dr. burgess, who has been a real champion and is the prime sponsor of this bill. the president: the gentleman is recognized for three minutes -- the speaker pro tempore: the gentleman is recognized for three minutes. mr. burgess: thank you, mr. speaker. trauma is the leading cause of death for people under the age of 65. it's expensive, costs over $400 billion a year, only behind heart disease and cancer. it affects individuals of all ages. 35 million times each year. that's one person every 15 minutes. h.r. 4080 re-authorizes two existing bipartisan grant programs that support the regionalization of emergency care and trauma systems across the country, trauma systems deliver a full range of care to injured patients. most members of the house have trauma systems eethser in their district or that are able to serve their constituents. this bill is supported by the american association of neurological surgeons and the american association of orgetpeedic surgeons, the american burn association, the american college of emergency physicians, the american college of surg

dr. burgess. >> thank you mr. chairman and ms. barra if we could continue on that line of questioning that mr. butterfield was pursuing. how were your dealers holding up under what must be a massive onslaught of people getting their cars fixed? >> our dealers are doing a tremendous job of supporting the customer. as i. as i said we have many dealers who are reaching out. we have had dealers who have had a customer that was several miles away. for instance there was one who were concerned because their daughter had the vehicle and there was a dealership closed by. the dealer went back and forth and got the vehicle vehicle got their pyramid and gave them alone or so i can't be more proud of howard dealers are supporting the customer. >> but again you have millions of cars that need to get in and be attended to. is it pretty hard to provide a loaner car for that population? >> first of almost dealers for a simple repair have loaner programs. it depends on the dealer and issue but specifically the cobalt and that population of vehicle

dr. burgess. we have a discussion about china. and i think it's informative but i don't think it's dispositive. and to the panel in general, as i understand the system in china, it's quite different from the system here. here we rely on governmental funding, on the nonprofit sector, so ably represented by a great unfortunate and a great charitable trust and we rely on the for-profit sector, including the drug companies, many of which are headquartered in the district i serve. nd we rely on venture combat lis. so i would ask mr. leff, the three-legged stool, what should we be doing, recognizing we have a greater responsibility with more stable funding for the n. h., recognizing regarding various universities we need to make the system better so the fact that only one in six grants is awarded should change. we -- regarding the for-profit sector, chashed we be doing? repatriating profits from abrood perhaps but what else should we do to encourage the for-profit sector in a system which is quite different from china's? >> that's a gre

dr. burgess. now we had a discussion about china. think its informative but i don't think it's to sponsors. to the panel in general as i understand china is quite different from the system. here we rely on governmental funding. we rely on the nonprofit sector so it would be represented by a great university university and a great charitable trust and the rely on the for-profit sector including the drug companies many of which are headquartered in that district i serve. and we rely on venture capitalists so i would ask mr. leff on that for-profit sector where should we be doing recognizing the other greater responsibility with more stable funding for the nih, recognizing regarding various universities we need to make the system better so that in fact only one in six grants was awarded should be change. we have to make a system better. regarding the for-profit sector which is an indispensable part of a larger whole, what should we be doing, repatriating profits from abroad but what should we be doing and encouraging for-profit sector w

dr. burgess did bring it up a little bit. in 2007 when we reauthorize the nih we did some pretty good restructuring as you might remember mr. barton and we did that because when the nih was set up, it was set up with all of these different agencies which was wonderful. but the nature of research has really changed. so you have to be able to do all kinds of interdisciplinary research. that is why we did the structure of the nih at that time. we have made a lot of innovations over the years working in conjunction with the fta and i'm very pleased to hear from the witnesses that a lot of that seems to be working. so this is all a very long way of leading up to my question which is, and you may not even be able to answer today. one thing that fred and i are really thinking about as we look at this big picture view is are there ways going forward that we can restructure over two weeks the structures of some other key research agencies not just the ones represented here today, but cdc, the lapse, other agencies so that we can encou

dr. burgess. >> i thank you for yielding. we now know this is not an evidence problem. the evidence is overwhelming. it is an analysis problem. general motors still needs to answer the fundamental problem of how it missed all of these glaring signs. cost 13 have well people their lives. maybe the most concerning aspect of the report is the simple recognition that well everyone at general motors had responsibility to fix the problem, no one took responsibility. that is unacceptable for one of the flagship companies, and one that millions of us rely on every day. mr. valukas offer 90 recommendations. accountability, accountability that is not transferable is crucial. if personable accountability missing, the disastrous consequences will not only occur, they will recur and recur. here, this for being is a start, a first step to solving a problem. i hope also there are some answers for many of us as to the ofect of the understanding the problem and when the understanding occurred. will this affect those cases that have been litigated, how does the bankruptcy affect its that

dr. burgess wanted to make a follow-up question about the phone number. >> since i brought it up a request to put to the record 1-800-222-1020 as the customer service number that should be available to customers of general motors. and also just the observation we aren't talking about the nondeployment of an air bag. the primary restraint system is the seat belt. and i do encourage people, you got to wear your seatbelts when you drive. i'll yield back. >> i'll recognize myself. mr. valukas, when you said when you get additional data, and it was very clear in your mandate from ms. barra that she wanted this to be thorough, that if you receive that other information from plaintiffs' attorney, i hope you'll say that with us thp you said they had not responded to you as of yet, but if there is information that they have with regard to delays from general motors attorneys in getting them information, i hope you will review that and let us know. >> and to be clear, i will gather that information. whatever we get we'll have to share with the board of directors and they will make the decision as to

