dr. sander herself and a round of applause, the california endowment and others provided tremendous financial support so thank you very much for that. [applause] . we really do appreciate it and the cohost and mary lee and tom torque son and who you met this morning and our next panel is planning for student safety opportunity and success and planning for action around the bay. our moderator is jill tucker an education reporter at the san francisco kron cell. i told jill it's hard to find bios online for reporters. they can stay out of google. she's award winning reporter and covered california schools for 14 years and knows a lot about this subject and was honored by the california teacher association and received the highest award about the growing number of homeless students in the school system. she is a san francisco native and was in the peace corps and tout in west africa and please welcome jill tucker. [applause] >> thank you. she just dated me with that 9090 peace corps thing. okay. i want to say how great it is to be here. i have been looking at everyone's name tags and awed by the

dr. sander herself and a round of applause, the california endowment and others provided tremendous financial support so thank you very much for that. [applause] . we really do appreciate it and the cohost and mary lee and tom torque son and who you met this morning and our next panel is planning for student safety opportunity and success and planning for action around the bay. our moderator is jill tucker an education reporter at the san francisco kron cell. i told jill it's hard to find bios online for reporters. they can stay out of google. she's award winning reporter and covered california schools for 14 years and knows a lot about this subject and was honored by the california teacher association and received the highest award about the growing number

dr. mullan, thank you for being with us. >> thank you, chairman sanders, a great privilege to be here as a primary care for vision pediatrician who is in the first class of the national service corps 1972, subsequently ran has not only privileged, but astounding has terry to your committee of the u.s. senate because such clarity about fewer finishes of primary care and service delivery in poor worlds and underserved communities. i will try to be cogent, the thank you for convening and i thought that's gone into this. i'm going to run through, chairman sanders come a day my talk. you're clearly the expert, so i'll stand in some of the things i was going to bring up to focus on issues of education and system building or on primary care. the demand clearly is in front of us. the teaching of the population, advent of the affordable care act and the entitlement it provides. that does present us with a challenge. just a few demographics. with 280 physicians in the united states, which puts us in the middle of the developed world. u.k. and canada have less in germany and france have more. we ar

senator sanders is taking over the veterans administration, and he is really focused on that as well. dr. insel, thank you so much for reminding all of us that mental health does not mean that someone is violent. i think that is important to remember as we go through this, and we do need to focus on the population that has the potential for becoming violent, particularly at younger ages. i think that is why this hearing is so essential, and i appreciate and look forward to hearing the testimony of the rest of the panel. thank you. >> thank you, mr. chairman. i want to congratulate senator alexander, who gave up a leadership position on our side in order to be ranking member on this committee. it shows his dedication to health and education and workplace safety and training and pensions, and i know he will do an outstanding job. i appreciate you holding this hearing on mental health. my first question is for administrator hyde. i want to know more about the coordination and collaboration of agencies at the federal, state, and local level. within your appropriate role as a federal agency,

dr. wilbert is the associate program director for the internal medicine program and the va center of excellence in primary care education. thanks very much for being with us. >> thank you, chairman sanders and members of the committee. it is a great honor to be able to testify here today. i was asked by senator sanders about my insight. specifically, and insight about the lack of health insurance in the u.s., and its affect on outcomes, and to share my thinking is on the physician and workforce shortage the we face. to start off, and there is enormous literature that has occurred over decades, demonstrating that a lack of health insurance has led to worse health outcomes. the institute of medicine summarized these findings in a six volume series earlier this century. the conclusions were clear. subsequent work has to build on this evidence, including some of my own that senator senders mentioned in his opening statement. specifically, a paper we published in 2009 in "the american journal of public health," the lack of insurance to 45,000 deaths among adults in the united states annually. health insurance leads to significant benefits and is good for your help. gaining health insurance d

dr. fegan serves for the health program received her undergraduate degree and her medical degree from the university of illinois college of medicine. thank you so much for being with us. >> thank you, senator sanders, senator enzi another distinguished senators for 40 minutes opportunity to address inadequate assets in the united states. as chief medical officer, known to most people outside of chicago as cook county hospital, to confront on a daily basis the country's failure to provide universal access to health care as array to which i believe everyone is entitled. every single day people without insurance sign up to see hundreds of people a week, tens of thousands a year stand out in the wee hours of the morning, hoping to be one of the 120 to 200 people will be seen that day, even better, whether 12 patients assigned a primary care physicians and given an appointment so they won't come back. they hope to be one of the lucky ones will be given a physician of their very own. our current influenza epidemic highlights vulnerabilities of our patchwork for help or delivery. too few people in this country of access to a primary care provider. primary care providers could educate them about influenza

sanders. i have a meeting with senator shelby to recognize the appropriations committee and that will take me -- to the questions for dr. insel and dr. hyde. i think that what we are hearing today is effective intervention, whether it is all to some or chronic schizophrenia, its research, its treatment and the work force to make things happen. so my question to each one of you is to take the issue of research and perhaps a work force, but particularly research. dr. insel what would be the research on the work the national institutes of mental health? we've talked about this outstanding work that you are doing. what will happen? >> at this point, we will -- what we are looking at is a 6.4% reduction in the 2013 budget come in and of course that will come if it happens sometime in march or april. >> what are the consequences? >> certain studies that we would like that are not going to be done with come and one of the major projects that we are involved and is highly relevant on this discussion today that has to do with how do we ensure that we have the kinds of predictors for the early psychosis. we have a large national