talk about how a children's mental health affect their future health outcome. dr.n: that is a super question. we know so much about the incredibly -- about the incredible importance of the first four or five years of life. it is unbelievably -- unbelievable what we know about the development of the human brain this time. we know negative expenses affect how the brain works and will affect how the person's brain works throughout their life. it is important to deal with these negative events early on. we know that in the united states over the last decade, we have had rising death rates among people of working age in this country. those rising death rates don't just happen in 45 and 50-year-olds. it starts and 25-year-olds. i know those rising death rates reflect in part some of these early negative experiences. there is a lot we know about what is causing these bad outcomes. we know more and more about what we can do to prevent those bad outcomes. jonathan: i'm going to turn this question to both of you. if we conquered poverty, this would solve a lot of problems. i

talk about how a children's mental health affect their future health outcome. dr. perrin: that is a super question. we know so much about the incredibly -- about the incredible importance of the first four or five years of life. it is unbelievably -- unbelievable what we know about the development of the human brain this time. we know negative expenses affect how the brain works and will affect how the person's brain works throughout their life. it is important to deal with these negative events early on. we know that in the united states over the last decade, we have had rising death rates among people of working age in this country. those rising death rates don't just happen in 45 and 50-year-olds. it starts and 25-year-olds. i know those rising death rates reflect in part some of these early negative experiences. there is a lot we know about what is causing these bad outcomes. we know more and more about what we can do to prevent those bad outcomes. jonathan: i'm going to turn this question to both of you. if we conquered poverty, this would solve a lot of probl

economic decisions they all affect our health. we all care about our health. we all think about our children. if you want our children to be healthy, what causes that? these are the forces that cause children's health? . our political system aligns to generate health. we should be expecting a discussion about housing decisions. the decision about infrastructure. they sing not minimum wage. we all care about our health. host: we are taking your calls this morning. you could start dialing in now. they are on your screen. a (202) 748-8002 text to -- a text to (202) 748-8003 with your name, city, and state. you can go to facebook.com/c-span. john in south dakota is up first. caller: good morning. it's good to be able to talk to you. my question has to do with where the pandemic will come from because of the exponential release of methane from the polar caps. they are warming faster and faster. we seem to ignore this as we pump more co2 in the atmosphere. we are going to have tipping points. are we going to start seeing pandemics come from the cryo-spear? also, i t

health. and there can be so many ideas depending on the culture, on the communities where we were raised in the ideas around mental health itself to, to make that appointment. and then she even see if there's a provider and we can make that appointment with so apps and other sources of technology can fill in that gap because i think one thing we've seen again and again and we continue to see is that there is such a need for mental health care, and it's so hard to find that mental health care all across the world kind of thoughts. well, yeah, i mean, just to add on that before the current corona virus pandemic, the w h o already stated that we were indeed in a pan down mac of both anxiety and depression worldwide. and so the question is, what kinds of care can be furnished remotely and how they actually address those gaps? rather than this kind of am creep of more and more proliferation of digital mental health, where it's not necessarily addressing those gaps. and that's a complicated convers

health. i promise you it will be a safe space. i guess we'll be very kind to you that say hi to the get hannah nicole. some yes, so nice to see you had a please introduce yourself to our international audience. tell them who you are, what you do. hi. thank you so much for having me. my name is hen, as even i teach at u. c. berkeley and i have just screwed in the book, the distance cure a history of tell of therapy for mit press. good to have you. hello, nicole. introduce yourself to our international audience. hello, i'm nicole martinez martin. i am an assistant professor at stanford center for biomedical ethics. i and my research recently has been on others of digital mental health tools and a i. all right, and thank you very much for having. oh, thank you for making the time and i learned some yes, i get to have you here. introduce yourself. try international audience. so great to be here. thank you. i'm so me a debate. i'm a psychiatrist and an author and i teach narrative medicine at moun

we have community health programs. they have not kept up in terms of funding with the growth of population and the diversifying of the population. we need to take advantage of our extension system as well. senator braun: thank you. senator warren. senator warren: thank you so much, ranking members, and senator braun, i'm grateful to you. and also to chairman booker for holding this important hearing. families across georgia's rural communities are facing added barriers to adequate nutrition including distance to a grocery store, limited transportation options and the availability of quality fresh products at an affordable price. for example second harvest of , south georgia estimates that one in five people in south georgia do not know where their next meal will come from, one in five. administrative flexibilities provided by usda have helped provide additional nutrition assistance throughout the pandemic. but i'm hearing from the folks back in georgia that the guidance coming from washington fails to fully reflect the

