any other medical procedure. under this bill, politicians, lawyers and judges would make final decisions on such things such as which medical procedure -- which medical procedures are, quote, comparable, unquote. which tasks doctors may delegate to other personnel. which drugs may be dispensed. which medical services may be provided through telemedicine. how many visits to a medical facility are necessary. the relative safety of abortion services. which methods advance the safety of abortion or the health of women more or less than others? now, from your perspective as a doctor, doesn't this bill actually compromise the practice of medicine? >> i think it does compromise the practice of medicine, and i believe that's on two levels. number one, for the reasons you enumerated. number two because i do believe that current legislation in the states to set clinic specified access to clinics and so on and so forth is protective to patients. so i think it's doubly a problem. number one, for those reasons that you've lis

he is then put through a battery of medical tests to find out what kind of medication he's on and what should be prescribed. >> if you want to come in and have a seat. have you ever had a seizure? >> no. >> have you ever tried to commit suicide? >> no. >> okay. are you mad at anyone? do you want to punch anybody out? do you want to like go after them, assault them? >> does that include the judge? no, no, i am just kidding. >> okay. you're a patient now. you're no longer a prisoner, okay? >> the new patient is escorted to the photo lab for his formal identification. here his paperwork is completed. >> we also need to do a change of location form on your registration which entails having you read what your current requirements are as a sex offender. he is photographed for a picture i.d. >> put your back right against that gray panel over there. >> then he is fingerprinted. a psychiatric technician or a sponsor, as they are also called, takes over from here. >> i am assigned to unit six, and what we will do is to take you down to x-ray. everybody gets x-rayed in the facility, and from the

medical care becomes available then it became competent medical care?so was that provided to your mother competent? >> no. they did everything wrong. we were expecting one of the security guards would step forward to initiate cpr. but instead they waited at least 10 minutes and called for someone to look at my mother's body two-seater she was breathing or not. and in her case she was not breathing and did not have a pulse. to top that off, the infirmary was closed so we had to wait literally for them to turn everything on and unlocked the death regulator out of a closet and plug it into though wall and set up their own hospital while we were standing there waiting while my mom is stockbreeding. it was somewhat by dash night breeding and horrific as an american citizen. >> carl claims in-your-face had no duty to provide in your care to trade or supervised medical staff or to make the sick bay available. further as they claim no duty to provide medical equipment like basic defibrillator machines. so when you bought your ticket for the crews did you unders

iteration it was full-time professional medical anticipation is needed until shore or medical care became available, and then all of a sudden it became competent medical care. so my question to you is was the medical care provided to your mother competent? is. >> no. they did everything wrong. we were expecting that one of the security guards would step forward to initiate cpr. instead, they waited at least ten minutes to even call for someone to come down and look at my mother's body to see if she was breathing or not. and in that case, you know, she was not breathing. she did not have a pulse. and to top it off, the infirmary was closed. so we had to wait literally for them to turn everything on. they had to unlock the defibrillator, the aed, out of a closet and then plug it into a wall. they had to set up their hospital while we're standing there waiting and my mom's not breathing. it was horrific. and completely unacceptable for american citizens. >> now, in your mother's case, carnival claims that it has and had no duty to provide medical care, in duty to train -- no duty to train or

it's a much safer medication than oxycontin.ch lower risk of an overdose. >> if we don't rapidly expand access to treatment, the outlook is grim. overdose death will remain at historic high levels. harewood will continue flooding into our neighborhoods and our families and communities will continue to suffer a tragic consequences. thank you. >> well, thank you very much. we have just been joined by senator udall of new mexico, and candidly as i listened, i mean, i am really struck, 30 years ago i was mayor of a big city and we had our share. nothing like today. nothing like today. i think this testimony is amazing in terms of the tripling of heroin users, the enormous abuse of oxycontin and oxycodone and hydrocodone. the question is, you mentioned the fda just keeps on licensing regardless. i think that's something that i am going to look into. i have this question. i was the senate sponsor of the ryan haight act which went into effect in 28, and that provided no control -- in 2008, dopers prescription drug as determined under f

