we are here to talk about health care cybersecurity. as one of the 16 critical infrastructure strictures, we know it's critical to protect our national security. in the past three years, the health cardata breachehave doubled. in addition to threatening patient privacy and security as all of my colleagues have mentioned is a text right up the cost of health care is there has to be more investments made in protecting this data. last congrs, i iroduce the health care cybersecuritact which was bipartisan legislation th would reap wire si to make resourcessa developing products tailored to the sick desks specific needs of health clinics. you spoke to maybe a sk force or separate business for ransomware, security issues. maybe you can speak about how we can in the meantime or instead of doing that or in conjunction, how can we pvide cybersecurity training to the health care owners and orators so we can empower th to be partners in this. instead of maybe turning it over that they are engaged and empowered especially small and rural hospitals t

when i think about health care, i focus on a few keyoints print one of those is access to affordab health care hopelly. i focus on the quality of the alth care that is provided and i focus a lot on prevention, not just to deal with the symptoms but also working on prevention. i also think about a right to privacy and empowering people to do things to help keep themselves heahy. when it cometo cyber security, i believe the same issues apply, whh leads me to questions i'm going ask each of you to take a moment to respond to. the first othose questionis, how cathe federal government prove access to information on cyber best practices for the health care industry? at will be the first question. the cond is, how can we make sure the health care systems are doing their parto take preventive measures to protect their own networks? mr. martin, would you lead us off? >> thank you for your question. in terms of providing access to best practices, there is no shortage of recommendations and guidance and things organizations could be or should be doing. the challenge we s is taking stock of all of th

in recent years, increasingly sophisticated cyber attacks in the health care and publ health sectors have posed alarmi threats to people in michigan as well as across our country. cyber attacks on hospitals and other providers can cause serious disruptions to their operations and pvent them from effectivy providing critical, lifesaving care to their patients. breaches can also lead to the exposure of sensitive personal and medical formation of patients and health care persnel. most recently, the health insurance marketplace for residents and lawmakers in the nati's cital expienced a cyber attack that exposed the personal data and informationf ns of thousands of people, puing victims at risk of identity theft, scs, and additional cyber attacks. earlier this year in my home state, the university michigan health system experienced a cyber attack that temporarily limited access to their public websites. thankfully, in that attack, no patieninformation was compromised and the issue was quickly solved. these relentless cyber attacks show forei adversaries and cyber criminals will stop at n

health care system, and indiana's health care system. they are cost-effective, high quality, idly-efficient form of primary care, which save billions of dollars every year and improve the lives and health of millions of americans, many of whom i know. health centers need continued sustained funding, and are bound to meet the ongoing and expanded needs of the patients in the communities they serve. again, thank you for the invitation to testify, and i look for to your questions. >> mr. harvey, thank you very much for your testimony. our next witness is doctor robert s. nocon who is an assistant professor at kaiser permanent bernard tyson school of medicine, before that a researcher at the university of chicago. doctor robert s. nocon thank you so much for being with us. >> chairman sanders, ranking member cassidy, and distinguished members of the committee, thank you for the opportunity to testify on the topic of community health centers today. as was mentioned, i work as an assistant professor at the assistant professor at kaiser permanen

as academic health insurance, executive health care, company and white house fellow, the first term of the obama administration in the emergency. let's by penguin random random house our moderator is kathryn katherine is the health and life sciences reporter crain's chicago business where she writes about hospitals public health pharmaceutical companies and biotech startup. she graduated from columbia college with a bachelor's degree in journalism and 2016. i hope you'll me with granting them a warm welcome as they come before us today. thank you so much for that warm introduction. hello, everyone. thank you so much for being today. i'm katherine, reporter for crain's chicago business and. thank you to dr. ansel and dr. fisher for being here today. really excited to get this conversation underway. so let's set the stage for our audience a little bit. you know, dr. ansel, your was published in 2017. can you tell us a little bit about, you know, what was happening with your work and with the health care sort market here in chicago at the time that made you want to write this book

the intersectional work, the health and nonhealth care. the problem is that each sector, the way that people are paid doesn't in line with global metrics. when a housing group is going for is and how they do well for a health metric. it's not in their interest to do a lot of the -- work. there needs to be more of the crossing -- cross sector parts. how do you start doing integrated, blended money streams and to align the incentive metrics so that you have truly serving the community with community values and goals as opposed to metrics -- in terms of what is meaningful in the community. >> i think about, i am very concrete. i think about, how do you support a person over their life course? from birth to death, how do you do right by that person over the entire time that they are here? i think that means that some places have to reconsider how they will provide coverage for folks. it's not just coverage, it's also making sure that people don't churn on-and-off of the systems that are available to them. we are seeing good movement in some of

