and many of you have heard of mayo, and it's getting a lot of play in the national discussion.we in minnesota are very proud of the mayo health care system and it certainly does an outstanding job. but i'm also here to tell you that we have a number of terrific health care providers in minnesota, and we have significant opportunity to have quality and to have tremendous amount of access as a result of that. so you have can see that the fair view system, aligna, health east an mayo, all of these institutions as well as our children's hospitals and a number of other institutions provide outstanding care for the folks in minnesota, and this is -- this is really an important issue. one of the community ethics that i think has been advanced in minnesota and is one of the distinctives, if you will, is that we have learned a lot of lessons about where should we collaborate, and where should we compete? and the system needs to take some lessons from some of that example, and i'll touch on that as we move through this discussion. certainly working on payment reform, i don't need to repe

so the key for us is to figure out how do we take all the good ideas in a mayo clinic and spread them all across the country so that that becomes the dominant culture for providing healthcare? that's going to take some time. it involves changing how we reimburse doctors, it involves doctors forming teams and then working in a more cooperative way. and that's kind of a slow lay boreious process. so here's the bottom line. if we pass healthcare reform this year, my expectation would be that immediately some relief on some -- families are going to see some relief on some issues but we will not have the whole system set up until probably say four or five years from now. and i think that's a realistic time frame. but if we wait, if we say, well, you know, since we're not going to get it right right away let's put this off until two or four or five years from now, it's never going to happen. that's what's been going on for the last 50 years now. people have said, "we can't do it right now." and as a consequence it never gets done. now's the time to do it. all right? [applause] >> ok. it's t

[applause] what you've got is a situation where, for example, the mayo clinic in rochester, minnesota is famous for some of the best quality and some of the lowest cost. people are healthier coming out of there. they do great. then you have places -- there is a town in mcallen, texas, where costs are a third higher than they are at mayo, but the outcomes are worse. the key for us is to figure out how do we take all the good ideas in the mayo clinic and spread them all across the country, so that becomes the dominant culture for providing health care. that will take some time. it involves changing how we reimburse doctors. it involves doctors forming teams and working in a more cooperative way. that is a slow, laborious process. here is the bottom line. if we pass health care reform this year, my expectation would be that immediately, families will see some relief on some issues, but we will not have the whole system perfectly set up probably until four or five years from now. i think it is a realistic time frame. but if we wait, if we say we are not going to get it right away so why n

rose, mayo.layers suspect academically but really great players surrounded by a bunch of people. >> the statement made on wednesday floyd said: i no think fear i can offer the level of enthusiasm deserved by the university and the supporters of southern cal. >> tuesday manny ramirez spoke. against the rules for manny. major league baseball reminded the dodgers that he can not speak with the reporters in the team's clubhouse. according to "espn the magazine" buster olney there will be no fine or suspension for this. >> phil mickelson was emotional speaking to reporters in memphis repairing for his return to the pga tour in the saint jude's classic attt at bethpage black. with his wife amy's breast cancer treatment set to begin soon. >> i have never been this emotional where if i am driving alone, i will just start crying. it's a weird thing. i am looking forward to have a 4 or 5 hour mental break where i can force myself to focus on something else. i am looking forward to that. i am not playing ju

many of you have heard of mayo and it's getting a lot of play in the national discussion.e, in minnesota, are very proud of the mayo health care system, and it certainly does an outstanding job. but i also hear to tell youha

it is not just the mayos but the folks in the inner mountains, nonprofit in utah, and a number of good examples out there. part of what we will do through the debate as we move toward health care reform is learn from the examples, go to school on those examples and put them to work for all of us. my friends, some say health care, we will not get it done, we have to get it done. we spend more money on health care for this nation than any nation on earth and we don't get better results. democrats working together with republicans, we can get there and let's not give up. thank you, madam chair. thank you for your patience. the presiding officer: the senator from hawaii. a senator: madam president, i ask unanimous consent that with respect to the conference report to accompany h.r. 2346, a negotiation waive all applicable points of order be consideredded having been made by the majority leader -- considered having been made by the majority leader. the presiding officer: is there objection? without objection, so ordered. mr. inouye: madam president, i ask unanimous consent that the vote on

