nih took a huge step by creating the nih pain consortium. despite the fact that every institute and center addressed some aspect of chronic pain, none had the sole responsibility for this critically important issue. nor were the various institutes coordinating the pain research. this lack of coordination limited the attention given to pain research. and despite advances made by the nih pain consortium more needs to be done across the federal government to address the unanswered questions. the unanswered questions surrounding diagnosis, treatment and prevention of chronic pain. today's hearing will largely focus not exclusively, but largely focus, on the recently released report by the institute of medicine. titled relieving pain in america, a blueprint for transforming prevention, care, education and research. this crucial report examines the issue of chronic pain in america. identifies some pairiers to more effective research and suggests a plan for addressing these barriers. the report advocates for enlightening health care providers, pati

in 2003,nih took a huge step forward in this area by creating the nih pain consortium. they recognized that despite the fact every institute and center addresses some aspect of chronic pain, none had the sole responsibility for this critically important issue; nor were the institutes coordinated their pain research. this lack of coordination limited the attention given to pain research. despite advances made by the nih pain consortium, still needs to be done at nih and across the federal government to address the unanswered questions, the unanswered questions surrounding diagnosis, treatment, and prevention of chronic pain. today's hearing will largely focus, not exclusively, but largely focus on the recently released report by the institute of medicine titled "relieving pain in america: a blueprint for transforming prevention, care, education, and research." this crucial report examines the issue of chronic pain in america, identifies some barriers to more effective pain research and treatment and suggests a plan for addressing these barriers. the report advocates for

yet again only about 0.8% of our nih resources are used for the study of chronic pain. if we look beyond medicare, if we look at the consumption of direct and indirect costs associated with treating common conditions, including chronic pain, we find that almost 30% of direct and indirect costs are associated with the payment for the treatment of chronic pain conditions. in my view, there needs to be additional resources either provided to nih, targeted towards chronic pain and pain initiatives, or a allocation of nih appropriations that are use to further address a pain-related conditions. there are other substantial issues that are outlined in the iom report related to research, but to me that is one of the primary fundamental research barriers that currently is impeding progress. in the area of education, it's already been alluded to that curriculum is a fundamental problem. i served at unc school of dentistry as dean of associate affairs for six years and had an opportunity to look at the curriculum content that we have devoted to pain management and pain mechanisms.

more disturbing to me is the nih budget. national institutes of health are frozen in the budget that you have submitted. we rely on nih to give us the answers to a lot of the medical mysteries that are out there and to provide the foundation for research that is important for innovation and job growth in america. and i've been to nih many times. and i have talked to the scientists that are working there. and i know the number of opportunities that are there that are not being moved forward because of the limited resources. so i would have hoped that we would have seen from the administration a greater priority for the nih budget. i want to give you an opportunity to respond as to the priority that nih is receiving under this administration. >> well, thank you, senator. i do share your feeling that one of the most significant areas for not only the prosperity of our nation but really the world is the on going biomedical research going on at the nih. and i'm struck by not only how important it is in this country but around the

that's a good point that we need to set priorities within the nih. i agree with you. i want to make sure senator carver has an opportunity. let me just raise the issue post acute care. you have a large cut of medicare in your budgets, i think 50-some bill eun dollars. posted acute care has already sustained substantial reductions in recent efforts. i know there's concern that we target against fraud and abuse in ways. i would just urge to be more surgical rather than using across the board issues that could jeopardize access to post acute care. >> we'd love to work with you on that issue. thank you, senator. >> thank you, mr. chairman. >> senator carper. >> mr. chairman, hey? mr. hatch. >> just a humble servant here. >> secretary, welcome. i just want to -- i want to thank you for a couple things. one, accountable care organizations. we all know we have to move away from fee for service toward a more coordinated care approach. they'll put out accountable regs. we heard from a lot of people you did as well. i want to commend you and your team for responding to those co

we're talking about the researchers at nih. our scientists who can make more money in the private sector. so i would resist trying to draw a line as far as the pay issue is concerned. as it relates to members of cock you're not going to get any disagreement on that issue. we fully expect there's going to be a vehicle as we go through the appropriation process to deal with that issue. i don't think we should confuse the issue of our federalbers of congress. let's not put them in the same category that we're in. >> if there's no further speakers? mr. levin? >> i think senator casey wanted to say something. he wants a bite at the apple. >> thank you very much. we're trying to have one speaker per side and we'll keep doing additional rounds so if there's a senate republican that would like to speak that's who's up next and we'll come back. >> mr. chairman i wouldn't get too locked in. the goal is to get people to speak their peace and frankly, i'd like to yield to senator casey and senator kyl. >> mr. chairman, just a couple of dif