mental health is becoming the main issue. the problem of health care in ukraine is the statement of theal advisor at the world health organization, michel kozachka, on what will we do with the mental health of ukrainians and what is being done already, we are already doing it, so we understand that war really has a significant impact on the psycho-emotional state of everyone people, even if we do not recognize this. this does not mean that it does not affect us and the first months of the war, if we remember everything was seen live on the air , the movement of the column of heavy weapons from russian terrorists, the shots of destruction residential buildings, rocket attacks were all broadcasted, and even a person who was very la not in the place where the rocket attacks were flying, they saw all of this and were already worried, as were the people who lived next to the destruction, we count somewhere on the figure of 15 million plus or minus which every fourth in which in which there will be changes in the psycho-emotional state. but in order to cope with this challenge, we have alread

we are the only major conflict -- country on earth not to guarantee health care care to all people. i see a nation where, unbelievably, over 500,000 people go bankrupt each year, because of medical debt. if you had a cancer operation, you go bankrupt as a result. does that make any sense to anybody echo --? i see a nation where we do not talk about this. nobody talks about this. over 68,000 people die each year because they cannot afford the health care. i have talked to doctor after doctor around the country telling me about patients who walked in the door terribly ill, and the doctor said why didn't you come when you first set your symptoms. they said they didn't have insurance and -- and cannot afford it. thousands of people's -- people call into the doctor's office and it is too late, and they die. i see a nation that set -- spends over twice as much per capita health care. we don't talk about it very much, we are spending twice a much health care than other major nations, all of whom, by the way, guarantee health care to all people. but we see today is unbelievable. $13,000 for

about health care, who has been an advocate for health care.e will move us forward. he wants to see access, so they too can have peace of mind, so with that being said, it is my privilege and the greatest honor of my life to introduce the leader of our great country, and it is a great country. the president of the united states. [cheers and applause] ♪ pres. biden: hello, hello, hello. robin, you know my dad. we love all of the nurses. do you know why? you guys help to make us live. i am not joking. when you go to the icu and you look at those machines, and you know, the line goes flat, it is over. but you never get tired. i was lying there and i had a nurse and she was from the military, she did things that i do not think you learned in medical school. she whispered in my ear, and briefed on me to make sure i had a human connection. she went home and brought back tools from her own bed. but i am not joking. dashcam back from iraq -- he came back from iraq and for 18 months he fought. the nurses were incredible. they would say toward the end, y

almost 100,000 nevadans get their health care through the affordable health care act and 300,000 havee because of expanded medicaid under the affordable health care act. unfortunately, by way, i mean this sincerely, this is not a broad criticism of all republicans, this is not your father's republican party. this is a different breed of cat. now that's in charge. no, but i'm-- think about it, you know, i knew a lot of good republicans who represented this state as senators. they were friends. we disagreed, but they had -- they -- they were conservative republicans, but these maga republicans they're a different -- they're just, they're different. they continue to be determined to repeal the affordable care act and you know, it's hard to believe but they've already voted to change or get rid of affordable care act since it passed 50 times. 5-0, they've failed every time. one thing i want you to know about the affordable care act for preexisting conditions to get health care. if you have a pre-existing condition and you can't afford your health care, you know, private plans, you do not

life—affirming medical clinics such as stanton health care are revolutionising women's medical care andchoice for women. stanton international opened a centre in belfast called stanton health care in 2015, four years before abortion was legalised in nothern ireland. its website says it's a safe place where women are empowered to make their best choice. when mother—of—five ashleigh found out she was pregnant in 2021, she called stanton health care believing they could help her with an abortion. it was made quite clear to them that that's what i wanted and they didn't ask me did i want anything else. they told me that they would sort it out for me and that there would be support, there would be counselling for, for afterwards. but when she turned up for an appointment, she was told she needed an ultrasound scan. it revealed she was pregnant with twins. and they were doing the scan and i had my head the other way, and they kept telling me to look and look and look and look at the scan, and i wouldn't look at it. and she said, "these are your babies," and i was like, "oh, god." so obviously