a recent new yorker magazine article showcased the mayo clinic in the contests of health care's costs problem. according to an author, a physician, we're in a battle for the soul of american medicine. on one side is a fragmented volume-driven model that too often crosses into profiteering. there are good parts, believe me. i know this. i live in minnesota. we have to maintain those. but we have to fix this broken cost structure. on the other side, you see this model offered by mayo and other institutions across the country where doctors collaborate to provide the best, most efficient care for their parents. patient. on one side it is financially and morale unsustainable. on the other side is a new direction that promises to cub b costs and it is time to choose sides. for the sake of fiscal health and the sake of millions struggling to afford the care they need i urge my colleagues to choose the ladder. yesterday, i met with a bipartisan group of senators. i have to tell you i still have hope we're going to get this done. i have hope there will be bipartisan support for this. the thing

mayos handler in route to the nba all-star game two years ago it started to pick up steam directed at floyd and those kind of alwayses started to be a little more overwhelming. we have seen recruiting dropping left and right from usc's program. daniel gibson, hackett, taj gibson, deciding to stay in the draft. so the program, which had been on a huge high after their ncaa tournament run, knocking off michigan state and looking like a player next year in the ncaa tournament had really completely unraveled and all that got to tim and forced his resignation today. >> you're talking about that factor. any other factor that would push him to leave the program. >> the has the fbi looking into where the money went from how rodney gillery used his money, did they use the sickle cell charity money last year so there's a lot of sort of issues at hand here, and also if you remember the ncaa combined the two investigations, football and basketball, to really kind of speed up the process. the reggie bush investigation going on, and now this is my opinion here. that usc had to do something to show

as many as you have heard of mayo clinic in is getting a lot of play in the national discussion, we in minnesota are proud of the male health care system and is serving as an outstanding job. but i'm also here to tell you that we have a number of terrific health care providers in minnesota and we have significant opportunity to have quality and tremendous amount of access as a result of that city of enzi the fare abuses stoma, health east, and mayo, all of these as well as our children's hospitals and a number of other institutions provide outstanding care for the folks in minnesota and this is really in a issue. one of the community ethics that i think has been enhanced in minnesota and one of the distinctive if you will is that we have learned a lot of lessons about where should we collaborate and where should we compete. and the system is to take some lessons from some of that example and i will touch on that as we move to this discussion. search leyna working on piven reform and need to repeat a lot of what you've heard of but i agree with the premise that has been put out here. if

doctors for doing more tests and ineffective treatments n my home district of southern minnesota, the mayo clinic is a model of providing high quality care at low prices, but because of the way medicare payments are figured today, the mayo clinic is penalized for that. we must reward those that save money and at the same time provide the highest quality of care. this can be done by creating an index within the medicare position fee formula to simply measure quality. i urge my colleagues to support the inclusion of this sort of provision in the final health care reform package. i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. for what purpose does the gentleman from kansas rise? mr. tiahrt: i ask unanimous consent to address the house for one minute. revise and extend my remarks. the speaker pro tempore: without objection, the gentleman is recognized for one minute. mr. tiahrt: madam speaker, this administration and the democrat congress are pushing us towards aure peaian socialism through more government control. this week it's the energy economy. t

went to the mayo clinic. had all my testing done in a week. at the end of that week, was given a full diagnosis. it was recommended at that time by the doctors at the mayo clinic to go home and be treated at home where it was covered under my government insurance health plan. i tried that. came back to canada and i couldn't see anyone. i frantically tried every avenue that i possibly could. three weeks later, because i was told i had four to six weeks before my vision would be gone totally. i came back to the united states when my husband stayed at home and continued to try and get me help at home with no luck. within another week, he joined me and i was on the table and my eyesight was saved. i have gone through this every time that i have tried to get treatment. i am sadly not just one story. and i could tell you hundreds of stories that are both minor to tragic. but it is very -- it's a very slippery slope when people get involved with government health care and there's nobody to advocate for you. my only avenue at that point was to leave t

