doesn't have a free market for healthcare. half of u.s. healthcare spending is by government. most of the rest is impacted by government policies. as the role in healthcare has expanded prices soar. by contrast inflation-adjusted prices typically decline while quality improves. some areas of healthcare are exceptional compared to others. too often however this is a key problem for example the aca coverage to increase federal health spending through medicaid for the life expectancy after the aca the life expectancy was lower than in 2013. there's too much government bureaucracy in healthcare. despite the good intentions and prevent providers needs. the government mis- manages the programs and last year reported annual federal or $100 billion. people secure better prices by not using health insurance. one study estimated 40% cheaper for healthcare services where its limited the prices have declined and moving forward keep these principles in mind the policy changes always have unintended consequences. we should evaluate outcomes. for example many proponents could find a usual so

i want to talk about the healthcare, this is extraordinarily sprawling.ind working on comprehensive legislation, a look at cybersecurity in the healthcare field. i would like you to not talk about what you are doing to protect hhs assets. how hhs can work with the providers, hospitals and other pieces, device manufacturers, a long litany that makes up the healthcare field and the smaller legacy devices with cyber vulnerability. what you see is hhs role in this and how you coordinate the various components grappling with cybersecurity. >> great question because most people don't think about this. one of these we are trying to do is move everyone, not just hhs but everyone in the private sector as well as risk based decision making taking into account what might happen, not waiting until it does happen. we are asking people to look at what's already been, there are best practices we can learn from that won't cost that much deploy because somebody else spent the time and make the investment to make it happen. i think you can help with this to make sure the a

bipartisan healthcare with resilience act. thank you, again, for the opportunity to testify regarding the critical importance of physician immigration to the united states healthcare system. >> dr. kora you're up next, you have five minutes. >> chair nadler, ranking member, mcclintock, honorable members of the committee, thank you for the opportunity to offer my perspective on an issue i understand firsthand as an immigrant physician serving in rural and underserved areas. the united states is in the midst of a healthcare workforce crisis. we are facing an ever-growing shortage of doctors exacerbated by the covid-19 pandemic. the reality is this healthcare worker shortage existed before the pandemic and will continue to harm communities, particularly rural, and under-served communities absent congressional action i came to the united states in 2001, completed my residency in internal medicine nephrology, on j-1 visa, then had to either return to india two years before applying for a new visa or apply for a conrad 30 program wh

i intended to get healthcare pass even if it cost me reelection.or a while looks like it might. but for all of us, for joe, for harry, for nancy pelosi, for others, the aca was an example of why you run for office in the first place. what all of you sign up for doing jobs that make less than you could pay somewhere else while you're away from homesometimes and you miss soccer practices or dance recitals .because we don't, we're not supposed to do this just to occupy a seat. or to hang on to power. or we're supposed to do this because it's making a difference in the lives of people. and because of so many people including a lot of people who are here today make enormous sacrifices because members of congress took courageous votes including some who knew that their vote would likely cost them theirseat . because the incredible leadership of nancy and harry. we got the aca across the finish line together. [applause] and the night we passed the aca i've said it before, it was a high point of my time here because it reminded me and it reminded us of wha

rather than solely looking at advances in healthcare. it's useful to examine trends in how people have answered some fundamental questions with what they knew. each artifact tells some piece of the story of how it's users approached or answered one or more of these questions. perhaps the most basic of these questions is this what causes sickness and what causes health? mainstream scientific understanding has not only changed over time but has gone through periods of expansion and contraction supporting either one underlying cause of disease such as unbalanced tumors or invading microorganisms or diverse causes including vitamin deficiency and pollutants. meanwhile cultural and religious practices home remedies and sales pitches provided alternative theories many of which appeared to their adherence to counterbalance the flaws of mainstream science. are related question is this how do we solve health problems that have been identified when knowing causes them isn't enough. often it becomes an engineering problem literally in the sense of

