hashasing power of nih fallen by more than 1/5 over the past decade. 2013,ear, fiscal year nih will drop by $1.7 billion below last year's budget. almost entirely because of sequestration. will have fewer grants. that means 700 fewer opportunities to investigate and possibly find a cure for cancer and alzheimer's and diabetes and a number of diseases. perhaps even more alarming is the researchers chance to get a grant approved by nih will drop by 60%. that is the lowest success rate in the history of nih. that comes at a time when potential for scientific breakthrough has perhaps never een better. the national cancer institute, success rate will be 12%. the other institutes, below 10%. that is abysmal. when you have less than one in a 10 chance of getting a grant, that is when our best and brightest minds start asking, what is the point? maybe i should find a different career. it is no wonder some are saying our nation's status as the undisputed leader in medical research is under threat. the president's budget request offers a welcome response to this disturbing decline. the budget call

researchds upon nih that has been done. withderful collaboration the cystic fibrosis foundation and the heart and lung institute. it is a great success story and one we hope to replicate for other diseases. >> thank you. >> mr. chairman, i'm these to join you in welcoming our distinguished panel of witnesses today. dr. collins, we appreciate you being here again and coming out into the countryside where we live and work. >> i enjoy it very much. >> we appreciate it. it might interest you to know that recently, there was an announcement in a hospital for children in jackson, mississippi. a doctor told me of the baby born that was hiv-positive. it is attracting attention that to the distinction mississippi has people like a doctor who wrote many of your textbooks and others who have pioneered and research in different areas. we look to supporting the work that you do. we hope you will be able to provide some seed money or toentive grant funding ensure that we continue to embark upon daring and innovative approaches dealing wi

in the research by the nih, they didn't say x causes y. difficult to say the lack of a particular microbe causes a condition, but they found lots of correlation with children lacking certain micro biome search of manhood through certain great a check discovery about earth and butterflies and monkeys and that's the thing. i was hearing about the micro biome at the time realized i was describing this whole world of astonishing discovery and yet i was completely ignoring this other microbial world, this invisible world. as a parent of discovering the last 10 years; for quite a while that is as astonishing as discovering arose in the night is century. at finding new worlds inside of us. it's amazing that complex and changes of who we are. it's great stuff. >> host: richard conniff has a blog, strange behaviors.com for those interested about his writing. bowhead on twitter as well at@ richard conniff. helping help me with name of your town, patricia. >> guest: ticonderoga. >> host: go ahead. >> caller: hi, richard. it is comforting to me as wel

half of the rescue crews here today were at the nih collapse. >> the lesson learned, say first responders, come heavily equipped and come in large numbers. >> constantly thinking about that tonight. go team,ncluded the surgeons and nurses from shock trauma, transported from baltimore to bethesda. but the 50,000 pounds of rubble proved too much for one worker. he died from his injuries. , after fourrker hours beneath the crushing concrete, was freed and alive ful. for most of the day, the parking garage was a crime scene because of the death investigation. the comer county police say they have turned the parking garage back to the company responsible for the renovation -- montgomery county police it after the parking garage back to the company the company responsible for the renovation. them to it is i a up to update what happened. as for the construction worker who survived the collapse, no word yet on his medical condition. >> robert, thank you. now a developing story in alexandria. investigators have ruled the death of a man who was shot by an off-duty sheriff's deputy as a homicide. ju

the past decade we've had cuts at the nih.ng on $6 billion when you account for inflation. >>> so what's it mean? you can't do certain tests or what are you hearing? >> probably most discouraging is you're talking about researchers have about a one in ten chance to get funded, so all of the grants going to the national institutes of health, only one out of ten doors are we able to open. the most ideal situation is between 25 and 30%. actually, when congress decided -- >> you're turning down good proposals. >> they're on the cutting room floor right now. it's affecting young investigators who are deciding why should i stay in this area of career when the chances of my getting funding is so small right now. so, it's affecting labs across the country laying off people and right now, all of the, we have 435,000 people who are directly, indirectly funded. >> cancer survivor is a term we use today. isn't it great? we're used to the term. >> 14 million. >> we know the term. it used to be cancer meant the end and now, survivor for so