health services. collaborating with the covid task force to provide covid testing, vaccination and contact tracing. in close partnership with mental health services team, the office of equity workforce development has implemented policies and practices to advance racial and health equity initiatives throughout the behavioral health services. during the pandemic, the team members continued to provide cultural competency, workforce development and wellness initiatives in addition to maintaining b.h.s. training requirements for clinicians. the oewd worked towards high quality appropriate services. to serve the diverse needs of all san franciscans. the following is a partial list ever other incredible work the team contributed to during this year. developing a state mandated cultural competency plan. implementation of the b.h.s. portion of the strategic racial equity action plan. providing equity training for the b.h.s. street crises response team and providing consultation to other counties regarding rac

many received health -- services from both indian health and that v.a.o give you a better idea, let me tell you about my experience. as a vietnam that, we returned home to a country which did not thank us for our service. you are not provided care, the federal government tried to take our culture away from us. it did not provide our communities with basic resources like water. this difficult situation harmed mental health and data veterans and struggles, and unfortunately, we have too many of our native brothers and sisters take their lives. our people suffer from more posttraumatic stress to her than the average american. these are just some of the challenges that the tribal communities continue to face during the covid pandemic. across-the-board, native veterans report issues around quality of care, and veterans with outcomes including covid-19. by affecting generations of our people. in 2015, the suicide rate, 62%. native veterans suffered a more higher rate of mental health disorders compared to non-native utterance. it is essential that the veteran

i'm the national coordinator for health information technology at the department of health and human services and delighted to be here, and thank you for joining me. i want to welcome everyone and really give you a profuse thank you for being with us. before we start, i want to begin with the most basic question: why are we here? what is the point of having this discussion? we are here because the issues we are addressing today have been unaddressed for too long and it is time for us to work together for a democratic vision for our automated society. it is time to situate technology develop and use inner values such as equity, accountability, justice and integrity. we can, of course, make this vision a reality, but we can only do it by partnering with a long range of effective stakeholders, the american people. today we want to focus on an issue that plays a central role in all of our lives, namely health care. health care helps every person, every community, and every dimension of american society. it is an issue that is deeply personal in each of our lives but also critically impor

part of our being in public health is knowing that public health depends on public trust. our job is to promote public health or everyone. so i appreciate the conversation and the pragmatic approach that we are taking to various policy conversations and to helping people navigate their own lives. on masks, one of the things i have been emphasizing our a while, and not everybody agrees. to the point dr. adams just made, we don't come from a country that has amassed morning culture. for many people, rightly or wrongly, this is no judgment on this, i have to point out that many people really do not want to be wearing masks. i've been saying that we really need to talk about vaccines. we see all these various tools in our toolbox. the other analogy i like to use is it is like adding liars, in the winter if it is gold you want to put on many lasers. the vaccine is this really excellent coat, the best protection if you will, against this "inclement weather," if you have the vaccine it would be advisable to remove some of these leaders. many people do not like masking. kids are g

against all health threats. be they the chronic illness that is we have, or the emerging infections that we have to face. one of the things that is a bit disconcerting, obviously, is that we've never had this before where the -- because i'm representing science, i get attacked. that's an attack on science. who would have imagined when you and i were working together that i would have to have federal agents guarding me all the time because of attacks and threats on my life, harassment of my family, my children, my wife. merely because i'm telling people they need to get vaccinated. merely because i'm telling people they need to wear a mask. can you imagine that, bill, it doesn't make any sense. but that's what the reality is. senator frist: you know, it's -- people ask me all the time do you wish you were in washington? i said no. look at dr. fauci of all people. what advice do you have? we have-- we are coming on the holidays here, and we'll wrap things up here. any advice to the public with respect to covid-19,

health care costs. i call that food is medicine. how we get food into the health care system is a four-part formula, every part clear and easily addressed in a bipartisan fashion. the first is medically tailored meals. we have to have medicare and medicaid test medically tailored meals, to the sickest patients with conditions like heart failure, kidney failure, cancer. research shows medically tailored meals reduces home visits, hospitalizations and saves money. the second part of the formula is produce descriptions for people who have diet sensitive diseases but aren't quite that sick and can still shop and cook. a doctor should be able to write a prescription for fruits, vegetables, other healthy foods that is partly or fully covered by insurance. and produce descriptions seem, from all the evidence, at least as cost-effective as other treatments, like cholesterol lowering drugs for prevention of heart attacks. the third part of the formula is to leverage dietitians. today in medicare, dietitians can

