be firing but they sure as heck ain't hiring because they don't know, gary b. said it, uncertainty. there is so much uncertainty surrounding this thing. why bother when i can go freelancers, consultants, and not have to deal with it? >> jonas? >> the same top executive is a consultant of the whit

who cares?million have coverage they did not have before so why cannot you praise the fact that they do now? neil: get this through your school because many did have coverage before. they are not new. they had coverage. many still have not paid for the coverage they have now. if you don't mind paying for all this and getting the real facts they will be very happy to pay for this but just know that liberals love it with taxpayers' like you don't make a big issue over things like this. they keep doing things like this but if you are happy with this then just keep watching cnbc or do what you do. day watching animal planet? we also got a reaction from we also got a ton of reaction from bobby jindal. especially after the governor said that. >> let's be clear. obamacare would not have become laws without those lies are you looking the american people in the face and say they can keep their plans and cut their premiums, there's no way this would have passed. lou: elizabeth said it's all in the past. a

>>> obama care. who's got the winning hand now? let's play "hardball."care. who's got the winning hand now? let's play "hardball." >>> good evening. i'm joy reid in for chris matthews. leading off tonight, as mark twain once said, never let the truth stand in the way of a good story. for republicans, the story has always been a simple one. the affordable care act isn't working. it's a disaster. it's the worst legislation in the history of america. it's even been compared to slavery. it's the narrative that's whipped the base into a frenzy. the only problem, the truth. despite a disastrous launch last fall, the president announced yesterday that they shattered their original enrollment goals. 8 million people have signed up. gallup says the number might be closer to 10 million. the mix of young and old is just about right. the law is costing less than even congressional budget office thought it would and the rise in health care costs all over the country is slowing. it's pretty clear the law is working and doing what it was designed to do, which is help people

today, 70% of care was provided in-home. we just published our 11th study on cost of care. we actually can tell you how much it cost for in-home care. about $20 an hour. assisted-living, $42,000. nursing homes, or over 82,000. right now, medicaid primarily provides coverage in institutional setting. there is opportunity to bring -- move for people into the homes. i think there is an opportunity there. inflation for last five years have gone up 4.3% per year and it is the same for assisted-living in-home care which is only growing a little more than one percent. we need to think about inflation because if you picture of the maybe baby boomer, 68, needing care 15 years from now. if you look forward and you project 25 years from today when the bulk of the baby boomers will be at the age where they need care, at the current rate -- they cost $80,000 and dental floss to $200,000 a year in on average people need three years of coverage. coming back to the public and private solutions, i think there is a lot of opportunities there to come up with insurance that is both public and

that's what obama care is.ndeed death panels in obama care. >> h ethinks the spt a dictator. he hates obama care. it sounds like he's reading from the tea party play book, doesn't it? well, maybe he is. a new report says conservative groups have spent nearly 22 million for sponsorships of influential talkers like rush limbaugh, glenn beck and sean hannity. that's right, the tea party is paying up and radio talkers are toeing the party line. take sean hannity. the tea party-backed heritage foundation began sponsoring hannity in 2008 and paid $1.3 million for the deal. would you believe it, soon hannity was fundraising for tea party patriots. he's even promoting the tea heart website on his fox news show. >> the tea party patriots put these ads up and they're trying to get these ads out. >> and it's not just plugs for the tea party website. they're helping get tea party candidates elected. the tea party nonprofit freedom works has paid more than $6 million in recent years to glenn beck. recently that same group e

to this affordable care act. going into the fall, can democrats stay on on the offense for those -- >> you made a good point, because you do, generally people come out with more passion to run against something than they do with enthusiasm to run for something, at least in the midterm. so you have democrats pushing hard on both those things, unemployment insurance. the republicans does seem now that some house republicans are actually feeling the pressure and may sort of press to go ahead on unemployment extension. and you have seen this -- >> the challenge is make your republican opponent have to explain to the people in their district why they don't deserve unemployment insurance or they don't deserve an increase in the minimum wage. that's a different conversation than trying to defend why you're for something. that's the shift we need to see. >> and people who don't have the expanded medicare in states that don't have that. i suspect, or at least i will call it malpractice. >> i've been doing it myself. so we

care act. some of my colleagues have also run misleading and often times outright false designed tot frighten their constituents from signing up on mixed asians -- on the exchanges. i am proud that congressional democrats have held more than 400 events in their districts at home in an effort to educate constituencies on the aca. i've had five of them myself in my district. i would also like to commend my fellow democrats for all their ensuring that their constituents are afforded the same kind of information. this hearing has been called in order to examine the state health insurance exchanges under the aca. california has one of the most successful state exchanges with more than one million individuals having signed up her private health insurance plans through its exchange. other states such as new york, connecticut, and have also experienced success with implementing the state exchanges. i'm grateful that mr. peter lee is here with us today to speak regarding california's state exchange and

that just doesn't happen in health care. it's been very exciting and we've been able to do some really innovative things. you heard about our transitions manager. that's fabulous. this person walks that patient through even before the patient comes into hospital as an elected admission and hold their hand and takes them to the outpatient and makes sure they are settled at home and is available at home if there is a problem so that the patient doesn't have to get readmitted or from their perspective doesn't have to leave their home, their family and they can stay at home. i just want to thank everybody for allowing me to talk about this. it's a wonderful thing. i appreciate all our partners coming today. i want to leave you with 1 story. this is one of many stories that we have with respect to our patients and this one is one that dr. green from ucsf provided for me. we had a 66-year-old grand mother, very active had a stroke in july. the care transitions manager met the patient on her first inpatient day and did a dischargin

