preventive health exams. may i have more time? mr. van hollen: i yield the gentleman another minute. the speaker pro tempore: the gentleman is recognized for an additional minute. mr. pascrell: i contend that's un-american. read my lips. cancer screenings, i contend that that is un-american, and you have nothing in your budget and you have nothing in your so-called plan, which dematerialized before it materialized, that would take care of these folks. and the subject of birth control, since you like to talk about it all the time, that to me is un-american. that to me reduces freedom in the greatest country on the planet. so what will we come up with? in a bill that came before us without regular order, you tout all the times we need regular order. we need to go through the process to bring the bill before us. we didn't have it. that was a joke so you know it and i know it. so what a spirit of reconciliation. what a horror, what a horror being projected on the american people. it's too bad. it's not a good way

hepburn who headed up state of maryland's agency on health and mental health. himself a university of maryland trained clinician who went on to breathe mental health into a bureaucracy and bring care to our people in a state that mandates an affordable budget. so we're going to have some great ideas. then we have dr. eaton here. dr. william eaton is professor of department of mental health at famous bloomberg school of public health. dr. eaton is a professor there and he chairs the department of mental health. it is the only department with a level one unit in a school of public health in the world. usually public healthys about vaccinations but dr. eaton thinks about how can we build resilient personalities and do preventative work. he will talk to you today about his work, his research, his recommendations. understanding, i believe the thrust will be everybody who has a mental health problem needs individual treatment but they live in a social world and we need to look at the social indicators, look at the social epidemiology and how can we strengthen anchor

he was providing health care, industrial health care. again, on the side he would provide nonindustrial health care. what he realize was that industrial health care was making him go broke. he wasn't making enough money doing this. then he figured out the concept of prepayment. he worked out a deal with the insurance company doing the industrial health care. he said, if you give me a fixed rate per month, i will provide the health care and we will both come out ahead. he thought about it and said, sure, that makes sense. prepayment offered him the opportunity to collectively build out his organization, providing affiliates for his hospitals, hiring staff. prepayment is a really big change in how health care was provided. before then, people would pay as they go. so garfield came up with prepayment. also, out in the middle of this industrial site, prevention was another feature he realized was really important for industrial health care, so he came up with two main features that kaiser realize were really good. he brings up sidney garfiel

preventive health exams. may i have more time? mr. van hollen: i yield the gentleman another minute. the speaker pro tempore: the gentleman is recognized for an additional minute. mr. pascrell: i contend that's un-american. read my lips. cancer screenings, i contend that that is un-american, and you have nothing in your budget and you have nothing in your so-called plan, which dematerialized before it materialized, that would take care of these folks. and the subject of birth control, since you like to talk about it all the time, that to me is un-american. that to me reduces freedom in the greatest country on the planet. so what will we come up with? in a bill that came before us without regular order, you tout all the times we need regular order. we need to go through the process to bring the bill before us. we didn't have it. that was a joke so you know it and i know it. so what a spirit of reconciliation. what a horror, what a horror being projected on the american people. it's too bad. it's not a good way

e health service board we get data if kaiser permanente it is a fully integrated system you you know if we precede can we count on getting data feeds so with, look at data cost vendor. >> director dodd excuse me. >> have - >> the ceo would like to answer that question. >> please identify ufdz. >> steve commissioner breed executive director for sutter plus it was started as a primary strategy for sutter health three years ago to address what is recognized as a incredibly changing environment at all levels i was interested as a group united states daunting challenges you have in front of you that require you to do things i've not done likewise this changed the game for us a bringing the health plan with reinvent the way sutter looking at the community one plus years as part of community but you have to adopt we have to adapt in that context that is where the health plan formed yes. the we are to your question yes? the way to get access to to the data we working closely with interest in open books and sharing that kind of information to get to the right outcomes we have a shared respons