to raise medical vernets on harm. and with the cdc health care advisory committee as a consumer representative for the health care associated steering committee. prior to joining he worked for the texas senate committee and hhs. thank you for being with us. >> thanks for holding this hearing and for being here. i will not go over statistics because they are covered but the response that comes close is the focus of the hearing as a understand it. to talk about the patients the impact varies and can be anywhere from minor harm will regard this from the scope or the impact of medical error. most people's lives are affected beyond the health care or the physical response. people who were harmed lose their jobs and homes and health insurance and many go bankrupt trying to pay medical bills they would not have had if they were not harmed by the health care provider. these are very real consequences of the failure to take action to eliminate medical errors our sisters and brothers in they are disabled and many are dead becau

who has a disease i find relieve from medical cannabis we don't receive an effect we get the medical relieve we found we expect a clean and professional well run dispensary and when greg shep was involved on ocean avenue our were met the environment was smokey and messy when the other person took over we stopped going. there's no room for unprofessionalism when health is the issue. greg shep is the epitomize of the honest medical cannabis provider it's my understanding that greg shep has been given the run run around and it's my sincere hope and belief that the commission will error open the do of the kind of professional we need and president in the medical cannabis field. thank you very much. >> thank you duo do you care to state your name for the record. >> i'm susan tip of the iceberg even. >> any public comment on that item? >> okay. thank you mr. pacheco can you switch to the other microphone if we're going to use that other microphone if you like and hello, everyone. >> my name is brenda r vi suffer from various medical problems but yo go into that. i was a member of the water

so they don't go to the medical facility to get their medications. they don't want people to know their status. so, these are people who are sitting there with this disease and not being treated. they don't have the staff to talk to these women and men to let them know that it's okay to come to the infirmary, or some kind of way to give them this medicine without everybody knowing what the medicine is. because when you go through the line, everybody knows what everybody is taking. so some people don't want to take their medications. and that is a problem. that's a big problem. there should be some kind of way where women or men can get their medication without the world knowing what you're taking. also, i've seen people passed by in prison for things that could have been prevented. women were coming down with cancer in connecticut, and it was just crazy. it was so many women at one time. coming up with these cancer diagnoses, and before they would take them to a facility to be treated, they sit them there and talk about all these different tests and

you don't just rush to medications because we have great medications for reflux. you don't rush to medication. try to figure out what caused it. >> i think the doctors, we're writing too many prescriptions right before we try many lifestyle changes, as we've spoken about. >> do you think patients are just looking for an easy fix? >> absolutely. and it's a knee-jerk reaction, and that's just bad medicine. i know mark olsen will give a prescription right off the bat. as we're talking about peptic ulcer disease or reflux, the esophagus has a sphincter that's supposed to keep the acid away. fatty foods, chocolate, smoking, alcohol, obesity, anything, h h hiatal hernia. that's what causes the acid to push up. >> it's comfort food. >> it causes inflammation of the esophagus, causes bleeding. and then finally you can have on and on and on. for example, a lot of people that eat food lying flat. that's the recipe for reflux. make sure you stay away from that. keep your bed about 30 degrees if you have a big meal or steak at the end of the night. >> is it going for a walk,

he is also the first to ever receive this medication. we now for the first time get an idea of how profound an impact it could have. he is just one patient. what do we do with this information information? how do we prove this? and how do we, most importantly, make it available right now? there are people still suffering who could be helped, if not saved, by a medication like this. >> i'm just back from vacation in canada. now i'm hearing the canadians are looking into the possibility this could at one point become an airborne virus, which is absolutely terrifying to people who have been watching the story and are realizing with all the reporting that it's bodily fluids only, but the airborne notion scares, you know, the living you know what out of so many of us. i want to ask you about that later. i know later you're going to be talking with one of the doctors involved in the patient's treatment. we're going to check in with you a little later. thank you. dr. gupta, great work, thank you so much for that. >> you got it, thank you. >> un