and when you see just the needs, maternal health, primary care, mental health, they are severe across some pockets of this country. you have other issues of underserved in rural areas. but really hearing from the tribes like it's in our to get to an ob/gyn. that's a big deal that it's an hour -- what we've been trying to do and know that you absolutely are a part of this solution, really kind of think about what can we do across our program. medicaid is a big provider of rural health, and so we think about that in terms of the underserved. we are looking at in our marketplace plans essential community providers and making sure they are part of the networks of people are getting care. we have been given new authority under the law to add rural emergency hospitals and that's an something we've been talking to rural communities about. but we have to continue to think about this. all of our lepers would look at in terms of reporting and trying -- levers -- some of these facilities just have different capacities and bigger facilities that have more ability to handle a lot of our payment ch

in order to get health care in this country, you have to have health care insurance. it is a. it helps to protect and promote health. and autonomic well-being of family and the entire economy in the u.s.. >> so very much support. that >> do you think we are closer to universal health care in this country today than we were ten years ago? we are closer. we have the lowest uninsured rate after these provisions, like continuous coverage, were put in place than we've ever had in the history of this country. at least since we've had insurance programs in this country. we are closer in terms of getting more people covered. in terms of having universal coverage, meaning that everybody has access to the same type of health insurance coverage. and the same type of providers, the same type of drugs. we are a long way away from that. we're about ten minutes away from this program, just a reminder for our viewers, if you stick away from c-span. we're going to be taking you to the brookings institution. it is a discussion, this morning, with army chief of staff general james mcconville abou

access to mental health was completely inadequate. sailors seeking routine care on a ship that had significant conditions affecting mental health work facing weights of up to two months for care. numbers -- members of sander's division reported they were often headed to seek mental health treatment through other channels because they were under the impression he would affect future career opportunities. this was exceptional that we had so many individuals take their life in a short period of time and i know there is still a final investigation that is outstanding, but what can you doubt me today -- what 10 you tell me today about how we are changing conditions and making sure they have access to mental health services? >> thank you. the secretary of navy on down -- from the secretary of navy on down, we have taken this issue very seriously. i can tell you that our immediate response was to send a special psychiatric response team. that was to cancel those directly affected by these tragic incidents. we have learned also that it is important not only to respond ac

the ministry also talks about health disparities, access to care and lowering prescription drug costs. the remarks were part of the america health insurance plan in washington dc. >> welcome back. ing held here in washington, d.c. washington, d.c. live coverage on c-span2. >> we are so fortunate to have with us today chiquita brooks-lasure, administrator for the center for medicare and medicaid services. she oversees programs including medicare, medicaid, childress health insurance program, and healthcare.gov health insurance marketplace that provides health care and coverage for more than 100 million people nationwide. she played a key role in guiding the affordable care act in passage of implementation and asked decades of experience working in the federal government, on capitol hill, and in the private sector. administrator, we are excited to have you here. [applause] >> thank you thank you r the kind introduction and importantly for the invitation to be a a with you all. and good morning. what a most beautiful spring day. i was walking with my daughter and it's it was nice to sen

host: where are you on the idea of universal health care? guest: we very much support it to achieve a culture of a vision of health, you have to be able to get help care. in order to get health care in this country, you need health insurance. it helps protect and promote health and economic well-being. host: do you think we are closer to universal health care in this country today than 10 years ago? guest: we are close because we have the lotus uninsured rate after these proficient -- these provisions then we have ever had in the history of this country area that's since we've had insurance program so we are closer in terms of getting more people covered. in terms of having universal coverage meaning everybody has access to the same type of health insurance coverage in the same type of providers and the same type of drugs, we are a long way away from that. host: we have about 10 minutes left. if you stick around on c-span, we will take you to the brookings institution. it's a discussion with general james mcconville about the army's moderniza

there's no health care. so don't tell them to go to their primary care physician, there is no primary care physician. they're getting their eye care from walmart. they're getting their health care from emergency rooms three hours away. so, you know, crease the what the access and barriers are in reality, not what you think they are. get out there and see what they are and fix it. we should be using data in the realtime. no one should be dying of covid. let's all agree to that. and we take every death, figure out why it happened and fix it. >> "afrords" is a weekly inte i program with reva guest hosts iewing top nonfiction no, sir about their latest work. to watch this program and others visit booktv.org/"after words." >> thanks so much for joining us today. we are happy to present inequity in our health care, dr. david the an sell, "the death gap: how inequality kills," and dr. thomas fisher, "the emergency: a year of healing and heartbreak mt. chicago e.r." with katherine davis mccrane. dr. ansell's andor f