health care. a new attack from the clinton campaign comes as a wave of polls out this week show the former secretary of state in serious trouble in two key states. new poll out shows sanders leading clinton by a whopping 14 points. the average poll is a much slimmer lead. a quinnipiac poll shows sanders up against clinton by five points. nationally, the latest cbs "new york times" shows her down. yesterday, chelsea clinton previewed the campaign's tough new line on sanders' health care position, arguing his plan for a single-payer system would hand over too much power to states endangering care for millions. >> senator sanders wants to dismantle obamacare, medicare, private insurance. the republicans in congress have voted against the affordable care act 55 times. so i worry that if we give republicans democratic permission to do that, we'll go back to an era before we had the affordable care act. that will strip millions and millions and millions of people of their health insurance. >> that leave

school of public health. dr. eaton is a professor there, and he chairs the department of mental health. it is the only department with a level of that unit in a school of public health in the world. usually public health thinks about vaccinations. what dr. eaton thinks about is how we can build resilient personalities and do the preventive work. he will talk to you today about his work, his research, his recommendations. understanding i believe the thrust will be that everybody who has a mental health problem needs individual treatment, but they live in a social world and we need to look at the social indicators, look at the social epidemiology, and how can we strengthen the anchor institutions of the family and the school. so you're going to learn a lot from him. i've already learned a lot from him as i do from listening to the folks at john hopkins school of public health. i really look forward to where we're going on this issue of mental health. in a nutshell, you know when i got out of graduate school, se

, and rural health centers, r.h.c.'s, have 13,000 publicly supported locations, providing alternatives for women's health care. this means there are 20 federally funded comprehensive care clinics for every one planned parenthood. this bill does not change the availability of funds for women's health. it simply establishes a safeguard so that the nation's largest abortion chain is not the one providing such services. when federal taxpayers have legitimate concerns that their hard-earned dollars are flowing to organizations that sanction the dismemberment of unborn children and that our system of law has loopholes allowing these atrocities to continue, we as their elected representatives are responsible for ensuring these concerns are heard and responded to. may i have 10 seconds? mr. woodall: i yield the gentlelady an additional 15 seconds. the speaker pro tempore: the gentlelady is recognized for 15 seconds. ms. foxx: thank you, mr. speaker. our freedom rests on the cornerstone right we all have to life. and i fear we'v

. -- telemental health. in this day and age, internet services should be made available in the same way that every other service is available. by doing that, we can increase access to those kids. franken: which is one of the reasons we need to make sure that every area in america is wired. this is something that i hear when i go to rural minnesota. providing incentives to mental health service providers in rural areas also. we just need them in this country. we have a provider shortage, is that right? without the helpful? -- would that be helpful? dr. hepburn: absolutely we have a workforce shortage. the average age in the field is 58. we have to use technology as a way as compensating for the. franken: thank you all for the work you are doing. i think we are beginning to understand how important this is in this congress and this country. i think we have seen some good things happen in this congress. i want to thank the chairman and ranking member again. mr. chairman: thank you senator franken. senator white

i will stick to the health care bill. health care is not working.indiscernible] you have [indiscernible] not what you're getting in health care. issuethe is you -- the is, if you want medicare and medicaid expansion, just say you want to do so and you want to charge someone else [indiscernible] know it isfunny to ironic the same process used to pass health care more, when the democrats have [indiscernible] -- i just wanted to point that out. fact that you have rights, to life, liberty, and the pursuit of happiness, someone else has to pay for it. you have to pay for it. the numbers do not lie. double digits, almost 20% in health care costs just this year. it will continue to grow. medicare and medicaid expansion. what happens in the next two years -- host: you put a lot out there for our guest let him respond. guest: i got this question a lot about us using the same process to repeal obamacare as the senate and house used in 2010 to pass it. that is partially correct, just to clarify for the folks who watch the show who are much more educated on thi

