-- to reduce the cost of health care? is it to improve the access of health care?s it to have better quality of health care? maybe it is all of the above, or additional things. where we how we get there. what in fact is the process to get there. as you look at the history of america and our tradition of a free market system, free market competition, individual choice and making those decisions,in coupled with individual responsibility some are concerned that we're moving away from that. >> yeah. >> and so why, if we think historically that free market competition, individual choice and opportunity has given us the best products, the best service and the for the most people at the lowest cost, why do we seem to be moving away from that and think that somehow in health care it is a different animal? so that is a philosophical question question. i'm anxious to hear -- >> governor, governor, it is the question of the nation right now. so you put it really well and i have a couple of thoughts. first of all, you're right about all the comparative information. some of the

his fault, but if he does something to control health care premiums and health care costs, then it's a drag on the economy. in the long run, the truth of the matter is that if we get health care spending down, really just a transfer payment within our economy, then we have the room to spend more money on much more necessary investments in our infrastructure, in our scientific edge over other countries. so i am here to say that i support the underlying bill because i think it's the right thing to do for women in this country, but also because it is part of a growing success story of the affordable care act. $500 million saved on prescription contraception alone, but add that to all of the other evidence and we're living in a world in which it is increasingly hard to argue that the affordable care act is working. millions more people covered. huge chunks out of the uninsured rolls being eliminated. costs for overall health care expenses decreasing. and i won't even get into it this afternoon, but quality improving as well. less people having hospital-acquired infections, having to be r

the other concern i had was -- and i still have is basically the mental health services, mental health in general has been underfunded and it's been cut for years and years now in california. and one of my concerns really was we have this law, but if you don't have the services or the resources to provide the services, then what's the point? and i've been assured that there's at least for the [speaker not understood] people that might be impacted by this law, there will be services. and what i like about this whole discussion is that people are realizing that we are underfunding mental health services in general and people that want to voluntarily seek services can't get it at this point. so, i'm hoping that as we move forward in the future we have a much more robust discussion about how do we strengthen the mental health system in san francisco. i also look forward to robust discussion on the evaluation of the program and its outcomes in the upcoming years. as supervisor campos pointed out, we're asking for annual reports and i think it's the right thing to do to monitor and make sure

this is a significant public health measure. we want to make sure that it is fully vetted in all of it's complexity and all the different policies that implicated before sending it to the voters. i appreciate the time and resources this committee has invested in this measure. colleagues as you recall from previous hearings, this public health measure will make san francisco hopefully berkeley as well as they are also going to the ballot on this issue and first in the country to adopt this measure which will help us to reduce couples of soda -- consumption and other soda as that are contributing to diabetes and other health risks caused by this product. this will generate 10s of millions of dollars that will be legally dedicated because it's a special tax, legally dedicated to nutrition programs with 26 percent of the funds goes to the san francisco unified school district to support the lunch school program, physical ed and the like, 25 percent will go to our parks and recreation department for the sole purpose of expanding acti

access, health water bottle filling stations, oral and dental health, another 25% for community and physical activity. 40% to the san francisco unified school district, school lunches and breakfast, nutrition education, physical education and sports programs; and 10% for community based health and education programs. all of the funding, every single penny will be guided by an accountable community and professional members on a steering committee as well. in conclusion, shape up sf and grass roots community activists say there are three prongs in strategies to counter unhealthy foods and drinks. one is education that this soda tax will help to fund. the other is reducing the consumption of harmful beverages and foods, which this soda tax will help to reduce by significant amount. and lastly, it's about increasing access to water and alternative to sodas and harmful drinks and i think this soda tax achieves all three of those prongs, but it's one part of a broader effort in our city to encourage healthier eating and drinking in our city. it's a combined imfasz increasing access to hea

i have another example of health disparity. this is using cavity and oral health which shows that higher rates of cavities and oral and dental problems occur in many similar areas but also very different than diabetes. the data from this one comes from our department of public health. we have color coded this one so you can see there are key neighborhoods not on the in the key part of the city but particularly where there is areas of large immigrants and like chinatown and polk and large number of chinese and immigrants live as well. i think the keypoints i'm trying to make that this soda tax campaign is about equity and addressing the needs of our communities. the $30-50 million that supervisor wiener said that this soda tax would generate would go to the schools and programs for help in the schools and lunches and healthy nutrition, 25 to parks and 25 percent to department of public health in our city and with an a competent approach to raise awareness and reduce the harmful beverages and foods as well. the last point i want

