just one of 60 million people in america suffering from the diseases that obesity brings like hypertensionabetes, high cholesterol. and what i know today, and if the research and trend continues, currently 52% of african-americans are overweight or obese. we are the highest with the obesity rate of any other race in this country, but research is also saying if we do not get control of this disease that by 2035, over 90% of african-american women will be obese and 91% of hispanic men. so i had an opportunity as a school principal to stop the path that my children were on. because what i saw every day, my children were eating tons of cookies and chocolate milk. no one really ate vegetables, fruit. those things went in the garbage. and we didn't do it on purpose but somehow p.e. just sort of left the schoolhouse and no children wanted to really go outside and play like we did growing up. and so i knew god had given me a second chance to get this right, and i went on this mission to change nutrition as i knew it in my school, to rework the curriculum and put an education about nutrition and al

the merger's expected to result in new treatment for hypertension and parkinson's disease. and abbott will gain control of two major cholesterol-fighting drugs. >>> solvay shareholders have enjoyed a gain. >>> beijing is taking a hard look at u.s. chicken imports as the trade spat over tariffs on chinese goods intensifies. china's ministry of commerce is investigating dumping of chicken feet and wings. the move follows the decision by the u.s. to raise tariffs on chinese-made tires for the next three years. steve? >> thank you, julia. >>> portugal's governing socialist party has been reelected for a second term but lost the overall majority in parliament. jose socrates got 70% of the vote. socrates has pledged big-ticket public works projects to stimulate growth and tackle the jobless rate, which is currently at a 22-year high. the prime minister there faces the difficult task of pushing through reform without an absolute majority in parliament. >> translator: this was the victory of a political program of reforms of modernization, and of social justice. this was the victor

churches and community out reach and education efforts to help people understand about diabetes and hypertension. some of those things that are not associated with disease we have to stop doing. >> as for dealing with the flu season, county officials say the layoffs will not stand in the way of getting the flu vaccine to residents. >>> speaking of which, seasonal flu h1n1 and plain old cold germs with the potential for several viruses circulating this season, how do you know what you've got. tonight in living well, a break down of the symptoms. and infectious disease specialist at washington hospital center says the common cold causes a stuff fee nose, body aches and a -- stuffy nose, body aches and a cough. symptoms for h1n1 fever, severe body aches, a dry cough and extreme fatigue. >> some people can get quite ill. they end up in the hospital. >> the doctor says one difference between the two flu strains is who they seem to hit the hardest. young people and kids and pregnant women are more at risk while seasonal flu often strikes senior citizens the worst. >>> now an update for you on the mass

if you have a chronic disease which is where 70% of our health care costs come from, hypertension, diabetes, we don't do a very good job on managing that. what i believe we need to do, the mows -- most important thing that i don't hear enough of from washington is we need to change the financial incentives so we no longer pay our doctors and hospitals and drug companies based on the number of tests you get or the number of prescriptions you get or the number of visits but on the quality of care you get. that's not impossible to do. it's not saying that means you have so socialize medicine and health care. no, you don't. there are companies all around america, there are companies like safeway and delta airlines, large employers that have shown that this can happen. so i just wanted to start with where we are right now and the costs of doing nothing and i wanted to give you my three guiding principles i am looking for that will frame all of the rest of my decisionmaking process on this very important issue. i thank you all for coming. i will turn it back to curry for questions. >> again when

her battle with hypertension since she was 12 recently got in the way for of caring for family. that is dangerously above the normal adult pressure of 1 20/80. >> what can you do with a wet piece of bread? nothing. >> doctors have planted device the size of an ipod into her chest to control ood pressure. >> wires leading from -- >> the wires lead up to the carotid arteries in the neck. the wires stimulate a nerve in the neck. it causes the brain to send out multiple signals to try to bring down blood pressure. the brain sends signals to lower the heart rate by 10 bpm, and relaxes the arteries. the blood pressure is near normal. >> i feel alive again. i can see the things that i need to do. doctors worry that it could increase the cnce of stroke for patients with heart disease. a battery change my need to occur every two or three years. >>> smeo some cancer screenings could lead is a false positive -- could lead to false positive diagnoses. critics say it is because screening tests cannot distinguish between a life- threatening tumor and a benign one. >> you should be screened, b

