what has nih been? did develop a new center. and 2011 the national center for transitional sciences was launched to explicitly find private companies that would commercialize genomic therapy. what nih now does is to isolate genes, they find potential drugs from those genes. they actually do the preclinical study at labs and animals, they do some of the optional clinical studies in humans which private companies traditionally do and then they look for private partner which is when to take the drug once some of the risk has been taken out of once established it's a likely candidate. there will be huge profits huge therapeutic outcomes from then and it is the free market existing because the government is before our eyes creating it. and then when all is said and done who buys the product? a huge market for pharmaceuticals is the government again. medicare this is a figure of medicare spending for different components. 11% is outpatient prescription drugs. there are drugs administered in doctors offices administered in hospitals an

the researchers in nih labs, and scientists working to improve new drugs and devices, are helping to change the face of humanity by advancing new cures in research and innovation. we're advancing public health in the u.s. and around the globe with anti-smoking efforts, and promoting maternal and child health. finally, behavioral health and physical health issues will be considered both part of the essential treatment, and that's a big step forward. our workers, as the president said, look out for a safe and secure food supply in a global market, and our smart diplomacy with hearts and minds in nations across the globe. we have done transformational work in communities across this country. and that will never be the same again. so at any point in our history, that mission will be highly rewarding and some of the most important work anybody can do. but i have an amazing opportunity. no one has ever had this before. i got to be a leader in hhs during these most historic times. we're on the lines of a long overdue national change, fixing a broken health system. this is the mostingful wor

stone at the nih who's wrapping people for days in steroid creams and zinc. he views the skin as a barrier. if he can rebuild the barrier he thinks, you might be able to have a better chance of putting it in remission. i've seen remarkable results from nih. >> you have to stay away from any irritants. anything that bothers you, whether it's a soap, shampoo, any irritants you've got to stay away. >> but those are all temporary fixes. you can put on all the court zone cream in the world. eventually your skin might rebound. >> jamie, you're absolutely right because sometimes this is a hereditary problem, genetics plays a role. sometimes these kids have asthma, hay fever and eczema. >> don't ignore it. thank you, doctors. >>> well, beer and barbecue already go hand in hand. with summer on the way some studies have found that grilled meats can sometimes contain some cancer-causing substances, but doctors now say that marinating your meat in beer not only will make it taste good but be a lot safer to eat, dr. samadi, why would marinating my meat in beer prevent can

i love the nih but they don't have any money. it sounds like an amazing idea. where young scientists can go to see what other young scientists are doing. you then sell the opportunity for commercial companies. you have thousands and thousands of young scientists to work on nih grants and tens of thousands of scientists who want to work for the public. towhy is it you need tourneys people into stars today? is that because we have created a celebrity culture around business people? medicalave been making advances yet there was no celebrity culture around jonas auld or louis pasteur. >> you've got it exactly. young kids today want to grow up and be doctors. but many people want to write apps on social media. we need our best students saying medical research. it is so competitive now, these kids don't even know. they all think they can be a doctor, but who is going to cure cancer? >> some of the reasons people go to silicon valley is because of the dollars. they are not going because they want to do really cool stuff, which they may do equally well in a research la

i've seen remarkable reports from nih. >> any kind of shampoos that are irritants, you need to stay away from them. >> your skin might rebound. >> sometimes this is a hereditary problem. some kids have asthma, hay fever and eczema. >> don't ignore it. thank you, doctor. >>> beer and barbecue ready to go, hand in hand. some studies have shown that grilled meats can contain cancer causing substances. but doctors now say that marinating your meat in beer not only make it taste good but make it safer to seat. why would it prevent cancer? >> this sounds a little funny. there's some humor with this, but it's also an i have, very serious topic. you should take a lot of veggies and fruits and vegetables, and that's good for colon cancer, et cetera. we've talked about the fact that barbecue beef, whenever you grill and barbecue at a high temperature of 300, you increase the rick of cancer-producing chemicals. one of them is hca, and the other one is pah. these are very important, because as you take these chemicals after barbecuing your beef, they get into your system, you metabolize them and the

. >> we were able to attend the nih advisory committee meeting. there was a 17-0 vote to move it forward. >> i thought the hospital pays for these things or the government but what you find out in a rare disease it comes down to the parent. a cure is there. it comes down to funding now. >> tell us about the time line you are under. >> we need the money to come in because there's a six-month lead time. they put it in mouse models but they've never tried it in humans. we need the story to go bigger for more people to know about it. >> besides loving that ice cream cone, tell us about aliza, what is she like? >> aliza likes to play with her baby dolls. loves ice cream. she can spell her name now. >> she just doesn't have a mean bone in her body and just is happy all the time. >> we love you, aliza. >> you want to say bye-bye? >> bye-bye. >>> three riders are enjoying the back roads in cheshire, england. this guy passing the first of his two friends doing it in a double line, not a good idea. you see what does it say? >> slow. >> he passes by a couple

some of it is with nih and there are other strategies employed as well. so we share the concern that this is a growing issue and as seniors live longer we are going to have mr. kelly moore diagnosis is along the way. so certainly nih has identified that the is a key concern moving into the future. >> thank you very much. and i turn now to the editors thank you, madam chairman area secretary, i appreciate you being here today. i see in a new health care is program is promoted in your budget like expansion of the national health service and the new targeted to work for graduate medical education and they are included under the purview of the health resources administration. however, according to recent jail analyses of federal health care program, they are already having over 90 programs in the federal government, including more than 50 in hhs dedicated to improving the health care workforce are you to the department assess whether the proposals for new programs would be duplicate of existing efforts before the budget and if not, why not? and are there prog

needss something that cdc to be involved, the nih and research, our prescribers. there is no good data as to how addictive this stuff is. and so it's being overprescribed. we need to educate the prescribers more than we need to educate the individuals that are doing it. we all have these drug take back days. you can go to some little community and have a drug take back, and there will be pounds and pounds of the stuff that come in. these are the good people that drop it off. as i visit with my sheriffs going to the rehab centers and asking where they are getting it, many of the people that got the prescription drug pills through the mail or whatever, it was sold to them to senior citizens that are supplementing their social security. 's has been terrible about this. they are doing a better job. i guess what i would encourage -- we need to get all of those groups together. prescribing is a huge issue. we need to get really aggressive. i think that my understanding is that probably the leading cause of accidental death in young people now is discussion drugs and alc

