dr. murphy. dr. murphy: i think two i would give, relaxation of medicare regulations in terms of allowing rural hospitals to maybe execute more innovative strategies in recruiting physicians, so we have some rural support of that and i secondly think the relaxation or acceleration of the ability of the medicare program to waive certain requirements for rural hospitals and other rural management. >> i thank you all for our your testimony. senator enzi. senator enzi: thank you. i appreciate that this hearing is being held and i appreciate the great talent we've put together to do it. 'll yield. >> senator cantwell, you can go next. the senator said he'd yield. >> mr. chairman. f i could, i think in order of who is here it would be senator enzi next, then senator cassidy and then senator cantwell of the senators who are here. senator hatch: appreciate that. senator enzi, why don't you proceed. senator enzi: thank you. i come from the least populated state in the nation oumple biggest city is 60,000. and

dr. murphy? >>i'm the chief innovation officer. >> unity point health in des moines, iowa. >> family health in colorado >> university of iowa. >> university of north carolina chapel hill. >> okay. well, you've come -- some of you have come from a long ways. we thank you. we thank you for the work you do. it is really important for our country. for the people of our country. thank you very much. >> senator? >> thank you, chairman roberts. and thanks to the panel. i was here earlier to hear your testimony. i really appreciate it. some of the insights about the special challenges we face in the rural areas. i come from ohio. we have a lot of big urban hospitals and we have a lot of small rural hospitals. sadly some of them are closing down or consolidating and i would tell you in my state one of the issues that is particularly difficult to deal with in our rural areas is the opioid epidemic. and i would think if you did, you know, per capita analysis of the opioid epidemic in my state, you would pro

murphy votes aye. dr. digitally votes no. mr. cano votes aye. dr. abraham votes no. mr. o herman votes aye. mr. kelly votes no. mr. swazi votes aye. mr. gallagher votes no. mr. panetta votes aye. mr. gates votes no. mr. bacon votes no. mr. banks votes no. miss cheney votes no. mr. ice votes no. mr. mitchell votes no. mr. jones, mr. rogers votes no. mr. hunter votes no. miss gabbard -- okay. >> how has mr. kaufman recorded? >> mr. kaufman votes aye. no? okay. >> court report the tally. mr. chairman, there were 27 aye's and 33 no's. >> the amendment is not agreed to. next is the vote on bishop 221 regarding -- the recorded vote has been ordered, the clerk will call the role. >> mr. thornberry, aye. mr. smith votes no. mr. jones. mr. brady votes no. mr. wilson votes aye. mrs. davis votes no. mr. lobiondo votes aye. mr. long german votes no. mr. bishop votes aye. mr. larson votes no. mr. turner votes aye. mr. cooper, votes no. mr. rogers votes aye. misprint i/o votes no. mr. schuster votes aye. mr. courtney votes no. mr. conaway votes aye. miss tsongas votes no. mr. lamborn

murphy? >> aye. >> dr. dajar lay? >> no. >> mir. konna? >> aye. >> dr. abraham. >> no. >> mr. hal ran? >> aye parliament. >> mr. kelly? >> no. >> mr. swazy? >> aye. >> mr. gallagher? >> no. >> mr. panetta? >> aye. >> mr. gates? >> no. >> mr. bacon? >> no. >> mr. banks? >> no. >> miss cheney? >> no. >> mr. his? >> no. >> mr. mitchell? >> no. >> mr. jones? mr. garamendi? >> aye. >> mr. mckeech an? >> aye. >> clerk will report. >> mr. chairman, there are 29 aye votes, 32 no votes. >> the amendment is not adopted. the question now occurs on gallego number 336 r 1. recorded vote is ordered. >> chairman thorn berry? >> no. >> mr. smith? >> aye. >> mr. jones? mr. jones? mr. brady? >> aye. >> mr. wilson? >> no. >> mrs. davis? >> aye. >> mr. lobe yando? >> no. >> mr. lange vin? >> aye. >> mr. bishop? >> no. >> mr. larson? >> aye. >> mr. turner? >> no. >> mr. cooper? >> aye. >> mr. rogers? >> no. >> misbordeaux? >> aye. >> mr. schuster? >> no. >> mr. courtney? >> aye. >> mr. conaway? >> no. >> miss songas? >> aye. >> mr. lam born? >> no. >> mr. garamendi? >> aye. >> mr. whitman? >> no. >> miss s

