health. judy caller's -- to the caller's point, i hope we can disagree in a way that does not cause angst and difficulties. host: at what point is a psychologist would you say that somebody needs to unplug the political wars? when should they step back from intense debates? what is too much? guest: we all have to bank judge that for ourselves. when we are ruminating about it and it is starting to affect our health and our relationships with family members, we are probably getting to the point where we need to step back and ask ourselves what is really important? yes this political debate more important than my relationship with my son or daughter? if not, and for most people, it will not be, that means we need to think differently about how we engage. host: what about those who engage in the climate change debate and say, this is an issue for generations to come, or the abortion debate. this is human life, the most important thing for me to be involved in. what do you say to those folks? gues

health of the fetus. of course, they should be able to talk to a physician and a mental health provider. are -- so left may be linked to a variety of birth defects. women must be able to have important conversations about these medications and risks to their pregnancies. the medication must often prescribed for epilepsy has a 10% risk of causing birth defects. women with seizures have potentially lethal seizures without this medication -- causing lifelong harm to the fetus. i can't believe my colleagues want to get between a woman and her physician. i can go on, there are several examples of mental health and physical situations where it is essential that women, that our government not get between a woman and a physician in veteran -- a veteran who is fighting for the freedom of all of us is not ab get even life saving health saving counseling. this is absurd. doctor hayes, you have served veterans tirelessly for decades. one of the things you have had to do that we've only recently learned about is big f

and we consider the health of our planet a health issue as well. i did deposit want to just focus on the health aspects without settle way to what else is in the legislation. 2005 and 6 when we were run to take back the house from the democrats we had 6 row 6 a new direction. 6 pieces of legislation we would pass in the first 100 hours of the new congress. we passed all 6 in the house. 5 became law. one did not. and that one did not prevail in the senates was to enable the secretary of hhs to a negotiate for lower prescription drug prices. we were fighting for arc while. put it on our agenda passed in the house could not get it through to be passed because of the strangle hold. with the outside mobilization, aarp and all of you and the courage of might have members in the congress that just take that vote. and the leadership of president biden we had made history and have made progress. for our seniors and people. i'm sure we will be honored take questions you may have. questions? no. >> we anticipated all of your questions you may have. >> yes , s

susan philip, san francisco health officer and director of the population health division. welcome dr. philip. >> can good afternoon. thank you president bernal, thank you commissionersism so happy to be here with you for this really really joyous occasion. i'm so pleased to have the opportunity to celebrate tracey packer. most recently our director of the community health equity promotion branch of the population health division. tracey started at dph in 1992 in health education at the prevention branch of our aids office. since that time, since those decades tracey has been a (inaudible) in the san francisco response to hiv aids since nearly the beginning and her career spanned the stunning advances in the science and policy of hiv prevention from highly active anti-ret row active treatments for people living with hiv to preexposure prophylaxis to prevent infection. centered the department work on the community in all areas of her expertise from the cdc grants to hiv planning council to getting to zero, tracey helped insure that the san francisco model of care and prevent

health care. it would effectively negate woman's bodily autonomy once the spare meets the egg with no exceptions. the practical effect of this is that women's health care choices become murder. and they have no right to refuse to lifesaving cancer treatments or use iuds or emergency contraception. it also takes away the choice of women to pursue science based family building treatments, such as in vitro fertilization. since the dobbs decision, we've seen a stark contrast between those who claim to be pro-life and those who actually want to defend life, the freedom to choose, and the freedom to respect the right to privacy. one veterans have worn the uniform of our country with pride. that's why it's an insult to their service that they would be denied for making the most personal choices about their bodies and their lives. in reflecting on the effect of the recent supreme court decision one of the witnesses on our second panel said, in the written testimony, quote, the moral injury of having serve

