the pain, the sweating, and did what a prudent layperson would do. went to the nearest emergency room to get treatment. after the examination was complete, they found out the person did not have a heart attack. the person was discharged from the hospital, went home, two days later got the bill for that visit, and then almost had a heart attack when the insurance company would not pay for that bill. well, we recognize that as not being right, so we took action to change that in response to these dangerous and unfair requirements, maryland enacted the prudent layperson standard in 1992. it was prudent to go to the emergency room for care. the insurance company had to reimburse it. later in 1997, i led the national effort to extend the prudent layperson standard to all medicare plans and medicaid managed care plans as part of the balanced budget act of 1997. i worked with president clinton who eventually signed an executive order in 1998 to have the standard apply to all government insurance programs. then i fought to have my patients' bill of rights am

we worked a long time on prudent layperson laypersons standard. horrible practice in the private sector that we're jeopardizing people so one last point i would like to make. and that is disagree with the budget on the medicaid cuts and the basis behind the medicaid cuts. i just want to raise one issue, i would urge you to be very careful about. we don't have long-term care policy in america. the states have the lion's share of the burdens under the medicaid system for long-term care. to the extent that we put more pressure on the states on medicaid programs, we jeopardize long-term care which is a critically important to our seniors and america. i just think it's important that whatever policies we adopt at the federal level, we are mindful of the negative impact it could have on care for seniors. we would like seniors to be able to pay for the long-term care. we would love them to have third-party coverage. most do not and, therefore, fall under the medicaid program. if we put too much of a strap on the medicaid program, we're going to jeopardiz

. >> i'm a layperson in this.rough line is the lawyer from new york named roy cone, he was an acolyte of mccarthy, he was one of the new york mentors of our current president, but my question to you is what are the similarities you are uncovering? >> someone said history doesn't repeat itself but it rhymes. i have seen so many of these rhymes in this story. you start with just today, the release of the memo evokes february 1950 when mccarthy is in wheeling, west virginia saying, "i have here in my hand." a contrivance. just like today's was. you have "where is my roy cone" uttered by donald trump. you have roy cone was a mentor of donald trump's, he was joseph consiglie consigliere, hatchet man and a fellow mccarthyite like paul ryan, who is helping him do this. and you have mccarthy, he was doing their work for them, going against the new deal and making democrats seem soft on communism, as trump today seems to be using them for the same purposes. and mccarthy went too far when he attacked one of the most revered

. >> my question is, option 12, just from a layperson perspective, is that would this give us an adequate water supply without the lake merced pump station, using just the reservoir for my district, which is the richmond district? >> we have to define the meaning of adequate. adequate basically has two fundamental dimensions. one in terms of quantity, the other in terms of reliability. sunset reservoir has as pointed out, 90 million gallons, which is probably sufficient for most firefighting purposes that we would anticipate following an earthquake. the -- from the points of view of reliability, however, the option 12 by itself is a single source supply. and the, as we saw in the design of the original awss, in 1907 to 12, which was designed based on experience in 1906, which is very important to remember, they built in multiple sources of supply in multiple layers. not only did they put in two sea water pump stations but put in supply for fire boats, they put in twin peaks reservoir and then put in cistern, even if the entire pipe system failed. there are cisterns built in the sunset. bu

i've got to tell you, as a layperson in this arena, saying in in the 21st century, 2010, go back to paper ballots seems counterintuitive. it seems like that can't can poy be the way to go. it is the way to go because it take you off the internet and it leads you with what's required to do an audit. so that if we do those three steps, off the internet, protect the registration databases, and create an audit trail, we will go a long distance to being much more well defended against the sort of things we saw in 2016. this is not rocket science. in fact, noah, a good step one more time for cook county, , we are here in cook county in part because your system is a national example for the kind of hygiene and defensive steps that ought to be taken by all, something like 8000. but no, it is a leading voice and you should feel good about voting here in cook county under his guidelines. [applause] >> so to that point, there's some very specific next steps at a think one of the questions, greg, is how is congress to think about this? paper ballots are not that expensive but a lot of this other stuf

