children have hypertension and child -- and obesity, something that we never, ever dreamed would happenn this country. >> darren baxt, a lot of the school systems, though, are complaining about the costs of meeting the guidelines. with the money that the federal government is giving them, they say they still can't do everything that's required. what is adding the cost? what's driving these costs? >> >>? >> it's hard kids. it's not something they are having to provide fruits and vegetables, adding the cost but actually, the kids have to accept it, the fruits and vegetables on their tray no matter what, even if they don't want it. they might eat some but they are going to waste a lot of that food. there is a cost there. the problem with the rigid guidelines is that it micro manages these programs to the extent it's very complicated to figure out how to comply with these new standards. so that creates all kinds of costs. there is food storage issues. there is also a need for new kitchen equipment. all of these things play in to these additional costs. and what's happening is that the costs

will see is that they have much higher rates of cardiovascular disease, which includes strokes, hypertension, and much higher rates of type 2 diabetes. in latinos you see really high rates of diabetes and both of these you see high rates of obesity. now, i do want to point out for asians, they have a special risk. asians are at higher risk for developing diabetes at a lower weight, okay, which is very, very important. in other words, some, if you just use the normal body mass index indicators, you will see somebody who looks -- who may be normal weight by our perception, but have actually higher risk for developing metabolic syndrome and diabetes. in china right now there is a huge epidemic of diabetes, huge epidemic of diabetes and we spoke a couple weeks ago at another board of supervisors hearing. we'd be happy to come back and talk a little bit about that. so, it's affecting all, all ethnic groups in san francisco. just going to briefly summarize one of the challenges that we have here. if you look over, if you look over on the right, the sugary sweetened beverages, we know the evidence

visiting a mobile health clinic, maria has had hypertension for 23 years and diabetes for 5.ow much coca-cola do you drink every day? for the family, three liters, she says. three liters a day. one liter a day each person? she says, yes, it's bad. and tortilla and bread. that's what makes us fat. mexico's coca-cola franchise declined our request. but the soft drink companies are not the only culprits in the obesity problem. the amount of shug are in these drinks? >> maybe it's the amount of sugar, but it's the only energy that they consume. they eat or they drink. so no problem. and if they exercise, no problem at all. it's very expensive to buy fruit, to buy vegetables. so they are only eating fried food. >> reporter: with 50% of mexicans living below the poverty line, cost is critical. doesn't it just make it more expensive for the people who can't afford to buy anything else? >> the taxes are only taxing high calorie foods and sugary drinks. all the foods and drinks available that are taxed. >> reporter: perhaps easier said than done especially in a country where locals ev

mental health treatment, you wouldn't he is tate to call if you thought that your son might have hypertensionor diabetes, but you might not want mental illness in her records that follow her from place to place. are we getter? >> we need a major culture change. many people recognize that mental health conditions are common and aren't afraid to call for help. that is getting better. however, what has not gotten better is how we treat mental health in this system. for example, we wait until people are in crisis before we reach out to them and give them help. if you had an heart condition we would have monitored your blood pressure. we would have monitored your cholesterol. we would have stepped in before the heart attack. with regard to mental health we don't do anything until there is a crisis, an episode, that is waiting until the worst things happen. >> how is your son? >> my son is great. after being tasered by the police in another incident he finally got into the help that he needed, and now he helps people who have mental illness. you can provide all these services, but what about the in

you can have normal weight and be at risk for diabetes, heart disease, hypertension, bad cholesterol, all those thing. you do not have to be obese to have the adverse effects of drinking sugary drinks. the a stand for adipose for fat deposition. it's deposited in visceral fat and the liver that leads to the meted boll i can dysfunction. and then there are all the diseases that we now know are independently associated with sugary beverages ~ like diabetes and heart disease. so, the rising burden of disease throughout the -- in san francisco in increasingly due to sugary beverage consumption. is ~ the treatment is to change condition, change sleep and exercise. i want to briefly go through the -- this slide here. in this slide here, this is part of changing -- this is part of changing the environment. this is what we're up against. this is an example of two billboards. in the top is a bill board saying childhood obesity, don't take it lightly. they're communicating to the parents in the neighborhood to take obesity seriously and right below that bill board we see mcdonald's saying, my k

