there is a paradox between the institute of medicine report in 2003 which documented all of these things. the fact that the organization that certifies all medical schools in the united states, they have a key educational directors to try to address this. this is not a hit in thing. -- they have two educational directors to try to address this. if you ask people on the street, they don't know about health care disparities. that is one reason why i wanted to get this known to the public. some doctors don't really known. -- don't really know. some of them are defensive. some don't realize this is sequenom. there is a paradox i cannot explain. i wish i could. -- some don't realize this is going on. >tavis: what have you seen in your career that has sensitized you to this issue that you dedicated your life to this? what have you seen or experienced that made you have to do this? >> i have had my career and orthopedic medicine. that has been my primary role in life. since i was a youngster growing up in memphis, i cared about issues of race, discrimination. i wanted to make whatever contribut

dividends in the form of ground-breaking research to improve our research and disease preventive medicine approach. of course, i want to thank bob klein and the california institutegenerative medicine for the significant investment in this facility and also as a reminder that it was day in 2005 that shows san francisco for its headquarters and helping and making san francisco the global center of stem cell research. uc san francisco has been a trailblazer in stem cell research for more than a decade. the opening of san francisco's regenerative madison building affirmed san francisco's place as a leading location for life science research and advanced regenerative medicine. the road center of regenerative medicine and stem cell research will drive innovations that will spin out new companies, creating new jobs and economic activity here in san francisco, in the region, and in the state. we have already seen the important role that ucsf has played in mission bay. as you will all recall, simply seven years ago, we only had two biotech and life science companies in the city. today, there are 74 of those companies located in our city. that is a great testament to this

the institute of medicine, in 1999, reported, after exhaustive digging through mountains of data, about 40% of health-care spending is wasted on unsafe or ineffective care. this was -- it goes up and down from place to place, but generally, nationally it was about 40%. in that 40%, chronic care errors and mistakes account for 20% of total cost. if you can imagine any other expense, in operation of a business, that was 40% waste, and was identified as being whist year -- waste year after year with such little action, somebody would be fired. but the problem is, there is no one in charge of health care quality. there is no one in charge of health care period. there is occasionally affected organizations established that take up a piece of it, but there is no over all maintenance of accountability. and that is part of the problem that you will have an opportunity to address, add this planning review unfolds. one result of that has been, efforts have been started up in several places around the country to identify waste, reduced the rates of error, and develop systems of accountability. one

and the institute of medicine has tried to deal with that, have they not? yes and the world health organization too, so in the 1970's they were advocating against using the term abuse, even though the american psychiatric association adopted that term which is unfortunate because then that gives rise to the term abuser, naturally. and that was the warning actually, back in the '70's that was saying, this is what's going to happen is that you're going to you're going to generate this term by using that term. so what do we replace that with? so there are, there are a couple of things that i see i, i wrote about in that paper and papers since then, is to use, for example, if someone has a diagnosable substance abuse disorder, to use that term, substance abuse disorder. if we're talking about it generically, we might refer to individuals with a substance-related problem or substance- related condition. another term in other countries that have been used is substance misuse. so the misuse of a particular drug or alcohol. and so these are three ter substance-rela

our next speaker is robert klein, chairman of the governing board of the california institute of regenerative medicine. the institute was a state agency established by proposition 71, a proposition led by robert klein, to manage the process of stem cell research funding, authorized by california voters. i see in the idea it's a number of icoc, or the governing board of cerm, and i wonder if you could stand briefly and the recognized for the work that you do. [applause] bob has been a visionary champion of innovative science and a truly remarkable leader of california's stem cell program, and we are very glad and honored to have him with us this morning. bob. [applause] >> it is only appropriate that i begin today in banking the community of leaders that really has made this tremendous, spectacular accomplishment possible. i would like to, therefore, start by thanking a few of the champions of stem cell research who are here. they are really the modern medicis of california. we know that the dolbys and brodes really drove the critical contributions for this accomplishment. we also have france's bose he