health care. health care is a big deal to everybody. health care is a form of payment or compensation for employees. should employees' religious belief be able to dictate how you spend your paycheck and your days off? of course not. so why can we let bosses decide something so personal and so private as the use of contraceptives? last week senators patty murray and mark udall introduced the not my boss business act to fix the hobby lobby decision. this legislation would make it illegal for any company to deny specific birth control. the udall bill allows it. the decision to use birth control is private, and it should be. and it should not be subject to the personal or religious beliefs of some corporate boss. otherwise, where is it going to end? as justice ruth bader ginsburg stated in her dissenting opinion -- and i quote -- "with the expengs extended to the employers with religiously grounded objection to blood transfusions? antidepressants, medications derived from pigs. and there are medications derived from swine that help people g

health care in our states.hatever changes might be on the horizon, we can be certain governors will be dealing with them because a lot of what we do has to do with dealing with health care. in tennessee we launched a statewide initiative to better reward patient-centered, high-value care. over the next five years, tennessee health-care initiative will shift health-care spending, public and private, away for -- from fee for service to three outcome based strategy. the first is an episode-based strategy for discrete events such as a joint replacement or pregnancy. the second strategy focuses on identikit transformations that encourages prevention, coordination of care across providers. the third incorporates other value based payment services. with these efforts, it is our hope that tennessee will be at the forefront of a national trend that is expected to gain momentum in the coming years. many governors are implementing or considering similar statewide multiplayer initiatives -- multi-payer initiatives to assis

health care in our states. whatever changes might be on the horizon, we can be certain governors will be dealing with them because a lot of what we do has to do with dealing with health care. in tennessee we launched a statewide initiative to better reward patient-centered, high-value care. over the next five years, tennessee health-care initiative will shift health-care spending, public and private, away for -- from fee for service to three outcome based strategy. the first is an episode-based strategy for discrete events such as a joint replacement or pregnancy. the second strategy focuses on identikit transformations that encourages prevention, coordination of care across providers. the third incorporates other value based payment services. with these efforts, it is our hope that tennessee will be at the forefront of a national trend that is expected to gain momentum in the coming years. many governors are implementing or considering similar statewide multiplayer initiatives -- multi-payer initiatives to ass

of our city and the health that should be - the public health policy based on science and policy and not on corporate influence. this measure has been brewing for years in san francisco and elsewhere as well but in san francisco so many advocates for food access for public health and education have between working on this a long time it's time to move forward to address a very real and tangible issue that a certain type of product sugar sweetened beverages are helping to fuel the type 2 diabetes and other diseases in our population. the science in the are you if you believe the link in a way the sugar and in liquid form it absorbed into the body and the diseases it leads to. we know the business model is to encourage drinking soda and other sugar sweetened beverages in moderation we know their business motto speaks louder than those words. over the years the sizes of soda containers increased the pressure to buy 12 packs and get bigger and bigger big gullible we know that is the business model and that is a significant factor in the exploitation of type 2 diabetes in our in addition,

i have great faith in our department of public health. but i don't think it ever hurts to have an outside mutual third-party lens look at our data and make sure there aren't disparate impacts on a variety of different communities. and, so, what i'd like to offer is a motion to add to page 10 line 12 that the department of public health shall have an external evaluation performed of the alt program to evaluate the efficacy of the program, including but not limited to collecting and analyzing information regarding the demographics of referred individuals and the cost of the program. and the reason, the other reason why i wanted to add this amendment is this is specifically silent in the state legislation on laura's law. no state mandate to collect demographics of the clients they referred and i think it is important that if we are going to have this annual evaluation of the board that we are able to be able to collect that data. >> supervisor yee? >> so, just for clarification, supervisor kim, in terms of outside evaluator, would you be ask

health care in our states. whatever changes might be on the horizon, we can be certain governors will be dealing with them because a lot of what we do has to do with dealing with health care. in tennessee we launched a statewide initiative to better reward patient-centered, high-value care. over the next five years, tennessee health-care initiative will shift health-care spending, public and private, away for -- from fee for service to three outcome based strategy. the first is an episode-based strategy for discrete events such as a joint replacement or pregnancy. the second strategy focuses on identikit transformations that encourages prevention, coordination of care across providers. the third incorporates other value based payment services. with these efforts, it is our hope that tennessee will be at the forefront of a national trend that is expected to gain momentum in the coming years. many governors are implementing or considering similar statewide multiplayer initiatives -- multi-payer initiatives to ass