working conditions, and this is the way it is, if only by mutual aid to each other, the system health care has persevered and continues to provide medical care, i will not say that everything is perfect, everything is smooth, there are cases, but we all respond to these cases together with the salaries of medical workers, everything is fine thanks to international aid, in particular, the government of the united states of america, which allocated grant aid for the budget of ukraine, which is aimed at for the repayment of the gap that arose in the budget of ukraine under the program of medical guarantees for the salaries of medical workers and the purchase of necessary medicines we managed to fully finance the program of medical guarantees in the 22nd year. and now , in the first months, we also have money in a single treasury account that allowed the national health service of ukraine to make transfers to the accounts of health care institutions . last year, all institutions were required to maintain a minimum salary of 20,000 uah for a doctor and 13,500 for a nurse this year we switched t

and health insurance more affordable and health care more universal. >> as a free-market advocate, you think the role of the exclusion is more harmful than the role medicare plays in setting prices throughout the health system? >> i would like to get to that. my answer is a very strong yes. >> other panelists? comment on the effects of the exclusion? >> i would just say -- i raised my head on that -- hand on that i think the exclusion cost is not a good thing and does more damage than benefits. i am not sure it is responsible for every single one of society's ills the way michael does but the only thing i just wanted to think it is important to keep in mind is in some of your summary of the arguments on both sides, it is important to distinguish between reasons to dislike the exclusion which can be separate from what you think about health insurance, whether it is driving up prices. you can be supportive of more health insurance coverage as i am and still against the exclusion. it is also distinct but not entirely for whether employers provide health insurance. can be a supporter

republicans think health care is a prison sentence and even proposing the death penalty. that's the maga vision for the powerful and the privileged have total control. with this women's health protection act democrats are fighting for the future for abortion access in the lava land. decisions are in the hands of women and doctors and nobody else. nothing will stop us from putting the health freedom of women or politics. i am grateful to be in this site with my colleagues and especially our next speaker a proud boys for justice and our chair of our caucus. [applause] i am so proud of my colleagues representative chu and escobar to stand with millions americans who have always believed in reproductive freedom. we know that our country is the right-wing extremists and their allies in congress who took this country a half-century and away fundamental rights that have been on the books for 50 years. we are talking about far right justices with no medical expertise telling women they cannot get the care they need. they can't treat their patients. they rollback freedom to the con

it is not utopian to say that, that everybody have health care. it's a human right. i live 50 miles away from a country, canada, which somehow manages to do that. they spend half as much as we spend. all right. you know, i was in england just the week of june. i were in the u.k. and i spoke a woman who was a moderator of a tv show. i said, do you have any kids? she said, yeah, i got to. and i said, well what happened when you have kids as well? we got nine months of paid family leave in america. you know what you? get when you have a baby in this country, zero zero paid family that is barbaric. if every other major country on could do it, why can't the richest country earth do it? and that gets back to the main point. you got a ruling class, this country that has incredible wealth and incredible power and they are motivated big time by greed. they are not nice guys. they want it all and. now, what this book is about is saying, hey, what about america? that works for all of us, not just the and and here the cover of the book. it's okay to be angry about capitalism. th

care. providing health insurance, as good as the boost we got from the affordable care act was, and it was a huge boost as we just heard and even controlling for health insurance status, those inequities still persist. based strategies in communities that make those communities healthier do improve the health of the communities, but we still see inequities in the population. so many saying these interventions fail as single interventions over time have led them to say we can't get there, it's impossible. i don't accept that and you don't either or you wouldn't be here. so to adapt a famous quote by martin luther king, that the secretary mentioned, i believe that if we set the right course, with the right interventions, led by an inclusive group of determined actors, we will bend health towards equity. it's not going to just happen. we've heard the elements of the agenda that we have to put together, but we have to be intentional in an agenda that aims to eliminate structural racism, sexism and the policies that have marginalized so many for so long. and while, of course, our focus is health

issues relating to help, security, patience safety, combatting the opioid crisis, and protecting health care access. secretary becerra has made one of his top priorities of hhs to strengthen our countries behavioral health. he's leading hhs to combat the growing mental health crisis of our country. particularly related to issues of substance abuse, youth mental health, and suicide. so, without further ado i would like to welcome the 25th secretary of the united states department of health and human services, secretary javier breast sarah. we >> thank you. we thank you very much. supervisor berger, fort thank you very much for letting me join you. thanks for your friendship, thanks for letting me work with you on so many issues whether as a member of congress, certainly as the attorney general of california had a chance to do a lot of things together, and now. here i am excited to see that you want to launch in a way that is cohesive in within the counties to work with us because we want in. we want to work with you on this issue. we know at the end of the day that if we get resources, whethe