. >> not only was i treated for cancer at nih and was the direct beneficiary of that research and it not be a stupider time to cut back on funding for medical research. >> i have a good sense of what's at stake and this debate about federal funding for medical research and the short answer is a lot. >> john is managing director of science policy and david cornyn washington bureau chief for mother jones. everybody loves research. it means people can live to 90, healthy. if we don't do that, we're just going to fall back. if you don't have verge keeping up with stress, we're going to fall back. if you don't have research, we're going to fall back. >> the most important investment that our company can make and that's what's so discouraging right now. when you're talking about the sequestration, it's a $1.6 billion cut for health. the past ten years, a decade, we've had cuts at the nih and going on f billion when you account for inflation. so, we're at a time -- >> what's it mean an ek doe tall terms? you can't do certain tests or what are you hearing? >> probably most discouraging is yo

guest: first of all, the nih has completed that initial program.spent $173 million on a five-year pilot program with the idea of bringing the micro biome to the attention of the general public, the industry, the medical community. they really did bring that to everybody's attention, so readers -- to research has taken off. the nih is going to continue with a $15 million program over the next three years, and they will be looking at some of the functions of the microbio, something that specific microbes do and how we can manipulate them. so we will start to see that filtering out into our everyday lives. you will see it in doctors offices. we have drug companies that are researching microbial treatments for diabetes obesity, allergies. those things will start to come on the market, they be five years, i don't know. and you also have, in addition isthe $15 million that nih spending on the next phase of the human microbio project, you have other parts of the national institutes of health that to ramp up their research on the microbio, and they spent $

guest: first of all, the nih has completed that initial program. they spent $173 million on a five-year pilot program with the idea of bringing the micro biome to the attention of the general public, the industry, the medical community. they really did bring that to everybody's attention, so readers -- to research has taken off. the nih is going to continue with a $15 million program over the next three years, and they will be looking at some of the functions of the microbio, something that specific microbes do and how we can manipulate them. so we will start to see that filtering out into our everyday lives. you will see it in doctors offices. we have drug companies that are researching microbial treatments for diabetes obesity, allergies. those things will start to come fivee market, they be years, i don't know. and you also have, in addition to the $15 million that nih is spending on the next phase of the human microbio project, you have other parts of the national institutes of health that to ramp up their research on the microbio, and they spe

. >> not only was i treated for cancer at nih and was the direct beneficiary of that research and itld not be a stupider time to cut back on funding for medical research. >> i have a good sense of what's at stake and this debate about federal funding for medical research and the short answer is a lot. >> john is managing director of science policy and david cornyn washington bureau chief for mother jones. everybody loves research. it means people can live to 90, healthy. if we don't do that, we're just going to fall back. if you don't have verge keeping up with stress, we're going to fall back. >> the most important investment that our company can make and that's what's so discouraging right now. when you're talking about the sequestration, it's a $1.6 billion cut for health. the past ten years, a decade, we've had cuts at the nih and going on f billion when you account for inflation. so, we're at a time -- >> what's it mean an ek doe tall terms? you can't do certain tests or what are you hearing? >> probably most discouraging is you're talking about researchers have about a one in t

. >> not only was i treated for cancer at nih and was the direct beneficiary of that research and it not be a stupider time to cut back on funding for medical research. >> i have a good sense of what's at stake and this debate about federal funding for medical research and the short answer is a lot. >> john is managing director of science policy and david cornyn washington bureau chief for mother jones. >> not only was i treated for cancer at a young age and was the direct beneficiary of that research, and it could not be a stupider time to cut back on fund. >> for medical are search, the answer is a lot. [ applause ] >> john is director of science policy, american cancer research and david corn. everybody loves research because that means a better future. it means people can live to 90, healthy. if we don't do that, we're just going to fall back. if you don't have verge keeping up with stress, we're going to fall back. >> the most important investment that our company can make and that's what's so discouraging right now. when you're talking about the sequestration, it's a $1.6 billi