primary healthcare. - primary healthcare actually. - primary healthcare services. - yeah.ashok rao) there are around 2500 villages. (sophie fouron) o.k. how much is that? - three million. - three million people living on these isolated islands? - islands. so we attend to all 13 districts, and we have 15 boat clinics. - it's an astonishing success. - yeah. - can you tell me why these populations are isolated in the first place? - you can see that the river is always changing. - there's a lot of shifting. - shifting. - yes. - and accordingly, the population also shifts. - they are like climate refugees. - that's what one person told us. why do these people come stay here? why don't they go to a safer place? but the land here is so fertile. you don't have to put any pesticides. you don't have to put any fertilizer. so you plant the seeds and you're fine. you're good to harvest. - and the brahmaputra takes a lot, but it gives a lot... - it gives a lot. - ... as well. - yes, yes. it's a system. - yes. and it's a love-hate relationship with the river, probably. - yes. (sophie fo

and that healthcare like you said, they can free healthcare, money that is my money that i am looking for all my life, my husband works 70 hours a week and because of the possibility she's a guy wrote getting treated for free next to him when i have a pay $800 a month for healthcare and where is the common sense as despicable whether doing to this country, justice mcmullen thank you. >> there's no comments is it to have ten again, we need to get things right and in a democracy, sometimes a blessing other times is a us but we do get the government we both warning turns out the government we don't like or dislike us and serving the american people it's our job to change it in the good news is we not been struck by some active god companies, these are all active governments and it's a choice those are things we can change. and it's not all that complicated and it is up to us as americans and only up to us. >> will hear from edward annex up republican line in freeport i'm i'm sorry, keyport new jersey and edward we lost him sorry about that, cj and virginia, democrats line. >> at hey good

there are many options to healthcare reform. and to allow small businesses and so proprietors to offer low-cost health insurance saving workers upwards of 50 percent of healthcare cost. look forward to working on these two expand access and improve the quality of employer-sponsored health coverage. thank you again to all the witnesses and it has been a pleasure thank you for contacting the state hearing and i back. >> forgive me for not paying attention. i apologize and thank you the subcommittee to be a member of we have differences of opinion. and then those commonalities that it is the most important one. we all have different perspectives. and then the republican witness. we like to follow up with the conversation. and that between the chairman. and then spending 35 years in the restaurant business. and they are so important. like the california restaurant association. and a communist member but i took that as a badge of honor and they need that help to be efficient and effective but i'm not as supporters we currently talk a

>> healthcare should be a right, not a privilege. there are 60 million people without health care for obamacare but we have healthcare. we need to make it a functional affordable and accessible and then take a viable system and then transition it into medicaid for all which is healthcare for all. so i challenge my opponent morgan on the difference between our current healthcare system and medicaid for all system. we have to make sure that not only are we looking at healthcare, we have to make sure we're looking at mental health services as well. make sure that people have the mental health care they need. we have to make sure that we grow this economy from the middle out and not from the top down and have to make sure that as you mentioned as the united states senator i will support the patient's and people who take care of them over corporate profits. when i was campaigning in dayton i came across a senior who shared with me her story that she has to cut her pills in half because she can't afford her prescription drugs and her food.

i am a healthcare innovative healthcare executive with progressive leadership experience in hospital and medical group development and management with more than 20 years of success in hosting performances to people centered healthcare administration. i have been serving on the board member for four years. i sit on other association boards or medical groups. i have also taken care of san francisco members for almost 20 years. when i was a family practitioner. san francisco health plan is very important to the populations that we serve. i believe i can bring leadership and clinical experience in taking care of medical patients for more than 25 years. once appointed i will work with colleagues or members. the management team to address the post pandemic healthcare issues. somehow impacted san francisco members such as the behavioral health, substance abuse, healthcare disparity and many more issues. thank you very much. >> supervisor peskin: thank you. we will go to roland pickens for seat number 3. >> thank you, chair peskin. i am roland pickens was with the department of public health