health. sen. donnelly: one of the things done in the israeli defense force is they have pushed down to the platoon level that the soldier in charge keeps and i out for the other members and someone getting a little sideways. to you looking in any way push the decision-making down a little bit lower as to enable them to have the ability to say that maybe we need to help this person? mr. fanning: absolutely. the army is looking at this. it has a number of other programs like that where the senior master sergeant of the army has something called not my squad to cover a range of issues. part of that is training people to look for indicators they should act on and report on. sen. donnelly: it really helped -- reduce the number in the idf. said the army recognizes tactical importance of the humvee fleet and maintaining a relevant and capable fleet. toyou expect the army neutralize a large humvee fleet even after it has been fully fielded? mr. fanning: absolutely. as i recall, the ultimate end state

people talk about health care and they are lumping health insurance and health care together. now, i think the federal government is trying to run both of them through obamacare and it is not going to work. wantnt out, and i do not to belabor this point, but i put out a lot that over the years we have not seen homeowners insurance spike in cost the way health insurance has spiked in cost. we have not seen car insurance spike in cost the way health insurance spiked in cost and i think it is to primary reasons. the federal government is so involved in health care through medicare, medicaid, and trying to control the market and the federal government does not get involved in these other programs. and because we have overused health insurance over the years and third-party care encourages people to do that and a large part of that does have to do with the federal government running 70 programs. thank you very of you for being here. i yield back. >> mrs. slaughter? >> good to see you all. we could all talk about health care a longer time, couldn't we? i heard good news that governo

for preventive health care. the last time it was tried in tennessee, it was a 1,400% cut in women getting preventive care. that's not right. we just came from hanukkah and christmas and we ought to think a little bit about what hanukkah and christmas were about and what moses and jesus would be about, they'd be about saving lives and giving everybody an opportunity to live, not patient-cent rick health care but people living and getting health care like every other civilized, industrialized country in the world provides for their people. i yield back the balance of my time. the speaker pro tempore: the gentleman yields back. the gentleman from maryland reserves. the gentleman from georgia is recognized. mr. price: i'm pleased to yield one minute to the gentleman from arkansas, mr. westerman. the speaker pro tempore: the gentleman is recognized. mr. westerman: thank you for your leadership. today's a good day for america because we will finally send this bill to the president's esk. mr. speaker, i have constituen

insurance program which provides 8 million children in america access to health care. [cheers and applause] and as u.s. senator, she entered eight bills to expand access to reproductive health care, and that is eight more than anyone else running for president of the united states. no candidate has done more for women and families, for our health, rights, and our economic security. she is the leader i trust in the white house to make sure women and families move forward. as secretary of state, she put women's health care and rights at the top of the global agenda and she stared down some of the toughest dictators around the globe. i have no doubt she can stare down the gun lobby, the tea party, and anyone who would take away women's rights, because she never wavers. she never wavers. [cheers and applause] these last eight years under president obama, women have made huge advances. so, again, thank you, president obama for being a champion for women every single day. [cheers and applause] but we know it's donald -- if donald trump or ted cruz have their way, we will be

health. i want to do this to take this opportunity to say inc. you to director garcia and to the department. i am quick to come up when something wrong i think that is part of my job but i also want to come up when something is right and i also want to thank the leadership in the department for all of their help. what i am getting to is the new rsq; the black health initiative that is anchored i this commission. and i think this is captured in spirit to what should be done to capture african-american health. however i have seen this before along with members of the african-american community, haven't seen those funds be increased. over the past 5 years they have covered about 1.9; i'm talking about dollars devoted to the african american initiative. we are at a tipping point in regards to african-american health. i am asking you to support the riqwhich i know you will do. but i want you to look into your own pockets and make sure that that dollar amount matches our rhetoric. >>> a lot of time