>> guest: first of all, the nih has completed the program.they spent $170 million on a five-year pilot program at the idea of bringing the microbiota to the attention of the general public of the pharmaceutical industry and they did bring that to everybody's attention say research has now taken off and the nih is going to continue with a $15 million program over the next three years and they will be looking at some of the functions of the microbiota him a specific do and you'll start to see that filtering on a tour every day lives. you'll see it in doctor's offices. we have drug companies now researching microbial treatments for diabetes come up diabetes, those will comment by up to 10 years now. you also have an addition to that $15 million now spending on the face of the human microbiota product, you have other parts of the national institutes of health that it began to ramp up research on the microbiota and they spent $180 million a year. so that is going to bear fruit and show up in all kinds of ways. i think the first thing we will see i

nih seniorhealth.gov. built with you in mind. music i want some more. what's he doing? please sir, i want some more. more? he has asked for... thank you. well he did say please... yes he did. and thank you. please and thank you. pass it on. (crowd of children) thank you. >> here's another report in our series on first-aid basics. >> what is heat exhaustion? >> heat exhaustion occurs when the body gets too hot. >> what causes it? >> well, our body cools itself by sweating. so when we're in the heat for a long time or we're doing physical activity for a long time without replenishing those fluids that we lost through sweating, then the hypothalamus -- a part of the brain that controls heat regulation -- is actually overwhelmed. we end up producing more heat than we release. >> what are some signs to look for? >> the person's skin will be cool to the touch. it'll be moist, and they'll be heavily sweating. they might appear pale and flush. they will probably be complaining of a headache, feel dizzy and weak, and maybe even nauseous. >> okay. what should we do? >> we're gonn

nih seniorhealth.gov. built with you in mind. music i want some more. what's he doing?i want some more. more? he has asked for... thank you. well he did say please... yes he did. and thank you. please and thank you. pass it on. (crowd of children) thank you. >> we're talking with a band that travels the world, not just performing beatles songs but looking and sounding like the famous fab four. >> ♪ so, how could i dance with another? ♪ ♪ ooh ♪ since i saw her standing there ♪ >> so, graham, what's the best part of being in 1964: the tribute? >> oh. >> there's so many things. [ laughter ] >> i love these boots. i really... no, no. you know, the best part of playing this music is the fact that everyone knows it, it's an american icon, and as british as the beatles are, america really took to them, and they still do today. i think its cultural significance is seen right here, when you can have a show playing in a place like carnegie hall 40 years, 50 years after the group originally created its music. it's the new classical music. >> the best part for me is that we're all

nih seniorhealth.gov. built with you in mind. music i want some more. what's he doing?please sir, i want some more. more? he has asked for... thank you. well he did say please... yes he did. and thank you. please and thank you. pass it on. (crowd of children) thank you. >> it's a sport that has a kickoff, but it's not football. it has a pitch, but it's not baseball. it has goals, but it's not soccer. and it has teams that are guys or all girls, but as emily tells us, that's changing. >> it all started about 200 years ago in england. a guy playing soccer decided he wouldn't just kick the ball. he'd carry it as he ran. so you say, "oh, like american football?" well, not exactly. >> the big difference between american football and rugby football is there's no forward pass in rugby. the ball has to be passed laterally... >> that means passing to the side. >> ...or slightly behind you. >> rugby is played on a field called the pitch. to score, you have to get the ball across the try line. >> one of the key pieces is, every player on the field gets a chance to actually run wit

. >> now, you know that nih, national institutes for health or of health. >> national institutes of metal. >> they -- of health. >> they just had within summary past couple of weeks they had a big meeting and they talked about how your mental state actually affects your physical health, correct? >> yes. >> were you there? >> i wasn't at that one, no. i was out of town, in europe. >> do you know whether they discovered anything new or were they just kind of ventilating this in the interest of public education? >> not having been there, i wouldn't want to declare anything, but it sounded like it was a group of people together to bring us up to date to where we stand on this. this is a valuable thing to do. >> are they sa saying that age doesn't mean the same thing today that it meant 20, 30, 40 years ago? >> it's absolutely different. look at the way -- you see people in their 80's -- in fact, anthony store the other day, famous british psychologist who died at age 80 was giving a lecture at oxford at the university there. he was one of the fellows. he was 80 years old and has continued to