in my home district the mayo clinic is a model practice of providing high-quality care at low prices. but because of the way medicare payments are figured today the mayo clinic and others like them are penalized. we must reward those that save money and at the same time provide the highest quality care. this can be done by creating a value index within the formula in computing medicare physician fees. i urge my colleagues to support it. i yield back. the speaker pro tempore: for what purpose does the gentleman from texas rise? mr. poe: request permission to address the house for one minute. the speaker pro tempore: without objection. mr. poe: mr. speaker, when government without the consent of the people takes control over independent businesses, it's an oppressive regime. the unelected, unaccountable auto task force gang continues to pick winners and losers in car dealership closings and they aren't telling why they're closing some dealers and not others. they don't have to. they're the government. in houston todd archer of archer chrysler has been ordered by these supremes to close

mayo to u.s.c. floyd submitted a one-paragraph letter of resignation to u.s.c. athletic director make garrett. this is what it says: >> senior college basketballteom writer for espn "the magazine," espn.com andy andy katz., lesta andy, let's start with this. a how big of a shock was it for floyd to resign today from.c u.s.c.? >> the fact that he is apparently making the decision, that comes as a surprise, nota , the fact that he's out at u.s.c. for weeks there's been rumorsdng that he's out, but coming fromad u.s.c., as they deal with allegations about whether or not he paid o.j. may yes's handlerar rodney guillory for walkingmo around money for the nba w all-star game. that was part of the larger o.j. mayo investigation.uris i talked to close friends of tim floyd, and they are surprised already that he made this m decision because the information i was given through them wasin a that he was going to fight this. now, floyd has not at all been accessible outside of making a couple of cameos at some trojana booster functions. and he has definitely let it be known

i've got a news flash you're out of mayo. how did you get in here? door was open. you'd have tons of ways for you to search for content: by actor, director, any word at all. what about chicken? chicken's fine. any word. no i mean do you have any chicken? i want to eat some chicken. one of the coolest things you can do with fios... ...is stream your music and your photos from your computer to your tv. slideshows look and sound better than ever. and now is the best time to upgrade to fios all the time. want to tell them why? i do not. because you'll get up to $150 dollars back and over 100 hd channels when you upgrade to verizon fios. call the verizon center for customers with disabilities at 800.974.6006 tty/v i will now return you to your program and unfortunately for some of you, to cable. yeah! wait, what? >>> arthur rhodes coming ou the bullpen with the nationals trailing 2-0 trying to shut out this mini rally here with zimmermann at 1st base. nats and reds go at it once again tomorrow. he's 3-5. michael owings for cincinnati. this is not over yet. the left

announcer) don't go unnoticed don't blend in don't be ordinary, boring or bland in other words don't be so mayo we are our unique one of a kind flavor we are miracle whip and we will not tone it down lyrics: ♪ don't wanna ♪ hurt you ♪ool music ♪ try not to mess with your feelings ♪ ♪ it's just a matter of trust, for us, for us ♪ ♪ don't wanna hurt you ♪ five-dollar footlong - ♪ f-f-f-five - ♪ five - ♪ five dollar - ♪ footlong - ♪ g-go - ♪ goin' strong ♪ strong at subway, subway ♪ the famous subway $5 footlong anthem rolls on. and america's loving every note. many of your favorite regular footlongs are $5 each, all day, every day. including the bold cold cut combo... and the oven roasted chicken breast. subway. eat fresh. >> early this morning, hockey's most coveted piece of steel arrived in the city. it's the third cup title in franchise history, first since 1992. champs, penguins win third cup in thriller. >> espn will broadcast the victory parade, monday at 1:30 p.m. >> pressure now on the pirates coach. pittsburg the first city to have the stanley cup after 52 years. last city to do so detro