care and sexual health education in the schools. i would like to note a few high profile policy issues that happened in 2015 so medi-cal eligibility was extended to undocument children under the governor's budget and slated to happen in may 2016. governor called a special session on health to address a potentially $1 billion hole in the medicaid budget from the tax. however the special session runs along side the regular session and can include other bills and so there's several introduced related to tobacco and tobacco tax so we will watch that closely. the medicaid renewable was a big issue on the state and federal side and the waiver special terms and knows were signed on december 31 so in the next months will be details coming out in terms of additional attachments to be completed so this is something we expect to follow because there might be additional legislation. the medi-cal delivery system and puts the medicaid delivery system in a managed care format and rolled out this year and san francisco is in the first cohort of cou

i want to say that i'm representing adventist health care behavioral health services. our main campus is in rockville but we do have hospitals in both takoma park as well as eastern shore and montgomery county. and currently we provide services to children, adolescents and adults that are in psychic stress, could be depression, schizophrenia, anxiety disorders, even drug abuse. we do provide services to support them. if they come in and they are acutely ill which means that they are a threat to themselves or others, we do have inpatient units that can stabilize them. and once they get better, we do have step-down programs which is a day hospital where we provide services to support them to continue to integrate back into the community as well as wellness clinics now that actually help maintain the person's mental health while they're in the community. >> how long has it been since you guys started partnering with us, and why choose the expo? why say, you know what, these are two very important days, and we need to be there to show face, we need to be there to shake han

the definition of health care is mandated. this is what health insurance means. you can have bronze, silver, and gold, and something like that. they are different amounts of coinsurance, but they are exactly the same. do you remember that wendy's commercial? ♪ we are trying to wake that up. we think the way to do it is to connect all the players in the food chain and to present the doctor in the moment of care with all the different options available. felix: and with prices attached? jonathan: prices, quality, turnaround time. at this point, there is so little demand curve that any decision will be a shockwave to the system. just shopping for availability, shopping for the frequency with actuallyiven choice follow through and does the testing, gives you the results. shopping by cost. we can also do fully loaded downstream costs. some cardiologists are very cheap, but they never met a guy who didn't need a stent. we can do all the math. at this stage of the revolution, it is just getting the disconnect, breaking down some areas, some almost "monty python" disconne

lawrence: as congress we haven't taken 62 votes to improve women's health and access to health care, programs for women and seniors. the 114th congress hasn't declared war on the appalling lack of health care, nutrition, and mental health. but here we are again wasting valuable tax dollars to rehash an identifyology of the loud few that hurt women and the most vulnerable of our constituents. this is just a sad day. it's a shameful day. and congress, we must stop. the speaker pro tempore: the time of the gentlelady has expired. for what purpose does the gentleman from pennsylvania seek recognition? >> unanimous consent to address the house for one minute. revise and extend my remarks. the speaker pro tempore: without objection, so ordered. >> mr. speaker, i rise today to cognize the work of viola, a resident of paoli, pennsylvania, in the sixth district. she retired from the school for the blind after 70 years of dedicated service as the school's secretary. the school for the blind has been a staple in the community since 1941. and for nearly a century has provided quality care and as

the region's health care market is changing as proposed mega mergers among the nation's health insuranceare attracting scrutiny. here to dissect this is kqed's health editor, lisa alafaris. >> hey. >> tell us which bay area hospital are among the biggest consolidating, and why are they doing this? >> we see john buren, walnut creek aligning with ucsf. stanford has reached across the bay to pleasanton and valley care. and sutter is taking its physicians groups, the palo alto medical foundation is the most well known and consolidating those as well. >> when consolidating, what's the effect? are -- are they trying to play the role of health insurance company? >> in some cases, yes. what they say is they want to deliver to you better care at a lower cost. ucsf is playing a role as a health insurer. they're starting with the university of california. it's -- workers sign up with us, we'll take full risk. they're say figure we keep our patients healthy, the savings that we get from keeping them healthy go to the health plan. in this case, they're say figure we can keep them healthy, we can sav

