you see find a lot of markets where the hospitals consolidate too much. and the health market got out of control, not a lot of great case law of the government trying to throw hospital mergers. some are good. read a lengthy article about pittsburgh and some would argue what's going on there is good. depends the market and the size. in the doctor world generally it's been difficult for doctors to organize. i think one of the better trends of health care is docs getting organized as a fully cap tated group to take risks and understand in the market, have them get together and be efficient market participants. generally the weakest mark participants in my view have been the physicians. finding a way to allow physicians organize in more economic effective group. and the two giant mergers last year did not go through. a lot of people were surprised, but i wasn't. drug companies, you get a competitor that comes in with a competing drug and buy them up, they disappear and the drugs are gone. whether you think consolidation and companies going together. look at markets. pittsbu

remarks systematic targeting of civilians and sheer disregard for human life attacks against health and hospitals constitute crimes the regime wants to keep bombing and gassing these four hundred thousand people and the assad regime is counting on russia to make sure the security council is unable to stop their suffering while in his remarks to the fifteen member body in the bed he was very clear that situations in eastern guta are rather dire however the situation is much more complex than it's being made out to be that essentially civilians are being used as human shields by the terrorists he pointed out that some of the more extreme allegations being made against russia and syria are being made by the forces that just leveled the city of raka the u.s. led coalition leveled syria's rucka this is in the recent post should be forgotten so the phone when it happened was for some reason nobody did. we were forced to leave our homes because of ice and when we returned we found everything we used to rubble look at all the devastation rock is a ghost city. we're living in the midst of destruction we f

and over hospitalized and you'll see mergers. when you have big consolidated markets and one dominant play, i hope the fnc is active. it's tote lay local market. health care hick is a -- is a local market issue. >> frame that question, are the incentives still in place for hospitals to merge with each other and to buy physician practices and my sense is, yes, absolutely. the rewards are there, and it comes from the lack of site neutral payments. comes from the fact that the bigger and bigger you get, the more indispensable you back to private health plans and it's worth pointing out that we've set up a system where private health plans are negotiating contracts with providers. we have -- plans in charge of negotiating contracts for most poo privately insured and i'm glad you have highlighted the fact, these the claims processors don't care how much is being spent. they are structurally -- i don't want to say asleep at the switch but just a watching the money go by and getting a cut, the more money goes by. that's structural flaw that enables -- the supports rewards to consolidation among providers woman have an uncapped tax exclusion for employers sp

wife who is five months pregnant a louse as we are waiting our turn to die attacks against health care and hospitals constitute will crimes the regime wants to keep bombing and gassing these four hundred thousand people and the assad regime is counting on russia to make sure the security council is unable to stop their suffering now in his remarks to the fifteen member body in the bed he was very clear that situations in eastern guta are rather dire however the situation is much more complex than it's being made out to be that essentially civilians are being used as human shields by the terrorists and that essentially these are terrorists the aldosterone other forces that are in control of eastern ghouta and have set up shop there and isn't this what the international community should be doing should they not be fighting against these terrorist groups to point out the some of the more extreme allegations being made against russia and syria are being made by the forces that just leveled the city of raka. by the way the u.s. led coalition leveled syria's rucka this is in the recent post should be forg

this dramatic targeting of civilians and sheer disregard for human life that acts against health care and hospitals that constitute war crimes the regime wants to keep bombing and gassing these four hundred thousand people and the assad regime is counting on russia to make sure the security council is unable to stop their suffering. there is a massive psychosis in the mainstream media which is spread in the same room as day after day it doesn't help to understand the situation that saw they put forward the idea that their only hospitals in eastern guta which the syrian army are fighting against him up and i takes a look at what we can expect from this second round of talks. well at this point russia is putting forward amendments to the proposed resolution that would call for a thirty day cease fire now the talk on everyone's mind is eastern ghouta now this is a suburb of damascus located to the east of the syrian capital and at this point there is a lot of fighting going on in that city and there's been a lot of reports in the press about civilian casualties and ongoing suffering and we've gotten a