system,. the community, and also manage your health system-— health system,.stem,. interesting views from gordon brown _ health system,. interesting views from gordon brown today, - health system,. interesting views from gordon brown today, the i health system,. interesting views i from gordon brown today, the former british prime ministers saying it is no surprise the new variant has been discovered in south africa. he says it is partly because there are not enough vaccinations in africa because the richer countries have been hoarding vaccines. what do you make of that? that been hoarding vaccines. what do you make of that?— make of that? that is certainly something _ make of that? that is certainly something i— make of that? that is certainly something i have _ make of that? that is certainly something i have been - make of that? that is certainly something i have been saying, make of that? that is certainly - something i have been saying, others have said it over and over again. the reason we wanted to see the world vaccinated at the same time is notjust be

and can drive health outcomes. they are utilized by health priors to improve our quality of life. the act requires the g.a.o. to submit a report taken by the department ofhealth and human services to determine social determinants of health. this will understand initiatives. and will inform us of future interventions that would be most effective in addressing these needs in our community. i urge my colleagues to support this bill and i reserve. the speaker pro tempore: the gentleman from kentucky reserves. the gentleman from new jersey. mr. pallone: i'm prepared to close. the speaker pro tempore: the gentleman from kentucky. mr.guthrie: i yield back my time. the speaker pro tempore: the gentleman yields back the balance of his time the gentleman from new jersey. mr. pallone: i urge my colleagues to support this bill and i yield back. the speaker pro tempore: the question is will the house suspend the rules and pass the bill h.r. 4026. those in favor, say aye. those opposed, no. in the opinion of the chair, 2/3 being -- mrs.boebert: i request the yeas and nays pursuant to section 3-

least spend more on health and get much worse health and this comes from a narrative. what i'm trying to say is we should change the narrative that here's what we should be talking about. if we are going to buy contagions and stop the next plague we should talk about vaccines in early detection. we also should talk about how underlying social ills and marginalization is going to have an effect on when the next contagion happens. they really is about the narrative and this is what we should be talking about only talk about plagueses in contagin and what we are trying to do is inject that into the conversation. >> i'm curious, you reference brieflyy you talk about a marshall plan for health. what does that look like and i'm curious about that because it's one of those remarkable moment hin history rebuilding and recovery from a crisis. we are in crisis again. what does that look like and this is specific to the u.s. and is there a global plan and how would you explain that to someone is read your book? >> eroded in 2019 before anyone had ever heard of covid. fundamentall

communities and threaten the health of the biosphere. every year we make more progress on the weight of the earth human population. and as much of a third of it is gone a wall. many plastics are made from harmful mylar's. a small percentage of these remain as free maher lure's. and industrial polymerization. also, the additives in plastics, , [inaudible] agents are mixed into the resin. and they can be half the weight. some the circulatory system. one of the studies of these and acquaintance raptors are on those of the pa. and they did involve the 2012 exploration of how they exploit sensitive hormone systems. the pa molecules the rail development and behavior. especially during fetal and neonatal periods, when babies are very sensitive to chemicals that alter hormone signaling. this results in damage to brain development, i mean system, cardiovascular, and metabolism. the volume of laboratory studies and the increased numbers in the hundreds analyst of associated human health problems, read like a catalog of modern western diseases. to

within the health care system?> i would like to thank you all for the invitation to take part of this event today. in an ideal world, doctors would recommend treatments based on what treatments work best. it is much more complicated, clinical decisions are influenced by many factors including patient patients is, financial concerns, and bias. these contribute to problems in health care including overuse and underuse of treatments. in equities are also common. our health care systems -- inequities are also common. our health care systems treat white and black people differently because of institutional racism. i look at cases where doctors treat people of different races differently, deliberately, because they feel it is the right thing to do. there was a drug released that help with heart failure that was only used on people who select the divide as black. there is the problem of race correction. there are many dynastic tests in which the result is interpreted differently in people of different races. this gained a