so for example, you have somebody who's been a pediatrician but then goes to work at nih. supervising about 30 or 40 researchers in the area of finding a cures and treatments for cancer. when the folks at the federal salary council look at that, they see not just a solo practitioner pediatrician, they see something who also has responsibility for managing 30 people. it seems to me that's a reasonable distinction to be made. that that person is not just doesn't have comparable pay to a pediatrician but somebody who is also managing people in the private sector. take a simple prison cook. you could say, that person should just receive the same amount of money as a cook anywhere in any other kind of institution. but the reality is that prison cooks also have to be trained to take care of a violence in the prison or other outbreaks. so that's why you have these big disparities in the different studies that have been done. federal salary council says on average, when you compare actual job responsibilities, federal employees on average, 26% underpaid. now you have the cbo study

i appreciate the level funding for nih and the work you're doing in r skpchlt d. the other piece is intent vising innovative businesses that out patents, and this has been a tax policy in other nations that has been successful in drawing out new industries, innovative industries that are making products based on a patent and a new patent. i am working on legislation that would do that here and provide tax incentives again so we can grow those new, the growth industries, so i want to mention those two specifics and give you a couple minutes to talk about really a have positive way how we're not only going to get out of this tough economy but continue to grow and not leaders in the world economically. >> i am happy to take a closer look at those two specific proposals and welcome your support for them. the simplest way to describe what we think makes sense for long-term growth and opportunity is better education outcomes, support for basic science and research, not just nih and medical discoveries but of course across a range of parts of science critical to future t

looks pretty quiet at nih. back to you. >> thank you. the louisa county elementary school gymnasium is still closed because of the earthquake damaged six months ago. school officials believe aftershocks from last summer's magnitude 5.8 quake caused the cracks at the elementary school. jim classes will be held outside or in other parts of the school. they're not sure how long it will take to fix the damage. >> monday morning commute to a little longer than expected and reno dozens of crashes. no serious injuries reported. one driver spent four hours on the interstates where traffic moved about 1 mile an hour. >> that's not fun. 11 minutes past five right now. if you need to drive through dupont circle at any time today plan extra time. the traffic lights are going out several hours. >> so much for smooth sailing. crews had to come to the rescue of oh dear...r. oh dear! ohdear... i'm not sure exactly what happened here last night. i was out helping people save money on their car insurance. 2 more! you're doing it! aren't they doing great?!

this problem. >>> the sleep specialist at the sleep lab washington adventist hospital and works at nih on sleep and very important sleep and some times evasive sleep thanks for being with us >> thank you pleasure. >>> coming up would you pay an extra $200 for your car to help save lives why the government isn't giving the green light yet for new cameras ahead >>> here is a story some leaplings could relate to, a push to have george washington's birthday recognized on february 22nd. congress will hold a hearing, to decide if washington's birthday should be observed on its date pgh >>> >> speaking of birthdays a special happy birthday to all the leap day babies here are some more names from our facebook fan page. man we had no idea there were this many >>> also i don't know that first one but we wish you a happy birthday and also ... >>> we will share a few more later this hour  >>> back now an update on proposed requirements, government proposed most new cars and trucks come equipped with cameras in an attempt toprevent drivers backing over small children but they have c

for example, you have somebody who has been a pediatrician but then goes to work at nih. he is supervising 30 or 40 researchers in the area trying to find treatments for cancer. when the folks at the council look at that comment they say not just a solo practitioner pediatrician, but they see somebody who also has responsibility for managing 30 people. it seems to me that is a reasonable distinction to be made. it is somebody who is managing people in the private sector. take a simple prison cook. you could sesay they should receive the same amount of money as a cook anywhere. prison cooks also have to be trained to take care of of violence in the prison or an outbreak. that is why you have these big disparities in a different studies that have been done. the council said on average when you compare actual job responsibilities, federal employees are 26% underpaid. now you have the cbo study that looks simply at democratic characteristics. if women are underpaid and the work force, that would translate through into that same analysis. that is a different approach. what the

