we, cms, hhs, government, we cannot do this alone. we can help and will help, but the best roads to better care are through improvement and the best roads are locally built, community by community and state by state. this also has to be done why strong public and private partnership. going alone is not a good plan for cms. i've been meeting with stake holder groups of all sorts. they know the changes needed, and they all ask how can we help? i think that's really good news, bus that's the only way we can get this done together. every since i became a doctor, i've been trying to help make health care better, safer, more reliable, more patient-centered, and more equitable. i know that is possible and vast improvement is possible. i believe there's no better position in our nation to help pursue those goals that i'm privileged to occupy, and there's no better time than now when the affordable care act has laid down. there's better care, no more stories like taylor's, better health so people can live full and happy lye of -- lives even wi

>>ledet: at a high we will get like $8.50 per cm. that can drop down to like $3.50 a cm. >>reporter: things are tough all over...at the house of fleming in atlanta, demand is down by about 30% against a couple of years ago...although the company, whose products are all custom made, has been lucky to hit one niche market that's proved very lucrative...pro golfers...who are happy to pay hundreds of dollars for a belt... >>fleming: there is a lot of competition on who can out dress the other. it's just their nature. >>reporter: ...and the free advertising has proved priceless... >>gibson: i saw graeme mcdowall wearing one at the open and i looked in the back of the digest it said house of flemings. i wanted an alligator belt, came in and bought one. now i'm here again today. i do fancythe alligator belts. >>gillis: eeep eeep. >>reporter: what noise is that? >>gillis: the first call was one of a baby gator which sometimes can be in distress and the mother will come to see what's going on and the second call can be a mating/fighting call. >>reporter: now the near-prehistoric s

>>ledet: at a high we will get like $8.50 per cm. that can drop down to like $3.50 a cm.hings are tough all over...at the house of fleming in atlanta, demand is down by about 30% against a couple of years ago...although the company, whose products are all custom made, has been lucky to hit one niche market that's proved very lucrative...pro golfers...who are happy to pay hundreds of dollars for a belt... >>fleming: there is a lot of competition on who can out dress the other. it's just their nature. >>reporter: ...and the free advertising has proved priceless... >>gibson: i saw graeme mcdowall wearing one at the open and i looked in the back of the digest it said house of flemings. i wanted an alligator belt, came in and bought one. now i'm here again today. i do fancythe alligator belts. >>gillis: eeep eeep. >>reporter: what noise is that? >>gillis: the first call was one of a baby gator which sometimes can be in distress and the mother will come to see what's going on and the second call can be a mating/fighting call. >>reporter: now the near-prehistoric source material

in phase one and phase two of construction, to revise the construction schedule to seven years and cm/gc fixed fee to $71 million, and to modify related contract language. >> this is a resolution authorizing the tjpa to amend contract the 08-04-cmgc-000. with the joint venture joint -- of webcor builders and obayashi, this comes from the successful attainment of a grant to construct the rail levels of the transit center in phase one. the amendment of dates the terms of the agreement to incorporate construction of the rail levels in a bottom-up construction sequence, to clarify the scope of construction, to revise the construction schedule and cmgc fee and modify related contract language. in march 2009, you approved the initial contract reward and directed the staff to move forward in a phase one elements of the transit center valued at $500 million. te wor wa to comnce n sptebr2009 o ie years. i jun 2009, you autoe staff to include design of the below-grade levels of the transit center in phase one construction. following that, in october 2009, you approved an amendment from a marked

finlandia. 2000 personas trabajaron cuidadosamente los detalles de esta lujosa embarcaciÓn de 361 m, 50 cm

. >>> and as we go to break, the sound from the cm amount awards.everyone wanted to hear how gwyneth paltrow would pull it off. let's listen to -- listen to this. with orbitz, i know what to expect from my vacation. bad dog, balloon pop. [ dog whimpers ] because orbitz has price assurance. leaf in face, marie, man with computer. [ man ] marie! if another orbitz customer books the same hotel or flight for less, they'll send me a check for the difference automatically. so i know i'll get their lowest price. and i like knowing what to expect. bike, unrealistic splash, embarrassingly transparent. [ bell chimes ] [ male announcer ] when you orbitz, you know. and then how you freshened the air. now, febreze gives you a whole new way to eliminate odors and get noticeably longer freshness than a cone. new set and refresh! slide in the cartridge, and click. ♪ the slow release of scented oils provides freshness that lasts 30 days! and set and refresh tackles odors -- so your home stays fresh longer. replace your old cone with febreze freshness. new set and re