they include many, hypertension, and other examples and so the severity of the mental illness is greater than the chronically men, i have told you that earlier. and you see here, the data that they have around this are very, very involved, and so i really only put out the, and i made a differentiation between the serious medical conditions, needing primary care and serious psychiatric conditions and substance abuse conditions

they include many, hypertension, and other examples and so the severity of the mental illness is greater than the chronically men, i have told you that earlier. and you see here, the data that they have around this are very, very involved, and so i really only put out the, and i made a differentiation between the serious medical conditions, needing primary care and serious psychiatric conditions and substance abuse conditions and also at the bottom, the people that have all three of those conditions and we have a lot more detail if you are interested and how many people are doing the diagnosis and so forth. but, as you can see, the percentage around women and certainly around transgender

they include many, hypertension, and other examples and so the severity of the mental illness is greater than the chronically men, i have told you that earlier. and you see here, the data that they have around this are very, very involved, and so i really only put out the, and i made a differentiation between the serious medical conditions, needing primary care and serious psychiatric conditions and substance abuse conditions and also at the bottom, the people that have all three of those conditions and we have a lot more detail if you are interested and how many people are doing the diagnosis and so forth. but, as you can see, the percentage around women and certainly around transgender women are quite a bit over the general population. and i want to highlight some of our service and programs. and again, these for the homeless women, and the homeless families, and the community behavior health services and so that includes our mental health and our substance abuse programs, they fund quite a few programs specifically designed for homeless women and their homeless families and this is ab

serious diabetes, people that have serious abscess and people that have chronic diseases such as hypertension, and then, of course, injuries as well, we see a lot of injuries and a lot of combination of physical diseases, so it is not, you know, we just have somebody that has diabetes over here might be very over weight, and might also have problems that they are starting to experience and might be in a wheelchair might not be as mobile and maybe much more likely to end up as a problem as well. >> thank you. >> hiv sab absolutely, and hiv related, diseases and aids. thanks for asking. >> and so, after the maintenance of benefits, he want the people to have the ability to not only pay the rent, but also have money to for food and for other things that they may want to spend it on and access to the main nens and medical and behavior health service and substance abuse and life skills housing and harm reduction counseling and many of our sites we have nurses and so they can provide the nurse management and medication management and we have community groups and building social activities sometimes

will see is that they have much higher rates of cardiovascular disease, which includes strokes, hypertension

kidneys long-term solutions would be to improve our diet to help prevent things like diabetes and hypertensione many years. but to allow programs to help to compensate for the more immediate solution there is anywhere from 20 or 25 americans dying every day so while fighting diabetes is long term it is not a media. >> even if compensated organ donation there is the intrinsic undertone of exploitation. the people who are more likely to donate organs that seems to be the case in iran so what about the ethical points? >> that is a good question of but part of what happens when you legalize something you normalizes it. most people who buy and sell organs are the middle class. if you have a black market you have to be very desperate for money to do something illegal and take a health risk to go to the unofficial hospital or those that don't have permission and if you're on the black market that 50 percent of those people were not paid but they were promised so if you have ngos nonprofit charities those people don't get paid. in the united states if you decide to be of the burden of the waiting list

from canadian scientists show sitting for hours in front of a tv screen playing games can cause hypertensionn children particularly those who have at least one parent suffering from obesity. it's not necessarily that children are spending time in front of a tv or playing computer games that are harmful but it might be the amount of time that they spend doing it. in this study children spent two hours or more in front of a screen had increase of blood pressure. that was evident in kids who are over weight. while none of the kids had serious issues of blood pressure a there was a concern of unhealthy snacks, and that has scientists question how their health would proceed. >> me certainly have the environmental factsers that will push them in that direction. if parents are seen to be inactive themselves or overeating and not enough exercise or there is an a lot of fattening food around all the time kids will go in that direction. >> too much screen time may mean too little time spent outdoors. and the average eight-year-old spends eight hours on a mobile phone or in front of the tv. they say it

they're involved in pulmonary hypertension drugs and humanizing big organs.were able to ratchet down r & d. i think they would be spending a lot of money in r & d. how are they doing that? >> what we saw in the prior quarter was there was an uptick in r & d. and you see often with biotechs when they're building up to new drug lineups that you'll see in uptick and they have been doing other things that you don't see doing often including their out in the market buying back their shares when their competitors have to continue issuing stock to stay in business. they're generating about $400 million in cash over the past year. a $4.7 billion valuation. it's trading at about 8% or 9% free cash flow yield. it's trading at an affordable valuation on earnings about 13 times next year's estimated earnings. you're right, it is a biotech but not the typical type of biotech stock or momentum stock a lot of our viewers will think of. >> thanks a lot. you have been burned by the momentums, bk. >> she's picking names that have momentum but have the fundamentals to support t