so it seems to me that the layperson her like a pretty good deal.resident's base, including yourself not overly psyched about. 1.8 million people are here illegally, will give them legal status but the democrats won't accept. is this how broken we are? >> president called out about the democrats leadership. appears doesn't care about the daca recipients. willing to shut down the government over this issue. they're not willing to talk to him about what is a very generous offer to them. on our part in the house, why i opened up with optimism, we still have our bill and we are moving on our bill. we are working with talking to members, suggesting tweaks to the bill. this is kind of the sausage making of the legislative branch. not sexy but very important. and we're moving it forward with tremendous momentum. we have almost 100 cosponsors now. the american farm bureau came to support it. steve scalise, our whip, cosponsored it, additional signal that the leadership is behind it. we're continuing to work it with 218 votes to have a vote on the floor. reg

can you just -- just a layperson here. >> sure. essentially what happens when anybody is faced with a tax is -- or any business, for example, is faced with a tax is they try to say, well, can we get our customers to pay for it? can we get our suppliers to pay for it? and you have to do a lot of statistical moulding of economic data to get a reasonable estimate about how much someone who is charged the tax can get away with passing it on in the case of the commercial real estate their customers. what we know from economics is that your ability to do that really depents about how sensitive you are to rents. if you are as a customer highly sensitive to rents, so as soon as your rent increases you start looking at a neighbouring city, for example, well you are not going wind up bearing the cost of any tax because you'll move. because of your sensitivity. now it turns out, as we analyzed it, that san francisco office te fanls in particular are not that cost sensitive. they really like their san francisco office location. it provides a l

purely layperson perspective, i want to make sure we work ahead of time. so i appreciate you are meeting with the departments. and like let's really get an agreement early on so we can move the projects forward. >> absolutely, and on a personal level, i think the level of engagement that we have had at the staff level of those departments has been very strong and committed to finding the solution early on. and we have used it with sustainability, the energy and load sharing on-site, we spoke about at length on monday, i will go quickly. and with respect to sea level rise, and the raising of the site 56 inches, the streets will all be pile supported so up front investment helps the city have a long-term sustainable asset. we are trying to learn, particularly mission bay, some of the geo technical responses of the soils to what's been built, and plan for that from the beginning. sea level rise design solution supported through different outcomes, and china basin park, one thing the shoreline special taxes used for on-site, the sea level rise and king tide ma

now, i'm assuming what that means to a layperson is that every time the ambulance goes out, they create a bill and they send that bill to the patient and the patient's insurance either covers it, doesn't cover it, and what's not covered the patient should cover, is that correct? >> yes, so the way it works, when our crews respond, they'll generate electronic patient care record for each encounter, which is mandated. and that record is then sent to the billing company where they run scans on individual's insurance, and then if they are, they send letters to the billing, to the patient if they are unable to find insurance, they work with medicare, medical, private reimbursement. and sent and follow-up with the patient themselves and after a certain portion of time, if they are unable to get any movement on that account, it's then turned over to the city's tax collector bureau for follow-up on that side. [please stand by] the flat rates are established at a federal level. if we have a $2,000 ambulance bill, we get reimbursement of $450 on that and there's no flexibility. the remaining bala

technical, but the powerpoint has been kind of boiled down to be pretty -- pretty user friendly from a layperson's standpoint. but the bottom line is we feel very good about added protection from a fire suppression standpoint in the sunset and richmond districts with this plan moving forward. many of us, including president cleaveland on january 15th participated in the martin luther king march from the caltrain station to yerba buena guards, so thank you for marching to us, and some of the members of the audience came with us, as well, so thank you very much. the deputies and i as well as assistant deputy chief rivera attended the labor manager meeting which is monthly with local 798 executive board. it's always a fairly productive exchange of ideas and topics, so we've been good of keeping that on a regular basis with local 798. on the 17th, and i know chief nicholson might highlight this in some of her reports, some of items that i'm mentioning, but we did met with the nrt advisory board on the 17th. we try to do that on a quarterly basis, and that was with assistant chief jeff columbini. this

layperson isn't going to know the difference between abc cbs, cnn. >> it's kind of a gloomy topic, but i want to identify one thing that is happening in our country. proximity of people with their own cell phones that has revolutionized a certain understanding in this country and fundamentally changed the organization -- i was a police year -- six six years. if there was a police involved shooting and i wasn't there, it was dependent on the orientation of the facts, circumstances, timing and evidence provided by most responsible but also must potentially reliable, the local police department. the presidents of citizens with their own independent means by which to video what happened has transformed not only that relationship between what notened and others who are defensive possibly about what happened say happened. i think it's fundamentally altered in a positive way, not just the community's understanding of what happened but journalists who are trying to figure out what happened. there are things we identified that are problematic with all of this. that is one area where i would int