words and accusations we heard from other countries in the chamber in the lead up to his remarks systematic targeting of civilians in disregard for human life attacks against health care and hospitals constitute will crimes the regime wants to keep bombing and gassing these four hundred thousand people and the assad regime is counting on russia to make sure the security council is unable to stop their suffering now in his remarks to the fifteen member body and as he was very clear that situations in eastern guta are rather dire however the situation is much more complex than it's being made. out to be that essentially civilians are being used as human shields by the terrorists and isn't this what the international community should be doing should they not be fighting against these terrorist groups to point out the some of the more extreme allegations being made against russia and syria are being made by the forces that just leveled the city of raka the u.s. led coalition leveled syria's rucka this is in the recent post should be forgotten so focused when it happened there was no crime for some reason nobody demanded international law to observe the. cinema thirty a and we were forc

that i do work that crosses from environmental health and health education and those things and the san francisco health network, which has our hospitals and clinics and behavioral health come poep -- component, so i deal with the data on both sides, which is how i get to be here. so the department uses data pretty extensively. we have very little choice about having the data. most of the time large amounts of data are required almost us for state, federal or grant-related reporting. and the medical records that are used for clinical care. so we have lots of data. and we also use data for program planning, for billing, for services, but most importantly, we use data to improve program quality and service delivery and health quality. so we do that by tracking outcomes. we do it for directing programming to populations most at need or patients most at need. and for evaluating and setting policy. so i'm going to give just a few examples, because i was told to keep it short. before i even do that, i will direct people -- most of the data -- not most, but a large amount of the data the health department collects, at least that that is not s

to fight against the opioid and mental health crises, $5.8 billion for the bipartisan child care development block grant, $4 billion to rebuild and improve veterans hospitals and clinics, $2 billion for critical research at the national institutes of health, and $20 billion to augment our existing infrastructure programs, including surface transportation, rural water and wastewater, clean and safe drinking water, rural broadband so desperately needed in large parts of rural america, and energy infrastructure. and $4 billion for college affordability including programs that help police officers, teachers, firefighters. the deal also boosts several health care programs that we care a lot about in this country. an increase in funding for community health centers which serve 26.5 million americans is included. my friends, senators murray, -- tester and many others have been champions for these community health centers. i want to thank them for the hard work they put to get this done. the children's health insurance program will be extended for an additional four years. credit is due to our ranking member, senator wyden, for his effort for this extension. ameri

more than twenty men women and children who die every day from preventable diseases why the why does that happen because more than fifty percent of the health centers and hospitals in yemen today do not function anymore there are small finds of progress in january the un allocated. fifty million dollars to support yemen simonis hereon response some ports have all been allowing for the delivery of food supplies and medicine aid the country's hospitals desperately need for many the hope has arrived too late for others there is still some hope. now dizzy or alive and somali refugees who were held in militia controlled areas of libya for years have returned home they were evacuated government and the un refugee agency recent photos and videos of somali refugees being tortured and smugglers camps in libya cost public outrage and forced the government in mogadishu to take action. there are more young somalis being held now in libya some of my friends died there because of torture including a woman called bashara torturing leave is a form of greeting in the morning you are woken up by being hit with a stick and at night you are hit with sticks and to fall asleep. the b

more than twenty men women and children who die every day from preventable diseases why the why does that happen because more than fifty percent of the health centers and hospitals in yemen today do not function anymore there are small finds of progress in january the un allocated. fifty million dollars to support yemen's humanitarian response some ports have all been allowing for the delivery of food supplies. the country's hospitals desperately need for many the help has arrived too late for others there is still some hope. now the filipino bastard to kuwait says he received over six thousand complaints of abuse towards filipino workers last year the body of a filipino maid found in the freezer in kuwait last week has highlighted the mistreatment of some domestic workers and triggered a domestic crisis diplomatic crisis in fact some incident has more from kuwait city . praying for closure church services in kuwait spare a prayer for join a demo fellas marry a can or two spares a thought for the domestic worker whose body was found in a freezer authorities are still looking for the suspect a lebanese national i'm afraid that me. these. cannon knows all about th

more than twenty men women and children who die every day from preventable diseases why the why does that happen because more than fifty percent of the health centers and hospitals in yemen today do not function anymore there are small finds of progress in january the un allocated. fifty million dollars to support yemen's humanitarian response some ports have all been allowing for the delivery of food supplies and medicine aid the country's hospitals desperately need for many the help pounds arrive too late for others there is still some hope. this will yun how dizzier. south africa's new president cyril ramaphosa has promised a new dawn for the country in his first state of the nation address. was sworn in on thursday after the resignation of jacob zuma he vowed to help unite the country and revive the economy where one people committed to work together to find jobs for use to build factories and roads houses and clear thinks to prepare our children for a world of change and progress to various cities and towns where families may be safe productive and there may be content. we are determined society defined by decency and integrity that does not stop the plans