you know, in america, healthcare, as we've all three said, will have now said, healthcare should be a right, not a privilege. and with the help of members of congress, especially nancy, and the advocates, families who are here today, 12 years ago last month, 12 years ago, we made a good effort toward that proposition. and it should be right. when -- and barack, when you signed the affordable care act into law, it became the most consequential piece of health insurance -- most consequential piece of legislation in my view since the creation of medicare and medicaid in 1965. it made a difference in people's lives every day. you just talked about where we were before the affordable care act and what happened in the past 12 years to make life a lot better for people. i'd like to talk about where we go from here. because we knew back then, as the president said, we knew that we had to keep strengthening this legislation. look, that's why i ran for president, and i promised to protect and build upon the affordable care act. as soon as i entered office, that's exactly what kamala and i did a

and with that challenge not the healthcare law.a knife for a screwdriver you may have success but it's not the right tool. >> i appreciate you being here. i yield back. >>th the chair is pleased to recognize the gentle man from oregon for five minutes. >> thank you madame chair. but i am very pleased to see the president's budget of what i've worked onth the past few years and the gaming of the application process to have less costly and my understanding rather than just filing as a time trigger of what i propose is a separate mechanism what success does it have around generic drug applications and all the timelines quick. >> i think the president and those to be made available as quickly as possible to the american people we know within that sphere the manufacturing industry goes on and to tell yousp this how we try to make this a more competitive marketplace and try to stop the gaming of deals behind closed doors to limit accessibility to a statement of effective of generic drugs trying to do everything possible to make thect dru

no one knows to buy the's point, you got to go with safety, with healthcare. adv, karen's place, it's up 30% year-to-date now. >> jeff, every time you come to the show, you bring a great chart. you got another one, this is leak the table we'll let that go. what is it >> listen, i'm simple-minded, i let pictures and cartoons make it easy. it speaks to the point we talk about. if you look at the complexion of this rally right now, it doesn't necessarily scream risk-on so let's go through the numbers really quickly have you 50% of consumer discretionary, 40% of financials, 40% industrials trading through those february lows then on the flipside, the defensive side of the cone, you have zero percent of utilities, 8% of reits trading through the lows the market is very split the message is very clear so i would stick with those defensive areas of the market with the addition that i would be adding the quality growth stocks on this next led down i do think we will experience another leg down we know there is no way to tie the bottom you are talking between now and t

i intended to get healthcare passed even if it cost me re-election.t for all of us, for joe, for harry, for nancy pelosi, for others, the aca was an example of why you run for office in the first place, why all of you sign up for doing jobs that pay less than you could make some place else. why you're away from home sometimes and you miss some soccer practices or some dance recitals. because we don't -- we're not supposed to do this just to occupy a seat. or to hang on to power. but we're supposed to do this because it's making a difference in the lives of the people who sent us here. and because of so many people, including a lot of people who are here today, made enormous sacrifices. because members of congress took courageous votes, including some who knew that their vote would likely cost them their seat. because the incredible relationship of nancy and harry. we got the aca across the finish line. together . and the night we passed the aca, i've said it before, it was a high point of my time here because it reminded me and it reminded us of what

history of healthcare o can inspiree deep empathy. i invite you to look for empathy with for patients, caretakers, researchers and victim and see survivors of the complex stories these historic treasures tell. the remainder of the stories for my book i'd like to share with you this evening go in roughly chronological order but several of them like the smallpox story take place over long periods of time. for example,roro alternative medicine movements, many of which might sound to modern ears like they weres invented by 19s flower children first blossomed around the 1830s. at the same time, mass-produced name-brand drugs began to proliferate across the country. both of these trends were partly in reaction to what was often called "regular medicine". today,iv regular medicine is called mainstream, biomedical or scientific medicine, but wasn't very scientific in the early 19th century. while individual w doctors did experiments with t varying leve of scientific rigger, it would be nearly a century before randomized control trials were st

as a country we have been talking about performing healthcare for 100 years.on earth we did not have a system that guaranteed access to healthcare for all of its citizens. millions of people do not have health insurance often because their employers did not provide it were it was too expensive but despite the fact that her healthcare system did not work well. it was hard to change. healthcare represents about one fifth of our economy, that is trillions of dollars that are involved. there were a lot of deep-rooted economic to maintain the status quo. because the majority of americans did have healthcare some people naturally worried that they would lose what they had. the media was skeptical to past failures. there was a lot of misinformation to say the least flying around. it is fair to say [laughter]. that's fair to say. but despite great odds joe and i were determined, because we met too many people on the campaign trail who shared their stories and our own families had been touched by illness. and as i said to our dear friend harry reid who is missed, wish

