dr. collins: i was. david: and you were homeschooled. dr. homeschooled, not because my parents were religious in their persuasion at all, but because they thought the county schools where i grew up in the shenandoah valley of virginia were not up to my parents' standards. my mother was incredibly gifted as a teacher, and she figured out early on how to get the process of learning to be something wonderfully exciting, and that is the gift she gave me and my brothers, this excitement about learning new things, which i carry with me to this day. david: you did this until the sixth grade? dr. collins: yeah. david: and then you went to school? dr. collins: i think my mom was a little tired of teaching all of these four boys and figured, ok, public schools in the city of stanton are maybe up to a better standard, so i started going to public school. david: you were a musician as well. you have a band or you had a band. how did you come to that? dr. collins: my dad was trained as a classical violinist. but he and my mom met at yale, he was getting

dr. collins. with the leadership of senator blunt and others we have had success in large part i would say because you all have made a case for additional resources within each of your institutes in which the public good is demonstrated and the advancements that are being made are sufficient for american people to feel comfortable that progress is happening and that we're on the cusp of developments that will make a difference in their lives. in the last year since you were here, dr. collins, in this setting what can i tell my constituents that has transpired to reassure them that their tax dollars are being wisely spent? i sometimes head down the track in a town hall meeting explaining that there are things that we should spend no money on, things we should reduce pending on and things we should spend more money on. by the time i say that sentence i'm wondering what my constituents are thinking about a senator from their state who is interested in spending more money on anything. then i use nih a

dr. collins knows, but i do want to go to dr. hodes because alzheimer's is something i've personally are been touched with. doctor, one of the things i have heard is that it's hard to recruit patients for clinical trials for alz heym her's. is that the case? >> uh-huh. >> i know it's hard, because by the time you start exhibiting the symptoms, you're already in it. how do you, how are you developing all those trials with different -- >> well, senator, it's an excellent question, and it is a challenge to us for multiple reasons. as you've commented upon, for individuals who are already affected with symptoms, we carry out studies that are extremely important. but there's also a sense that in order to be most effective in -- >> find aggravation cure. >> -- preventing the appearance of symptoms that we need to intervene earlier. >> right. >> this means we need to recruit people who are not coming through a clinician who suggests they participate in a clinical trial. these are people who are at high risk but show no symptoms. we need

dr. collins just said about nih's role in general. i think we've had a history of a strong willingness to share, and think that's increased over past years. we're at a stage when we are dealing in part with technical feasibilities of

dr. collins and the institute directors. the recent support of medical research by our subcommittee and congress is clear. during the three years senator maria cantwell i worked together i workedor murray and together, $7 billion above what we were three years ago. we traveled the alzheimer's research amount, started the precision mesu medicine initiative and confident resources to such revolutionary projects as the universal flu like vaccine and a renewed canstment in nih has and provide millions of americans and their families without that they wouldn't otherwise have. ni funded researchh has raised life expectancy, vastly improved the quality of life for all americans, and in addition removal we can see ways to lower health care costs and to create economic growth by supporting the jobs. yjr research so far we have been able to maintain an important momentum that everybody on this subcommittee certainly sees at the moment we are in. things like the west africa challenge three years ago with the devastating outbreak of kil

dr. collins and the institute directors. the recent support of medical research by our subcommittee and congress is clear. during the three years senator maria cantwell i worked together i workedor murray and together, $7 billion above what we were three years ago. we traveled the alzheimer's research amount, started the precision mesu medicine initiative and confident resources to such revolutionary projects as the universal flu like vaccine and a renewed canstment in nih has and provide millions of americans and their families without that they wouldn't otherwise have. ni funded researchh has raised life expectancy, vastly improved the quality of life for all americans, and in addition removal we can see ways to lower health care costs and to create economic growth by supporting the jobs. yjr research so far we have been able to maintain an important momentum that everybody on this subcommittee certainly sees at the moment we are in. things like the west africa challenge three years ago with the devastating outbreak of kil

dr. collins from bethesda, maryland. good morning. >> good morning, gayle, anthony, bianna.alk about this exciting project. >> you call this a national adventure that's going to trance form medical care. exactly do you hope to accomplish? >> do you ever feel when somebody's making recommendations to you about how to stay healthy or when you need a prescription and you think, is this the right drug for me at the right dose? a lot of what we do in medicine is one size fits all. precision medicine is an opportunity to make it much more individualualized and to make it more precise and produce a positive outcome. to do that, we need a lot of data from people willing to partner with us in a remarkable adventure called "all of us." we named it for good reason. it is about all of us. >> how do people sign up for this program? >> the big launch is this coming sunday, may 6th. and at that point, if you go to the internet site, joinallofus.org, no spaces, you'll sign up and go through a number of steps and decide whether you want to consent to be part of this. if you sign up, you'll b