remove the mall parking requirements, establish maximum parking limits in the industrial district m-1, cm, and south market districts and would require nine residential and hotel parking south of market district maintain a fee structure which would discourage long-term commuter parking. it would also make parking controls in the mission bay district more consistent with the requirements of neighboring districts. that is the conclusion of the board report. are there questions? president miguel: commissioner antonini? commissioner antonini: thank you for the report. i wonder if during the inclusionary housing project that it was part of the mayor's office. i was happy to hear the idea regarding direct financial assistance, perhaps supplemental to or in lieu of inclusionary housing to city employees and others. i know that discussion came up during the supervisors hearing, but i would like to hear more about that. >> can get you more information on that. commissioner antonini: it has the ability to bypass some of the downsides of inclusionary housing units. thank you. >> thank you. >> commis

they are zonedcm, -- they are sound cm, any proposal is simply to clean up and rezone them to pdr 1g. we have worked with supervisor campos' office to make sure this zoning will fit their needs in the future. perhaps a simple continuing of the industrial cleanup that has been going agee indiana cove cleanup that has been going on for a few years now. the larger area is a long bayshore boulevards -- along bayshore boulevard, which is a very permissive zoning district. it also has the protection zone overlay on it. the proposals there is to rezone the old m1's to pdr 2 which is the prevailing zoning in the industrial area to the east, and to adjust that that would just extend along the stretch of bayshore. i will provide some of the descriptions of the fud. the best way to think of it is that right now the zoning there is a combination of m1 underlying sony, industrial protection zoning, and interim controls on top of that. it is a three-layer cake there, and what we're proposing to do is essentially just tweak that by changing the underlying zoning to pdr 2 and creating this sud. what

they are zonedcm, -- they are sound cm, any proposal is simply to clean up and rezone them to pdr 1g. we have worked with supervisor campos' office to make sure this zoning will fit their needs in the future. perhaps a simple continuing of the industrial cleanup that has been going agee indiana cove cleanup that has been going on for a few years now. the larger area is a long bayshore boulevards -- along bayshore boulevard, which is a very permissive zoning district. it also has the protection zone overlay on it. the proposals there is to rezone the old m1's to pdr 2 which is the prevailing zoning in the industrial area to the east, and to adjust that that would just extend along the stretch of baho

. >> sin que ella lo supiera, los doctores la utilizaron para extraer un tumor de 10 cm de su corazÓnferente. fue comico pero asombroso darme cuenta que habÍan utilizado una cuchara. >> ademÁs de rosana, los cirujanos ya han operado a otros siete pacientes con la cuchara y ahora lo presentarÁn en un congreso mundial de cardiologÍa. >> el objetivo de todo esto es utilizar metodos o tecnicas lo mas sencillas posibles para tratar de resolver problemas muy graves. >> estos cirujanos y ya han operado a varios pacientes con la cuchara y por eso ahora quieren presentar su invento para que otros mÉdicos aprendan su utilizaciÓn. sorprendente pero por motivos diferentes es lo que ha hecho este cientÍfico. el creÓ un sitio en internet en el que vende extremidades de diversos cuerpos. el hombre ofrece hÍgados, testÍculos, piernas, cabezas para ser adquiridos para usos educativos. el sitio ha generado protestas de distintas iglesias y congregaciones religiosas que lo tachan de degenerado. tambiÉn ha desatado la controversia lo que algunos quieren hacer con su cuerpo en nombre de la tradiciÓn. se c

. >> jeremy's get get something cm directions. you can change to do celebrity voices. samuel l. jackson i believe is one of them. tom tom. now using star wars, it's a different company other than garmin. big industry. >> i'm surprised she's so pretty considering how many times i've wanted to hit her. >> right. recalculating. >>> coming up, the highlights from last night's big american music awards. >> the big winners and memorable performances and the inside scoop on it all coming up next. >>> it was a clash of the music titans at last night's american music awards. eminem and lady antebellum led the way with five nominations each. the big question, who was the big winner? >> joining from us chilly seattle with the winners, the losers and the night's biggest performances is music and media consultant bruno del granado. >> greetings, mike. hi, vinita. >> let's get to the big question off the bat. who was the big winner last night? >> the undisputed big winner was justin bieber. 4 for 4. he was nominated for four and took home four