health act, during the first year of the pandemic.have fuelled concerns that patient safety in psychiatric wards, and across the wider nhs, is being jeopardised by staff shortages. the department of health said record numbers of doctors and nurses were now working in the nhs. patrick baker reports. he was just into everything, he did it, give everything go. helped people of any kind, really outgoing. loved art. after struggling with his mental health throughout most of his teenage years, 17—year—old charlie became increasingly unwell during the second half of 2020. he went downhill in thejuly time and he was then sectioned. charlie spent the next three months in and out three months in and out of the mental health unit at prestwich hospital in manchester. in early december last year, he returned to the ward following a night at home. dropped off a quarter to eight at night, he was in really good spirits, and then i got a phone call at quarter to ii to say they were doing cpr on him. during the course of this evening, charlie had made

the rates of health and - simple. the rates of health and sociai— simple.alth and social care worker— simple. the rates of health and social care worker vaccination l simple. the rates of health and | social care worker vaccination in scotland — social care worker vaccination in scotland are _ social care worker vaccination in scotland are so _ social care worker vaccination in scotland are so high— social care worker vaccination in scotland are so high that - social care worker vaccination in scotland are so high that we - social care worker vaccination in . scotland are so high that we don't think— scotland are so high that we don't think we _ scotland are so high that we don't think we need _ scotland are so high that we don't think we need it. _ scotland are so high that we don't think we need it. we _ scotland are so high that we don't think we need it. we are - scotland are so high that we don't think we need it. we are well- scotland are so high that we don't i think we need it. we are well above 90%~ _ think we need it. we are well above 90%~ thism

alliance and the world health organization's civil society working group on climate & health. we'll also get an update on how climate activists held a people's plenary and then walked out of cop26 in protest. and 30 years ago today, indonesian troops armed with u.s. m-16s opened fire on thousands of unarmed east timorese civilians, killing more than 270 of them. >> i lost one sister and two brothers. >> 10 days before i w to give birth, the army was shooting people and they would die at our feet. we could not stop to help them. >> i know families were totally wiped out. amy: "massacre: the story of east timor." all that and more, coming up. welcome to democracy now!, democracynow.org, the war and peace report. i'm amy goodman. this is climate countdown. at the u.n. climate summit in glasgow, negotiators have backed away from including a call to phase out coal as well as fossil fuel subsidies in the latest draft agreement, which was released today, the final scheduled day of the two-week summit. an earlier draft called for "phasing-out of coal and subsidies for fossil fuels." t

and the broader health crisis.e have an incredible panel. you can see our faces. we want to talk about why it is important to defeat the virus everywhere, how it is directly linked to defeating the virus here at home, and some of the broader health agenda issues are imperative for preventing future pandemics and ending decades of progress here in -- around the developing countries and how this is all relevant to the conversations we have already had. we have incredible panelists. let me introduce them. welcome, senator koontz, of delaware. dale smith, state department coordinator for global covid-19 response. welcome. we have the special envoy for covid-19 for the african union. i don't know what time it is for you but we are glad to see you as well. and andrea, executive vice president -- rapid molecular diagnosed sticks -- diagnostics. we have a conversation that literally could take days and days but we will try and tackle it all. ask you to keep responses short so we could get a few rounds in. i want to start w

i think it's fundamentally about the structure and to come back to the health system we have a healthsystem as many on this call no debt currently incentivizes its practitioners to look after sick people we have very few incentives for the practitioners and health system to keep people healthy. that is a fundamental flaw in our health system as organized. if we were to reengineer health system to keep people healthy i would be totally find in that because fundamental i care about the health system keeping people healthy which are health system now vastly underperforms. >> i have a similar kind of response. i was thinking i'm going to bungle this analogy because i'm not and is stored in of warfare but i remember there's some stories about how during the second world war the government was able to mobilize for the production of jeeps and they basically went the story goes that ceo of all the car company said we will make you rich if you make us times of change. within months we were outperforming every other centrally planned government in europe, and they couldn't believe like how we w

and mental health apps. and, but it also showed was, you know, those kinds of gaps that hannah was talking about, that you can't just, you know, sort of drop these tools in, ah, and expect them to fill a need when there are already, uh, systemic issues such as, you know, how does care get reimbursed, you know, depending on how you are, that many people now have smartphones, but there may be additional infrastructure needed in order to use the apps effectively, as well as if you do have a therapist who's using the apps. either a lot of questions about best practices, you know, what, who are these actually best for i, you know, can they be used for people who have more severe mental health needs as opposed to being best directed towards people with maybe more moderate needs. and so i know that the, this really raised a number of these questions quite sharply when there was this accelerated push, then to a digital mental health. nicole, when does this, i a medical and ethical conversation happen? is it after al