more than twenty men women and children who die every day from preventable diseases why the why does that happen because more than fifty percent of the health centers and hospitals in yemen today do not function anymore there are small finds of progress in january the un allocated. fifty million dollars to support yemen's humanitarian response some ports have all been allowing for the delivery of food supplies and medicine aid the country's hospitals desperately need for many the help has arrived too late for others there is still some hope. this little young now dizzier. result is there these are the top stories iranian media say all sixty six people onboard a plane that crashed in the south are dead the passenger plane disappeared from radar after leaving the capital to herat it was traveling to us in the southwest to palestinians have been found dead of the shelling by israeli forces in gaza followed an explosion that injured four israeli soldiers along the border have a force that has the latest from west jerusalem the most recent development is the discovery of those two bodies what the medical sources in gaza the health ministry in gaza is saying is that t

words and accusations we heard from other countries in the chamber in the lead up to his remarks systematic targeting of civilians in disregard for human life attacks against health care and hospitals constitute will crimes the regime wants to keep bombing and gassing these four hundred thousand people and the assad regime is counting on russia to make sure the security council is unable to stop their suffering now in his remarks to the fifth. member body the venue is very clear that situations in eastern guta are rather dire however the situation is much more complex than it's being made out to be but essentially civilians are being used as human shields by the terrorists and isn't this what the international community should be doing should they not be fighting against these terrorist groups to point out the some of the more extreme allegations being made against russia and syria are being made by the forces that just leveled the city of raka the u.s. led coalition leveled syria's rucka this is in the recent post should be forgotten so forced when it happened was not for some reason nobody demanded international law to observe this. was still a thirty year we were forced to leave

have access to the health care system as it would normally have and also health workers are scared to go to work if there is insecurity in their area they would not go to the hospital for work every day so i think conflict is the main driver and i think we really have to acknowledge also that insecurity in those countries who are ranked. you know in the low and low up part of this report are the barkly. security issues and we have to acknowledge certainly a major problem. in terms of other factors i have experiences and all that you should think on the card in africa and even if there's no insecurity these women in on the african continent and the pigs days and also in lower health care and there and once they arrive big boss that then they are whores. something and unperceived the best care because of poverty in the process of applying and i think you know what i want to see is that enormously. not means here is that the situation is already quite alarming or difficult for mothers in newborn don't society cannot see with a particular point the doctor who is making the is this just about access to health care you were using the word basic a lot in your last on it's

wife who is five months pregnant allow says we are waiting our turn to die attacks against health care and hospitals constitute will crimes the regime wants to keep bombing and gassing these four hundred thousand people and the assad regime is counting on russia to make sure the security council is unable to stop their suffering. now the russian ambassador then addressed the fifteen members of the u.n. security council and anya's remarks he made it very clear that russia is concerned about the civilians in eastern guta doesn't want them to be dying in mass it wants to make sure that civilian life is protected but that the situation is much more complex than some of these voices are making it out to be that russia requested that the al nasra terrorists leave the city gave them the opportunity to leave they did not leave and essentially are using these civilians as human shields and that what's needed is an effort to defeat terrorism and protect civilian life not a smear campaign against russia this is what he said about almost the double standard that exists in western media when it comes to the figh

living in tents about ten billion dollars are required to repair schools and health care facilities at least half of iraq's hospitals and health clinics are gone. and then there is the water and sanitation system about ninety percent of it is damaged beyond use that's another two point four billion dollars repairing the damage eisel caused to the country's cultural and religious sites will cost one point seven billion another nine billion is needed to restore power for all iraqis at the moment the entire cities which don't have electricity at all and in others just a few hours a day the basic sectors of the country's economy need more than twenty billion dollars just to function properly nearly half of that is earmarked for the oil and gas industry that's a priority for iraq to be able to pump more barrels per day and kick start the economy but before reconstruction can begin the government of iraq needs to provide security and stability as well as an all inclusive government for all iraqis regardless of sect or ethnicity for iraq that is priceless of the founder of wiki leaks julian assange has lost another court a