a recent survey found that exposure to high levels of road noise affects younger people with hypertension. it has less effect on people 80 years old. >>> in new york, jay-z at a sold-out benefit concert. he honored the police and fire officials trying to save les and 9/11. other singers took the stage. the proceeds go to the fire officials and widows. >>> maryland mother accused of killing her two daughters has been accused of killing a third daughter. her 7-year-old daughter was wandering the neighborhood with a shirt covered with blood. the police found the body of the two girls in the freezer. she faces first-degree murder charges. >>> federal, state, and local investigators are teaming up to solve the murders of two virginia tech students. the 18-year-old and a 19-year- old were shot to death on the 15th at a campground of the jefferson national forests, about 50 miles from campus. the task force includes the fbi, the u.s. forest service, and the virginia state police. a federal >>> appeals courts as detainees at abu ghraib prison cannot sue contractors for anything. khaki internation

so i went into the hypertension screening and they were able to diagnose me as hypertense and reef me> reporter: cvs is one of the many mini clinics popping up. in the last nine years they have logged over 3.4 million visits. >> in general, patients come because they often have a wait in their physician's office. they don't have the convenience. it costs more. for simple things, they want to be in and out. >> reporter: the average wait in an emergency room is about four hours. it can take weeks to get an appointment at a doctor's office. but retail clinics promise a short wait and don't require appointments. >> i just found out it was much easier than going to my pediatrician and waiting in line and, you know, sitting there. you could sit sometimes for an hour before they see you. >> reporter: but this system is not without its critics. the american medical association warns these clinics should be closely monitored and should not take the place of primary care doctors. >> the problem for regular care is that simple symptoms don't always mean one has simple diseases. so something like

churches and community outreach and education efforts to help people understand about diabetes and hypertension, some of those things that are not directly associated with a communicable disease, we have to stop doing it and unfortunately those jobs are tied to people. >> reporter: meanwhile the rest of the county government will have layoffs too, for the first time, and 125 jobs slashed countywide and 25 other vacant positions taken off the books, pink slips go out october 2. so how about that h1n1 virus and the health department here? what about getting that vaccine distributed? the health department here and statewide says most of the vaccine is going to go to private provider, private clinics, doctor's offices, and drugstores, et cetera, so the distribution of the vaccine once it comes right around october, when the layoffs happen is not likely to be impacted but when it comes to checking out disease outbreaks or investigators out at the sites to check on disease sites, that takes people and that is certainly going to be impacted by the layoffs as time goes on. reporting live from the princ

so whether you have breast cancer, diabetes, asthma or hypertension, or even just had a c-section oratment, that you had in your past, none of that will be a reason to refuse you coverage under the plan that my husband is proposing. because when you're fighting an illness, he believes that you shouldn't also have to be in the process of fighting the insurance companies at the same time. a basic idea. under this plan, insurance companies will no longer be able to drop your coverage when you get too sick or refuse to pay for the care that you need or to set a cap on the amount of coverage that you can get. and it will limit how much they can charge you for out-of-pocket expenses. because getting sick in this country shouldn't mean you that go bankrupt. that's a basic principle of this plan. and, finally, this plan will require insurance companies to cover basic preventive care. seems sql. seems simple. from routine checkups to mammograms to pap smears and this would come at no extra charge to the patient. so folks like roxy can get the chance to get the kind of screenings that she need