i actually personally t lly try only visit here at this health fair but if i can visit another nbc health all around i'll try to. >> what is it you try to take advantage of? >> i really try to take advantage of the free health care and the free -- any free offerings that many of the partners have there. it's awesome. whether it's from a dental perspective or even if it's from a chiropractic perspective. >> key word -- free. right, barbara? and you were mentioning one of the big things is it's the environment that has a lot to do with inviting and enticing people to come. >> people are very motivated to find out about health issues. and there are 48 million people in the country with hearing loss. so that's the third largest health concern next to diabetes and heart disease. >> really? >> so that means about 1 in 10 persons have a hearing loss. so chances are if you don't know somebody with hearing loss you might have one yourself. so come down, come to our booth, talk to some really friendly faces with some good information, get your hearing screened, and don't be afraid because often if

on the physical health side? dr. eaton: i wish that i knew more. that is been replicated 10 times. the logic is very strong. on the one hand, treating the mental health disorder will almost certainly lower the risk for the physical disorder later on. but also moving upstream, even farther than first episode psychosis. if can identify people at risk for psychosis, or at risk for depressive disorder, not at the first episode. that will have downstream consequences. the problem is it is complicated because it takes a long time. we have not done a lot of longitudinal studies to determine whether depressive disorder contributes to risk for stroke. in the u.s. we don't have the a tendency to do these kinds of studies. i don't think i have answered the question well. but i think we need longitudinal research to understand how it is that the body and mind evolved over time from age 15 when somebody's at risk for suicide or depressive disorder, to the age of 45, when they are at 5 times the risk of a heart attack because

my proposal, provide health care to all people, get private insurance out of health insurance, lower the cost of health care for middle class families by 5,000 poli$5,000, t vision we need to take. >> senator -- you know -- i have to say i'm not sure whether we're talking about the plan you just introduced tonight or we're talking about the plan you introduced nine times in the congress. but the fact is we have the affordable care act. that is one of the greatest accomplishments of president obama, of the democratic party and of our country. and we have already seen 19 million americans get insurance. we have seen the end of preexisting conditions keeping people from getting insurance. we have seen women no longer paying more for our insurance than men. and we've seen young people up to the age of 26 being able to stay on their parents' policy. now, there are things we can do to improve it but to tear it up and start over again pushing our country back into that kind of a contentious debate i think is the wrong direction. >> i have to talk about something -- >> no one -- >> governor

i will stick to the health care bill. health care is not working. [indiscernible] you have [indiscernible] not what you're getting in health care. issuethe is you -- the is, if you want medicare and medicaid expansion, just say you want to do so and you want to charge someone else [indiscernible] know it isfunny to ironic the same process used to pass health care more, when the democrats have [indiscernible] -- i just wanted to point that out. fact that you have rights, to life, liberty, and the pursuit of happiness, someone else has to pay for it. you have to pay for it. the numbers do not lie. double digits, almost 20% in health care costs just this year. it will continue to grow. medicare and medicaid expansion. what happens in the next two years -- host: you put a lot out there for our guest let him respond. guest: i got this question a lot about us using the same process to repeal obamacare as the senate and house used in 2010 to pass it. that is partially correct, just to clarify for the folks who watch the show who are much more educated on t

health information and stuff. you're looking at -- let's see the kaiser permanente area where you can take your health questions and screenings. there's a whole area. you can come down and meet your favorite nbc 4 personalities. also do a practice on the weather, in front of the green screen doing weather. we have just to your right a little bit is our changing minds area. we're excited about that. it's part of our station wide project to raise awareness about mental health. we have a whole lot of programs and a lot of experts about mental health all in one place. if you have questions and don't know who to ask, this is a great place. there is dancing, fitness classes, all kinds of fitness classes, free yoga classes for all levels on the hour. you can try your hand at tennis and golf. we have a walking track down here. if you've got a fitbit or one of those exercise trackers for christmas, come down here and walk on the track and get in your 10,000 steps while having a whole lot of fun. i want to throw it down to