dr. collins in a few days to talk about that. i also mr. secretary understand there are some questions from omb about the way we believe that money should be spent and we will be insisting on the way that money should be spent. the president agreed to this budget and management from omb is one thing trying to decide what the congressional priorities should be for omb would be another thing. we are committed and we will remain committed along with you to addressing the opioid epidemic. the opioid has passed car accidents as is the number one cause of accidental death in the country. that budget was increased by $2.55 billion and 244% increase. at some point i think we want to look carefully and be sure we are not increasing that budget asked her than the money can reasonably be spent a lot of that increase, the 1.5 billion is flexible funding for the states. i would also think that right now is a good time to let the states help us figure out what works and what doesn't work and where it works and where it may not work. this is the grated en

dr. collins and the institute directors. the recent support of medical research by our subcommittee and congress is clear. during the three years senator maria cantwell i worked together --

at a business like i would like to thank our guests this week steel and collin lutie and for me the rescue team here in berlin dr. visits continues a picture. seen. world. coming up more than four million on the spell of the city on the net come join us as we explore. how you can bet on movie. coming next d.w. . injury conflicts with mission fleet month this week conflict zone is in this phone capital kelleys joel shipley who sits in the u. field call a month for congress governing he does fall on any prime minister pick the oldest was reelected using rhetoric described as intimidating and says no for big conflict zones. in sixty minutes on t.w. on. every journey begins with the first step and every language with the first word emerged from the. coaches in germany to learn german and why not learn to tell a simple online on your mobile and free to sept fourth learning course nico speak german meetings he wouldn't be fighting for the case to be taken seriously in the words of one here's what's coming up. on this talk on. the superheroes on a mission to change how to sound smart women smart trucks smart station th

dr. sanjay gupta is on hand before the procedure and kaitlin collins is at the white house. i want to start with kate bennett. was this planned or emergency procedure, what can you tell us? >> reporter: i don't believe it was an emergency procedure. i would imagine that this is planned, of course the white house has not said that but all indications point this to not being an emergency. i'm going to read the statement from the first lady office so we're all on the same page. this morning first lady melania trump underwent an embolization procedure to treat a benign kidney condition. the procedure was successful and there were no complications. mrs. trump is at walter reed national military medical center and will likely remain there for the duration of the week. the first lady looks forward to a full recovery so they can continue her work on behalf of children everywhere. speaking of that, it was just last week we saw her in the rose garden delivering her information about be best -- her new initiative and the formal platform and the president in the front row. the week befo

dr. ronny jackson. jackson pulled his name after trump nominated him to be the va secretary. now vice president pence's doctor has announced her resignation. let me bring in cnn white house reporter kaitlyn collins, senior congressional correspondent manu raju. do we know why the president's doctor is resigning? >> we're just learning this from the vice president's office. she was assigned to the vice president. she was assigned to him from the medical unit much like ronny jackson was originally assigned to president trump so he worked in the medical unit. the vice president's office gave me this statement saying, quote, the vice president's office was informed today of her resignation. physicians assigned to the vice president report to the medical unit, and any information would go entirely through the medical unit and is not through the vice president's office. they're making the clear distinction there, jim, but of course this comes after that failed va nomination for dr. ronny jackson, after colleagues complained about when he was running the medical unit. there are swirling questions surrounding that nomination. he did drop that nomination early this week. >> let me ask you, manu, because

collins and madam which i remember. i would suggest that might be a good topic for this committee at some point in the future so thank you so much for that. dr. ayati, briefly, in the time i have left, i understand and can relate to the challenges faced over the last year or so, faced many of those with my aging parents and we are fortunate in birmingham to have a fair amount of resources available but it's still a challenge buttalal in particular also has a very rural population and rural health care delivery in alabama is challenged in and of itself, much less to the aging population. do you have in i suggestions of what we can do that might address the challenges specifically to our rural segments of this country? >> thank you so much. it's a great question. it's one of the biggest challenges that we always discuss, especially in our area. one of the models that have been suggested that we actually utilize the resources that we have right now for rural areas, like, for example, we are -- we have a lot of things in technology today. we can use telemedicine which medicare even approved for reimbursement for telemedicine for rural areas but