and besides nih, it's easier for me to let things go where they come out. after considerable argument for providing what are called local preferences, that is a preference of some kind for all commodities, whatever is being purchased for people within a certain boundary. they decided to award a preference aside% for all bidders for commodities only. for example, not construction and not services. within the city of yuma. finally, that settled down and i think it's very came to rest. even that is a big problem. 60 miles on the other side of the california border would have another large city called oliphant show them they compete regularly and her purchases. south down to the border, five miles away, we have a town called st. louis. fairly big town. they have people there and they weren't too happy either. on and on. but even here in this area, when you start giving preferences to somebody, you open a can of worms, which once it's up and you can never get it closed again. >> now for my recent visit with time warner cable, we hear from step two, whose book "p

part of it and nih. being young, shy, and unsure, i had to stick up for myself. i often found that i made and implemented tears. for years it did not occur to me that i could argue with doctors' results. i was a good girl, she says, a hard-working straight a student. i was determined to be a good patient, to do everything they tell me to do, because this was my only son of getting better. i would say was about six years into things, midway through college, i finally decided it was up to me and not up to them. something was making me worse, i could stop doing it, even if the doctors told me i should keep doing it. if i could go back, which aims at, the sense that they have all the control, not me, she says. honing in on one of the most important elements of the milk patient could, the balance of power in the doctor/patient relationships. as a psychiatrist working with men and women in pain, dr. sarah woodman reminds us that this imbalance of power and skepticism has far reaching routes. historically, when women have reported medical symptoms these are not taken as

we have had feedback from a lot of the people at nih, where we do a lot of work that some of the reductionsing to see there will not apply to the critical care of these important research models. you know, these lab animals are very important research tools, so we think we'll have a very modest impact from the sequester going forward. >> jim, finally, we listened to a lot of the drug companies that reported in the last few weeks. really, their sales aren't that great. they are trying to do everything to make the quarter, it seems like me, does that make it very short term so they can show a lower expense line? a lot of guys who had a lower expense lines than we thought. >> yeah, we did see a softer quarter with them in the first quarter. i don't think it was to make their numbers. i think it was because they hadn't finalized -- a lot of them hadn't finalized their budgets. a lot were slow to work. they had a sorting out process in the first quarter where they needed to decide on what drugs they need at all and internally versus externally. increasingly, i think they're taking a longer view

if there is basic research at nih, basic research at nasa, basic research at the national academy ofence, basic series oft a whole organizations, that is fantastic. once the research starts becoming, how do you apply this to business, governments do that very poorly. that is the point where you get investors, venture capitalists, entrepreneurs, and part of the magic of the u.s. is in the places where that bridge works, you get a lot of economic growth. let me give you an example of this. if you walk around m.i.t., the difference between that area of cambridge 30 years ago and that avery -- that area today is night and day in terms of buildings, restaurants, art, museums, economic output. the same thing is true in silicon valley. simply because stamford m.i.t. were very good at taking a sick science research and translating it into companies that look like google. andasic science research i translating it into google companies that look like google. not want to walk 10 blocks in the university of chicago. there are huge ghettos university has not been able to create jobs and it has no

nih. he's heading it. we want to hear more about cuts that are affecting you.cebook.com/hardball. we'll be right back for a minute. ♪ ♪ wonder if i gave an oreo to facebook.com/hardball. we'll be right back for a minute. who i didn't know ♪ ♪ would they laugh after i'd gone? ♪ ♪ or would they pass that wonder on? ♪ ♪ i wonder how it'd change your point of view ♪ ♪ if i gave one to you? ♪ [ engine revs ] ♪ [ male announcer ] just when you thought you had experienced performance, a new ride comes along and changes everything. ♪ the 2013 lexus gs, with a dynamically tuned suspension and adjustable drive modes. because the ultimate expression of power is control. this is the pursuit of perfection. [ agent smith ] i've found software that intrigues me. it appears it's an agent of good. ♪ [ agent smith ] ge software connects patients to nurses to the right machines while dramatically reducing waiting time. [ telephone ringing ] now a waiting room is just a room. [ static warbles ] [ telephone ringing ] now a waiting room is just a room. r seeing your business in a wh