she had high cholesterol, hypertension, debilitating migraines, aches and pains and she made the decisioncision, healthy eating and exercise. >> very true. >> that was it. >> yeah that was it. i educated myself how to live a healthy lifestyle. >> she let exercise take over for a lot of her eating. she regularly runs, and wins, marathons now. >> there had to be setbacks along the way. i'm sure there were times when you didn't feel like sticking with it. how did you pick yourself up? >> i have to remember that it's doable. i have so much faith in him and he gave me all the strength to overcome my weaknesses. i stick with self-discipline. >> big believer in god. >> yes. >> quickly can we talk about di? she ate a lot of protein but it was fatty protein. >> the weight loss boiled down to two major swaps. first swapping out refined white carbs. in rosemarie's culture you eat a lot of white rice. she was eating four to five cups with each and every meal. when she got rid of that she knocked off 2,000 calories off of her daily day. >> her diet today? >> high-fat meats are now gone! no more fried

so whether you have breast cancer, diabetes, asthma or hypertension or just had a c-section or some mentaln your past, none of that will be a reason to refuse you coverage under the plan that my husband is proposing. because when you are fighting an illness, he believes that you shouldn't also have to be in the process of fighting the insurance companies at the same time. [ applause ] it's a basic idea. under this plan insurance companies will no longer be able to drop your coverage when you get too sick. or refuse to pay for the care that you need or to set a cap on the amount of coverage that you can get. it will limit how much they can charge you for out-of-pocket expenses because getting sick in this country shouldn't mean that you go bankrupt. that's a basic principle of this plan. finally, this plan will require insurance companies to cover basic preventive care. seems simple. [ applause ] from routine mammograms to pap smears, and this would come at no extra charge to the patient. so, folks like roxie can get the chance to get the kind of screenings that she needs to save her life,

if i start accepting all these patients with cancer and hypertension and lupus and whatever it may be, well then i'm going to get all the sick people, my premiums are going to go up and i can't compete with everybody else. and so they tell you, listen, if it was up to me, i'd do it. but you need to set the playing field even between all of us. the insurance companies, they may be fighting on a lot of things but they'll tell you that if the government comes in and says that we should all take parent -- patients with pre-existing conditions and we're all living by the same rules, well then that's fair. we can live with that in the end. the fact is that i listen over and over again to our republican friends say that, yeah, we're for that, too, we think we should stop people with pre-existing conditions from being excluded from insurance. well, they had control of this congress for 12 years. they had the house, they had the senate, they had the presidency, they had everything, they didn't do it. they didn't do it. they would have insurers with them on that, they would have the public with

have a particular element that had -- that, had they known this, it could have dealt with this hypertension. instead, he had several thousand dollars' worth of unnecessary tests. a doctor i met with pointed out the order of a cat scan. he had electronic record-keeping in this office he is set up, and a big orange marker said, are you sure if you need this? eight former kasten have been done just two weeks earlier. this is real. -- a former cat scan have been done just two weeks earlier. are we going to do what? no. we are investing in new platforms. i believe other people will build off of them. we were about the necessity in the first 200 days. the next 200 days will be about possibilities. these investments are about more than creating jobs. they are about creating and renewing a sense of hope and possibilities. it is easy to sit in washington and talk about what is and isn't happening. i have had the opportunity to travel the highways of this country. i have crisscrossed on highways and interstate highways in large states and small towns. i have met with officials, business officials, fa

have a particular element that had -- that, had they known this, it could have dealt with this hypertension. instead, he had several thousand dollars' worth of unnecessary tests. a doctor i met with pointed out the order of a cat scan. he had electronic record-keeping in this office he is set up, and a big orange marker said, are you sure if you need this? eight former kasten have been done just two weeks earlier. this is real. -- a former cat scan have been done just two weeks earlier. are we going to do what? no. we are investing in new platforms. i believe other people will build off of them. we were about the necessity in the first 200 days. the next 200 days will be about possibilities. these investments are about more than creating jobs. they are about creating and renewing a sense of hope and possibilities. it is easy to sit in washington and talk about what is and isn't happening. i have had the opportunity to travel the highways of this country. i have crisscrossed on highways and interstate highways in large states and small towns. i have met with officials, business officials, fa