department of public health. the rams contract is one of our largest barth health programs for children and adults. and we have the director for both children and adult mental health here if you have question about the contract. we have reviewed the budget analyst report and we concur. >> okay, thank you very much. seeing no questions right here -- supervisor mar? >> actually, i see an amended version of the resolution that [speaker not understood]. i know the great work that richmond area multi-area -- i used to be the receptionist there in '84. but i think this is really important in supporting children, youth and families, but also adults. could you talk about the amendments? >> the amendment basically reflects the budget analyst report which took the prior year budget and it reduce it had to the actual expense. we're in agreement because we didn't spend the money in prior years. budget going forward is as we requested so we're in agreement. >> thank you. >> okay. mr. rose, can we go to your report? >> yes, mr

it drives up the cost of health insurance policies. in a very narrow sense the claim you can keep your plan if you like it is completely false. more central to the discussion today, i think, our plans that have incorporated some of the more popular provisions like the ban on adjusting for pre-existing conditions or the lifetime reimbursements, the annual limits. the plans that are still being used and paid for. first of of want to note is no i think everyone realizes that the individual market millions of people who start out buying insurance they're received cancellation notices that may bear up -- their way will be as many as 9 million people losing the plans they had. it does not stop there. many of those plans will change or disappear as well. of these covered workers about 18 percent work for firms other smaller than 50 employees and will not be subject to the employer mandate. in total is about 35 to 40 million covered workers in small group plans. the remaining 130-1 are and 35 million workers work for larger employers. all of t

parts of the health-care system are now financed by state funding plus revenue from health insurance.ister of health, agnes binagwaho, explains how health-care services are now being used by well over 80% of those insured. >> we have made progress. people have more uptake of health services and of innovative tools we are providing. like vaccination, etc., family planning. but we still have a long way to go, and i prefer to focus on what we didn't achieve than what we have achieved, because we still have a long way to go. >> rwinkwavu in eastern rwanda is a case in point. the local hospital is now less dependent on foreign aid. the american ngo "partners in health" helped to build the facility. the wards' capacity has increased to 110 inpatients. but most work here is now taken care of by rwandan doctors. partners in health still sends regular donations, however, to ensure ongoing improvements to the system. >> it helps the population, bringing health care and also social support. even the community support them to help them be more financially capable. some patients were poor, but the

intellectual health, you need a family, you need a community, and you need spiritual health. those are the targets we look t at at the volunteers of america, and one thing we're trying to push out is a lot more recreational type activities that bring people together and help knit the fabric you're pointing out. >> you see the great value in that and i appreciate it. i yield back. >> thank you very much. mr. o'rourke, five minutes. >> thank you, mr. chairman. i also would like to thank the panelists for their testimony today and their service to our veterans throughout the country, and as i represent the veterans in el paso, i would also like to thank before plbrit aain who se a command center there, and most importantly in talking with veterans, it was very successful. so i want to thank you. i want to thank dr. mccarthy. she mentioned the mobile vet center and other resources that are being directed to el paso, all of which i think should tell us that we had a problem in el paso that we're now be lalatedl trying to correct and fix. and during that time when especially access

on sugary health drinks and health. i have that had opportunity to speak with card iologist and other professionals and having to get clear answers and learning options. the hearings represented never a sign of arrogance. you have provided the transparency and shown respect to us in how best to improve our health. the data used in the legislation has been produced and collaborated by well-known and respected health and academic institutions. there has been one clear message in the care about our health, today and tomorrow and to the future. you will not pick up your marbles and leave. if you do it is because san francisco will be the catalyst in successful if the passage and other cities will be seeking our impact, input, knowledge and support for their own initiatives. in conclusion, again, i, my family, friends in my communities thank you for involving us in this very productive and essential legislation. what a great legacy to leave. as i se"si se puede". >> >> good afternoon, everyone. my name is brittany and the di

we always had great health care coverage. and now to be on the other side of the fence. it's mind-boggling. i never imagined myself in the position that i'm in right now. >> when he passed away do you remember how much you still had in medical bills at that point? >> well over a hundred thousand. it was quite an ordeal >> in a fairly short amount of time, you went from a couple where he owned his own business, you had a job, you had a retirement fund, you were saving for... >> we had just built a house. we literally had a house built. >> and in a fairly short amount of time you went from that to... >> rags. riches to rags. by the time barry passed away, denise was bankrupt. then she was diagnosed with breast cancer. >> and being indigent, i'd be completely on the streets without my parents. with the help of charity and her parents' retirement savings, denise had a lumpectomy-but her health problems didn't end there. >> before she even got the cancer she had had three fibroids removed, one as large as the size of a softball. and now, recently, we took her to the hospital