reason maternal mortality is so bad in the united states is high risk factors, obesity rates, hypertensionmany being diabetes, the action to health care for poor moms is not the same as it is for sort mothers, that is driving that pla maternl death rate up. >> first days after birth, a critical moment, everybody has held a baby in their is arms and had that first day that you want so much and believe. but these deaths, why would that happen? how could that happen in the united states, is it a statistical problem? >> in the u.s. it is a immaturity. some of them are immature deaths. we have the ability to have babies at very, very early term in pregnancy. we try save those babies and a lot of cases we can't. that child mortality statistic if you look at that around the world that's a real indicator of what it's like to be a mother in different countries. >> after we've talked about the natural disasters and the challenges that mothers face in a disaster. >> that's right. if you look at the report this year six of the bottom ten countries and they're all in africa are countries where we have

hypertension, you're really hyperactive and you just want to stay up all night because you feel reallyand then you start dipping. it could be five minutes and you go to another pole. >> $50 on the bag. >> you just -- you just -- i was like, man, i just wanna kill myself. this is ridiculous. and then oh, man, i'm glad i'm alive. but the lithium carbonate keeps you like this. >> our goal is to get people with mental illness out into general population, to have jobs, to go to school and to do everything that everybody else does here. so they're all throughout the facility. >> most of these guys are going to be returning to the streets. not everyone is sent to prison with a life sentence. and with that in mind, i think i would feel safer and feel better about these people going back to the streets with the kind of skills that we can provide them, instead of just opening the doors when their sentence is done and hoping the best. >> there are successful graduates of the rtu program. terry mahler has 35 years left on his sentence for his sex offense crime. he was not able to function in gener

, long-term solution would be improving our diets and helping prevent things like diabetes and hypertensionomething like allowing a program that would help compensate living donors is more of an immediate solution that would help save lives now. because remember, i said there's anywhere from 20-25 americans dying every day. so while fighting diabetes is certainly a long-term solution, it's not an immediate one. >> so even if compensated organ donation systems were put in place in this country, there's going to be some kind of intrinsic undertone of exploitation because the people who are more likely to donate their organs are those in financial need, i presume. and i think that seems to also be the case in iran. so i was wondering if you could just comment on the ethical points of that. >> no, that's a very good question. but part of what happens when you legalize something is you normalize it. and actually in iran the most people who -- the most people who both buy and sell organs are the middle class. if you have a black market for selling organs, you have to be a really desperate person,

. >> hypertension, cardiac failure, also diabetes. >> reporter: and medical director doctor mpunda tharcisse first year of operation, the hospital has treated more than 1,500 cancer patients. >> this is the cancer ward >> reporter: so this is the only place in rwanda where people without means, poor people, can get treatment for cancer? >> that's true >> reporter: for the first time patients in a public hospital are able to receive chemotherapy. for now the expensive drugs are paid for by partners in health. it means a new lease on life for patients like four-year-old yvette, being treated for kidney cancer. and for bernadette, a 35-year- old mother of four, who underwent a mastectomy for breast cancer. >> ( translated ): it was very difficult then they first told me it was cancer, because in my mind, cancer meant death. but the doctors were by my side, they kept telling me things will be okay. i thought i was going to die after the operation. i had bad reactions to the medicine, i had pains in my chest. but now i'm living a new life >> reporter: her a new life might be a metaphor for the ne

they have terrible hypertension, lots and lots of heart disease and cardiovascular disease and terribledepression, as well. and they have a very difficult time assimilating to life here. the clinic also serves several thousand homeless people. ana zeledón friendly: we have a special program where our homeless are able to walk in on a daily basis, and we have slots available for them so we can see them right away. susan fleischman: i think most patients are nervous the first time they come here. they clearly don't know what to expect. i don't know how they've heard about us, maybe from a friend, from a family member. i think they're nervous about the quality of care. i think they're nervous language-wise... "will there be someone there who speaks and understands my language?" they're worried about whether we're going to call immigration. they're worried about whether coming here will affect their children's ability to become u.s. citizens, so there's a whole host of worries. elizabeth benson forer: we try to make it so that it's easy for them to get care. it's as simple as really writing