the health and safety operations of department personnel and overseeing medical and public health matters all across the department of homeland security. chemical, biological, nuclear and radiological materials, sometimes shortened to cbrn or seabourn, is an umbrella term to describe hazardous agents that can be weaponized and can cause everything from mass casualties and incapacitation to agricultural destruction. for example, in april of 2019, a technician was arrested after stealing three radioactive devices from his workplace in arizona. according to a court filing, the technician intended to release the radioactive materials at a shopping mall, the local police and the fbi arrested him before he could do so. similarly, biological weapons such as anthrax and racing have been used by terrorists and attempted attacks against civilians including elected officials. as technology has advanced. the threats posed by these weapons only continued to grow and give malicious actors more opportunities to cause significant harm. the countering weapons of mass destruction office was established to

public health policy and health care delivery. the last few years should have taught us valuable lessens on how to intentionally and equitably scale up testing, community awareness, vaccination, and how coordinated harm reduction messaging can help prevent the spread of disease. but here we are months after ringing the first alarm to the federal government. weeks after my warning we had a imminent window to prevent the spread of monkeypox in our community and now we arrive at a public health state of emergency. san francisco aids foundation applauds this decision of the city to declare monkeypox a public health emergency. we hope that this decision will bring greater resources and attention to monkeypox response here in san francisco and we are continuing to push the federal government to also declare a similar public health emergency. we heard one reason the federal government has decided not to declare a public health emergency around monkeypox is because monkeypox is not a fatal disease as we heard. this is true, but what canno

jackson women's health decision. national academies of science and engineering and medicine put a comprehensive report looking at abortion outcomes and found abortion care has one of the highest safety records in medicine. we know in the united states you are 14 times more likely to die in childbirth than you are to die from an abortion. we know from the turn away study the people denied access to abortion have a higher chance of facing poverty and having worse health outcomes compared to patients that were able to access and abortion. i am a pro-abortion doctor, and i say pro-abortion abortion not to be antagonistic but to point out all the good that abortion can provide for people. without autonomy, with a decision-making ability, without access to abortion care many people have challenging situations that become even more painful or life-threatening. for those that do not want to be pregnant for any reason, the ability to have an abortion gives them the freedom to decide if and when to become pregnant. for some, a

for two, long mental health has been separate from physical health. in our field, sometimes we talk about getting a checkup from the neck up. when you go for your physical exam it is below that now, pretty much. but the issues that are also part of our health, our mental health, are often ignored. this starts to normalize and say to people, your mental health is as important as your physical health. one other issue that i think is really important is there has been a move over the last several years to integrate mental health into primary care, which is really important. many people will not go to a special mental health provider. what we know from a the research around integrated care, embedding those services in primary care settings, there's one that we get to people much earlier. secondly we quote that gap between people that are having problems, and people that are getting the treatment that they need. and it reduces disparity that we see in different populations. >> are you worried about the ability of doctors that went to medical school in the

and global health. in my clinical career, i focused on providing abstract trick care. for women with limited access to care in such places like rural south carolina, native american reservations, as well as other countries. i would like to discuss -- abortion harms. the dobbs decision which returns the decision-making back to the states provides the opportunity to limit the harm to unborn human beings, but abortion not only poses risks to the mother. it is always lethal to the unborn child. it is my opinion that abortion is not health care. abortion is intended to terminate unexpected pregnancy and does not result in a live birth. the goal of abortion is to kill the embryo, which is a human being. there are different types of health care and abortion either prevents or treats any disease that has instead its goal of the death of a human being. it is not health care for the mother or her fetus. the majority of ob/gyn's do not do abortions. in a 2018 survey, only a 7% of practice ob/gyn's performed aborti

health plan, a roughly $14-15 goes to pay mental health care.st a lot for this company that made $8 billion in profit last year to stop the services that they should be providing that they are obligated to provide. so, kaiser's response to all of this. by terms they have denied there is a problem. they have made excuses to the problem. in fact there is no other work but they have basically lied. in 2013, after dmhc fines them they say we are well underway to resolving these problems and that was nine years ago. you heard the same thing over and over from them every year. this year, they sat in front of the health assembly committee in sacramento and told that committee they plan to be in full compliance of the law by july 1st. in the letter they sent to all of you when they refused to attend this hearing, they said "we have a clinical quality review process in place to ensure that patients receive the care they need". when we know for a fact that for not hundreds of communications with patients in crisis over the last few weeks have gone unmonit