he won 13 other cm a's during the year and never the top prize.highlights of the evening was from gwyneth paltrow. supposedly they gave her a standing ovation. she is starring in a new film, country strong where she plays a singer with drug problems. supposedly she was so nervous going on. >> people really complimented on her rendition of singing there. >> you are singing in front of the country crowd. >> maybe she had to start up another career. we'll be right back. ♪ [ female announcer ] keurig has over 200 varieties of gourmet coffee and tea to choose from. ♪ keurig is the way to brew fresh, delicious coffee in under a minute. way to brew. [ female announcer ] so with keurig, every cup tastes like it's brewed just for you. ♪ because it is. choose. brew. enjoy. keurig. welcome to the neighborhood. ♪ [ male announcer ] how do you say... can you believe it's been 20 years since college? ♪ [ male announcer ] nothing says "you're special" like boursin, a creamy, crumbly blend of real cheese and savory herbs, boursin makes any moment more memorable.

still have a traffic alert santa cruz mountains a stalled big rig chp is out there they activated the cmsthere is a traffic alert the right lane is blocked. as far as mass transit goes we are dealing with slight ace train delays. train number one got a late start out of tracy running 7 minutes behind schedule. bart, muni cal trans all on time. >>> thanks so much. time for a make over the 87- year-old landmark about to get a facelift in the bay area. >> what an incredible story lost at sea for 50 days how three young boys managed to survive after drifting 800 miles ,, [ female announcer ] keurig has over 200 varieties of gourmet coffee and tea to choose from. it's the way to individually brew fresh, delicious coffee in under a minute. way to brew, hon. [ female announcer ] choose. brew. enjoy. keurig. verizon 4g lte. rule the air on the most advanced 4g network in the world. come on... isn't it time an auto insurer gave it to you straight? that's why you should talk to state farm. but not yet. first, talk to any one of the 40 million drivers who already have state farm. 40 million. yeah, t

you first cms president. you first see him in the way that he had to deal with these extraordinary responsibilities on the death of roosevelt and how he dealt with them and only then do you stop and look at him in terms of his personality. >> host: you do in effect deprive the reader of the sense of a life being livedlived, evolving, growing reacting and all of that pre-story story if you will shaping the individual who comes into office. >> host: it is anti-psychological approach, at least in the early part of their lives, but advantage as i say if figure and if you are interested in the history of the united states united states is an empire since world war ii when it abandoned isolationism, i think it serves to clarify the issues with which these great residents for the most part had to deal. >> host: there is a statistic that is jaw-dropping early in the book. i think i've got this right, in 1938 the united states was responsible for 14 overseas military installations. today that number exceeds 1000. how

and cms in fact presently had a meeting with the ftc to discuss this very fact. i think the advantages that the aco's will get through regulation sincere going to give them a real leg up. with the goal of trying to cut out the insurance companies altogether and once you have cut out the insurance companies, which create a competitive environment for the steering of patients to higher quality hospitals and physicians, once you cut out that mechanism in the marketplace, if you believe that they are just middle men that aren't adding value and you turn all the pro significance of care over to the aco's, you're pretty close to a single payer system where people are getting care from captive provider networks and not networks are contracting detectively with the federal government. to sousa the real problem here -- so the real problem here are the laws that will favor the aco's in the marketplace. there's nothing inherently wrong with them. the fact that the legislations that are going to ensue will so heavily tilt of the -- the creation of the monopolies at people ag

they have to cut off all the money, don't allow the secretary for hhs or the head of the cms to spend any money on testimony the bill and allow it to atrophy and interim. and, finally, every republican presidential candidate will run based on repeal. republicans are going to gain 12 to 14 senate seats, 40 house seats, and by no later than april of 2013 is going to be repealed. >> well, thank you. [applause] >> as we prepared our food and let's, whether it is vegan or otherwise, i know all of you have brought us a lot of food for thought, and we thank you for that. and this session is closed, and thank you all for participating in the coming. from the republican governors association meeting we go live now to a form with the control of the white house is financial measure office. he will talk about steps that the federal government is taking to control spending within the agencies, including looking for waste and fraud in current operations. he is said to speak is going to for an organization of private sector and federal, state and local government budget officers while meeting this w