frances collins from nih. >>> the unkindest cut. from shakespeare. you can tweet us.'ll be back in a minute. why let constipation weigh you down? as soon as you feel it, try miralax. it works differently than other laxatives. it draws water into your colon to unblock your system naturally. don't wait to feel great. miralax. take the miralax pledge to feel better sooner. get a reward like a beauty treatment, a dance class or a $5 gift card with purchase of a specially marked pack. go to miralax.com for details. [ agent smith ] i've found software that intrigues me. it appears it's an agent of good. ♪ [ agent smith ] ge software connects patients to nurses to the right machines while dramatically reducing waiting time. [ telephone ringing ] now a waiting room is just a room. [ static warbles ] available out there. i knew devry university would give me the skills that i needed to make one of those tech jobs mine. we teach cutting-edge engineering technology, computer information systems, networking and communications management -- the things that our students need to kno

love the fact that even today the women's health initiative that was spawned by the exposure that the nih was excluding women, to this day the largest study trial ever for women lifesaving discoveries for women and that is important for cause and effect to having women participate in the political process and what it from it. i think about title ix for example. in fact, i was talking about it the other day with donna brazile as a matter of fact and she was the beneficiary. she said i love the fact you get young women who are so at this and there's no second thought about it. they are active in sports because those sports for women were treated equally. >> host: it's so fascinating how someone writes the responsibilities and rights and protections came, many of them during your four decades of service. you were there during a formative period when women younger than you may take for granted that you are witness to the changes. that is really worth women especially should read about the fights you had to wage on behalf of women. i loved also an avid about her much revered senator margaret c

the nih has been seeing cuts. researchers are being sent home or told to pull back on their jobs.ave a push from republicans and democrats. in the senate, the house they've been pushing to try to plus up the if you saiding for the national institutes of health. >> and how much of this is divide between weak and the strong, the powerful voice versus those who may not have their strong advocates. we've heard a lot of people bring up 4-year-olds in head start. can't all get on a bus and head to capitol hill. >> yeah. that's very true. i think the people who rely on meals on wheels, some of the education funding are not able to make the same kind of case. they're hearing also from their advocates. people on the hill like chris van hol yep saying he would prefer an overall sequestration fix which is pretty much pie in the sky. if they want to fix all of it while others are going for the piece by piece attempts, i think they'll be the ones that have successful if the advocates for meal on wheels or housing want to make a play, they're going to need to get some powerful allies. >> you me

done ono nih studies guns. it was signed on to buy almost every major researcher in this country. there were three studies on the gun violence over 20 years. they're not allow to keep data. all of the arguments seem to fall flat. a lot of it is about privacy. we have data on hiv and we are studying it all the time. they get all the information they can and it becomes part of a database. they can track how people are behaving when they engage in sexual activity. we have tremendous amounts of information that means we can target messages. we cannot do that with guns. everyone is like, "maybe it's video games." but we don't know. we don't know actually. because we do not make sure that we track all of the data. right? so if we actually started to label, if we started to track gun violence as a public health issue, and treat the collective data as though it were a public health issue, you could still maintain privacy, but you would know what your messages. if the nra's message is law- abiding citizens are not going to do it, they would have nothing to worry about. you would be targeti

the national institute of health has awarded the university of alabama, yes, the nih, you taxpayers are00,000 to the u of a in research grants to develop the personal automatic cigarette tracker. this is a system that includes breathing and hand gesture sensors designed to detect and record when and how a person smokes. that will help researchers and you know what, probably insurors figure out when you're smoking. at the moment, this system is designed to look like a vest but with the 400 grand in taxpayer money, they say they will offer it in a variety of styles and colors in underwear. now, i'm not sure how i should feel about this product but one thing is for sure. when it comes to smoking underwear, i wonder when insurance companies are going to get a whiff of this. this is joyful, because if they can figure what you've been drinking or smoking instead of what you check on your insurance box, i bet you what people pay in insurance would dramatically change. soon they're going to have access to what you eat, too, and when you say you drink five drinks a week, they'll know if it's sev