the health of a fetus. and of course they should be talk to a physician and a mental health provider. other veterans diagnosed with depression have linked it to a variety of birth defects. a woman must be able to have important conversations with their doctors about these medications and risks to their pregnancies. the medication is often prescribed for epilepsy and other seizure disorder 10% risk of causing birth defect limits with seizures have a risk of having lethal seizures without causing a lifelong harm a fetus be i cannot believe my colleagues want to get between a woman and her physician. i could go on severalg more examples of both mental health and physical situations where it is essential that a the government not get between a woman and her physician. a veteran woman and her physician. a veteran who has worn the uniform of this countrya who fought for the freedom of all of us is not able to get even a life-saving health saving saving counseling. this is absurd. doctor hayes, you have served vet

to our health care providers and state public health officials. it is reassuring to see that we are making progress on the testing capacity, which is increase 1000%. and the fda just approved a faster track for additional tests. on vaccines waters hoping to stand up a new vaccine finish site in michigan. a process is working to expand the number of distribution sites and states. and the administration's advice for splitting doses has greatly stretched our vaccine supply. and at the administration has started working with states to make vaccines available and events with many people from the lgbtq community in attendance. and perhaps most importantly, the rate of new cases going down. now it is all encouraging news -- news, but let me be clear we must be vigilant in our response. these prominent saying improvements do not discourage issues that we have discussed from the very start of this outbreak. patients have spoken out about how hard it is to get tested. some even waited days despite having clear symptoms. providers have had to jump through ho

care and formal public health? >> we want the second question because we want to make sure we get to both of them. >> center for forecasting. i wonder if you could talk a little bit about changes you are considering to the way out brake response structure that cdc and speaking about the graduated response framework where it had a response and as it rises in that scope, more and more the agency becomes involved. are there any changes you foresee there? dir. walensky: to your question, it's good to see you again. we are looking at this, while we need some partnership between people who understand emergency response, which it is of itself is a specialty, and people understand the specific outbreak or the specific pathogen, and that partnership has an historically necessarily happen, so we are raising our response, the level of response within the og, and to the ups of the director and we are working on this now, so we are actively working on this, but we do need more training in responsive and how to be part of a resp

and i had mental health services. i needed it as a kid. but mental health is lacking. it has hit me in so many more than one way. i struggled with mental illness most of my life with severe depression. somewhere about six years ago, i was seeking treatment from my provider, and it wasn't helping. it wasn't enough. and she decided that i needed to be hospitalized, that i needed 24 hour care. i couldn't pull that off with my work schedule. the stigma around mental health. i'm a therapist myself, that blew my mind. it shouldn't have because i shouldn't have this stigma of myself but it did and it's really difficult to process that. so i have spent at this session convincing her i didn't need to be in the hospital. it worked and then she scheduled me for three weeks later for my next appointment after suggesting 24 hour care and that was the best she could do. i know from the bottom of her heart she wanted more, she told me she wanted more and as a clinician, i know you needed more but couldn't do it. i was lucky. not everyone makes it to that appointment after a crisis ti

we represent 18,000 members who are health care and education workers, public health care and education workers and to tell you the truth, it's concerning that the reduction in beds would occur. and it's concerning that city would continue to follow -- to continue reducing the beds at this point and even in calls to transfer, a pause in transfer, knowing full well that of the 57 people, approximately 57 people who have been transferred so far, nine died. that amounts to a 20% death rate. i'm here speaking on my own behalf right now, but at the same time, i would like to inform you that i brought this up at the labor council and the members that i spoken with at the labor council are very concerned about this and very worried what that's going to mean for the vulnerable, elderly and disabled people in san francisco. this is not something to be taken lightly. in fact, anybody else who continues to (indiscernible) could technically be charged with manslaughter because they know the transfer trauma is something real and people have died because of that. so, i want to make it very clear that