. >> jeremy's get get something cm directions.nge to do celebrity voices. samuel l. jackson i believe is one of them. tom tom. now using star wars, it's a different company other than garmin. big industry. >> i'm surprised she's so pretty considering how many times i've wanted to hit her. >> right. recalculating. >>> coming up, the highlights from last night's big american music awards. >> the big winners and memorable performances and the inside scoop on it all coming up next. i touched the ball before it went out, coach. come on, alex, the ref did not call that! i touched, it's their ball. don't foul them when they inbound. team! alex! good call. oh my gosh, awesome concert. danced to every song. you should have been there. zak was there. he's so cool! i'll be waiting for you out front...see you soon. (sound of text message alert on phone) when you stay connected to your kids, they'll stay connected to you. the boys town national hotline can help. call the boys town national hotline at 1-800-448-3000 (tdd#1-800-448-1433) ...or v

ones that cms has made the provision of health care less competitive. they made a decision that health care plans offer more than one or two part d plans need to offer to plans. if you are aetna, you can only offer two part d plans. there were too many choices and consumers could not tell the difference. you have health plans having to shut down a lot of their lines of business. these are the kinds of things that are happening. it is making the health care market much less competitive. it will be harder to superimpose a market-based reform. you do not have much market based industry left. >> what is the most important moving parts? the most important element of the bill is they subsidize people through a heavily regulated federally run exchange process where the government will have control over everything. if you take control of the exchange process and they by people in through a new entitlement program and they capture every winter that process. to get the key issue because we have 29 republican governors. it is an idle threat that they will go to al

hhs bill, but of course, if you shut down hhs, then that means you shut down all of hhs, which means cms, nih, a lot of things people will not find comforting. republican leaders who remember the last disaster may not want that to happen but they may not be able to control it, or the new members coming in who want to take an ax to these programs. of course, they will try to slow down the implementation of the plan. they will call kathleen cinereous -- sebelius, other members of hhs, to testify. a said he-- darrell isssa wants to have two hearings of a day. let me mention one final thing. one of the first act we will see in the first congress is they will stop extending unemployment benefits. that will have real implications and repercussions for help outside of states. will probably increase the number of people going to emergency rooms, states which are already strapped for funds will come to washington saying, if you are going to do this, you have to help us out. that includes a wave of new republican governors. and they are not going to find much help from their compatriots on the hil

the cms at had a meeting to discuss this very fact. the advantage will give them a leg up. with the goal of cutting out the insurance companies altogether, which create a competitive environment for the pricing of health care, which you cut out that mechanism in the marketplace, and you believe they are just middlemen, anyou turn all the provision of care over to the aco's, you're close to a single payer system where people are getting their care from captive provider networks in contract with the government. it is a very short leash. the real rules that are going to favor these aco's in the marketplace. there's nothing inherently wrong with them. it is the fact that the legislation and regulation so heavily tells the market in favor of these local monopolies. it was the creatioof these monopolies, as if someone just discovered that this was in the bill. turning to the second. bank just recent -- just briefly, what to do of the next couple of years. i believe that these market structures, as they continue to take hold, and you see medicare advantage plans consolidated, you

also a guideline for the center of medicaid and medicare services commonly referred to as cms.request reimbursement to organizations who have medicare and medicaid that they be required to meet the msc good lines in life support equipment in the prehospital emergency response vehicles. hhs and dhs should establish strong pediatric performance measures within the role of federal emergency preparedness grant programs and should address the findings of the msc2009 gap analysis of the related research. specific ems performance measures we've asked to look into and grant guidance was pediatric equipment on ambulances to expedite the pediatric transfer and pediatric education requirements for prehospital care provider and institution of the state and territorial government process, online offline as well as written pediatric medical direction for prehospital care providers. >> i think we talked about it in the opening comments, we're going to be better preamped as a nation for large disasters if we can take care of the one child really, really well. i think this is one the most impor

i don't have the savings number in front of me, but we as medicare cms is not going to pursue medical health records. we have the ability on our website to get basic information about beneficiary payments. i encourage you to use that. it is a mechanism called the blue button. it can give you information about your claims history. we will probably prove that a little bit over time. we see the teacher -- of your -- we see the future of your personal health records being with you and your position did the money going i -- being with you and your physician. over time, these will all be connected. if you want your personal health record, you will access it through your physician's office. there are many offices today that have that, the ability to make appointments online, for you to be able to look at your laboratory and x-ray results online. most patients find that very beneficial. host: how is medicare finance? gu -- how is medicare financed? guest: a trust fund, a lot of government funding. medicare part d is handled through premiums. it is a combination of government funding and premi