that's one thing we're doing try to strengthen the medical evidence. second, at the alj level in the same circumstances where we have an unrepresented miner, i have instructed officers in the solicitor's office who normally do not get involved in these cases to look for those cases to get the medical evidence which may have been submitted at the alj level, send it back to the original doctor. sometimes the original doctor's evidence is two or three years old, so it's considered outdated. send it back and get more evidence. >> how many cases, what's the backlog? i don't want even know the number. do you know the number,? >> senator, i can -- we can get you the number. what i can tell you is that the number of cases that has been filed has increased from about 6400 in fy-2013. we believe it will be about 7400 in fy-'14. so the number of complaints filed has increased by about a thousand, and we can get you more detailed information on what the backlog numbers are. >> come told us there's -- counsel told us there's about 14,000, does that sound right? >>

unfortunately, that medication can cause seizures. he did not remember my seizure disorder and the medication caused me to have an increase of seizures. after a visit with my neurologist he took me off the medication knowing the seizures side-effects. getting this resolved today's. countless phone calls and much persistence on my part. not including the increase of seizures. issues like this happen frequently and although i consider myself an educated person, navigating this maze is very difficult and exhausting but it is my life at stake and i do not have a choice but to be engaged. to give you another example i recently had to change to a new primary care doctor since our former doctor is now only accepting private patients. this has been a challenge as it will take some time to become familiar with my doctor and to become familiar with me. in an ideal world, i have come to realize this is not realistic because i require specialized physicians. for a long time i was privately insured through my employer and later through my husband'

probably passed away from lack of adequate medical care. senate senator rockefeller and members of the committee i appreciate the opportunity to tell my mother's story story, to share what we have learned and to offer recommendations from our perspective in the effort that no other family will go through what we had to experience. my mother expresses a catastrophic health defense and passed away may 4th with the cause of death listed as a brain injury. she was a woman who loved life and loved her family and had a generous heart anaphase fall and devoted wife and mother who was support her husband and provide care to many individuals in our community in mississippi. more than a hedger people came from the committee to her visitation. we just pass security and were preparing for the event when she collapsed. she had no pulse, she was not breathing, iran to plead with security personnel in that area but all that they did was show was the -- sealed off the exit's of the bow so nobody could see. they did not step forward period to helped my moth

medical errors cost the u.s. health care system $17 billion in 2008 comment and when indirect costs a taken into account like lost productivity due to missed workdays, medical errors may cause nearly $1 trillion each year. in the midst of this situation, which we will be discussing today and i think we agree is not just an american issue, this is an issue taking place all over the world. countries all of the world are trying to combat it. the good news is there has been progress made in recent years and we will hear from our panelists about the progress that has been made and more importantly where we have to go. but power is we understand that tragedy occurs, people die for all kinds of reasons that the tragedy we are talking about here are deaths taking place is that should not be taking place and that is what we are going to be focusing on. some of the advances we have seen, we are discussing these this morning come from following practices interestingly enough that have been established in high stakes field l

how long had he been taking medication for his pts? was he denied medication?gimmicky began taking medication in 2007 when he was at 29 palms recuperating from his gun shot wounds and iraq. when the standing is he received medication that he received active duty they care seemed to be good. when he transition to he was never denied medication andrews told they could not refill his prescription the followed him from the of lawsuits angeles v.a. and from grand junction he had to start over as a new patient we had this yesterday in the meeting but that was one of his major frustrations that when they go to another facility they have to go back through everything. just to reach count everything. that is ridiculous to have that redundant system. when he was told in houston they could never refill the prescription you need to call that v.a. never prescribe it to earlier and see if they will refill it for you. he was leaving the country for a couple of weeks and needed the nef while he was gone. klay was proactive and able to do that and was determined and took care o