so whether you have breast cancer, diabetes, asthma, or hypertension or even just had a c-section or some mental health treatment that you had in your past. none of that will be a reason to refuse you coverage under the plan that my husband is proposing. because when you're fighting an illness, he believes that you shouldn't also have to be in the process of fighting the insurance companies at the same time. the basic idea. under this plan, insurance companies will no longer be able to drop your coverage when you get too sick. or refuse to pay for the care that you need or to set a cap on the amount of coverage that you can get. and it will limit how much they can charge you for out of pocket expenses. because getting sick in this country shouldn't mean that you go bankrupt. that's a basic principle of this plan. and finally, this plan will require insurance companies to cover basic preventive care. >> first lady getting very personal on the most substantive issues facing the president right now domestically. i suspect we're going to be hearing a lot more from her. >>> in the darkest

whether you have breast cancer or hypertension or even just a see section -- c-section, and none of thatuse you coverage under this plan that my husband is proposing. when you are fighting an illness, he believes they should not also have to be in the process of fighting the insurance companies at the same time. that is the basic idea. [applause] under this plan insurance companies will no longer be able to drop their coverage when you get too sick. or refuse to pay for the care you need for set a cap on the amount of coverage that you can get. it will limit how much they can charge for out-of-pocket expenses getting sick in this country should not mean that you go bankrupt. that is a basic principle of this plan. finally, this plan will require insurance companies to cover basic preventive care. it seems simple. from routine checkups to mammograms to pap smears -- and this would come at no extra to charge to the patient. folks like roxy can get the chance to get the screening says she needs to save her life, because we already know that if we catch diseases like cancer early it is much

consuming too much ireases hypertension and hypertensn incrses the risk for heart disease and stroke.blem many foods are prepared with large amounts of stood -- sodium thus making sticking to your dietary requirements difficult we're trying to follow the efforts to low sodium and the food supply potentially creating ma more healthy options. the effort led by my former home base new york city to create a voluntary program by government and industry that would gradually decrease sodium and packaged processed foods is intriguing and laudable. i am also lking forward to seeing a recommendation of the institute of medicine study under y to examine strategies to reduce sodium intake part of such efforts can form the foundation r national progress provide do think it is truly a historic time for food safety and nutrition i feel privileged to me at the home of the foo and drug administration at this critical time and delighted to be part of a meeting like this that is looking forward to the future in terms of the kinds of programs and policies our nation needso improve food safety and nutriti

i have uncontrollable hypertension. i've already had a stroke. i have a tumor on a kidney. i have three herniated disks in my back. i could go on and on. i've taken care of people in the health-care field all my life. i cannot even go see a specialist. i've been referred to by the clinic. guest: the question is, are you medicaid eligible? in the state you are in, there should be ways for you to be cared for in the system. from your description, you certainly have certain medical issues that should be dealt with in a productive way. -- in a pro-active way. you will be eligible in the future for medicare. unfortunately, you are in this window of time to do need to find out if you can get medicaid benefits. host: we'll have to leave it there. thank you for joining us. that's our show for today. we will be back tomorrow at 7:00 a.m. eastern time you can check out senator max baucus's priz the speaker pro tempore: the house will be in order. the chair lays before the house a communication from the speaker. the clerk: the speaker's room, washington, d.c., september 16, 2009. i he