i've got a news flash you're out of mayo. how did you get in here? door was open.ns of ways for you to search content: by actor, director, any word at all. what about chicken? chicken's fine. any word. no i mean do you have any chicken? i want to eat some chicken. and one of the coolest things you can do with fios... ...is stream your music and your photos from your computer to your tv. slideshows look and sound better than ever. and now is the best time to upgrade to fios all the time. want to tell the why? i do not. because when you call the verizon center for customers with disabilities at 800-974-6006 tty/v today you can get all three services for the price of two: just... i will now return you to your program and unfortunately for some of you, to cable. yeah! wait, what? . >> buck: geico game sum rhy jack cust got them start in the 1st inning with a three-run homerun. that's his 9th of the season off jeremy guthrie part of a 6- run 1st inning. then matt holliday in the 5 off of mark hendrickson. on the mound, all dallas braden. he has tied his career high

i think you saw the president used examples last night's, the mayo clinic, the example of safeway grocery stores that are places that are providing incentives not to -- to move away from each and every payment of test conducted but instead of pay for the health outcomes of patients. the president usually use the example of will we invest money to treat somebody said they don't get diabetes rather than paying a reimbursement for an amputation of part of a leg that is normally the result of diabetes? that is the type of change and positive health outcomes that will benefit -- that will greatly benefit consumers of medical care and make the system cheaper for everybody. thanks, guys. [captioning performed by national captioning institute] [captions copyright national cable satellite corp. 2009] >> earlier today, president obama made remarks on the energy bill scheduled for debate tomorrow in the house. it would cap greenhouse gas emissions emission credits. this is about five minutes. >> >> good afternoon. right now, the house of representatives is moving towards a vote of historic proportio

mayo to the trojans.aseball now, manny ramirez suspended for 50 games for violating baseball's drug policy. he is practicing in anticipation of his return to the field. the suspension of course ended july 3rd. before he went down he had six homeruns and was batting .348. he tolls the los angeles times, that is in the past. whatever happened is in the past, and i'm coming to play my fame and move on. i don't want to be a distraction for the team. i'm happy they have supported he. i come back and make up and we move on. that's all i can do. >> the first round of the mlb draft is in the books. insider keith law has been falling it closely and we know that stephen strasburg's the no-brainer of the draft. why were gms drooling over this guy. >> you don't see a package like that in a college or high school starter like that very frequently. i saw him touch 99 twice. ing in under 94. with an outpitch breaking ball. locates both pitches extremely well. he is in great say. went undrafted. got to san diego state, g

i've got a news flash you're out of mayo. how did you get in here?

the mail clinic -- the mayo clinic has a model that works. physicians and the staff, they do exactly what mike said, everyone is together, physicians and employees. you get into the system for care, the system makes sure that you get your eyes, your ears in mental health and nobody has gone another way. it is going to take a change and will not occur tomorrow. will be a 10 years change. as long as we continue to do medicine on a piecemeal basis for your basically paying people to do a particular task, it is going to be hard to get those costs down. >> i try to line this in my budget testimony, you can pay me now or pay me later, which i thought was pretty good. when you think about the problems of untreated mental illness, we have these conditions. before you can enter care, just to know that 40% of the people coming into ss i have a mental illness. and these people who have a job as well as health-care, they wouldn't have to be on ssi, to be fearful of going back to work and losing the benefits, this message of wellness and prevention, which

the ceo of the mayo clinic ward that some of the best providers could go out of business. -- warned thathe best providers could go out of business. one of the nation's leading association of small businesses also expressed concern about a government run plan. americans do not want this type of plan that is being proposed. they do not want politicians to use the real problems we have in our health-care system as an excuse to tear down the whole thing and take away everything that is good about it, and replace it with something that is worse. the one practical solutions to specific problems. that is what the rest of us are proposing. we all agree that health care in this country is to expecto said. basic procedures -- health care in this country is too expensive. basic procedures can cost a lot. we need a cost-effective solutions. some propose making test -- cuts to medicare which is the wrong approach. america's seniors expect congress to stabilize medicare so that it continues to service their needs and not a drain its resources to pay for a nother and bigger government plan. changes to

health care providers like the kaiser system in california and the mayo clinic have lowered costs and have more importantly improve outcomes for their patients. i have spoken to community health center providers from ohio and pennsylvania who helped outline how information technology has helped them save resources and provide better care. our challenge is how to take the best practices and spread them across the entire country. i have every confidence that we can meet this challenge and its cheek -- meet our goals. protecting people choices of doctors and health plans and ensure