i suppose when we review nih and bring them under investigation they will stop funding nih to the tunef $1 million. no longer do they want to be providing non-profits. they want to become a political advocacy group. >> she was making a great point there. because the original reasoning behind the susan g. koman foundation was now that planned parenthood is under investigation we're not sure we should give them money. but it was an investigation based on no facts. it was republicans deciding, hey, i don't know, we're going to start an investigation of planned parenthood. that's what they do all the time. so they were saying we're going to start an investigation on anything and you'll stop funding them? ridiculous. what happened? here is a statement from susan g. koman board and brinker as well. quote, we want to apologize. we have been distressed at the presumptions that the changes to the funding criteria were done for political reasons or to specially penalize planned parenthood. they are not. we will continue to fund existing grants and hey listen, in a lot of ways mission accomplishe

nih seniorhealth.gov.

so that national institute on aging at nih, of the u.s.th and human services, created go4life. bud: i now excercise three times a week. narrator: featuring exercises you can do anywhere. irene: i can really go. narrator: find our more, visit nia.hih.gov/go4life. with gold bond intensive healing cream. it targets the underlying causes of itch and irritation. gold bond. intensive healing for lasting relief. ♪ >>> that wraps up for this edition of "our world with black enterprise." visit us on the website. and facebook us and follow me on twitter at marc lamont hill. see you next week.

well, komen gives $1 million to the nih. are they going to cut back that funding?t going to accept funding from pharmaceutical companies when we call a pharmaceutical company to the house floor or to a committee hearing to talk about tainted medicine? so there's nowhere for them to go here. planned parenthood is audited like no other federal grantee in the entire country. they are -- >> let me ask you this, congresswoman, and we invited komen to come on tonight, a representative, and they declined. there's been this real war on women by the right wing. is this but another example and another casualty of this war on women and war on women's right to choose and to decide what to do with their lives and their bodies. >> i hate using the term war on women because, you know, women are strong. we're capable. we're able to take care of ourselves. but we're not going to allow for the diminution of rights and benefits to women and poor women and young women and women without health insurance who are unemployed should not become the target of this kind of action. >> now peop

so that national institute on aging at nih, of the u.s. department of health and human services, created go4life. bud: i now excercise three times a week. narrator: featuring exercises you can do anywhere. irene: i can really go. narrator: find our more, visit nia.hih.gov/go4life. >>> welcome back to "our world with with black enterprise." let's take a look at another one of our previous legacy award nominees. >> i never gave up. i had perseverance. i just stuck with it, and 32 years later, plus, i'm still in business, having the time of my life. >> audrey smaltz has long been a vital part of the fashion industry. >> i came up with the name the ground crew, because i heard the reverend dr. martin luther king talk about, those big jet planes can't get off the ground without a ground crew. >> in paris, i always say, where's audrey smaltz with the ground crew. it makes everything run smoothly. >> reporter: the path to the fashion world began with audrey's own modelling career. >> i was born, bread, toasted, jellied, jammed and honeyed in harl

nih experts stress that thousands of people take this drug safely all the time and they don't become addict to it. >>> a lot of people are anxious about the snow, but i don't know, should we be? >> no. >> do we need to be medicating o ourselves for the snow? >> if you were hoping for a lot of snow. if you were hoping for a little bit, you guys are the big winners. >> we have mostly clear skies right now, and temperatures that have been well more than average. the winter roller coaster continues. we've been on the ups. tomorrow we're going to go up even higher. i think tomorrow is going to be a gorgeous day with temperatures and could be near 60 degrees. currently right now, way above average. winds north-northwest at 7 miles an hour. 34 in culpepper. 28 in manassas. that's the cooler area, 40 in laplata. storm 4 radar, nothing to show for in our region. have you to go out to the west to see where our storm is located. you can see where it's located. watch it coming out of the mountains of mexico. and really blow up here. there are flood watches all across the south. this is going to

you mentioned health care, even in this difficult environment, we are maintaining nih's fundin at an increasing the number of l grants. >>el all extremely important to our economy. thank you. >> thank you, mr. chairman. i'm tempted to ask you if you rd were drafted for this job or you volunteered. i won't go there. because it's a tough job you ap have. andou i appreciate you being hee today to present the president'a budget. we get into baselines and all that kind of stuff, the americaf people really don't care about o baselines, i do find it that interesting that y you're tryint to useo us savings when there it an accounted treasury with all this money in it that we're going to save and not spend. that's the reality. it was the bush administration that signed the status -- what was it, the status agreement, going to be coming out of iraq for a number of years. to count a continued effort as we have had in the last several years and the next ten years ant say we're saving it, is just lt phony, which a lot of this budget is, quite frankly. i'm just a simple guy from idaho. what the am