>> my question for today, is dealing with children and obesity, my son has -- is borderline hypertension'm wanting -- i'm wondering if they have any programs for him available? >> we certainly do, especially if your son is between the ages of 13 and 18. we definitely have a teen program. i can definitely help teens become healthier through healthier food choices, portion control and small frequent meals. if your child is younger than children, certainly our portion control meal replacements could be used by children in conjunction with healthy food choices and portion control meal planning. >> thank you for your call and mike, thank you for your call as well. tammy for being with us this morning. >>> if you would like more information about medy fast and how they may be able to help, gouw tgoto foxbaltimore.com new. >>> fox hit's bones is back for another season. what viewers can expect to see in tonight's premier. >>> president barack obama is bringing the healthcare reform debate to maryland, the university of maryland at coll parentheses have a place but not on your face. smooth those

i have uncontrollable hypertension. i've already had a stroke. i have a tumor on a kidney. have three herniated disks in my back. i could go on and on. i've taken care of people in the health-care field all my life. i cannot even go see a specialist. i've been referred to by the clinic. guest: the question is, are you medicaid eligible? in the state you are in, there should be ways for you to be cared for in the system. from your description, you certainly have certain medical issues that should be dealt with in a productive way. -- in a pro-active way. you will be eligible in the future for medicare. unfortun host: we will have to leave it there. thank you for joining us. >> in a few moments, a latest on the health-care debate. finance committee chairman senator max baucus announced his plan today. you will hear his briefing with reporters and reaction from republican senators. in about 45 minutes, president obama meets with canadian prime minister stephen harper. and after that, fbi director robert mueller testifies about the bureau's role in fighting terrorism. one "wash

so you know, we actually have information where if you look at established risk factors, like hypertension and other cardiovascular risk factors, with you look at the potential magnitude or relative risk of the markers that we're including in this analysis they're similar, they fall in to that one to two relative risk range. some are certainly more, but a few of them are, and so with you present it that way, most of the physicians we've worked with have found this is actually fascinating, because in and of itself, this is not a diagnostic tool, it is sort of a compreheive way to get new information that you might have not other wise know about. >> ok. and the second point is, i really don't see he why you're not -- i mean, i just literally do not understand why you're not functioning as a clinical laboratory when you're doing this, and why you shouldn't be under the same regulatory restraints that a clinical laboratory has to meet. >> we are. we are a clio certified lab. >> yeah. i have realize that. >> and california certified. always in check. >> hi, i enjoyed your presentation as well,

we see hypertension, diabetes, hiv, cardiology. a significant amount of mental illness.robably all of the factors that contribute to poor health outcomes generally. health centers are located in urban areas where historically there has been the lack of access where people are unsure. in rural areas sometimes health care centers are the only access point. we have to become a system of care for a defined population, eventually opening it up as a solution to some challenges right now in reform. the people who come to us, of those there are millions who do not come. that is why i believe health centers can play a very important role in accessing care for patients and getting them connected on an ongoing basis. we need to remember that the health insurance card does not guarantee that you have access. there are 47 million that we're hearing are uninsured out there. bringing them into the system will be the challenge and insurerinsuring that the systemd doctors are there for them. host: what they want to hear as obama addresses the houses? guest: a solid effort toward reform.

have a particular ailment that had they known this they would have gone right to deal with his hypertensionhat was there. instead, he had several thousand dollars worth of unnecessary tests done. the doctor i met with in chicago at a forum pointed out that he ordered a cat scan but because he had electronic record-keeping in this particular office that he had set up and the hospital he was dling with, a big orange marker came up saying are you sure you need this? pointing out that a cat scan had been done at the request of another doctor just two weeks earlier. this is real. this is not fiction. this is not make-believe stuff. this is real. it's consequential. are we going to do it all? no. but we are. we are while priming the economy, we're investing in new platforms that i believe other people are going to build off of. in the first 200 days we were about nessity. the next 200 days will be about possibilities. at the end of the day, these investments are more about creating jobs, they're about crting strong communities and stronger economy. they're about renewing a sen of hope and possibi