i want to really thank all of our health care heroes. the folks who work here. the folks who had to operate. everyone knew that it would be a challenge to operate in a temporary location. like, that's tough enough. and then try doing that in the middle of a global pandemic. everyone knew that this would be a big project for d.p.w. to do. think about doing that project in the midst of a global pandemic. think about all of the work for everyone involved with the department of public health and everything that they -- all of the challenges that they have helped this city to overcome over the last year. i remember my late sister ran a behavioral health clinic in the east bay, in oakland. and i remember the incredible stress in the years before she passed when they were operating in a trailer, in a temporary location. how difficult it was -- not just for the patients and clients, but for all of the staff to come to work in cramped quarters and for people in the community to not even really know where to go to find them. and i remember when they moved back in with the

public health.sha must explain why only now covid-19 has become a brave -- grave workplace danger across all sectors and all this. more than 100 employees. four months ago, osha published narrowly focused health care ets that didn't include a vaccine mandate. by pursuing alternative covid-19 enforcement avenues and trumpeting the success of its previous efforts, the biden administration undercuts its own arguments that it's needed. rather than pursuing a one size fits all approach, osha could have revised this covid 19 guidance to allow employers flexibility to promulgate innovative and current safety protocols that best meet the needs of their industries, the remote workforces, their culture and their supply chain and those have been more communicative employers could have developed and implemented the best solutions for their employees. many employers have included a vaccination mandate as part of their overall covid-19 response programs and so far has shared its vaccine policy playbook to -- with

for their health care. in the population at large, black, american indian, and alaskan native moms die from pregnancy related complications three times the rate of white, latina, asian american and pacific islander american regardless of income or educational levels. however, little is known whether pregnant or postpartum mothers have equal rate -- mortality rate versus nonveteran. there is a government accountability office focus on racial and ethnic disparities in maternal health outcomes for veterans. last year, approximately 6,000 veterans using v.a. became new norms. moms who have served our nation exemplifies strength and resilience. supporting moms ensures gender equity and that begins with health care equity. i therefore ask my colleagues to join me in supporting final passage of s. 796, the protecting moms who served act of 2021. i yield -- i reserve the balance of my time. the speaker pro tempore: the gentleman reserves. the gentleman from illinois. mr. bost: thank you, mr. speaker. i yield myself

strong supporter of our federally qualified community health centers, our rural health centers and the program that hrsa runs to support. we've seen them play a significant role in the vaccine. we're also running a pilot program which allows them to distribute free at-home rapid tests to families, and i think that's another important way in which they can contribute to this response. we're hoping to scale that up by thanksgiving. right now it's in eight states. we've also been able, through the fqhcs and rural health centers, distribute masks to families that might need them, high-quality masks, and of course they continue to provide clinical care to families that get care there. so continue to see them play a significant role, and we're always looking for opportunities to increase the impact they can have in this pandemic. >> i thank you for that answer, and i want my community health centers to know how valuable they are, not just in the time of a pandemic, but throughout the daily lives of lots of americans. i just visited one in kansas city, kansas last week. again, reminded that t

ongoing calls to all state health officials and public health partners. these calls include state and county health officials. state laboratory directors. partners for public health organizations. that was something started over the last couple of days. we are continuing around-the-clock coordination as well. the cdc called a meeting today with state labs that will be engaging with state health associations to make sure we are in close contact. >> the president was asked whether he thinks these areas that have done away with mask mandates should reverse them. he did not really answer that. does he believe other places to go back to where they were with the mask mandate? sec. psaki: the guidance from the cdc has not changed. other localities are abiding by it. our advice is to follow the advice of national public health experts. of course they are continuing to assess. any additional steps that need to be taken. our recommendation continues to be to watch that closely and follow that in order to protect your community. >> i want to ask if the white house w

the public's health. the hearing is two hours. >> i will request that members please mute their microphones. finally, have your staff email it to document ti at mail. house.gov. for my opening statements of today's hearing which has been coming for a long time. this is our first hearing in 10 years on threats to our water and how these threats affect human health and the health of our communities. in that time, there been many studies conducted. some old and new science developed on tracking and using such contamination. i am glad to have a panel of experts in front of us, well, before us on zoom to catch us up on latest information. today, we know more about the impacts of contaminants on human health, aquatic spaces and the environment. however, there remains many gaps in our understanding. at this hearing, we will some of the impacts of these contaminants and the role that the governments should have to protect our health and the health of our water resources. water quality and attention of our water r