murphy votes aye. >> dr. desjarlais votes no. dr.abraham. dr.abraham votes no. mr.o'holleran votes no. excuse me. mr.o'holleran votes aye. mr. kelly. >> no. >> mr. kelly votes no. mr.suaze votes aye. mr.gallagher. >> no. >> mr. gallagher votes no. >> mr. panetta votes aye. mr.gates. mr.gates votes no. mr.bacon. >> no. >> mr. bacon votes no. mr.banks. votes no. mr.heiss votes no. mr.mitchell. >> no. >> mr. mitchell votes no. mr.jones. mr.shuester votes no. mr.hunter. >> no. >> mr. hunter votes no. >> how is mr. veasy recorded? recording no. he would like to be recorded as voting yes, he says. >> voting aye. >>> mr. chairman, 28 aye votes, 33 no votes. >> and the perfecting amendment is not agreed to. the question now occurs on the burn substitute to the amendment. those in favor of the burn substitute say aye. >> aye. >> those opposed say no. >> no. >> the ayes have it. the ayes have it and the substitute is agreed to. now the question occurs on the amendment as substituted by mr. burn, those in favor of the amendment will say aye. >> aye. >> those opposed say no

murphy votes dr. dayle votes no. connor. mr. connor votes aye. abraham votes no. aye.- mr. o'halleran votes mr. kelly? mr. kelly votes no. swaze? votes aye. mr. gallagher. mr. gallagher votes no. >> mr. panetta? votes aye. mr. gates. >> mr. gates votes no. mr. bacon. mr. bacon votes no. mr. banks. no. >> mr. banks votes no. ms. cheney? cheney votes no. mr. heiss? mr. heiss votes no. him. >> no. mitchell votes no. jones? aye.-- mr. longin votes mr. cooper. mr. cooper? >> how is mr. hunter recorded? >> no. mr. hunter votes no. report the tally. >> mr. chairman, there were 26 votes, 34 no votes. >> the amendment not adopted. occurs on tion now tosell amendment 323 related financial institutions on military bases. recorded vote has previous list been ordered. the clerk will call the roll. >> mr. thornberry. aye. >> mr. thornberry votes aye. mr. smith? votes no. mr. jones? jones? mr. brady? mr. brady votes no. wilson? aye.wilson votes mrs. -- mrs. -- votes no. -- votes no. no.mr. longman votes mr. bishop? mr. bishop votes no. larson. mr. lawson votes no. turner? mr. turner votes

murphy votes aye. dr. day shah lay votes no. mr. cona votes aye. dr. abraham votes no. mr. o'holleran votes aye. mr. kelly votes no. mr. swazi votes aye. mr. gallagher votes no. mr. panetta votes aye. mr. gates votes no. mr. bacon votes aye. mr. banks votes no. miss cheney votes no. mr. heist votes no. mr. mitchell votes no. mr. jones. >> clerk will report. >> mr. chairman, there were 30 aye votes. 31 no votes. >> the amendment is not adopted. >> there are no further amendments, the chair recognizes the gentleman from south carolina for the purposes of doing a motion. >> on subcommittee on readiness as amended. >> questions from south carolina, mayors in favor say a. those opposed being no. quorum being present the aye have it and the motion is adopted. committee will now receive the report of the subcommittee on military personnel sur sunt to committee rule 17 and in consultation with the ranking member we will postpone recorded votes on the amendments in this particular subcommittee mark until consideration of all amendments to this subcommittee mark. chair recognizes the

ashley, dr barton and mike murphy i'll start with amazon.y're opening two more many of those cashierless store. are they serious about getting back into high-tech brick and brick-and-mortar >> i was in seattle at the amazon store an amazing place to visit they're doing great there. the city is booming arranged them and no, this is a real push for them they've already concurred e-commerce and now they want to concur the brix and tar a place to go after wal-mart share in the space. so this is real. >> a cashierless -- version of 7-eleven and what's at play? people walk out of the store not knowing what their total order is until they walk out so they could be spending more than they expected. >> got you. what do you got? >> i believe that this is a much big or amazon play not to build a million stores. they want their technology in every single store and that whole foods go but they'll be in kroger, wal-mart everywhere to have this technology you're going to be behind. >> that's very interesting. now i've got the point of story. okay look at a