is led to a explosion o diabetes, hypertension, back problems, pulmonary disease. you can go down the lt but the way to crete chronic illness in this country is rising at a rapid rate across the board. kids, adolescence, young adults and seniors as well. so w have to reay pay attention in terms of cost containment to a broer toolkit then we traditionally used to really attack this issue o lifestyle but do it in a way that is not punitive, to it in a way thats thoughtful,o it in a way that gives people options about programs that work and if they want to make the change they can. targing smoking and weight is one objective of health reform. to is that if you like it where we spend the money, 75% of the spending is on chronic illness. and indeed in medicare 95% of what we spend up in the medicare program is linked to chronically ill patients, people that have four, five in six different conditions. th irony is medicare is the only program where we do absolutely no care coordination. of any program needing to have care coordination builds into a, working with patients

we see hypertension, diabetes, hiv, cardiology. a significant amount of mental illness. probably all of the factors that contribute to poor health outcomes generally. health centers are located in urban areas where historically there has been the lack of access where people are unsure. in rural areas sometimes health care centers are the only access point. we have to become a system of care for a defined population, eventually opening it up as a solution to some challenges right now in reform. the people who come to us, of those there are millions who do not come. that is why i believe health centers can play a very important role in accessing care for patients and getting them connected on an ongoing basis. we need to remember that the health insurance card does not guarantee that you have access. there are 47 million that we're hearing are uninsured out there. bringing them into the system will be the challenge and insurerinsuring that the systemd doctors are there for them. host: what they want to hear as obama addresses the houses? guest: a solid effort toward reform

whether you have breast cancer or hypertension or even just a see section -- c-section, and none of thatason to refuse you coverage under this plan that my husband is proposing. when you are fighting an illness, he believes they should not also have to be in the process of fighting the insurance companies at the same time. that is the basic idea. [applause] under this plan insurance companies will no longer be able to drop their coverage when you get too sick. or refuse to pay for the care you need for set a cap on the amount of coverage that you can get. it will limit how much they can charge for out-of-pocket expenses getting sick in this country should not mean that you go bankrupt. that is a basic principle of this plan. finally, this plan will require insurance companies to cover basic preventive care. it seems simple. from routine checkups to mammograms to pap smears -- and this would come at no extra to charge to the patient. folks like roxy can get the chance to get the screening says she needs to save her life, because we already know that if we catch diseases like cancer early

with three had a breast cancer, diabetes, asthma, hypertension, or just had a c section, none of thatl be a reason to refuse it you coverage under the plan that my husband is proposing. when you are fighting an illness, he believes that you should not also have to be in the process of the fighting insurance companies. [applause] under this plan, insurance companies will be no longer to drop your coverage when you get too sick or refuse or set a cap on the amount of coverage you can get. it will limit how much they can charge you for out of pocket expenses. getting sick in this country and should not mean you go bankrupt. that is a basic principle of this plan. finally, this plan will require insurance companies to cover basic preventive care. it seems simple. [applause] for routine checkups to mammograms to paps mayors -- pap smears, is to come to no extra charge. she can get the screenings she needs to save her life. we already know that if we catch diseases like cancer early, we know this, it is much less costly to treat and we might just be able to save some lives. we know this. un

the other conditions, hypertension, her disease, are well known. the mental and emotional conditions, i would think we are in -- we are mourning the passing of senator kennedy, one of his lifelong concerns was to achieve parity in coverage of mental health forental and emotional conditions. these take a substantial toll not only on the worker but on the family and we have a long wa to go in terms of coverage. we have a chartn our report that gives you some sense of the magnitude of the various conditions with the high bar being cancer, the lobar, chronic obstructive pulmonary disease. as brian -- bryan said, the exact numbers are numbers with a certain margin of error, and it is not the exact numbers tt count but the magnitude of the conditions. we estimate the 13 conditions we look at could aount for as much as $1.4 trillion in annual costs to the gdphich is a substantial portion of the 2-1/2 trillion that we now spend on direct medical costs. effective prevention and treatment, as steve said, in the debate over health-care reform, there is a subs