the institute of medicine says for the average person, 600 international units a day of these is plentye were a little surprised that individuals were consuming nearly adequate amount. >> true for most but not all. dark skin cuts down on the production of vitamin d. while ten minutes in the midday sun without sunscreen is enough for those with lighter skin, blacks need 3-5 times as much exposure to sunlight to produce the same amounts of vitamin d. blacks are also more likely to be lactose inn toll rapt so they -- intolerant so they skip vitamin d milk. >> you have to think about having a balanced diet. >> the blood pressure translates to thousands of extra deaths each year from heart disease and stroke. simple interventions like taking vitamin d supplements might help close that gap. >> i have high blood pressure. lots easier to take vitamin d than start taking pills all the time. >> i am all for trying to keep my health up. you know, i do everything and anything to stay healthy. >> vitamin d levels did not fully explain the differences in blood pressure. it is thought that psychologic

i thought to myself if you forget for a second the vast paraphernalia of medicine, the cat can -- cats can and the national institute of cancer institute. the crown jewels of medicine that exist in this country and others in this end the act of medicine is a mechanism by which one person sitting alone in the room can talk to another person sitting alone in the room. that analogy was very deep for me because it reminded me what was essential or not essential and the essential piece of it was much like a book, medicine is about storytelling. medicine begins with the most dramatic act. if you take away all the paraphernalia ultimately medicine begins with someone saying tell me your story. what happened? that is the first thing that happens when you meet the doctor. you begin to unpack a story and as i make a claim in the book doctors can tell a story back to you. this ancient interchange, one of the most ancient interchanges that we have as human beings. that itself, that process begins the unburdening of an illness. long before you receive your first dose of whatever medicine you will or will not receive it is the an

as a result of the recent research, the bill also directs the institute of medicine to report on the impact of drinking alcohol on the development of the adolescent brain and it establishes grants to train peed at rick health care providers on -- pediatric health care providers on how to screen and treat children and teens who've had alcohol exposures. mr. speaker, continuing the investment of the stop act is a cost-effective strategy to reduce the $53 billion annual cost of underage drinking to our nation. most importantly, it will reduce the suffering, the violence and death that far too often are caused by underage drinking. i urge my colleagues to co-sponsor the stop act re-authorization bill and keep our country moving forward in addressing this public health crises facing our youth. i yield back the balance of my time. the speaker pro tempore: the gentlelady yields back. the chair recognizes the gentlelady from florida, ms. ros-lehtinen. ms. ros-lehtinen: thank you, mr. speaker. and i rise this morning to commemorate the 50th anniversary of the bay of pigs operation. on april 17

institute as the joseph peckman fellow and deputy director of economic studies. peter has also co-authored a you been in of books and is currently a member among other organizations of the institute of medicine and as i said the council on foreign relations so please join me in welcoming peter to the podium. [applause] >> thank you. it's great to be back at brookings. let me say a couple remarks about the broader context in which we face ourselves. i think it is now well-known that the rate at which health care costs grow is the primary determinant of our long-term future in what's shown on this chart between now and 2050. social security is expected to rise from 5% of the economy to 6. medicare, medicaid and other federal health expenditures are projected to rise from 5.5 to 12. so our success or failure at containing future cost growth will be a much more important determinant of our long-term fiscal future than either the deal that was just reached on discretionary spending or, frankly, the other measures that are under discussion now, important though they are, what you're struggling with in this room is the crucial long-term fiscal problem facing the united states. and more specifically

buck is the director of the san francisco patient and resource center a nonprofit pot club where profits provide medicine. the building design won a award from the american institute of architects. >> they based it on function design that feels good. mentally inspires people. >> when you walk in you think the high end decor means the merchandise is more expensive. one of the markets campaign was taking the profit out of pot. that slashes prices across the city. >> our prices are affordable. a lot is because we cut vatted -- cultivate our own medicine. >> they will go to extended mile to make sure the patient has more than the opportunity and place to use cannibus. >> patients have had a positive response. you will see more and more places that will listen to the patient community and design places -- places with their community and safety in mind. >>> a year after the oil rig explosion and spill in the gulf, bp is filing lawsuits trying to pin the blame on other companies. bp is seeking $40 billion in damages from transocean the owner of the deepwater horizon rig, in turn transocean filed court papers looking for bp to pay them $13 million to make up for money los