the help that we gave to the nih that resulted in the famous hormone study has reduced breast cancer mortality by 15%. so we want the girl scouts to keep on being the girl scouts. that is, we worked on our badges, you work on those badges. and let me say a word about the cookies. first of all, i love the cookies. i never met a calorie i didn't like or a hand i didn't want to shake. but also, it was there that we learned about entrepreneurship. about business plans. about marketing. and most of all, we learned about, if you buy it, you own it, and you got to sell it. but i think what we also learned really when we look back on those years, we would talk about two things. one, the friendship with other girls. and i would encourage you through your life to keep on doing that. and the other was the girl scout promise and the girl scout law. let me conclude by saying this. when i came to the congress, there were only senator casa bell and myself. we all worked together and some of the women have tried to work together. but the politics has gotten prickly. and i carry the girl scout law wi

, get kids back to work, more engineers, more investment in research and development, the sciences, nih, national science foundation, jump-starting the economy with a new green revolution. this is the way out. and we've stopped investing in the united states. stopped investing in infrastructure, stopped investing in research and development, stopped investing in education. and we are where we are because of those disinvestmentses over the past ten years or so. >> let me go back to "the wall street journal." they say even the keynesians who run the cbo concede that the 2013 tax hike on capital gains dividends, estates and small businesses would knock economic growth down to 1% next year and raise unemployment to 9.1% from 8.5. that means about 750,000 more jobless americans. you can't have such a lousy economy and cut the deficit in half. so in other words, would you be in favor of continuing the tax cuts that are in place in order to not damage the economy? >> well, not for the high-end folks. i think the buffett rule and what the president is promoting with that, i think should happen.

we have those that working at nih as researchers. we have those who are working at nst, as engineers. working at nasa as a scientists. working at fda to keep our food supply safe. when you look at the professional workers working for the federal government, you find in fact their salaries are less than the private sector. making it difficult for us to recruit and retain that are trying to answer some of our most difficult challenges. whether it is to find cures for cancer. whether it is to keep america competitive in developing the best technologies or, for the future or whether it is in dealing with our food supply and keeping us safe and the list goes on and on and on the work that is being done by our federal workforce. let me point out that the crs study does not reflect the fact that we've had a two-year pay freeze. that in and of itself has made the federal workforce less competitive in salary than the private sector. i want to quote from afge study i think is very telling because i think this is part of the misconception that

we're talking about the researchers at nih, scientists who commit more money in the private sector. i resist at trying to draw a line as far as the pay issue is concerned. that relates to members of congress, you will not get any disagreement. we fully expect there will be a vehicle has to go through the appropriation process to deal with that issue. i do not think we should confuse the issue of the federal work force with members of congress. let's not put them in the same category we are in. >> if there's no further speakers, mr. 11 >> a think commander -- senator casey. >> we're trying to have one speaker per side. if there's a senate republican who would like to speak, i think that is who is up next. >> i would not get to locked in, because the goal is to let people speak their piece. >> just a couple of items. the statistics from crs and the office of personnel management are what they are. federal employees on average make a whole lot more than people in the private sector. the taxpayers that pay our salaries would like to see some shared sacrifice here but what happened to th

the construction process will be narrowing rockville pike in connecticut avenue near nih to as few as to lanes. okay, picture that. it's all part of the three-year project to make the traffic flow smoothly as 225 workers move into this area. of course, they are becoming as a part of the base closure and the realignment construction plan. it will last again as i said for three years. >>> meanwhile, ddot is working hard to preserve the historic street in georgetown one brick at a time. and they are being torn up, after the utility work, the same bricks that will then be putting that back into place. today, the first section between 34th and 35th opened traffic. they hope to finish the project this summer. >>> all right, so we got a little snow adventure with the keyword being little. they will be coming back in. after the other shots. nothing major here. all right, here is a look at your weather camera that will be a pretty nice day. a bit chilly. but temperatures are topping out around 47 downtown. and we've got lots of blue skies on out there. the temperature now is at 46. under partl