access to insurance and care quality of that care and the cost of the whole health care experience and the fact is on each one of those we have already had success in the american system and we will continue to have success. your last point which is you can -- every family will save $2500. first of all that's not tomorrow and second of all against the backdrop of health care costs going up by 2.4% greater than the growth of the economy and the cbo is pointed out look, premiums have been a lot lower and they are lower then we calculated. yes inflation has come down. not all of that through the affordable care act. part of it is the affordable care act and whether it will turn out to be 2500 that was projected we will see but it certainly is the case that people have saved money. let me give you a concrete example. if you look at medicare beneficiaries they are premiums for the drug benefit program and part b have in fact stayed relatively flat and i'm talking about penny's indifference not not -- relatively flat. there is no doubt about that. health care costs in the last few years have

if so, did he care? and great show today. must get the truth out there when other media out lets try to bury it. #cashinin. >> a green car company that took fax payers green is trying to do something in china that may lead to bolling versus bill part two. >> this is who you're talking to right now. >> that's fine but the greater good has to come into play. up. a short word that's a tall order. up your game. up the ante. and if you stumble, you get back up. up isn't easy, and we ought to know. we're in the business of up. everyday delta flies a quarter of million people while investing billions improving everything from booking to baggage claim. we're raising the bar on flying and tomorrow we will up it yet again. >>> remember when i took on bill o'reilly? i said no private company should ever, ever get government money. but big bill begged to differ. >> apple borrowing money for the iphone. i don't remember somebody borrowing money for the walkman. i don't remember the innovative wonderful capitalist companies borrowing money

nobody wants to take care of you. not acute care. both private insurers and the program have been increasingly stringent about define ar not to person's illness about sufficiently acute that it justified admission to the hospital a medical necessary event. i think we're going to see that populationmedicaid comes in through the emergency room. from clear how much volume or demand growth we're of this see as a result law. >> thank you, jeff. go to tracy. >> thank you. i appreciate being here. i always enjoy being invited to data.our survey i'm from mercer. i lead our efforts around health i partner very closely with research department to gatherto time information on what employers doing, have already done and thinking about doing. i'm going to do is share with you some of our survey data collected at the offends the end of january and february of this year. survey wee seventh have done focused on health care reform. you're probably most familiar large survey that we do about 3,000 employers every year just on general health care pract

embrace the affordable care act. don't run from it. >> i think the democrats should forcefully defend and be proud of the fact that millions of people like the woman i just described, who i saw in pennsylvania yesterday we're helping because of something we did. i think there is a strong, good, right story to tell. be proud. it's helping millions of people. in alaska, a group supporting democratic senator mark bagic is proudly running this ad. >> i was lucky. i beat cancer. but the i shurns companies denied me because of my pre-existing condition. now i have health insurance again. in kentucky, democrats are hitting republicans for opposing state exchanges set up by the affordable care act. they are now over 370,000 people in kentucky who have insurance f, thanks to obama care. it's cut the uninsured rate in the state by 42% and democrats see that as a winning attack. >> when i learned andy bar voted 19 times to stop health reform? i was disappointed. barr along with mcconnell voted to end kynect. >> that's the messa

>> the affordable care act is here to stay. >> where are we with obama care? >> who knows. >> how many people are there. >> they got their 7 million. >> when they put out the 7 million number -- it's like the end of the telecon. somehow they get over the number. >> i don't think anybody expected they'll get 7 million. >> on the left it shows 6 million signups reported. >> no. not 6, i said 7. that was our mistake. correction noted. >> it is april fools day, but no fooling. >> leave that to others. >> this is insanity. certainly raising eyebrows here. >> why are they so mad about the idea of folks having health insurance. >> good to have you with us tonight, folks. that's for watching. that's a very profound question the president asked within the last hour at his press conference. why is it that there are so many people who are against other americans having health insurance? what is it? foxnews has to be feeling about this tall tonight. actually, they are so far away from the american people and what the needs and desires of our society, they're in their litt

urgent care facilities to help boost our access to care. and i will stop there. my colleagues from ucsf medical center and dignity health and blue shield are here as well. we are passionate about this work and feel like it is the key to transforming american health care. >> okay. would you take a moment,

i know he truly cares about this issue. i also want to thank some of my repeat cosponsors supervisors cohn and scott wiener. i know this is only an urging resolution but i think it's important that this body take a real critical action and making sure that our state representative understand how important it is to us and that we are going to continue to be watching and be actively engaged in the fight to make sure that folks from our especially disadvantaged community, the ones that we talk about the most have a real shot at attended these universities. the rest i submit. >> thank you. supervisor campos. >>supervisor david campos: thank you. i want to thank supervisor breed and her staff for the resolution that they have introduced on affirmative action in prop 209. i'm very proud to be a cosponsor. what i want to say is this, that i think that what's happening around this issue is very unfortunate. what we have seen is that some individuals have tried to use this issue as a way of dividing communities. those of us that hav