dr. burgess is the vice chair of the health committee. the welcome member of the committee. you can continue here if you would. >> thank you very much. so, part of this bill that representative murphy has put forward six to immigrate behavioral health in primary and care -- seeks to integrate behavioral health and primary care. you have said that you would not have much trouble in er settings telling if someone had trouble and warning signs? mr. rogers manifesto seems to suggest a than an aggressive and violent incident that he admitted he instigated brought him to the er and that was the final straw for him. there is the suggestion of telemedicine as a way of keeping mental health professionals in the loop with er care. however, there is a competing bill or maybe another bill that representative barbers put forward strengthening mental health in our communities act. it has 40 cosponsors. it seeks hhs awards for co-locating behavioral health services in primary care settings. i was wondering how you think that plays with telemedicine. is it better? can telemedicine work as w

dr. burgess wanted to make a follow-up question about the phone number. >> since i brought it up a request to put to the record 1-800-222-1020 as the customer service number that should be available to customers of general motors. and also just the observation we aren't talking about the nondeployment of an air bag. the primary restraint system is the seat belt. and i do encourage people, you got to wear your seatbelts when you drive. i'll yield back. >> i'll recognize myself. mr. valukas, when you said when you get additional data, and it was very clear in your mandate from ms. barra that she wanted this to be thorough, that if you receive that other information from plaintiffs' attorney, i hope you'll say that with us thp you said they had not responded to you as of yet, but if there is information that they have with regard to delays from general motors attorneys in getting them information, i hope you will review that and let us know. >> and to be clear, i will gather that information. whatever we get we'll have to share with the board of directors and they will make the decision as to

dr. burgess. >> i thank the chairman of the full committee for yielding. we now know this is not an evidence problem. the evidence is simply overwhelming. it's an analysis problem. general motors still needs to answer the fundamental question of how it missed all of these glaring signs. indeed, failure to recognize the problems in a timely fashion may well have cost 13 people their lives. this report is deeply troubling. maybe the most concerning aspect of the report is the simple recognition, while everyone at general motors have responsibility to fix the problem, no one took responsibility. that's unacceptable for one of america's flagship companies and one that millions of us rely upon every day. now, according to the report by mr. valukas, he offers 90 recommendations as to the problems and their failures that led to the ignition recall. i'm certain that all 90 are crucial. but really only one, accountability, and accountability that is not transferable, is crucial. if personal accountability is missing, as the report here suggests, then disastrous con

dr. burgess did bring it up a little bit in. 2007 when we reauthorized the m.i.h., we did some pretty good are you structuring, as you might remember, mr. barton. we did that because when the n.i. himplet was set up, it was set up with all of these different agencies, which was wonderful. but the nature of research has changed so you had to be able to do all kind of interdisciplinary research. we've made a lot of innovation over the years working in conjunction with the f.d.a. and i'm pleased to hear from the witnesses that a lot of that seems to be working. this is all a long way of leading town my question. and you may not be able to answer it today. one thing that fred and i are really thinking about as we look at this big-picture view are there ways going forward that we can restructure or tweak the structures of am of our key research agencies? not just the ones represented here today? but c.d.c., the labs, other agencies so that we can encourage more of that targeted interdisciplinary research, so that that will not only help us find cures faster and help with diseases in this countr

dr. burgess. >> i thank the chairman of the full committee for yielding. we now know this is not an evidence problem. the evidence is simply overwhelming. it's an analysis problem. general motors still needs to answer the fundamental question of how it missed all of these glaring signs. indeed, failure to recognize the problems in a timely fashion may well have cost 13 people their lives. this report is deeply troubling. maybe the most concerning aspect of the report is the simple recognition that everyone at general motors had responsibility to fix the problem. no one took responsibility. that's unacceptable for one of america's flagship companies and one that millions of us rely upon every day. now according to the report, he offers 90 recommendations as to the problems and their failures that led to the ignition recall. i'm certain all 90 are crucial, but, really, only one accountability and accountability that is not transferrable, is crucial. if personal accountability is missing, as the report here suggests, then disasterous consequences will not onl

dr. burgess. >> i thank the chairman of the . we n committee for yielding. we now know this is not an this evidence problem. the evidence is simply lem. overwhelming. it's an analysis problem. general motors still needs to answer the fundamental question of how it missed all of these glaring signs. indeed, failure to recognize the problems in a timely fashion mai well have cost 13 people their l lives. this report is deeply troublingo maybe the most concerning aspece of the report is the simple recn recognition that while everyonee at general motors had responsibility to fix the problem, no one took responsibility. one that's unacceptable for one of america's flagship companies anf one that millions of us rely upon every day. now according to the report by mr. valukas, he offers 90 recommendations as to the problems and theirre failures tt led to the ignition recall. i'm certain all 90 are crucial, but, really, only one acco accountability and accountability that is not accon transferrable, is crucial.ta if personal accountability is nn missing, as the repor

dr. burgess, for yielding me the customary 30 minutes, and i ask unanimous consent to revise and extend my remarks and i yield myself such time as i may consume. the speaker pro tempore: without objection. mr. mcgovern: mr. speaker, i rise in strong opposition to this rule and to the underlying bills. first of all, this rule is not open and denies some important and germane amendments. this is consistent with the increasingly closed-mind set of this republican leadership. mr. speaker, i want to remind my colleagues this is now the most closed congress in history. 62 closed rules in this congress alone. that's a title i don't think either party would enjoy having, but this is the most closed congress in history. speaker boehner, his opening speech, said that openness would be the new standard. i guess he misspoke because that is not what is happening on this bill -- on these bills and it hasn't been happening on most other important pieces of legislation. the approval rating of congress from a poll gallup did last week is at 7%. think friends can't blame that on president obama, kay can't b