nih seniorhealth.gov. built with you in mind.james: just a quick update on the hot spots that erica has been following for you. the chp has issued an alert. that has since been rescinded all lanes are reopened. on to some national news this morning, snowy weather likely send a private jet sliding off the runway. officials say is live off the runway and crashed. emergency crews in the area believe that heavy snow and strong winds contributed to the accident. and a major storm is traveling through the denver area could see 2 ft. by tomorrow morning. this is the hottest ticket in the nation. football fans are all excited we take a look. >>reporter: the countdown to kickoff is almost over, and his two days the patriots will take on the giants in indianapolis. thousands of giants fans, and patriots fans have been flocking to the city ahead of the big game. >>reporter: the most exciting event that is held in the u.s.. both teams have been practicing hard, the giants' quarterback eli manning said his team should continue playing the way

it would work were the ones who benefitted the most from it and all the studies since then and the nihooked at it are conflicting, some say it works and some it doesn't and migraine headache experts are using it more and more and dental and back pain, more and more and i would say the jury is out. but if you think it will work you have a higher chance, it could be placebo. >> eric: you hear people say i went to the acupuncturist and, it works. >> the history behind it is fascinating, the 16th century chinese medicine and they believe the body is a balance between two opposing forces, good versus evil and healthy versus sir and whck and acupunc people who are experts can find the right nerve and these channels, meridians, opens up the vital energy for you to get healthy and is really interesting. when richard nixon went to china in 1972, acupuncture became more popular because one of his staff needed it in china and it came to the u.s. we as western doctors, we look at this as more complimentary to what we do, not replace but compliment and it is important and the combination is healthy

bin laden, these are folks who helped protect the boarders our food safety, folks who do research, nih to help find tours and treatments for diseases i don't thing we should be scapegoating them again they need to be part of the solution but shouldn't be singled out as the only part of the solution. >> what about the republicans who say and even you just said well, it did save us money over the last two years some say it could save us another $26 billion this year or the next year ahead, so they say that is a good reason to do it, your response to that. >>> well, my response is, that we should start, stop singling out federal employees, republican colleagues have refused to ask folks who are doing very very well to get rid of some of their tax loopholes, and instead, they are focused on folks who are middle income, families, congressional budget office did a report, that has been in many ways, subject to a lot of misinformation one of the findings was that about 20% of federal employees get 23% less in wages, than their counter parts in the private sector, and then there are other fede

>> from the nih. >> gretchen: he disagrees. he's the american who disagrees with releasing it.rned it actually has too much information in it. i agree with people that say it's not likely that a terrorist could actually use this to create a pandemic. but not likely is not impossible. i think we're going to have more and more problems with this going forward. we have to look at the fact that we've got this internet now and we have terrorists out there. i also think scientists can use this information without it being widely available. scientists can pass this information from one to the other and they've already been doing it. gretchen, every scientist that needs to know this information already knows it. >> gretchen: why would -- what would be the argument for releasing it to the general public? >> it has to do almost with a first amendment right. you have this information. how can you possibly withhold it? should science ever be curtailed? should science ever be cut back? my argument would be in a case like this, yes. it should be rare, but if you think there is a potential pu

nih, the national science foundation, a jump starting the economy with the new green revolution.is the way out. we have start investing -- we have stopped investing in the united states in research, development, and education. host: we'll talk more about that. let me go back to "the wall street journal" because they talk about keynesian theory. they say -- host: in other words, would you be in favor of continuing the tax cuts that are in place in order to not damage the economy? guest: well, not for the high- end folks. the buffet rule and what the president's promoting with that should happen. folks are doing well. though with the current system is set up is inhumane. it is time we stop and just say it. it is inhumane was some families have to go through in the united states of america. to think somehow that warren buffett or some of these others cannot contribute a little bit more in order to help us pay down the deficit -- i have republicans in my district who do not pay that close attention to the daily workings of congress who say, "why don't you just raise taxes on those wh

ipg the funding for nih and r&d.novative businesses that use patents, and this has been tax policy in other nations that as been successful in drawing out new industries it innovative industries making products based on a patent, so i am more crime legislation that would do that here. i wanted to mention those two specifics and give you a couple of minutes to talk about in a really positive way how we are not only going to get out of this tough economy but we are going to continue to grow and be good economically. >> i will take a look at those proposals and welcome your support from those. not just an eye age and medical discoveries, but across a range of parts of science crucial to technological development. energy better incentives for investment. been a substantial infrastructure investment, so those court things innovation infrastructure a better investment. but that is what we think should be the core of the strategy and if you look at the combined cost of those things, they are very modest well within our capa