paul farmer, medical anthropologist, professor at harvard medical school. will be back in a moment. ♪ [music break] >> performing their song "haiti." of or one dollar of every ticket goes to partners in health. they've been doing that for years. they're playing at berkeley center this week end. this is democracy now!, democracynow.org, the war and peace report. i'm amy goodman with juan gonzalez. several republicans have suggested migrants from central america could bring the ebola virus with them when they cross into the united states. the trend began in july when republican commerce member phil gingrey of georgia wrote a letter to the centers for disease control and prevention that noted "reports of illegal immigrants carrying deadly diseases such as swine flu, dengue fever, ebola virus, and tuberculosis are particularly concerning." in this month, a representative of indiana expressed similar fears during a radio interview. to theent a letter president saying, look, first of all, you know, we have got to know not from the press, that ahead of time, so we

have a facility to medical visit. it allows you to get to the patient much sooner so that because in the passion to transfer outside the wall. we brought that on board and it also decreases, reduces the risk to the public safety of transferring, and it saves money from the standpoint of transportation and security. we've also developed some new on site services which are continuing to improve the overall health and well being. about chocolate more about that on the next slide. i do want to say this is just a cut tag along with doctor loses. managed-care philosophies are improving health outcomes, at least in tennessee. so i want to just the kind of briefly discuss a few considerations to some of the illnesses. and by far this is not an exhaustive list of conditions, but as we talked about earlier, mental health disease or illness, excuse me, is a lot more pervasive in the correctional population. so we have to bring in innovative multidisciplinary approaches. so mental health, medical, legal, corrections, everyone at

that includes a $200 medical the text of compensation offer that goes to the medical detective to dot job solving their case. finally, the premium package, where for $499 it includes a three hundred dollar compensation offer to the top performing medical the tech it's. we have found that the patients that get the 299 or $499 package, we can often solve their cases for of magnitude less than it would have taken in the medical system and 50 times less time according to our patient provided statistics. >> give us an example of someone that has used this? >> we have many. every week we hear from patients who have their case successfully solved on our site. just earlier this week we heard from a patient who had been sick for nine years. he has seen almost a dozen different doctors and no one could figure it out. he posted the case on our website, and within two months found out the direct diagnosis and treatment and now on his way to recovery. he sent us a very warm thank you e-mail. >> what about the potential liability for those offering either the advice or diagnosis? >> we thought abo

if you don't get a bill, call the medical provider and find out why. it could be going to the wrong address and could hear next when it shows up on your credit report. >> let's recap, pay down the high balances, watch medical bills, resolve collection accounts and i've heard be careful how many department store or individual retail accounts that you open. is that correct or not? >> exactly. it is to some extend because new credit is a risk factor on your credit score. that's why it's usually recommended that you're very careful about applying for new credit. if you really want a new car that's fine. holiday season is coming up. don't take advantage the of the offers at the cash register because doing so will have an impact on your score. >> jerry, thanks, always great to see you. >> thank you. >>> still ahead, which part of the real estate industry is having a blowout year? we'll tell you. that story is coming up. >>> a federal judge rejected a $325 billion settlement between apple, google, intel and adobe and tech workers who said the firms conspired

field because the conventional medical community has. basically stated that there is no link between mercury and autism almost all vaccines studies are epidemiological studies which means that large groups of people are compared to each other. there has been very little bench science that is looking at what happens at the molecular and cellular level in the body we really need to do both kind of studies in order to understand what really happens. the research is incomplete and in the certainty that sliced it on a vaccine. authorities. is not scientific. since one thousand nine hundred nine the amount of mercury has been reduced in vaccinations but i'm aerosol is still present in some vaccines and it's pretty clear from the scientific evidence that any form of mercury in the body is toxic and it can cause damage. the bottom line is there are a great difference between children and we make assumptions that every child has a similar level of tolerance which is clearly not the case there's the studies looking at children's hair for mercury s