just having it more embedded the way we treat hypertension, cholesterol, the management of diabetes. having it be part of services. >> i want to just add one more thing before i close up here. that is, issues raised about premium cigars. then i read somewhere about more and more kids are smoking, not what you think as a cigar they're like little cigarettes but they're wrapped in cigar paper. they're little small cigars. those are also being flavored too if i'm not mistaken. there's a clear distinction between that and premium cigars. you said to me you're working on a rule how you define what a premium cigar is. i don't know what it is either. i just hope there's delineation. >> to your point on flavor. the only flavor that's in there is tobacco. >> well are there primary cigars? >> we're proposing only flavors in the tobacco -- >> i know it when i see it. you know premium cigar when you see it. >> it's hard for a regulator to take that approach though. >> very true. i appreciate that. >> i could just add a word or two around that. i would want to make sure that we emphasized the rea

research to show what those differences look like when you look at some of the more -- diabetes, that hypertension, episodes of newborns and deliveries -- to those things kinds of differences hold up when you look at sub groups of the bread and butter? the other part of the question, whatever those differences are, what are some of the unique things were what i might be distinguishing that they do versus all of the other providers in the system that they might be able to say, hey, we here to take down the toughest cases in the biggest challengers. >> sure. your mentioning we did a study that compares users and non-users. that has to control for a wide yes, we understand some of his diabetic or someone who has heart disease i be more expensive than someone who is in good health. we try to control that. even after average adjusting for insurance status. to the extent possible, we try to make it very simple. here's the overall average impact. i can't say that we did on a disease basis. nonetheless, we're trying to control to the extent we could. why they do this, they do not necessarily fill in all o

since the conference on food nutrition and health issued recommendations highlighting sodium in hypertension. it has been four years since a report was released saying the fda use their authority to require organizations to reduce the sodium. despite over a 100,000 lives could be saved annually if the sodium levels were cut in half, inaction continues. your nomination is an opportunity to reset on this critical health issue and i hope she is right given the health potential, how will you work and commit to work on turn the side on the issue of sodium reduction? >> senator, the issue of sodium reduction in the broader issues of things we consume and how they affect our health, i think there are two things in thinking about them as a priority. the first is making sure people have the right information. having bent part of a large grocer in my last role, when one works on nutrition and healthy eating, which was something the great for you label at walmart was introduced and on products that tell people. one is about the information and people knowing what works and doesn't in an easy way. when

food, nutrition and health issued remgtss highlighting the role of sodium in the development of hypertensionbeen four years since the institute of medicine released its report recommending that the fda use its regulatory authority to require industry to lower the sodium content in our nation's food supply over time. and, yet, despite the fact that upwards of 100,000 lives could be saved annually if sodium levels in packaged and restaurant foods were cut in half, inaction continues. in the same article dr. henny points to your nomination as an opportunity to, quote, reset on this critical public health issue. and i certainly hope she's right. given the extraordinary public health potential, how will you work and will you commit to work to turn the tide on this issue of sodium reduction? >> senator, the issue of sodium reduction and the broader issues of things that we consume and how that affects our health, when we think about those issues, and if i'm confirmed i think there are two things in thinking about them as a priority. the first is making sure that people have the right information.

the va does a very good job of chronic care and things like controlling diabetes and hypertension.and especially where in sparsely populated areas. and that's where something like a vetacare system that -- a vetacare card that senator mccain has been pushing that would be valuable especially for people in remote areas where it's hard to find any hospital that's appropriate, let alone a va one. >> dr. sam foote, thank you for coming forward. we have to get lawmakers to act on it instead of just complain about it. appreciate you being on "new day." >> thank you very much, chris. >>> the good news is the doctor has been vindicated by the reports. the bad news is, his information was right. got to fix the system. >> absolutely. and that couldn't come soon enough. chris, thanks so much for that great interview. >>> let's look at your headlines at 37 minutes past the hour. edward snowden speaking out on defending his actions. snowden telling nbc news he was doing his patriotic duty leaking classified documents. he said being a patriot means knowing when to protect your country and your c