dr. gottlieb? >> senator burr, ranking member murray, and members of the committee, thank you for the invitation to testify today. our nation has faced many emerging public health challenges and unfortunately, will face additional challenges in the future. thankfully, our preparedness and the ability to respond to such challenges has improved greatly since the original enactment of the pandemic all hazards preparedness act. each emergency is unique. many are the result of emerging infectious threats, but the technology for manipulating science for diabolical purposes is becoming ubiquitous and widely understood so we face new and pervasive risks. 2017 was marked by the risks posed by several extreme natural disasters which caused significant devastation and human suffering. these tragedies tested our nation's capabilities to respond. today, i'm going to focus my remarks on the impact of these storms on medical products manufactured in puerto rico and the actions we are taking to mitigate existing a

dr. gottlieb doing a great job. >> thank you. charles: defense secretary mattissa. inmattis.g coming up. it's time for the 'ultimate sleep number event' on the only bed that adjusts on both sides to your ideal comfort your sleep number setting. and snoring? does your bed do that? right now during the ultimate sleep number event, our queen c2 mattress with adjustable comfort on both sides is only $699, save $200. ends soon. visit sleepnumber.com for a store near you. and i recently had hi, ia heart attack. it changed my life. but i'm a survivor. after my heart attack, my doctor prescribed brilinta. it's for people who have been hospitalized for a heart attack. brilinta is taken with a low-dose aspirin. no more than 100 milligrams as it affects how well brilinta works. brilinta helps keep platelets from sticking together and forming a clot. in a clinical study, brilinta worked better than plavix. brilinta reduced the chance of having another heart attack... ...or dying from one. don't stop taking brilinta without talking to your doctor, since stopping it too soon increases your

dr. scott gottlieb, has already made monumental impact on the way regenerative medicine is being approached. >> until ten years ago i thought i wanted to live for as long as they could possibly make me live. and then the effects and proximity of dementia and alzheimer's started to set in on me. let's say you guys succeed at what you're doing. aren't we all going to suffer from dementia and alzheimer's? >> what we recognize is that our bodies are continually undergoing a process of renovation and renewal. that process is driven by the population of stem cells that reside in every tissue and every organ. believe it or not, over time the size of that reservoir shrinks and the quality of the cells in that reservoir becomes corrupted. our partner craig ventor, our good friend, talking about the dna, which in every nucleus, in every cell, is damaged over time. the same thing in dna in stem cells. by taking cells collected at the instant of birth, processing them, storing them away, you've put in suspended animation that biological software. it's like the master reboot disk that when you introduce

dr. gottlieb's leadership just last year. we've also been -- woe've changd for senior citizens' reimbursement rules that led to a $3.1 billion reduction in what senior citizens will pay out of pocket for their medicines and those have already happened. >> i want to develop a biosimilar market which is are generic like versions of higher cost and injectable products. we want to build the scientific evidence base where those might be interchangeable. we want to ensure that there is a viable commercial marketplace by supporting to our programs incentives, and that can long-term help pull the cost down and pull the out of pocket for our citizens down. i look forward to working with you. >> thank you, dr. davis. you are recognized. mr. secretary. i was pleased to see that the budget included my proposal for regional partnership with grants and the healthcare would make it impossible for these community partnerships to be effective, to help motivated parents get treatment and keep their children safe at home. medicaid is the progra