my proposal, provide health care to all people, get private insurance out of health insurance, lower the cost of health care for middle class that's the vision we need to take. >> you know, i have to say i'm not sure whether we're talking about the plan you just introduced tonight or we're talking about the plan you congress. but the fact is, we have the affordable care act. that is one of the greatest accomplishments of president and of our country. and we have already seen 19 million americans get insurance. we have seen the end of pre-existing conditions keeping people from getting insurance. we have seen women no longer paying more for our insurance than men. and we have seen young people up to the age of 26 being able to stay on their parents' policy. >> i'm not -- >> there are things we can do to improve it, but to tear it up and start over again, pushing our country back into that kind of a contentious debate i think is the wrong direction. >> it is absolutely -- >> i have to talk about something that's actually working in our state -- >> governor -- >> no one's saying tearing

this proposed resolution is for our new modern, secure and fully integrated health electronic health records system. so this presentation that you are looking at, before you and it's actually a mirror copy or summarized copy of the resolution before you and i will summarize as opposed to going word by word as i'm assured you have read the resolution. there is actually two major components to this resolution that we're seeking: the resolution is basically to in support of the director of health, director of health decisions to seek approval for the board of supervisors that the competitive solicitation process will not apply in the procurement of a modern ehr for dph. that is part 1. part 2 allows the department to enter into negotiations exclusive ly with uc for the ehr system. part 2 of the second component is if the director is unable to obtain sufficient assurance that uc and dph is able to reach a fair and reasonable agreement within the six months from negotiations, the director may also enter into negotiations with turner corporation directly. the next two slides actually goes

health net is the contract with the v.a. pays to set up his appointments. >> they actually taken longer if you just went right to the v.a. >> reporter: the national office of the foreign wars is closely monitoring veteran health care. according to the vfw's carlos fuentes, part of the reason for the delay is until very recently the va has used the private sector only as a safety valve. >> the va traditional wanted to be everything for every veteran and what the health care very difficult to provide health care to every veteran. >> reporter: the va was not trustworthy about the data. health net would not discuss luis salvador's case. instead they said that they were fielding 234,000 phone calls monthly in support of the veteran health care program. luis contacted me about an hour and 15 minutes ago, he got a call from health net in tampa this morning. they saw a report about him yesterday. he then received a call from health net california. they set up an appointment to see the doctor he's waited to see for more than two mont

drug dealers who target the addicted and mentally ill contributing to serious health problems. i'm calling y i am calling for stepped up enforcement for predatory drug dealing around our navigation centers and shelter and homeless service locations and every place we house our homeless. [applause] we need to clean up drug dealing around the buildings where homeless people are trying to clean up their lives. we are not criminalizing drug addictions, we are enforcing existing laws to protect the most vulnerable. i want to thank supervisor and president of the board of supervisors president london breed for being a leader on the reforms. she is a strong voice the quality of life and reforming our treatment of the mentally ill. that's why friend i am optimistic. a new department, ambitious goal, a will in our city to succeed on this. we can make homelessness rare. we can make it brief. we can make it a one time event in peoples lives. we can move at least 8 thousand people out of homelessness forever. for too long deeply held and ideological differences divided all of us. some say

this proposed resolution is for our new modern, secure and fully integrated health electronic health records system. so this presentation that you are looking at, before you and it's actually a mirror copy or summarized copy of the resolution before you and i will summarize as opposed to going word by word as i'm assured you have read the resolution. there is actually two major components to this resolution that we're seeking: the resolution is basically to in support of the director of health, director of health decisions to seek approval for the board of supervisors that the competitive solicitation process will not apply in the procurement of a modern ehr for dph. that is part 1. part 2 allows the department to enter into negotiations exclusive ly with uc for the ehr system. part 2 of the second component is if the director is unable to obtain sufficient assurance that uc and dph is able to reach a fair and reasonable agreement within the six months from negotiations, the director may also enter into negotiations with turner corporation directly. the next two slides actually goes