is director of the san francisco patient and resource center a nonprofit pot club where profits go to providing natural medicine to low income people. it won an award for the american institute. you would think it would mean everything is probably more expensive right? actually it's the ons president one of their campaign slogans was taking profit out of pot. >> our prices are very affordable. a lot is because we cultivate most of our own medicine and cut out the profits. >> they will go that extended mile to make sure that the patient has something other than an opportunity to place the use in canada. >> reporter: he aims to start a trend. >> patients have had a positive response and you will see more and more places that are able to look in to the community and design places for their comfort. >> reporter: in san francisco, elizabeth cook, cbs5. >> i bet your mom always said don't sit so close to the tv. doctors say it can hurt your children's heart through their eyes. kids who spend more time watching television and less time playing outside have smaller blood vessels in their eyes. that may be a sign of restricted blood flow that could lead to heart disease, high blood p

medicine to low income patients. its building design won an award from the american institute of architects. >> let in as much natural light as possible. put in a great ventilation system so that the air was clean. yeah. make it as comfortable for people as possible. >> the building was also constructed with a lot of recycled materials. >>> we have a warning for pregnant mothers. wash your fruits and vegetables. prenatal exposure to pesticides can have a direct effect on your child's iq. researchers at berkeley following more than 300 children from before they were born until they were 7 years old. and they found that a tenfold increase during pesticide exposure during pregnancy translated into a 5.5 drop in the child's iq scores. they recommend limiting food with pesticides and buying organic. >>> is there a link between spring and sadness? we are in the middle of allergy season and many doctors say there is a real connection between allergies and your moods. specifically, depression. researchers show a person suffering from allergies is depressed about twice as often as those who are not allergic but scientific stu

institute of bioengineering and nanotechnology in singapore. the hope is that computer technology can find its niche in modern medicine. >> exciting new area for and allows to us basically leverage the things we have been doing over the last 20 years or so here at ibm and new chemistry synthetic method we developed. >> researchers new talking about pharmaceutical company. next goal is to take the science from the lab the human testing. in san jose, abc 7 news. >> law aimed at helping paralyzed californians faces key vote in sacramento tomorrow. backer of ab 1 any call it roman law after this man from free mochbility he was perilize entered 1994 during a college football game and has become a vocal advocate for spinal research. it adds 3 dollar surcharge of those kibingted of reckless driving in california. would it research help people like reed walk again. >> ab 190 does. without such taxpayer money it's so important. with our scientific know-how do it in california. >>reporter: 650,000 californians suffer from paralysis or other conditions that limit their mobility. traffic accidents cause nearly half of all spinal cord injuries in californi

medicine at harvard medical school and chief of the division of epidemiology in the department of medicine at brigham women's hospital. dr. scott gottlieb is resident fellow at the american enterprise institutewis-hall is chief medical officer at pfizer and member of the board of governors for the patient-centered outcomes research institute, and dr. rob epstein is president of advanced clinical science and research and chief clinical research and development officer at medco health solutions. jerry, you've studied trends in innovation for a long time, maybe you could start. >> sure, happy to. and thanks for having me. i guess i could begin in the spirit of passover in asking why should the health care sector be different from all the other sectors of the economy? [laughter] that we don't really hear the electronics industry which is another interesting science-driven, innovation-laden part of the economy which has brought us enormous improvements over the last 20, 30 years with quality for all of close with an iphone, and we don't hear steve jobs going public and whining that the market is impairing his ability to innovate. so why are our two fields which have so much in common behaving so