checkup or a minor healthcare issue, and now doctors reporting. a bit of back. the hospital. system. but during the pandemic it is happening. and i stopped and then i like i don't want to deal with it because it's like covid . how the bettors recently found out she has a hole in her heart. she's supposed to get regular check. she like me. others. hospitals. the pan. scared. dr carlos incarnation says neglecting healthcare in this case led to him performing an emergency triple bypass surgery on fetters waited longer than what she did. she potentially would have gone into a heart failure, according to the american heart association during the first year of the pandemic, the overall risk for dying from heart disease rose to just over four. and the of die. from a. rose over. six. pandemic people are coming in later for screening cancers. those those cancers are more advanced. people are coming in later for control of their blood pressure , and that's creating more advanced heart disease that we're now working to correct and dr incarceration says this

healthcare, energy, places where investors were going and you've seen weakness there too. a lot has to do with the fact they were simply overbought, way above the 200 day moving average. they're feeling the pain too the thing i think is very important going into next week relative to earnings, think about stock like microsoft, the exact same price it was heading into the earnings last quarter i think you were on the show, they reported bang out earnings, the stock went up, but it failed at that rising -- sloping 200 day moving average to the yun side so now i think two things changed and they're not good the fed is more hostile, a hair trigger in term of any chink in earning and downtrend has been more confirmed. >> hostile. >> it is nasty it is nasty. that's where i think we are. >> we also had an invasion of ukraine. >> can i bring some sunshine here on friday >> you can try >> i think i focus more on corporate earnings than the economy. maybe we could have a negative gdp, i have no idea, economists will tell us nine months after it happens i think what matters is corpor

politics of healthcare cut both ways. so in 2012 -- sorry, 2010, they lose 63 seats, in 2018, democrats were able to get republicans to lose several districts because they couldn't, republicans fail to replace obamacare, repeal and replace, they couldn't do that and filed that stupid lawsuit and never let it go and in fact, it was one amy coney barrett was getting attacked for and when it came to court, she went the way of the majority. 12 years ago, fine anniversary event, it will not matter. i do think president obama embraced what he had and he was a better communicator than president biden. healthcare can cut both ways, what the president, president biden issue is inflation and they didn't talk about that today. >> jeanine: uh-huh. jessica, they didn't talk about inflation and are saying president biden needs to be more visible, he needs to have more photo ops, do you think that will make a difference? >> i think so, this is a problem that cuts both sides of the aisle and seen democrats and independents voice concern

i support universal healthcare, healthcare as a basic fundamental human right. i support whatever means gets us there whether that's the affordable care act, the public option, whether that'se medicare for all. i'm for allowing congress and federal government to negotiate for lower drug prices. i am for lowering the medicare eligibility age. i am for adding vision, dental and hearing as well. i am for making sure that americans have greater access to healthcare. >> to his question medicare for all. >> i said whatever mechanism gets us closer to healthcare as a fundamental right. if he wants to be for the insuranceri companies that's his right but i am for making sure that it's a fundamental human right for every american and making sure that we can negotiate for better drug prices is at the heart of the immediately. >> you said getting closer does that mean medicare for all? >> it means whatever is in front of us as a congress to get greater access to health care for america and my vote is decisive i would absolutely support it. i support medicare for all -- i c

impacting healthcare, and the trust in healthcare. what i want to ask you about, i hate to do this, but it just has just issued a medicare physicians peace schedule fun will that includes a provision that provide a financial incentive for doctors great and the bullet and antiracism plan. that's raising a lot of concerns onia people, and i just want to hear from you a little bit about how this is going to operate. i'll tell you my concerns. i think it undermines public confidence in two ways. it raises questions in the minds of minorities that if they see a physician who is not of the same race or color that they are not going to get quality care. it undermines the confidence of people who are white, that they are going to be discriminated against. how would you address that? >> congressman, i want to be as thoughtful and my answer as you were in the question. first, we don't have policy ases you described. our policy is to try to tackle the disparities that we see in wehealthcare access. i could tell you the number of stories i've hea