nih does breast cancer research which is where it should be.he px system which costs over $2 billion a year for u.s. bases when you have safeways and cvss right outside of u.s. military bases. where our military personnel could go and shop. a lot of programs like that. but these reports get issued, and nobody in congress talks about them, nobody in congress tries to do anything about them. even the think tanks are relatively silent in terms of endorsing or trying to promote these kinds of reports. so if you're going to put some constraints on spending increases to bring them down from double-digit annual increases down to 3% or 5% increases, what real alternative is there to the sequester? and i'm going to argue that, frankly, there may not be an alternative. if somebody can argue that there is politically, realistically, i'd like to hear it, but i don't see that argument that anybody really is making. but if steve has something to say about that, i'd lo to hear it. >> thank you -- i'd love to hear it. >> thank you. >> okay. unfortunately, i do

government whether it's at treasury, whether it's dod, the bill impact on contractors and civilians to nihthe future thinking of tours and things that exports and medical devices and pharmaceuticals that we can sell around the world and end misery, are you saying we're not only sequestering employees, but it's having a draconian impact on our economy, is that right? >> it's absolutely having -- >> and would you give us a sense of you've now been in europe where they've got austerity bigtime, a with a capital a, whether it's the french or whatever. what is your view of a, of an approach with the sequester on our economy, and not to be critical of other governments and their policies, but the consequences. has it really -- it might have lowered some public debt, but where has it got them in terms of their economy? >> well, i think before you even get to sequestration, the decisions that the united states made in 2009 to take immediate action to deal with getting our economy growing after a deep, deep recession to fix the financial system that was in collapse, our economy is back on its feet.

it means we cut the nih budget. where others are spending more. face of the need for innovation that cuts medical expense increases, we cut basic research. we cut the aid budget, where over the last decade we have been exemplary in spending better and making sure things like hiv medicines, that the u.s. took the lead getting those things out there. unlike foreign aid 20 years ago that was more about our friends, now it is about real human value. , i donly, the sequester not think it reflects our values. there will have to be a discussion about funding the thate, how big a priority is. even before the sequester, under the budget control act that the congress had said, ok, the non- discretionary will come down quite a bit. understanding what did that really mean, which programs and there, some of which i think are quite important, education, research, some of the foreign aid pieces, i think those to reflect who we are as a country. so until we can get into the long-term peace, the mandatory piece, we are going to be moving away from what i think our

when i was county attorney i started a special unit on elder abuse nih reduce legislation last week that senator cornyn and i've been working on for a long time about the adey and -- guardian ad litem and i would hope we would get strong support for this amendment supported by 155 groups nationwide. i would have said at thought i add a letter of support from all of these groups to the record. i hope that we can get this done by voice vote. >> i have heard from law enforcement. this should be a tremendous help to law enforcement. all those in favor of the amendment? >> mr. chairman? >> senator sessions. >> what would the senator say about the idea of making this kind of event one that was denied rpi status or be subject to deportation? >> extending the new visas so people can't be deported if they are victim of crime and received a new visa by law enforcement. >> you offered an amendment i guess friday. >> that was a different amendment that did not relate to elder abuse. i'm asking to the include this amendment to the group of amendments or i would have done it with the other one. >> wel

nih does breat cancer research, which is where it should be pa. the px system that costs $2 billion per year for u.s. bases, when you have safeway and cv s's outside of military bases. where our military personnel can go and shop. a lot programs like that. but these reports get issued. and nobody in congress talks about them. nobody in congress tries to do anything about them. even the think tanks are relatively silent in terms of endorsing or trying to promote these kinds of reports. so if you're going to put some constraints on spending increases, to bring them down from double-digit annual ncreases, down to 3% or 5% increases, what real alternative is there to the sequestered? and i'm going to argue that frankly there may not be an alternative. if somebody can argue that there is, politically, realistically are would like to hear it. i do not see that argument. if steve has something to say about that, i would love to hear it. >> unfortunate, i do not have another three hours to talk. really quickly on the diplomatic peace of the pivot. i think