lining health and safety operations department personnel and overseeing medical and public health matters all across the department of homeland security. chemical, biological, nuclear, radiological material, sometimes shortened to cbrn it is a number to describe hazardous agents becoming weaponized, and can cause anything from casually and incapacitation to mass destruction. in april of 2019, a technician was arrested after stealing three radioactive devices from his work place in arizona. according to a court filing, the technician intended to release the radioactive materials at a shopping mall. the local police and the fbi arrested him before he could do so. similarly, biological weapons such as anthrax have been used by terrorists, in attempted attacks against civilians, including elected officials. this technology has advanced's, the threat posed continues to grow. giving hackers more opportunities to cause significant harm. the countering weapons of mass destruction office was established to mitigate and deter these significant national security threats. initially, the office faced

health.er's -- to the caller's point, i hope we can disagree in a way that does not cause angst and difficulties. host: at what point is a psychologist would you say that somebody needs to unplug the political wars? when should they step back from intense debates? what is too much? guest: we all have to bank judge that for ourselves. when we are ruminating about it and it is starting to affect our health and our relationships with family members, we are probably getting to the point where we need to step back and ask ourselves what is really important? yes this political debate more important than my relationship with my son or daughter? if not, and for most people, it will not be, that means we need to think differently about how we engage. host: what about those who engage in the climate change debate and say, this is an issue for generations to come, or the abortion debate. this is human life, the most important thing for me to be involved in. what do you say to those folks? guest: people

or mental health as well.— mental health as well. as well. could i welcome the secretary of - mental health as well. could i l welcome the secretary of state mental health as well. could i - welcome the secretary of state for her new responsibilities which as she has pointed out are very challenging. and could i agree with her also that there are too many dental deserts. she will be aware of recent bbc research which revealed one of the dental deserts is the whole of the liverpool city region. where there is not one dental practice taking on new nhs patients. can she give me some indication of what measures she will be taking both short, medium and long term to address this disgraceful situation? i set out in the plan today about what we could do with dentist and first of all i think it is the role of the local nhs and the icb to be taking responsibility and i expect them to do so and i think it is also a case of making sure that the contract that i was alluding to earlier, we started to make changes, admittedly only recently where i

widespread violations of the mental health parity and addiction equity act by group health plans. these plans, unfortunately, some of them, are failing to maintain parity between behavioral health benefits and physical health benefits as required by statute. the report recommended that congress enhance the secretary of labor's capacity to enforce the parity law, including providing authority to impose civil monetary penalties for violations. notably the same recommendations were made by former president trump's commission on combating the opioid crisis, which was led by then new jersey governor chris christie. in response to these violations and the national mental health crisis, i introduced the mental health matters act which includes proposals championed by several committee members. this legislation helps head start agencies implement evidence-based interventions to improve the behavioral health of children and staff in head start programs. it improves trauma informed services in schools by developing innovative initiatives to link schools and local educational agencies with l

it is because i believe health care is a human right. it is something the wealthiest nation on the planet can and ought to provide for all of its citizens. perhaps, part of my focus on health care has to do with the fact i'm also a pastor. i am not a senator that used to be a pastor. i am a pastor that serves in the senate. i returned to my pulpit most sundays. because the last thing i want to do is spend all of my time talking to politicians. i'm afraid i might accidentally become one. i returned my pulpit every sunday, and i preach in gospel, in the name of one jesus christ. who spent much of his time healing the sick, even those with pre-existing conditions. when i got to the senate, i was focused on the fact there are 600,000 georgians who are in the coverage gap. georgia refuses to expand medicaid. which means hospitals are closing and people are sick. mostly the working poor. i wrote a bill to try to get georgians health care, and prior to that, i make sure we put money in the senate build to give georgia every reason to ask -- to