by patient advocacy groups or by healthcare providers, pharmaceutical companies, stay at it and spread to the entire community, providers, patients and the results of what we are finding. >> host: we have the one. 4 million, the biden administration major long covid could be considered under a disability under the ada, what specifically, the bill you introduced to add to that. >> some of it has been taken up by the administration, and gathering all patient data, to databases that can be searched for patterns and information, to protect people confidentiality. with public health systems that silo, here is the data, the local and state level data, federal data, and don't pull it together in ways that enable us to discern patterns, researching into causes, cures, the third pillar, to answer the questions. wise entered 60% in terms of reporting, young people's experiences and older people's experiences, it is pillar 3. patients and families, employers are faced with this issue, some may not be qualified for permanent disability in social security but under the americans with disabilities a

i support universal healthcare. i support healthcare as a fundamental basic human right. i support ever means gets us there whether that's the affordable care act or the public option, whether that's medicare for all. i'm for allowing congress and the federal government to negotiate for lower drug prices. i'm for lowering the medicare eligibility age. i'm for adding vision, dental and hearing as well.si am for making sure americans have greater access to healthcare . >> but to his question medicare for all? >> i said whatever mechanism gets us closer to healthcare as a fundamental human right i'm going to support. if connor wants to be for the insurance companies that his right but i'm for healthcare and making sure it's a fundamental human right every american and making sure we can negotiate for better drug prices is at the heart ofthat immediately . >> you said yes know and i'd like a yes no as well. you said getting closer . does that mean medicare for all? >> it means whatever's in front of us as a congress to get greater access to health wo care for america and my v

i work in healthcare — thrillseeking online. i work in healthcare and _ thrillseeking online. and elderly car - thrillseeking online. i work in | healthcare and elderly car and it was really tough during lockdown and to be able to come back, it was amazing. i class this as a little piece of heaven on earth. ii this as a little piece of heaven on earth. if theme parks are our heaven on earth. if theme parks are your thing. _ heaven on earth. if theme parks are your thing, there _ heaven on earth. if theme parks are your thing, there is - heaven on earth. if theme parks are your thing, there is a - heaven on earth. if theme parks are your thing, there is a lot - are your thing, there is a lot going on this year. chessington world of adventures have new rides. paultoner world of adventures have new rides. paul toner park has a new rides. and if you're heading further afield, disney is celebrating some big anniversaries and paris. and if the last two years of daughters anything, it is the unbridled happiness that escapism can bring. so my trip to alton towers is done and i think i

going into the weeks and months and years ahead the key thing to follow are the healthcare system are people ending up in the hospital? obviously are people dying in my mind that's the most important. and right now we all went to see infection numbers coming down but the good news is because of the extraordinary work of the administration americans are much better protected and that means we do not see a huge pop obviously want to continue tracking. >> thank you everybody. >> a couple of items at the top second chance month president biden made announcements focused on second chances and reentry leaders on both sides of the aisle recognized help prevent and reduce crime and strengthen our communities. the president and out 75 commutations and three full pardons all individuals were convicted of nonviolent drug offenses and many have been successfully serving your time on home confinement. he announced 20 major actions from one dozen agencies to extend second chance opportunities for the first ofnt its kind partnership between the department of justice and labor to invest $145 million

healthcare is no different. in fact, healthcare has become even more important. and so our role, especially because we're back in the game until president biden took office we had essentially removed himself -- the previous administration removed america for being in the game especially on healthcare with the world health organization. we're back in and i could see how thrilled and anxious a lot of our partners around the world that we are back in. we want to make sure we don't, you know, go awol again. and so it's an opportunity for us to lead in -- at this global stage level. and i think we're ready for it. what we want to do is be able to do it in partnership. growing up, i saw how in many ways some of my distant relatives in latin america would look at the u.s. both with love and with concern because sometimes we did things great. sometimes we interjected ourselves in ways that weren't as acceptable. i think the world is hoping to see that better angel of america come out. and we could make a difference. that's why i've engaged with my counterparts on the glo