." >> the head of nih said with all the attention to military suicides, the defense department is leading the way on treating mental health issues. much the same way it led on the issue of desegregation decades ago. the hour long discussion is hosted by the atlantic magazine. >> it's my pleasure to introduce the next panel, how public health attitudes affect care moderated by james hamlin. he was an editor at the atlantic, oversees the health channel on the website as well as contributing to the magazine. he is a doctor, former training at north western, harvard, and uca health system. the reference is apt. it's my pleasure to introduce james and the panel. thank you. [applause] >> we have three panelists to talk about mental health care. we -- it is a tremendous issue that still is misunderstood and how it's stigmatized. with me here to the right, i have dr. barbara van dalen, a clinical psychologist here in dc, one of "time's" magazine 1 hundred influential people of the year. she provides free services to military service people, veterans, and their loved ones. i have dr. roger ray, ex

i have big employer in the biomedical that cuts to nih, have caused them to impose a hiring increase. this is an invisible silent job killer because people are hiring. first, do no harm. second, we have huge infrastructure needs. american society comes civil engineers eviscerating of d+. with 15% unemployment. it's a no-brainer to have more investment international infrastructure to be more competitive against our major trading partners here. we should do that right now. second, i believe we should take action with respect to the long-term. we need to build on reforms are made in the affordable care act to begin to bring down the overall cost of health care. moving away from a fee-for-service because the fee-for-service system is one of the worst designed. the center for american progress, bipartisan policy committee, brookings today have all come out with ideas by reducing overall cost in the health care system. not simply shifting those costs off the medicare books onto the backs of seniors, which is that the voucher proposal would do. so i welcome that moves. the president builds o

it means we cut the nih budget. so in the base -- the face of the opportunity and others are spending more, in the face of the need for innovation that cut these medical expense increases, we cut basic research. we cut the aid budget, where over the last decade, it's been exemplary in spending it better and making sure things like hiv medicine that the u.s. took the lead in getting those things out there. so unlike foreign-made 20 years ago, it was more about who will are a cold war friends, now it's about real human values. so certainly the sequester, i don't think reflect our values. and there really will have to be a discussion about funding the future, how much of a priority that is. because even before the sequester under the budget control act, congress has said okay, the nondiscretionary is going to come down quite a bit. and understanding what did that really mean, which programs in there, some of which i think are quite important, education, research, some of those four and eight pieces, i think those to re

i am not suggesting the obama administration was going to let nih do clinical trials, but certainly they were taking a step back relative to previous administrations. from the public opinion perspective i have to believe they would support during that research. >> i was going to say the same. the difference returned views on legalization for recreational purposes is so large that i expect there would be support. on the -- could there be a step back. you know, alcohol is the subject on which opinion in america has really gone up and down and up and down over a long time and it would not surprise me if we had that pattern to some degree on marijuana, which is to say that the movement for prohibition sort of went way back in our history, at times as suggested to a movement against immigrants because the irish were said to drink a lot, german immigrants were said to drink a lot. it actually divided the upper class in interesting way. ridgway's. we passed it, it failed, so it was repealed, but we have had a return to semi-prohibition when we raised the drinking age all ver the country. you kn

if there is basic research at nih, basic research at nasa, basic research at the national academy ofcience, basic research at a whole series of organizations, that is fantastic. once the research starts becoming, how do you apply this to business, governments do that very poorly. that is the point where you get investors, venture capitalists, entrepreneurs, and part of the magic of the u.s. is in the places where that bridge works, you get a lot of economic growth. let me give you an example of this. if you walk around m.i.t., the difference between that area of cambridge 30 years ago and that area today is night and day in terms of buildings, restaurants, art, museums, economic output. the same thing is true in silicon valley. simply because stamford m.i.t. were very good at taking basic science research and translating it into google companies that look like google. you do not want to walk 10 blocks in the university of chicago. there are huge ghettos university has not been able to create jobs and it has not been able to create startups. it has not been able to create a local econ