stimulus plan, when you add in debt service, a new health care plan that just last week was certified by cmsto increase the national health care cost and then we get to the real-- and that as we all know a federal government which is on automatic pilot to grow government from 20% of our economy to 40% of our economy over the course of the next generation. so, for those who think we are approaching this problem on the tax side and know that over the ten-year budget window, we could balance the president's budget and increasing the tax burden 50%, income taxes go up 50%. according to the numbers, i think run by cbo and gao, over the long term we could balance the budget by increasing taxes 2.5%. this means that 10% bracket goes roughly to the 25% bracket. the 35% bracket would increase to 89%. i think at that point we all know that number one, economic growth would clearly stagnate and in fact government revenues would decrease. i think at that point, our children and grandchildren would be living in smaller homes. they would be driving less reliable and older cars. they will be competing for

ones that cms has made the provision of health care less competitive. they made a decision that health care plans offer more than one or two part d plans need to offer to plans. if you are aetna, you can only offer two part d plans. there were too many choices and consumers could not tell the difference. you have health plans having to shut down a lot of their lines of business. these are the kinds of things that are happening. it is making the health care market much less competitive. it will be harder to superimpose a market-based reform. you do not have much market based industry left. >> what is the most important moving parts? the most important element of the bill is they subsidize people through a heavily regulated federally run exchange process where the government will have control over everything. if you take control of the exchange process and they by people in through a new entitlement program and they capture every winter that process. to get the key issue because we have 29 republican governors. it is an idle threat that they will go to al

if you shut down hhs, you shut down all of hhs, you shut down cms, nih, a lot of things that people mayot find very comforting. and republicans leaders who remember the last shutdown, and the disaster saying they don't want to have that happen, they may not be able to control it and a new members who expect them to take a meat ax to it. they are going to try to mix up the information is to call kathleen sebeilus, secretary of hhs, in to testify every day. the committee chairman says he wanted to do 280 hearings this year. we're going to see requests, subpoenas, not requests but demands for documents and more documents. let me just mention one final thing. i believe one the first acts that we'll see in the new congress, they are going to stop extending unemployment benefits. that's going to have real implications and repercussions for health in the states. i suspect it's going to increase. you are going to get more people going to the emergency rooms back, end you are going to have the states which are already strapped for funds coming to washington and says hey, if you are going to do t

if you shut down hhs, you shut down all of hhs, you shut down cms, nih, a lot of things that people may not find very comforting. and republicans leaders who remember the last shutdown, and the disaster saying they don't want to have that happen, they may not be able to control it and a new members who expect them to take a meat ax to it. they are going to try to mix up the information is to call kathleen sebeilus, secretary of hhs, in to testify every day. the committee chairman says he wanted to do 280 hearings this year. we're going to see requests, subpoenas, not requests but demands for documents and more documents. let me just mention one final thing. i believe one the first acts that we'll see in the new congress, they are going to stop extending unemployment benefits. that's going to have real implications and repercussions for health in the states. i suspect it's going to increase. you are going to get more people going to the emergency rooms back, end you are going to have the states which are already strapped for funds coming to washington and says hey, if you are going to do

if you shut down hhs, you shut down all of hhs, you shut down cms, nih, a lot of things that people may not find very comforting. and republicans leaders who remember the last shutdown, and the disaster saying they don't want to have that happen, they may not be able to control it and a new members who expect them to take a meat ax to it. they are going to try to mix up the information is to call kathleen sebeilus, secretary of hhs, in to testify ever day. the committee chairman says he wanted to do 280 hearings this year. we're going to see requests, subpoenas, not requests but demands for documents and more documents. let me just mention one final thing. i believe one the first acts that we'll see in the new congress, they are going to stop extending unemployment benefits. that's going to have real implications and repercussions for health in the states. i suspect it's going to increase. you are going to get more people going to the emergency rooms back, end you are going to have the states which are already strapped for funds coming to washington and says hey, if you are going to do

if you shut down hhs, you shut down all of hhs, you shut down cms, nih, a lot of things that people may not find very comforting. and republicans leaders who remember the last shutdown, and the disastersaying they don't want to have that happen, they may not be able to control it and a new members who expect them to take a meat ax to it. they are oing to try to mix up the information is to call kathleen sebeilus, secretary of hhs, in to testify every day. the committee chairman says he wanted to do 280 hearings this year. we're going to see requests, subpoenas, not requests but demands for documents and more documents. let me just mention one final thing. i believe one the first acts that we'll see in the new congress, they are going to stop extending unemployment benefits. that's going to have real implications and repercussions for health in the states. i suspect it's going to increase. you argoing to get more people going to the emergency rooms back, end you are going to have the states which are already strapped for funds coming to washington and says hey, if you are going to do thi