like i would like to thank our guests this week looks upon the steel and polly murphy and for me the rescue team here in berlin dr. blix. this week conflict zone he is in this capital to meet. in the new zealand parliament. for comfort his governing fee this fall on a. prime minister viktor orban was reelected using rhetoric described intimidating and signal for conflicts with. my topic today as a gift of life. directly sometimes a person can only survive if someone else does donate says organs the question to donate. because if you're like me and you want to find out more about the topic. in sixty minutes d.w. . buying a dortmund shell to like to go for your favorite teams we've got all the best golds we've got all of the action the list we go right here. the job is go home the job of the cold beer period everybody in. the bundesliga really comes here on w. . we make up over a week watches of a few that hundred thirty five we are the sum of some offices. they want to shape the continent's future. part of it and join dumpsters as they share their stories their dreams and their challenges the same seven percent pl

dr. jill chase joins us to talk about lick granulomas with murphy. >> it's a term for like scar tissue.nd so sometimes dogs will lick and lick and lick at this area, i don't know if you can see on murphy, this area right here. they will lick and it will become if your-- it will become furless and look a scar. it's tricky to determine the cause. sometimes it's a medical issue to do with the bones or maybe they strained a ligament or tendon and licking it because the warmth of the tongue makes them feel better. you have to understand the cause. so sometimes we do x-rays to see if there's a problem. we'll try something we call it treating symptomatically. this is actually murphy's wound on one of his legs initially. they have actually all healed up beautifully. >> that looks bad. >> so sometimes if we don't know what's causing the problem, we'll just treat the symptoms. we'll can put on ointment and sock. in murphy's case he went on an oral antibiotic and he healed beautifully. it doesn't always work, though. >> thank you, so much. murphy, you're such a good boy. if you have a question abo

dr. carolyn clancy. executive in charge, veterans health administration and mr. thomas murphy, executive in charge veterans benefit administration. we welcome you all and we appreciate your hard work and your willingness to be here. and now, recognize mr. reeves for your five-minute opening statement. >> chairman bozeman, ranking member shots. distinguished members of the subcommittee. thank you for this opportunity to be able to discuss va's physical year 2019 budget. as the chairman said i have with me john raklowski, assistant secretary for management and dr. carolyn clancy our executive in charge of veterans health administration and tom murphy, executive in charge of veterans administration with me. the 2020 advanced appropriations requests a strong budget. it reflects the president's commitment to veterans and their families. it provides the resources necessary to continue modernizing vaand respond to changing needs with increased investments in foundational services, greater access to care, effective management practices, and modernization of infrastructure and legacy s

i have to say thank you very much indeed murphy and to you dr as well.n thank you, lower day as i speak down 143 points barely above 24,000. but latest numbers on the great tax. 800,000 people are expected to leave new york and california each and -- each year for next three years. they try to escape to low tax states. congressman feater king from high tax new york is on the show after this. and next, baseball legend joins me live on the set discussing mafng linnty. we'll be back. copd makes it hard to breathe. so to breathe better, i go with anoro. ♪ go your own way copd tries to say, "go this way." i say, "i'll go my own way, with anoro." ♪ go your own way once-daily anoro contains two medicines called bronchodilators that work together to significantly improve lung function all day and all night. anoro is not for asthma. it contains a type of medicine that increases risk of death in people with asthma. the risk is unknown in copd. anoro won't replace rescue inhalers for sudden symptoms and should not be used more than once a day. tell your doctor if y

dr. ken and murphy who will be introduced by our good friends. >>> thank you, mr. chairman. privileged to introduce dr. mur tee, dr. mur tee is chief innovation officer at guy certificate health systems. i know her from our home town and she has a long report of service. >>> she served with the pa. she was. she was nchlths we ask the dr. philosophy, and ab mba, my mother and my sister wanted me to mention i got maerpt /á /á /á . >> whether there's a real commitment to the reform in the healthcare delivery system, in so many ways karen has brought a passion and a degree of excellence to these issues that i think is unmatched. karen, welcome. >> thank you for rounding up our introductions. thank you for the witnesses for being here today and thank you in their testimony as to, in advance of their patients and their flexibility, and we'll be moving in and out of today's hearings because we have other mark ups going on right now, so i have two or three mark ups going on right now. certainly, i may have to return the judiciary committee. and now with her all the way. >> chairman,