she lost her job of 20 years and with it, her health insurance. she has a life-threatening heart condition following three strokes. >> i walked out the door and just all my breathing stopped. and they called 911 and got me to the hospital. one minute i'm breathing, and the next minute, it's gone. i ended up over here. >> janet was hospitalized multiple times in the more than 2 years she was uninsured. >> do you know what kind of bills you are looking at here? >> thirty, forty thousand dollars. >> and do you have a way to pay that much? >> nope. not at all. but like i said, you have to do what you got to do. when you can't breathe, you really don't care. you know, all you can think of is get me some oxygen. i need some oxygen right now. >> janet eventually enrolled in a private plan through the affordable care act. but it came too late for the staggering bills she'd racked up while uninsured. >> who ends up paying the tab for uncompensated care? where do they get their money? they get their money from our property taxes. and when conservatives argu

with improved health care the entire health care system to expand the options so all patients have a health care that meets their needs but unfortunately for women this access comes under attack under the last 40 years politicians have been increasingly chipping of way that constitutional rights guaranteed under roe v wade that women have their own personal health care decisions to have access to the goal care and since that land mark decision since the highest court to ministates have tried to turn back the clock with quality care and in just the past three years enacting a total of 205 provisions that would restrict women's access to safe abortion services 13 states this year have been working to erode women's freedom and have already adopted 21 new restrictions designed to limit access to abortion. in my home state of wisconsin we are now ranked as one of the worst dates when it comes to women's reproductive rights things to the restrictive measures enacted by eric governor and legislature last year the governor signed a measure for women that were already required by the law to m

maybe the government doesn't require mental health coverage, and if you can offer that mental health coverage of equal value to something that your faith leads you to believe you shouldn't be part of, the bill that most democrats in the senate voted against had that provision in there. this is not about your pocketbook. this is not about what something costs. this is about whether or not the government's done everything possible to accommodate people's deeply held religious beliefs. the first freedom in the first sentence in the first amendment to the united states constitution mattered when it was put in there, it mattered when 16 or so of the current members of the senate voted for the religious freedom act, it mattered when ted kennedy and senator moynihan put this exact same ability in the health care laws they proposed less than 20 years ago, and it matters today, and i hope that we move on to solving problems based on the real facts rather than continuing to talk about facts as my friends would like them to be rather than facts as they really are, and i would yield back. ms. ca

i did not receive overtime pay or paid sick leave or any other health benefits including health care security ordinance. and when i started working there i was not informed of any of my rights as a worker, and in fact it was not until a few weeks into my employment that i learned that i had these rights through my coworkers. so, because i what in fear of losing my job, i stuck around to work at this workplace for over a year and it was by chance that i had learned that san francisco had the office of labor center enforcement and it was through the chinese progressive association, through their help i was connected up with compliance officer robin ho and they helped me work with my employer to come to a settlement. so, through, you know, working with robin at olrc we were able to come to a settlement, but it was not before i found out through the newspaper that actually the restaurant had got their health license suspended by dph so i would just say i was lucky enough to be able to get all of my back wages back and thanks to the work of olrc and i would just say that i encourage the b

the health reform changes and health insurance coverage. and my friends across the aisle have wanted to tout that as being something to prove their point. i think that it is important, though, to go in here and look at how the authors came to the conclusion that 5.2% more had insurance, that there was a decline in those without insurance from september 2013 to june of 2014. and then the authors mentioned the limitations of their study. they said that the study did not distinguish between persons enrolling for the first time and those changing their enrollment and i really wonder how many of those that had to buy more expensive policies, new policies that were obama care compliant, how did that affect that number. and the authors measured improvement in access to care by asking two questions. first, did the survey participants identify a personal doctor and did they report difficulty paying medical bills? well, it seems to me a more important outcome measure would be whether a person was actually able to see the doctor because in our distric