the sequester nr cover mac, whether it is treasury, dod, big impact on contractors and civilians to nih the future thinking of cures and things that pharmaceuticals can sell around the world. are you saying we are not only sequestering employees, but have a nature crony and impact on our economy? and could you give us a sense as you've now been for this, scaredy big time whether it's the french or whatever. what is your view of an approach that the sequester our economy and not to be critical of other governments and policies, the consequences that lowers in public debt, but where in terms of economy? >> for using k2 sequestration, the decisions the united states made in 2009 to take immediate action to deal with their economy growing after a deep deep recession to fix the financial system in collapse our economies back on its feet not as fast as we would like but we are growing. europe started with austerity and their economies are not going very well. i don't think we disagree fundamentally that there needs to be deficit reduction and we can't have deficits growing infinitely to dange

this is $1.50-$2 billion in cuts to nih. this is one of the most important points i want to make.hat you hear when you come to a peterson form is focusing on how we, as a country, are going to deal with the challenge of baby boomer retirement. what does the sequester do for the second decade of savings? it is the big zero. it's important for people to understand that. this cuts the domestic part of our budget, the lowest it has been since the 1950's. it cuts it severely even though that's where a lot of our investments in children, innovation, and research are. then it has a small cut in entitlement savings which -- and this is important -- ends exactly in the 10th year. it goes away. they are serious about long-term entitlement savings but they think the status quo is acceptable, they are for an approach that would have zero savings in the second ten years as compared to the president's approach which would have $1-$2 trillion in entitlement spending savings in the second decade. >> a big deal is when there is a political reward for both sides. is it fair to say when you see how

i am not suggesting the obama administration was going to let nih do clinical trials, but certainly they were taking a step back relative to previous administrations. from the public opinion perspective i have to believe they would support during that research. >> i was going to say the same. the difference between medical marijuana views on legalization for recreational purposes is so large that i expect there would be support. on the -- could there be a step back. you know, alcohol is the subject on which opinion in america has really gone up and down and up and down over a long time and it would not surprise me if we had that pattern to some degree on marijuana, which is to say that the movement for prohibition sort of went way back in our history, at times as suggested to a movement against immigrants because the irish were said to drink a lot, german immigrants were said to drink a lot. it actually divided the upper class in interesting way. we passed it, it failed, so it was repealed, but we have had a return to semi-prohibition when we raised the drinking age all over the country.

if there is basic research at nih, basic research at nasa, basic research at the national academy ofsic research at a whole series of organizations, that is fantastic. once the research starts becoming how do you apply this to business, governments do that very poorly. that is the point where you get investors, venture capitalists, entrepreneurs, and part of the magic of the u.s. is in the places where that bridge works, you get a lot of economic growth. let me give you an example of this. if you walk around m.i.t., the difference between that area of cambridge 30 years ago and that area today is night and day in terms of buildings, restaurants, art, museums, economic output. the same thing is true in silicon valley. simply because stanford and m.i.t. were very good at taking basic science research and translating it into google companies that look like google. chicago.university of you do not want to walk 10 blocks in the university of chicago. there are huge ghettos university has not been able to create jobs and it has not been able to create startups. it has not been able to crea

it is at the treasury, whether it is the dod with a big impact on contractors and civilians to the nih. the pharmaceuticals that we can set of around the world and commensurate eight are you saying we are not only sequestering the employee but it's having a draconian impact on the economy as well? >> absolutely. >> can you give a sense you have now been in europe where they are growing at austerity big-time whether it is the french or whatever. what is your view of an approach on the sequestered and not to be critical of other governments get the policies, but the consequences and its public debt where is it in terms of their economy? >> before you even get to the sequestration, the decisions that the united states made in 2,009 to take immediate action to deal with getting our economy growing to a deep recession to fix that financial system that had been collapsed on our economy is back on its feet not going as fast as we would like but we are growing. they took a different tag. i don't think that we disagree fundamentally that there needs to be deficit reduction in the medium and lon