have some peaks of the tremendous quality whether it is right here in the san francisco, a stanford, mayo clinic, harvard, but we also know the quality is uneven, unpredictable and lots of studies have shown your chance of getting the right medicine is roughly the flip of a point*. not a very good. have a high use of unproven treatments that cost a lot of money and don't add a lot. and we have a very fragmented system. the average medicare beneficiary sees seven different doctors per year and five specialists that are not related clinically, administratively, and no shared electronic records this is no way to run is is down. even if the americans don't know the details that understand the system is broken and brad w. botha is suggested that you understand the system is not working. we understand we have a problem with the economy cratering health care was the top or the second issue in the presidential election. the second thing we need is shared agreement on reforms. there are lots of proposals for reforming the health-care system in this country. lots of proposals. maybe hundreds. but t

including what may go and other health-care providers -- mayo and other of care providers have, which overall procedure included. we can do this without going to a government run system. again, those countries that have gone to a government run systems, they ration health care and there are delays in receiving some operations. in some cases, if you're too old, you just do not get them, told. that is not the system i want. -- you just cannot get them, i am told. that is of the system i want. caller: good morning, senator mccain. thank you for your service. your one of the most honorable man i have witnessed on tv. guest: thank you, sir. caller: i have a question with north korea. it is a problem. how big of a problem? and i wish your eye at the helm -- you were at the helm. guest: well, thank you, bill. as we speak, there is a destroyer named after my father and grandfather that is tracking a north korean vessel. there is published information that it may be carrying weapons or technology that our nuclear in nature. -- that our nuclear in nature. it is common knowledge that the north k

we're pretty proud of the mayo clinic and the work it's done there. some real collaborative work in changing things. can you comment -- do you have any more comments about reforms that were left out of the bill that you would like to have seen from your perspective such as strong medical liability provisions, things that would help control costs? your microphone, please. >> yes. i think a few things that i think would make the most sense are as i mentioned earlier liability reform is very important. we know practiced in a defensive. healthcare technology, but doing that with having nationwide standards, being able to actually implement that and to get the savings would be very important, wellness. with respect to the kinds of programs we've talked about, we would like to have more incentives to change behavior, not less. those are very important. and the last point i'd make with respect to what was in the bill is the insurance option. this has everything to do with capitalism. it really does. there are other ways for us smart people is that collaborat

yet we know for example there are places like the mayo clinic in minnesota, the cleveland clinic in ohio, and other institutions that offer some of the highest quality care in the nation at some of the lowest costs in the nation. we should learn from their successes and promote the best practices, not the most expensive. that is how we will achieve reform that fixes what does not work and builds on what does. this week, i conveyed to congress my belief that any health care reform must be built around a fundamental reforms that the war costs. improve quality and coverage, and also protect the smart choice. that means if you like the plan you have, you can keep it. if you like the doctor you have, keep your doctor, too. the only change you will see are falling costs as our reforms take hold. . all across america, families are making hard choices when it comes to health care. now it's time for washington to make the right ones. it is time to deliver. i am absolutely convinced that if a keep working together and living up to our mutual responsibilities, it would place the american people's i

the reality is the mayo clinic has a model that works. basically physicians and all of the staff know exactly, everyone together physicians and others are employees, the system manages you get into the system for care than it makes sure you get eyes and ears and nose and mental health and nobody has incentives and the other way. it will not occur tomorrow, it will be a 10 year change but as long as we do madison on a piecemeal basis were you pay people to do a particular task it will be hard to get the cost down. >> i tried in my budget just money this year is you can pay me now or you can pay me later which i thought was pretty gut. [laughter] when you think about the problems of countries did mental illness behalf conditions that are not good for you or your brain and they get worse before you can enter care. and to know 40% of the people on ssi, have a mental illness and a lot of these are folks with the right kind of support, particularly with a job as well as health care, they would not have to be on ssi for the rest of their lives,