article 33 is in the health code this is the health issue. and the remits in article 33 are pretty state your name for the record and the majority of those concerns health issues for example, does the dispensary operate a growth on site do they intend to allow smoking within the facility do they summit american people accurate security plan those are all health related concerned that can be traced back to the state law the com pack at act you have the director that heard in this matter from both appellant here today as well as the party of interest you've heard from the members of the public he had before him the paperwork submitted by ms. michelle who was seeking to become the sole owner on the permit and he granted the change of ownership. this demands of commentary papers and forged signatures there's no dlagsdz before you that anything was forged the whole discussion about the suspension of the permit as a result of the fire in the discovery of load firearm back in 2007 that is indeed old history. the suspension was issued for thirty days

with of mental health care? >> even at our facility, a seattle is so large building not laid out very user friendly and myself i have a dramatic brain injury i have overcome of fairly well. i get lost and confused in that plays pretty bad and not a lot of people to direct me. i get better service at best buy frankly. some trading would go along way. but the senator closest to me is from many buildings the numbers do not even make sense. i am told to go next door but 61 is across the campus and the numbers make no sense and there is not a lot of people to help guide or navigates of confusing situation. so to recognize who the audience of the veteran is to make an environment conducive to healing would be a start. as i discussed earlier. i keep bringing back. it takes to get him to go beyond surface level issues. i go to a tree eyes myself on active duty in the infantry and if you went to the sec hall you were a was saying got crap for its. so we don't go to six hall of messages debilitating in nature in the stick

unions and health care. >>> taking stock. investors close the books on the month, quarter and the first half with the s & p 500 notching the second best quarter gain since 2009. we have all that and more tonight. it's "nightly business report" for monday, june 30th. first half of the year is already over. good evening, everybody. i'm in tofor tyler mathisen aga. >> we begin tonight with general motors and its widening safety crisis. the automaker stunned consumers and investors today announcing another huge recall and this one involves more fatalities. gm is recalling over eight million vehicles, all in the u.s., after defective parts linked to another three crash-related fatalities. now this brings the total number of recalls to 28 million vehicles worldwide. just for this year. now on top of that, gm also said it would increase the second quarter charge to earnings to $1.2 billion to help pay for all those recalls. the surprising news came on the same day that gm laid out the plans to compensate survivors and the families o

and health all those things that keep homelessness as a part of people's past we're privileged to work with mercy and the city on this project >> i want to see it was important for mayor ed lee to meet one of the families moving in so i want to introduce this lady she'll be joining the mayor with the tour and she's she's representative for one of the families and olsen lee and barbara smith who is leading the san francisco housing authority. so let's take our tours >> good afternoon, everyone. welcome to the board of supervisors san francisco budget & finance sub-committee for wednesday, july 9, 2014. my name is mark farrell i'll be chairing this committee i'm joined by supervisor john avalos and be joined by sxhooifr i want to thank clerk linda wong as well as jim smith and jonathan madam clerk, any announcements? >> yes. phones, pagers and similar sound-producing electronic devices are prohibited at this meeting. copies of the documents should be submitted to the clerk items on today's agenda obey e will be in the next meeting. >> thank you very much madam clerk call item one. >> the

this is affecting the health needs and the health care of individuals and families, and, mr. president, we need to do something about it. i thank senator johanns for letting me tell these two stories before it was time -- before he took time to speak. mr. johanns: mr. president, thank you. i was here during the days when the affordable care act was being debated, if you can call it there. i was here during the time when the effort of senate democrats was simply to keep 60 together so they could pass this bill under any circumstances. there were all kinds of promises made as to what this bill was going to do. president obama himself, when he talked about his plan for health care, said, i'm going to reduc reduce -- my plan's going to reduce your premiums by $2,500 a year. but i could go on and on. i could spend the whole afternoon talking about the promises that were. now it's time, though, to take stock and determine whether those promises were, in fact, kept the people of our states tell that story. a nebraskan from the central part of the state wrote to me recently and said

women's health program, dozens of health centers that didn't provide abortion services had to shut down because they served low income women and they didn't have the funds to continue. >> there was a story out of houston the other day that there's now an underground railroad for women seeking abortion services. >> absolutely, i think what we're seeing is pre-roe activities now of women trying to figure out how to get around the country because there are increasingly states where you may have a legal right to an abortion, but effectively you have no access. in texas it's really in some ways the test case for all of these restrictions. we're going to, i think, this fall by september when all of these regulations come into effect, we'll see in a state as large as, that's as large as the country of france there'll be seven, probably seven health centers left in the state of texas where women can access a safe and legal abortion. >> down from what? >> oh, dozens. but i think the thing that's important, bill, is that it's far beyond that. because the impact is certainly on the ability to acce