. >> i now call the regular meeting of the health service board for the date of thursday january the 14, 2016 to order will you please revise and recites the pledge of allegiance and to the republic for which it stands, one nation under god, indivisible, with liberty and justice for all happy new year everyone and we welcome the members of the general public comment who might be viewing this as we under take your work for 72016 madam secretary roll call supervisor mcnamara commissioner lim excused commissioner wilson supervisor farrell connected commissioner follansbee expected and commissioner commissioner sass we have quorum. >> thank you we will now move to the first action item. >> item one action item approval with the possibility modifications for the minutes regular meeting of december 10, 2015. >> are there additions or edits to the minutes. >> under the financial reporting page 15 number 3 bullet number 6 insert his after president skwoolt there is something there i don't have any minutes up here. >> okay. thank you. >> that needs to be a history. >> okay. thank you. >> i'd

for the health of the woman, it's larger. for all the other reasons that a woman would feel strongly that at that moment in time that she cannot bring a child into the world is much larger than that. i enthusiastically support adoption services. naral would be the first organization to defend them if they were under attack the way legal abortion is under attack. if a woman feel strongly that is the course she wants to choose, if she has a planned or unplanned pregnancy, we applaud her and we defend that right. host: the next call for donna crane comes from jerry in georgia. you are on "washington journal." caller: thank you very much. i want to make a comment and i have a question. the comment is that i grew up in a baptist church in south georgia. they get all riled up about abortion, but the church was in rockthrowing distance of children living in dire poverty and would do nothing about it. my question is why did the european countries and other civilized countries not have this problem? guest: that's a great question. tha

we're looking at munitions and mental health this time on the program. as your personal medical history is more likely live in computer code and less likely in a fat file folder stuffed with paper, some of the details in your life, with people that you have allowed and people you don't want to see. in an age of rising concern about privacy, how do you set up a system that conveys information and protects privacy if you want to buy a gun. and once you clear that enormous hurdle, is a record that protects anything. my guests are still with me, and are there privacy concerns involved in making a more intimate connection with someone's treatment history and their ability to buy a gun? >> well, we're told that when a licensed gun dealer accesses the background check system, the name of the person pops up but not why they're on the list. if that's true, then i think that's one safeguard against compromising privacy and health information. i guess the question is what information is conveyed to the fbi? and i know at least the fact that they're on the list beca

we finally have a path to universal health care. we have accomplished so much already, i do not to want see the republicans repeal it and i don't to want see us start over again with a contentious debate. i want us to defend and build on the affordable care act and improve it. >> okay. >> senator sanders. >> because what her campaign was saying, bernie sanders was saying, my entire life, he wants to end medicare and medicaid and the children's health insurance program. that is nonsense. what a medicare for all program does is finally provide in this country health care for every man, woman, and child, as a right. now, the truth is, that frank roosevelt, harry truman, do you believed that health care should be available to all of our people. i'm on the committee that wrote the affordable care act. i made the affordable care act along with jim clyborn a better piece of legislation. i voted for it, but right now, what we have to deal with is the fact that 29 million people still have no health insurance. we are paying the highest price

because she can make the case, and she makes a compelling case, that health, good employee health is not just the right thing to do, it's a strategy. it's a competitive advantage. again improving productivity. reducing absenteeism. improving engagement. these same kinds of things exist for older workers. i think -- look, we are in the first -- or agism, first or second inning of a nine-inning game. we are in the very early stages of it. think of this as being the early sages of the civil rights movement. by the way, the civil rights act f 1964 didn't end racism and bias. the modern women's movement. we still don't have pay equivalence. we are in a very, very long game to change hearts and minds about aging. i think you begin to see progress. and it's something all of us need to speak about. by the way, i would say this. freavend my, alan goodman, started a wonderful organization, might have heard of it, called the conversation project. conversation project is kind of a table top conversation about death. and about the inputs that people want. life planning and health choices, persona