health disparities. it's very obvious to us all that if we don't care of the leaks among us we will all suffer as a result. the good thing, i see so much openness when it comes to health equity in the private sector but we all need to work on what the solutions are. your question about internal health, i was so thrilled the private sector embraced wanting a partner because so often we come up with solutions separately but if we are partnering we will be much more effective and this is to me one of the things that is the most abysmal about our health outcomes in the country but if we work together we can get through. >> our member companies are pleased to be part of and looking forward to the progress we can make. one of the other areas of challenge that is part of cms's strategic plan with respect to increasing care in geographically isolated communities, can you share detail about the focus on your rural healthcare priorities and how our industry operates everywhere across the country can support and improve access to healthcare and advance health equity in rural areas and other underserved areas as well

whether that is a mental health care provider or nonclinical support like group therapy. family readiness also impacts member readiness. those who are part of our exceptional family member program may now have access to expanded care and support through the air force developmental behavioral family readiness centers. the program is rolling out as it uses apr hub and spoke approacho support our members' families. air force medics are uniquely ready and capable to safeguard our interests both at home and abroad. thank you again for your support to the afms and our med medics. i look forward to your questions. >> thank you, general. next we have the surgeon general of the navy, admiral gilliam. >> chairman first, vice chair collins, distinguished members of the committee, i'm pleased to be with you told to provide anea update on navy medicine. on behalf of our mission-ready, one navy medicine team, please now that -- know that we are grateful for the support that you provide us as well as the trust and confidenceas in that u place in us. navy medicine is best described as wel

one final point with respect to health care to clear up a little confusion. it comes to mental health parity the congress passed the landmark law in 2008 based on the proposition that physical and mental health would be treated equally. that unfortunately doesn't happen today. 15 years after the law was written the insurance company, the big insurance companies are still finding ways to drag their feet uncaring out the parity law with respect to mental health or the challenge for the committee is to stop the foot-dragging taking place under current law. the 2008 law gives americans what they thought they were getting into thousand eight. the presence budget takes important steps in that direction and i'm pleased that senator bennett is leading the way to put mental health care on better footing. we are also pleased that the presence budget takes a big step when it comes to postpartum coverage for new mothers with medicaid. the end of last year congress created an option for every state to cover postpartum care for new mothers up to 12 months in the presence b

issues related to health, security, patient safety , combating the opioid crisis and protecting health care access. secretary becerra has made one of his top priorities to strengthen our country's behavioral health. he is leaving hhs to combat the growing mental health crisis in our country, particularly related to the issues of substance abuse, youth mental health and suicide. without further ado, i would like to welcome the 25th secretary of the department of health and human services, javier becerra. [applause] >> thank you very much. thank you very much for letting me join you. thanks for your friendship. thanks for letting me work with you on so many issues. certainly as the attorney general of california, we had a chance to do a lot of things together. i am excited to see you will want to launch in a way that is cohesive within the counties to work with us because we want in. we want to be with you on this issue. we know if we get resources, new authorities, our administration for children and families, we have got to work through you. we want to do that as quickly as we can. we know

we should stop the politicization of health care in this country when we make strides that belie all the outrageous claims that were made about what the affordable care act would turn into. all the lies that were said about this legislation, all the dire predictions have not come true. look, when i think about the aca i think back to the night i sat with my dear friend john lewis. a hero to people on both sides of the aisle in this chamber. a truly great american. when the affordable care act was in crisis and threatened to be repealed, we sat on the capitol steps, opened up a facebook live and started having a conversation. i'll never forget, hundreds ever people came to join us on the steps of the capitol. i'll never forget that john lewis made it clear, to this large crowd of people and to a live online audience, he said affordable health care is the birthright of every american. birthright of every american. >> but the character, the character of our country. think about that for a second. the character of our country. who are we? what are we stand for? not just those unbelievable

health care worker shortage we are predicted to experience in the coming years. this new health care high school, to be located in the mop list -- demopolis, will have a curriculum that will expose students to stem and health-care opportunities as well as hands-on clinical training experiences. when these students receive their diplomas, they will be ready to fill a broad spectrum of health care jobs or pursue a higher education. [applause] i am a firm believer in getting our students real life experiences. this real-life economy, i also value stem education and learning must not stop at the classroom door. coach sabin has said while there are many trophies and championships in the game of football, the most life-changing achievement is getting an education. i could not agree more, coach. [applause] the sabin center, a partnership with the sabin family into the city of tuscaloosa, will be an interactive and immersive experience for young people from all of alabama. it won't be limited to stem. it will help students become even more well-rounded, exposing them to