health care. when medically necessary veal offer abortion counseling and provide abortions when the life or health of the veteran would be endangered and if the pregnancy were carried to term or their pregnancy would be the result of rape or incest. self reporting for pregnant veterans constitutes sufficient evidence of a act of rape or -- incest. it's a safety decision first and foremost to ensure enroll veterans in va veterans can access life saving services at va no matter where they live. protecting the health and lives of pregnant veterans is a primary concern of you. it's important to emphasize that va is taking steps with the primary mission in mind to preserve the lives and health of veterans. there's nothing more important than that. this emergency authority allows us to save lives as we progress toward implementation. as this will be a new service, we recognize that significant steps will be need to be taken across the system to implement it. and while a formal implementation is under de

different situation at this point. >> and sanjay, she has had health concerns relatively recent health but she's pulled through them. i mean, what do we know about what she has been through? >> yeah, it is kind of remarkable as was just being said. for 96 years old, she has had, you know, pretty good health. the time line of her medical history, at least over the last 20 years or so, you know, going back to 2003, that is when she had this operation for her knee. and she was 77 years old at that point. and then, you know, ten years later in 2013 is when she was gastroenteritis. and then as we were discussing more recently, you know, there was this hospitalization again october of last year which she seemed to have recovered from. she had covid february of this year which she seems to have recovered from. she did have these more recent issues with mobility problems and having to miss events. but 96 years old, you know, this is what we know. there may be things that we don't know specifically about her overall health, but overall pretty good. but again, the most recent thing about the doc

i will now -- i will not entertain for any second that mental health is not health. we know mental health challenges are related to sexual trauma. they also occur with unwanted pregnancy and pregnancy complications. va testimony today, doctor elnahal noted that 60% pregnancy associated deaths among women veterans in va care related to suicide, homicide, and overdose. mental health, mental health conditions affected 78% among veterans who died in pregnancy associated events. these the statistics are horrendous, but they reflect very real dangerous for burial women, many of you may not know that interpersonal violence can get as much -- much more worse when women becomes pregnant. so suicidal thoughts and behaviors also accompany that. pregnancy is a risk factor for violence. obviously, a reasonable person can understand that mental health considerations are every bit as important as physical health factors in weighing decisions. pregnant veterans and their clinicians must be able to consider and make decisions on the basis of all help factors, full stop. i now recogni

and health equity.y are investing 2.5 billion dollars into proven technologies and start up companies pioneering new ways for reducing hunger and improving nutrition. today we are now seeing more than $8 billion in commitments from 100 different organizations to help reach our goals. [applause] i also believe that the work ahead should be bipartisan. [applause] just as when president nixon first convened this conference, and then abdul -- bob dole transformed the work in hunger around the world. it is critical to addressing our mental health and wellness as well. it is a key pill your -- a key pillar to my union agenda. this is something we should be rallying the country to work on together. the war in ukraine has part global food crisis. just last week, we talked about commitments we are making to tackle food and security worldwide. every country in the world, every state in this country, no matter what the divide is, if a parent cannot feed a child, there is nothing else that matters to that parent. y

health said they are not investigating the people who live at treasure island hunters point for healthons. why not? residents of san francisco, black and brown and all residents in hunters point and treasure island have not-their health situations have not been investigated by malfeseance of these departments so i suggest you subpoena these department heads and ask them who is running their department? is it the corporation, the developers in hunter point and treasure island running their agencies? it appears that is actually the circumstance. they continue to build condos at treasure islands- >> all public comment is limited to 2 minutes. next caller, please. >> hello. my name is dr. robert gold president of san francisco bay physician frz social responsibility and representing hundreds of physicians and other health professionals throughout the san francisco bay area. i want to express our organization's outrage at mayor breed's dismissal of the grand jury report. we already have a situation where we have inadequate categorization of the legyish radioactive toxic waste at the site is