thank you, you guys represent the south carolina primary health care association. we are right there with you, while the governor didn't talk about health care for the poor in her state of the state address this year, that is an area that you are focused like a laser on. people just come out of a year of celebrating other years with the health care centers. this is the free medical clinic net work around at that state of south carolina. we're now in a position we need to talk to people about the significant of the work force down there. >> yes, and just one thing it is affordable care. it is our network. we make sure that we are a safety net for those. >> not necessarily free. >> correct. i want today make that slight adjustment we are working on work force issues because along with the improved access for coverage that we are seeing, that means there are more people seeking care which means tough have providors take care of them. and we see that for preventive and primary care, there has been a national shortage for years. >> uh-huh. >> that shortage is also seen

putecretary of state, she women's health care at the top of the global agenda.owned some of the toughest dictators around the globe. so i have no doubt she can stare down the gun lobby, the tea party, and anyone that will take away women's rights. because she never wavers. [applause] ms. richards: these past eight years under president obama, women have made huge advancements. you, president obama, for being a champion for women every single day. [applause] we know ifs: but donald trump or ted cruz has their way, we will be back in the stone age. this election is a showdown between those who want to build upon the incredible progress we have made, the promise of the future, and those who want to rip it away. we have worked really hard together to get where we are today. it is unthinkable that our granddaughters and our daughters could be facing a future where they have fewer rights than we do. right? mistake -- this election will determine whether roe versus wade continues to be the law of the land, whether women make their own childbearing decisions, and whethe

i work in health care. saw a c-span show many months of -- i'mthe number bedshrasing it right, but allotted for mentally ill patients that really cannot care for themselves. we used to have mental health .omes or institutions we went away from that in the 1980's. back when the population was half what it is now, i think the population was over 300 million back when president johnson was. the c-span program, which was one of these, has an expert on and we actually had less beds allotted in the country for folks who were just severely mentally ill. that's because of issues of people not wanting to pay for it. health care -- i'm in nursing. i see this all the time, just people that really, god bless them, cannot function. city -- wee, our have a democrat mayor. we are in a very republican state. you mentioned lamar alexander. he has been a real credit to our state. i like him. we have a huge homeless population and a lot of christian agencies who try to serve them. but so many of them are mentally ill. they ar

my proposal, provide health care to all people, get private lower the cost of health care for middle class families by 5,000 bucks. that's the vision we need to take. [ applause ] >> if i can -- you know, i have to say i'm not sure whether we're talking about the plan you just introduced tonight or we're talking about the plan you introduced nine times in the congress, but the fact is, we have the affordable care act. that is one of the greatest accomplishments of president obama, of the democratic party, and of our country, and we have already seen 19 million americans get insurance. we have seen the end of preexisting conditions keeping people from getting insurance. we have seen women no longer paying more for our insurance than men. and we have seen young people up to the age of 26 being able to stay on their parent's policy, now there are things we can do to improve it, but to tear it up and start over again, pushing is the wrong direction. >> it is. >> i have to talk about something that's actually working in our state. >> no one is tearing this up. we're going to go forward. b

now those have a direct impact on human health.reating new deserts in parts of africa. this in turn is triggering an increase in diseases like meningitis. dr. kinney: bacterial meningitis has reoccurred in the sahel region of africa. and drought may lead to these outbreaks by drying the mucus membranes and allowing penetration of the bacteria. the malnutrition that results during drought and lack of food may also contribute to the susceptibility of bacterial meningitis. narrator: water-borne diseases like cholera and other causes of diarrhea are also predicted to rise by 8 pcent by 2020, as supplies of safe drinking water are wiped out by floods, droughts and contamination. dr. kinney: we're seeing changes occur more rapidly than even our models project, because of this issue of warming as one moves toward the poles, as well as the warming of winters. narrator: the difficulty for some scientists is how to determine which diseases are caused by normal climate fltuationsnd whichre triggered by a long-term shift in weather patterns. ♪