the nation has turned its back when you are attempting to access care we attempted from the healthcaretutions and throughout those ten years it was always an excuse there is no science or no proof. so myself including many families is that we have to exhaust our life savings just to access doctors like the doctors to be away from our children is time loss that we will never get back not only does it impact the veteran and spouse but the children so to see some momentum it gives us hope. >> but when you say you feel as if our government, our country has turned its back on you and your family and thousands in the same position no veteran should feel that way and no family of a veteran should feel that way. >> you have done a tremendous amount of advocacy to change the rules how veteran on —- veterans must prove they are impacted by the burn pits in order to get care of. i support you in your work on this. i know it is a hard and only journey what you have done remarkable work let me see if i can turn this around. what does it mean to you and other veterans families of the rules were chan

so that healthcare is delivered more efficiently at higher quality to all americans. the simple fact is that americans are spending nearly now one trillion dollars a year on health care and we are not getting our money's worth and i would argue that you know, the economic theory of the cost disease which you know, so well which points out the difference in service and labor intensive services often uses the example that a mozart quartet being played in the 18th century and being played in the 20th century still requires four people. there's no productivity increase if you're going to play that quartet the problem with the american health care system is if you can imagine that quartet has added people to hold the chairs to hand the violins in and has required the musicians to stop at the third or fourth page of the music to call somebody to make sure they can go on to the next bar. and that is the kind of waste and inefficiency that permeates our health care system and we believe very strongly that if we don't set the kind of very strong goals that we can achieve in bo

>>> coming up, with covid cases rising we ask stanford healthcare doctor if we could be headed into an all macron surge and you can watch that wherever and whenever on any platform using the free news app. >>> welcome back. california lawmakers are looking at a bill you work less hours. it would make the standard work week at 32 hours and not 40 and that would be for some businesses with more than 500 employees. >> we report on that movement worldwide. >> reporter: she works at home for kick starter, site that helps new businesses raise money and now the company is starting its own new project changing the work week from five days to four. >> across the board with the in the company people are happy. >> reporter: she said working 32 hours a week and having an extra day off gives her more quality time with her stepson. >> instead of me coming here sitting down and working and i was here able to come back and watch a movie and give him the attention and love he wanted. >> reporter: this is part of a pilot program with dozens of companies testing this new model for six months. joe o'conno

we talk about the challenges and the need to change in the healthcare industry.uld talk about that for hours but one thing that stands out on what needs to change overall is healthcare. >> i would say for me there is one thing that is unsustainable in the u.s. and patients are paying for their medicine although they have one of the best and most expensive insurance is in the world. >> talking about that for years, nothings changed so what needs to happen? >> things became worse. i think many times to find solutions but nothing happened. io don't think the decision is unsustainable. >> what is next for pfizer as a company, what is on the horizon? >> science andnd breakthroughs. we try to harness the power of science in the most creative and innovative ways possible and harness the power of technology put together with biology. heart disease, metabolic disease, all areas we are working on. there's so much opportunity ahead of us to provide solutions. from january 2019 not knowing how the worldto was going to change a few months later. go out and buy a copy of it be

law 12 years after signing it. >> nothing made me prouder than providing better healthcare and more protections to millions of people across this country. >> reporter: president biden issued executive order directing federal agencies to do all they can to expand quality and affordable healthcare. he also announced a proposed change to the affordable care act to expand coverage and fix what has become known as the family glitch. under the proposed rule, if a work class plan for him the cost more than 10% of the family income, the employee's spouse and children would be able to get help through the aca marketplace. >> working families in america will get the help they need to afford full family coverage. >> reporter: the rule would not go into effect until january of next year. note white house has not said how much it will cost the government to fix the glitch or how to pay for it. estimated that 200,000 presently uninsured americans will gain coverage. nearly 1 million americans will see their coverage become more affordable. in rome and 2022 affordable care act medical plans reache