dr evan resnick is a foreign policy and security expert. he joins us live from singaore where the summit is happening, a summit that chuck hagel is attending. and we have heard strong words from chuck hagel there, but will it be followed up by strong action. tell us what can the u.s. actually do to stop china's aggression? >> well, thank you for having me. theoretically the u.s. has plenty of military assets in the region capable of dealing with chinese provocation. the u.s. continues to be the dominant military power, and that is set to increase over the next half a decade as the air force and navy re-orient the resources from the navy to the pacific. the u.s. has ample capabilities to make good on pledges, but it is whether it has the resolve to do so. >> will there be a confrontation between these two, the u.s. and china, given everything else involved, all the allies involved in that region? >> yes. in fact, two of the key claim apts -- claimant states involved in the maritime disputes are the philippines in the south china sea and japa

thank you for all the witnesses in the first panel from dr. evans, we heard the audit solve the problem, 94% i not appealed. and overturned percentagewhy is a very small amount. and what i heard from dr. deutschendorf is current appeals are much greater than that. and is substantial as well. and there may be a small percentage, and there is a high value claims so proportionally more important, probably more expensive to appeal. is that correct? what other perspective should we bring to this? >> that is a correct assessment. and the letter to hospitals, one of the numbers cited is old data, they said in january of 2012, and 1250 appeals a week. and in 2014 they had 15,000, i think the rate, and that number tells you how practices change. >> the inspector general's report was from 2011. >> i would agree with that, that the appeals have mounted as hospitals have been able to change their processes and have you less rigorous asian processes that are insuring their compliance and regulatory requirements for medicare review of inpatient stays. in our comp

. >> dr. evan yo lyon. >> a lot of what became the standard of national care was determined and figured out here. >> the university of chicago is also among several institutions bidding to host barack obama's presidential library. but demonstrators here say it shouldn't be considered until it opens up its trauma center to adults. >> we are leer to plead the barack obama to consider the university of chicago being and the relationship that the community has with them, before he decides to give them his about the president library. we feel like the university of chicago is not within good standing of the community that it surrounds. >> there are more than 400 murders in chicago last year. the year before there were more than 500. but if damien turner's death exposed anything, it's that not every trauma center has the ability to survive. >> that every center shouldn't are trauma care. the issue is very, very maybe, it needs to be done, this is the place that is to do it, we're not a private institutio

dr. ellen evans, medical director, and decider an sheehey, faculty on behalf of society of hospital medicine, ann toby, the single policy attorney, center for medicare advocacy. mr. cavanaugh, congratulations on your new position. both of those testifying and the members today we have two panels, we're tight on time and will hold fast on the five-minute rule. so are, mr. cavanaugh, welcome. >> gist became deputy administrator of cms a few weeks ago but i start mid career in health care in this commitee room working for a member of the halve subcommit yeah. i have great memories of working in this room to improve the medical program and i deeply respect the role played in setting medicare policy and appropriate oversight of the operations of the program. so it's an honor to return here today to this committee room, representing representing the agency that administers medicare. when a patient arrives at hospital needing care one of the critical decisions physicians must make is whether to admit the patient for a inpatient care. this decision takes into account the patient's medical history an