can i ask a real layperson question, if you're sled fitted ergonomically to you?e very specific. going back to salt lake 16 years ago we had pretty much a standard sled that the only thing you could modify was the subtle which is the bit that you buy in, that can move in and out on the angle can change and the weight of the sled —— saddle. angle can change and the weight of the sled -- saddle. that was all we can change. silly question, it is quite high—tech, but at the end you kind of running to a piece of foreign? that seems rather low—tech. —— secretary of there is no break. the break is people, you will see them coming up, they create wind, their feet is them coming up, they create wind, theirfeet is going them coming up, they create wind, their feet is going down and them coming up, they create wind, theirfeet is going down and it them coming up, they create wind, their feet is going down and it is uphill, but because the kind of speeds that we generate, you have to have something to complete little you down and that is why you get the foam. on the today, the

well, one, they'll come to you all high and mighty and say but sir, it's science and you are just a layperson and don't understand how important selfies could be and you aren't qualified to talk about selfies because you don't know about happiness, we have experts in happiness that can tell that we could make the world happy again, we could all be happy if we had more selfies. it goes on. they give us this scientific mumbo-jumbo that somehow we're not smart enough to have common sense enough to know what we should be spending money on. but this goes on decade after deca decade. school lunch program. and you might say you know, we need to help those who can't buy school lunch. so we have a school lunch program. except for what we discovered was $158 million was given, federal money, to a los angeles school district and turns out they were buying things other than lunches because nobody was watching them. nobody was auditing the program. nobody was doing the individual appropriation bills. they were passing class pans together, continuing resolutions, where nobody looks at it. 700 pages and nob

it would be very easy for someone with rudimentary skills to provide something which your average layperson won't know the difference. if i could interject one thought on this, it's kind of a gloomy topic. with the proximity of people and their own cell phones. it has fundamentally changed .ews organizations if there was a police involved iooting, and i wasn't there, was dependent upon the orientation to the facts, circumstances, timing and evidence provided by the source. most responsible, but most potentially liable, the local police department. withresence of citizens their own independent means by which to video what happened has transformed not only that conversation but the relationship between what happened and what others who are not defensive, possibly, about what happened say happened. it is fundamentally altered in a positive way, not just the community's understanding of what happened, but journalists who are trying to figure out that's one area that i would like interject has changed and changed for the better. anotherdox: there's side to that too. the pressure being placed on

you go back to it where you have these risk parity and nothing that anyone can understand to the layperson, but where you have these risk analysis coming from a black box spit out when you buy and celek wits, it becomes a hopeless state for short increments if you see the unwind, we were so oversold, the rebound effect creates a buy of equities. that's what we've seen in the last couple of days. how long before it gets triggered. above 2700 in the s&p, we'll see if we're in an overbought status to see where we level off. >> about 36 points shy of that level. given how much we've talked about the different programs or wall street that may have contributed to the opportunity, have you seen that opportunity, some that were down 10% or more, still finding them here? >> yes, we have. we would agree with the fact that if you did see a massive risk-off trade, you would ordinarily see the safe. havens rally strongly. we didn't see that gold was actually down as we saw, the yields actually rows we're looking right now in the small cap space, ticker oled, which is universal display corporation, it's

my concern here is that we are seeing an attack on the pursueden layperson standard in the private insurance market place. congress has passed legislation n this to make it clear that if it is prudent for you to seek emergency care it is going to be reimbursed and we are very happy if you end up in the emergency room and the condition is not life threatening that is good news. but then you might get a shock when you get the bill and recognize it is not being paid by your insurance company. so the policies in the government programs become particularly important because they are used as goal post business the private company. it looks like you are now imposing additional copayment and costs on emergency care where the individual may have gone into the emergency room for proper reasons but now find there is a cost issue which could be used to deter people from seeking care who need it. >> i believe you are referring to a suggest prod postal that is in the budget that would allow for medicaid copays for emergency room visits determined to be mission use. i agree with you -- >> i didn't know it