and mental health crisis. $5.8million. for the block grant. $4billion to rebuild and improve veterans hospitals and clinics $2 billion for political research at the national institute of health and $20 billion to augment our existing infrastructure programs. including surface transportation rural water and waste water. wastewater. clean and safe drinking water. energy infrastructure. $4billion for college affordability including programs that help police officers teachers, firefighters, the deal also boosts several healthcare programs that we care a lot about in this country. and an increase in funding for community health centers which serve 26.5 million americans is included. my friend and many others had been championing for these community health centers. i want to thank them for the hard work that they put to get this done. the children's health insurance program that will will be extended for an additional four years credit is due to our ranking members for the effort of the extension. american families with children who benefiten well now be able to rest easy for the nest -- next decade. seems caught in the donut hole will

health has been enormous. it's estimated that three quarters of afghan women and more than half the men sufferfrom mental health problems. with rare access to the country's only secure psychiatric unit and one of the largest hospitalshe medical staff trying to deal with the mental health emergency. and the patients traumatised by decades of conflict. herat, in western afghanistan, is the country's third largest city. as war continues in much of the country, the demand for mental healthcare is also skyrocketing. this is the psychiatric unit in the city's main hospital. i've come to meet dr wahid noorzad who, at 33, is the man in charge. azata is m years old and has been brought in by her mother. like many other young afghans, traumatic events have been a big part of azata's childhood. dr noorzad suspects that azata is suffering from ptsd — post traumatic stress disorder — a type of anxiety disorder triggered by traumatic events, often seen in soldiers. ptsd is increasingly common amongst afg hanistan‘s war ravaged population. social taboos around mental health make it difficult to get patients through the door and that's why dr noorzad takes every opportunity to reach out to the public. at a local herati tv station,

living in tents about ten billion dollars are required to repair schools and health care facilities at least half of iraq's hospitals and health clinics are gone. and then there's the water and sanitation system about ninety percent of it is damaged beyond use that's another two point four billion dollars repairing the damage eisel caused to the country's cultural and religious sites will cost one point seven billion another nine billion is needed to restore power for all iraqis at the moment their entire cities which don't have electricity at all and in others just a few hours a day the basic sectors of the country's economy need more than twenty billion dollars just to function properly nearly half of that is earmarked for the oil and gas industry that's a priority for iraq to be able to pump more barrels per day and kick start the economy but before reconstruction can begin the government of iraq needs to provide security and stability as well as an all inclusive government for all iraqis regardless of sect or ethnicity for iraq that is priceless williams of chinese people around the world are celebrating the moo

living in tents about ten billion dollars are required to repair schools and health care facilities at least half of iraq's hospitals and health clinics are gone. and then there's the water and sanitation system about ninety percent of it is that mage beyond use that's another two point four billion dollars repairing the damage i still calls to the country's cultural and religious sites will cost one point seven billion another nine billion is needed to restore power for all iraqis at the moment there are entire cities which don't have electricity at all and in others just a few hours a day the basic sectors of the country's economy need more than twenty billion dollars just to function properly nearly half of that is earmarked for the oil and gas industry that's a priority for iraq to be able to pump more barrels per day and kick start the economy but before reconstruction can begin the government of iraq needs to provide security and stability as well as an all inclusive government for all iraqis regardless of sect or its necessity for iraq that is priceless aid workers in the un's world food program are in the ci

also in eastern huta doctors and nurses staged a protest against the targeting of hospitals there the world health organization says more than seven hundred patients are waiting for medical evacuation and hospitals are running short of supplies of how that one of them on a in the recent military campaign by the syrian regime their forces have targeted every aspect of civilian life in ghouta the regime's forces use the most ferocious means of bombardment many hospitals were directly targeted and destroyed three of our medical centers were shelled and destroyed one of our crew members was killed and three others injured. france has threatened to launch air strikes in syria if there's enough evidence the asset government as used banned chemical weapons against its citizens the u.s. says at least six chlorine attacks have been reported since early january in rebel held areas in washington and washington is rather accusing the syrian government of being behind some of the attacks and the u.n. is investigating the u.k. foreign secretary boris johnson has given his road to break that speech saying a depa