can we take this medication and fly the answer isn't yes or no but what are you taking that medication? >> the medication used for the condition that would be disqualifiedisqualified anddisqu need to take a look at why is the man is usually the underlining condition and is more significant than in the other occasion. and each person can have an id using graphic effect with a particular medication. for the ground trial that had been previously exposed is also. also. >> that's been the recommendation that we have heard from years. is there a specific amount of time that somebody should be granted with the new medication. i've heard over 72 hours. >> i would say that it's case-by-case. but pointing out what i should have pointed out from the get-go it is the underlining condition and not the medication per se. certainly there are many medications there is no recognition for the wait time but on the other hand, it could cause you to be lightheaded and it's just a very wise to be able to take this medicine for a week or two before flying. another common example of medicine where we expect a

are they changing medical use? if they do they forward that application to the health department and the third step in the process is the health department reviews the application and the accompanying justification to determine whether it is or isn't consistent with the master plan. when we brought the master plan to you for your review and endorsement you asked us to deal with the three different types of determinations in this way, so consistent applications, those that are plain consistent will be presented to the health commission as an informational item and forwarded to the planning department so the department of public health's recommendation would stand and you would be informed of our recommendation and finding. for those consistent and recommended for incentives however we would present the items to you for public review and your final determination at a public hearing and the same for applications and if the department considers it inconsistent and deem its that way we would have a public hearing and yo

. >> reporter: a private medical jet carrying dr. kent brantly landed in dobbins air reserve base in marietta, georgia, around 11:20 this morning. inside the plane, dr. brantly was kept in an isolation tent and wore a suit to prevent him from infecting medical workers with him. the 33-year-old physician from texas was then transported by an ambulance outfitted with internal protective drapes to emory university hospital 20 miles away. he walked into the facility with help from a paramedic. he'll be kept in an isolation unit that was built in collaboration with the nearby c.d.c. dr.jay varky is an infectious disease specialist at emory university hospital. do you worry when you go in and treat a patient that has a disease like ebola? >> i don't. i actually truly believe in the practices we have in place, and i have no specific concerns either for my personal safety or for my colleagues'. >> reporter: the doctors will wear protective suits. the ebola virus can only be transmitted through close contact and bodily fluids. the c.d.c. poin

unfortunately, that medication can cause seizures. he didn't remember my seizure disorder and the medication caused me to have an increase of seizures. after a visit he took me off the medication knowing the seizure side effect. getting this result of days and countless phone calls and much persistence on my part not including the increase of seizures. issues like this happen frequently and although i consider myself an educated person, navigating this is very difficult and exhausting but it is my life at stake and i do not have a choice but to be engaged. to give you another example, i recently had to change to a new primary care doctor since by former doctor is now only accepting private pay patients. this has been a challenge as it will take some time for me to become familiar with my doctor and for her to become familiar with me and my medical history. in an ideal world i would want my primary care doctor to manage all of my care but i've come to realize that this is not realistic because i require specialist physicians. for a lon

all other medically necessary services and those are the key words, medically necessary services are provided to the inmates within our custody. this do you mean has becument h by the office of attorney general and the constitutional health care. the second foundation is preventive care. i know you've heard an ounce of prevention is worth a pound of cure and it is of no benefit to deny preventive services. we follow u.s. task force for preventive services guidelines doing routine health assessments and providing chronic illness krinices with the necessary medications that go with that and on a frequency and fortunately, we have a locked up population and the fact that they miss an a poim, that doesn't happen very much. they get to come when they're supposed to come. we have an active yacht liezation department that does preauthorization with concurrent review and planning. we have an active pharmacy and therapeutics committee. we have a formulary and a co pf pay which is legislatively mandated and it's $5 for those prescriptions that are considered to be non-chronic care and it's pre