mentally health funds are lack but this is not the sleuths i'm wondering how many of the hyde street clinic patients will be facing the same situation in the dialyses pashtsd would have faced if we were relocated at laguna honda they'll get various levels of mentally health care gathered around town increasing their transportation and the burden they face getting before and after for appointment. i think this clinic needs to be more centrally located why they're getting other services and beyond a fragile neighborhood thank you. >> other public comment josh. >> good evening. i'm also a tenant at post and polk i'm a few blocks and a community health care worker additional familiar with this organization they'll providing mental health services people coming to see their psychiatrist next to a hospital that already provides mental health services i don't expect my neighborhood will notice those people interest there is a wall walgreens across the street so if there's an issue of medication there's a walgreens there. i've lived in this neighborhood nor 20 years i've been doing outreach

-- to reduce the cost of health care? is it to improve the access of health care?is it to have better quality of health care? maybe it is all of the above, or additional things. where we disagree and the divisiveness is how do we get there -- what is the effect of process to get there? as we look at the history of america and our tradition of the free market system, free market competition, individual choice in making those decisions coupled with individual , some arelity concerned that we are moving away from that. >> yeah. >> so, why, if we think historically that free market competition, individual choice and opportunity has given us the best products, the best service, for the most people at the lowest cost, why do we seem to be moving away from that that is a philosophical question and i'm anxious to hear you. governor, it is a question of the nation right now. couple of thoughts. first, you are right about all the comparative information. is so the reasons utah successful is because they have systems such as the intermountain system, which was one of the earl

health care spending. what's happened since that point is that we have observed, everyone observed a great slowing in federal health care costs and in private health care costs, as well. we and others have done a great deal of analysis trying to understand the sources of that. it's hard to know exactly what's happening, but we think it's been appropriate for us to substantially reduce our projection of federal health care spending in the next ten years by more than $1 trillion and by quite a bit in the more distant future. judge, would you say that affordable care act is part of the reason that deficit has dgoe down or is it totally explained because we had a recession? >> we don't think it's totally explained because we had a recession. how much role it played there isn't consensus around. affordable care act did specific things to slow health care spending in some programs. it reduced the rate of payment updates in medicare. that is directly holding down medicare spending. also pushed up health care spen

, they will get that health care in the health service, but they will get that health care in a timely manner. and, madam president, that is going to be an expensive proposition. you cannot provide health care to tens and tens and tens of thousands of veterans in a short period of time outside of the v.a. without spending a substantial sum of money. number two, long-term what is clear to me and i think to anybody who has studied the issue is that if you are serious about eliminating these waiting lists and getting people into the v.a. in a timely manner, we have got to make sure that at every facility in this country, the v.a. has the requisite number of doctors, nurses, space and other types of personnel that they need in order to accommodate the growing numbers of people who are coming into the v.a. and if we are talking about hiring thousands of doctors at a moment by the way where we have a very serious doctor shortage in this country, that is going to be an expensive proposition as will hiring the nurses and the other personnel and building or leasing the space that we need. that'

the health care system today is better for everybody.verybody is better off with a functioning individual market. costs are coming down and over all the democrats have to do a better job at leaning into this and making the case that the big thing they pushed made health care interesting for everybody. >> one of the interesting paradoxes is there's high levels of uninsurance in places where there's endangered democrats. for example, louisiana, where mary landrieu is running for election, and the affordable care act is unpopular, where david prior in arkansas and the affordable care act is unpopular - yet there are high levels of uninsurance and underinsurance in those states. how come democrats are not deciding to run hard an the access. >> in some of those states it disappeared as an issue. this is clearly - the republicans basically bet the farm in this would deliver the midterms as in 2010. it hasn't panned out. despite it being a tough year for the democrats. they don't have a national narrative. health care is not a major creditor pa

it is not health care.reference the supreme court, and dilation and extraction abortion which revisits the majority of abortion procedures in american is a generally gruesome as part, partial-birth abortion. this abortion procedure -- these abortion procedures are the most common for abortions performed in the second trimester of pregnancy with the unborn child is literally torn apart limb by limb. in considering this and the many health care risk that can occur as a result of abortions, i strongly urge you to reconsider advancing senate bill 6096 and any other effort that would undermine current laws that exist to protect the health and well being of women and unborn child at the federal level, state, local government level. thank you again for the opportunity to be here today and i yield back. >> thank you, represented black. congresswoman chu. >> thank you, general blumenthal, recommend aggressive and committee members with the opportunity to testify today. every woman should have access to affordable an