the former head of the national institutes of health talked about the day medicine will become personalized and more preventative and requiring more participation by patients. wouldn't it be great following congressman ryan's vision that we personalize medicare to match that personalized medicine that our children and grandchildren will enjoy in the future. instead, we will end up with more of the same with a central planner, moving the data points around on a spreadsheet. why not put the power back into the hands of the american people. that's what the ryan's budget does and we ought to be supportive and grateful for its presence. i yield back. the chair: the gentleman yields back the balance of his time. the gentleman from new york is recognized. mr. hinchey: how much time is left on both sides? the chair: the gentleman from new york has six minutes remaining. the gentleman from texas has 2 1/2 minutes. mr. hinchey: i yield three minutes to congressman from vermont, mr. welch. mr. welch: i thank the gentleman. madam speaker, one of the great companies in this nation and a big company in v

medicine to low income patients. the building's design recently won a coveted award from the american institute of architects. >> theyase it on something that feels good. >> reporter: you would think the high end decor would mean the merchandise will be more expense of. it is the exact opposite. one of their marketing campaign slogans was taking the profit out of pot and in turn that slashed prices across the city. >> our prices are actually very affordable. a lot of that is because we cultivate most of our own medicines so we cut out the profits that middle men make. >> they are going to go that extended mile to make sure that the patient has something other than an opportunity and a place to use cannabis. >> reporter: they are aiming to start a trend. >> patients have had an overwhelmingly positive response. you will see more and more places that are able to listen to the patient community and design places with their comfort and safety in mind. >> reporter: in san francisco, elizabeth cook, cbs5. >> here in the bay area there are gourmet versions of all kinds of junk food even the sugar easter treats known as pete

medicines to low income patients. its building design recently won an award from the american institutes of architects. >> let in as much ventilation system so that the air was clean. yeah, make it as comfortable for people as possible. >> the building was also constructed with a lot of recycled materials. >> okay. i'm going to find the inner sting in me. ready? >>> every move you make, every breath you take -- your iphone is watching you. >> the hidden device tracking your every move. >>> and all bets are on for the royal wedding. the odds being placed on prince william and kate's 10th anniversary. ,,,, ,,,,,,,,,,,, they've uncovered a hidden file -pads.. that >>> is your smart phone watching your every move? two computer programmers say they have uncovered a hidden file on iphones and ipads that record where you have been. they say they have created a program that lets owners see what information the devices have stored. >> this is a potentially damaging piece of information for some people. if the file gets into the hand of somebody investigating you, a jealous spouse, this tells them a lot about your life. >> i gues

medicine at harvard medical school and chief of the division of epidemiology in the department of medicine at brigham women's hospital. dr. scott gottlieb is resident fellow at the american enterprise institute and also a practicing physician. dr. freda lewis-hall is chief medical officer at pfizer and member of the board of governors for the patient-centered outcomes research institute, and dr. rob epstein is president of advanced clinical science and research and chief clinical research and development officer at medco health solutions. jerry, you've studied trends in innovation for a long time, maybe you could start. >> sure, happy to. and thanks for having me. i guess i could begin in the spirit of passover in asking why should the health care sector be different from all the other sectors of the economy? [laughter] that we don't really hear the electronics industry which is another interesting science-driven, innovation-laden part of the economy which has brought us enormous improvements over the last 20, 30 years with quality for all of close with an iphone, and we don't hear steve jobs going public and whining that the market is impairing his ability to innovate. so why are our two fi

institute, and a speech writer for the first president bush. zeke emanuel is the chair of the department of clinical department of bioethics. it was oncologist and had doctorates in medicine and political philosophy from harvard university. he has been an advisor on health-care policy for 10 administrations, including the present one. among his many books is one called "health care guaranteed," which you know i constantly code as the best book written on the subject. i only wish the administration were paying closer attention to what zito said in that vote. that is another topic for another time. susan neely is president and ceo of the american beverage association. she's worked in legislative and executive branches of federal government in the state government on a range of policies. including especially health care. n, ininally, scott kaha the weight management center. and at authority on nutrition and an author of many books on the subject and a member of many panels advising governments on health care policy. that is our group. i want to start, if i may, by asking scott to amplify a comment of his that i read in something he had written. this suggests that we are fram