medical marijuana. >> this should be like any other medication. it should go through the rigorous testing process and proven effective before it gets released to the public. >> governor corbett also opposes the current alleges laying were you says he would consider a carefully controlled research project. >> our children are being left to suffer with these conditions and it just seems cruel. it's shameful. >> report torture for the family watching her slip further away every day. >> senator leach thinks the bill will be approved in september and that there are enough votes to over united an expected veto from the governor then working out the mechanic of production and distribution could take months, even years. i'm stephanie stahl cbs-3 "eyewitness news". >> we want to know what you think about this. do you believe the pennsylvania state legislature should approve a bill legalizing marijuana for medicinal purposes? you can log on to cbsphilly.com and vote in our viewer web poll. >> do you ever wonder why the food selections on some men use just s

in the book i describe medical marijuana in detail and my concerns about medical marijuana according to the california model where really they -- these doctors have made a fuss. there are some people who have serious medical issues who are turning to marijuana for relief. they turn out to be a tiny percentage of the total number of medical marijuana users. about 5% have what we would consider diagnosable reason for carrying a medical marijuana card. the rest are probably people who enjoy amusing -- enjoyed using marijuana. as i said i'm in favor of legalization side no reason to be unhappy about that except i don't like is somebody who is willing to lie to a doctor to obtain a card has no problem where someone who does want to make those false statements does. i think it creates an uncomfortable system. i have some real concerns about how it is played out in some states. >> host: what kind of tax revenues has california garnered from medical marijuana and what are the early results from colorado? >> guest: colorado has been fascinating to watch. the last few months we have seen taxat

disease as well as other underlying medical conditions and juggling that group of medications can be hard. you are right. i am not sure what the answer is but i know there are experts and doctors out there who can speak to it. >> host: another tweet from a viewer. my mother is in her fifth year of alzheimer's and my grandfather died of it as well. joanne abilene, texas. what is your story? >> caller: my mother died of alzheimer's and my sister has it right now. i have cancer. and our situation was or is so bad -- was so bad, that i would rather die of cancer right now than have to go through alzheimer's. it is just -- she has been saying it has been a dreadful disease in our family. and we have not had the resources that so many people have to do other things. we have to go with whatever we can get. >> host: and joanne talk about the resources that are needed. the money and time. >> guest: well you have don't have money to hire someone to come in and be with someone, of course, the family has to do that. but then if you cannot do either one of those things that person is put into a n

but what we know will happen is people will avoid medically necessary care. they really cannot ford to pay more out of care pocket. it's been a number of decyberthat is we've seen. medicare advocate submitted a statement about concerns, about the medicare redesign proposals. i'll be happy to submit that for the record. >> how would the rolling of the two together affect this whole question of observation vers versus -- or there would be no question anymore. it would just be a patient and a system. >> it depends upon how the specifics of the redesign work and he wouldn't have to pay right now. >> does the three-day stay have to be there? >> that's been approved. if they're in the hospital and the hospital calls it an observation, they do not get the credit for going into the nursing home? >> they do not get the three midnights do not stay. the woman who was in wisconsin for 13 days, consecutive days, as an outpatient, did not have the three-day qualifying inpatient stay. >> and rolling part b together would not change that? >> wouldn't change the three-midnigh

necessity rac denied 60% of the medical records requested. only 60% were overturned to discussion even before the first level of appeal. the rest of our 92% are in the appeal process. the rac program is costing american hospital millions of dollars in administrative burden to manage the requests, denials and appeal processes as well as the financial hit for revenue losses for care that was provided to patients. there are a lot of smart and committed legislators and policy-makers who have put their heads around these issues to come up with solutions that are workable. unfortunately, with each iteration and layer of new ideas come complexities and unintended consequences that seem to yield the opposite result. in the case of the to midnight rule, congress and cms should consider reverting to an earlier time, that before october 1st of 2013 and reinstate the determination of inpatient hospitalization based on physician judgment with one caveat, that patients who are hospitalized for greater that be two midnight for medical necessity and medicall