>> well, actually, it's very exciting because, you know, i first began talking to nih in 1986, and just last year, the new director, francis collins, had -- well, actually, three years ago, he had a committee put together to investigate what pests were being done -- tests were being done on the over 300 nihchimpanzees and found nothing was beneficial to humans. he said, fine, they can go into ank sanctuary, into retirement. we have to raise the money now to get them all but a lot of them were already in chism mp haven sanctuary. more and more chimps real in medical reserves. >> what do you think of zoos? zoos. some zoos shouldn't be -- the change in zoos over my life has been incredible and, well, you know, yes, there is an idea that well done, it's the best thing but in so many cases, they are under threat. their habitats is being destroyed. hunters out there and you look at a group in a really good zoo that has the right kind of environment and you think, well, there may be a chimp -- where would i rather be? so, you know, in the really well protected places, obviously you want wild a

the nih or either crying or after denial of service attack. we believe there are no words just some government do it that anatomy that going on the report rightly gathered information from over fifty organizations including the and the security firm to lobby for anything the robbers. the three thousand security in bed and government accounted for stopping by the end of it everything from major to complete it. my integrity confidentiality or availability of information over and nine. the evidence were caused by lithuanian hair. government workers delivering the information at the end. now that the present the dnc. the report the organization had the absolute worst record the court to report errors while private companies like every day. the report said the deposit could be because the government is the largest player in the country the larger number of hoops according to the rationale i like the government is to be detailed in the state government is too big to fail remember that the government wouldn't it be that he is a bloated bureaucracy th

we send the money to the nih, and they make a decision in not a political the ocean. let's talk about partner defense medical research created by congress and sustained by congress to been enhanced by this committee. there are two different approaches here, basic different approaches. the houses pacific and they talk about specific areas of research for specific diseases. and we have a peer review of research program. to get priorities and we don't put that next to it. we won't let the peer review process develop and let them determine which are the most promising areas. so i think the bottom line here, and you can tell me if i miss in this, is that the nih is basically committed to basic research. and what we are talking about in the department of defense's translational research and taking out basic research and applying it. all of the research, which we had a double hand replacement had to be done to reach the point where it could be translated into a surgical first teacher. and so that is how i kind of see a line being drawn between basic research and the departme

all the nih three seven zero. search teams are racing against time as the batteries in the locator beacons have are ready to race their thirty day of life expectancy. the black box may also provide crucial clues as to why and how point three seven zero banish on march eight ball carrying two under thirty nine people. and switching gears down to a massive deal call recall issued wednesday by the toilet of mortar company any of the six point four million cars it's the second largest recall in the japanese auto giants history. so it is cited various defects and twenty seven models including the raf or suv and you are as sub compact. after those vehicles produce between april two thousand seven in december two thousand ten were found to have faulty steering wheels that could cause your bank to fail in the event of a crouch the other half which really affected three door models produce between two thousand fines in two thousand and four being the culprit effective seats at this point for any coalition the world's bigge

all nih three seven zero. so i could reach two hundred and thirty non families. this is absolutely imperative. maybe i should shield that is continuing to slow the einstein came a methodical work through on the lactation around before the state protections. well not yet at the point of deploying the old thomas underwater vehicles. the best audition shields can define the area the easier it will pay for the outcome of a toll on us underwater vehicle subsequently searched for a car wreck it. cctv news would keep you updated on deception athletics programs. now we turn to the us defence secretary chuck ideals visit to china the chinese middle treaty to size twenty two with the playdough that china is the satisfied with the remarks hegel made in japan. the comb and ten when funds held by stratton of china's central military commission. i've taken on tuesday. front end they get in the presence of the protestant remarks he made and a posse of defense ministers meeting and two japanese politicians what tough and had taken it happens. he added that the chinese people on

and the person is getting a grant from the nih.re is all kinds of problems between what is happening in boston hospital and d~ cf. and there is a family that is torn apart with a 14 year old girl and who is now 15 upon-year-olds. and you can't replace 14 months at that age cycle. >> as i close, let me say one thing. the governor's office indicates governor huckabee would understand him having been a governor. let me tell you something. i was a governor for step and half years that this case lit me up. i would not have watched a family lose custody of their daughter without length of time without clear evidence that somebody in my agency would bring me evidence or there would be people unemployed in the state of arkansas. that's why i feel so tronningly about what d~ cf did in massachusetts. president obama spiked the ball of 7 million. should be flagged? woe throw the challenge flag next. >> on tuesday, the president had a beg pep rally to boast about roaching the obama care goal. >> last night the first open enrollment under the l

and people who had a financial stake in developing pharmaceuticals with the research money from the nihhas led to a lot of research being geared towards finding a cure or a test something to do with diagnosing or treading alzheimer's, that will give them financial gain. i think there is a problem in that in that it will only cause you to look at certain areas of research. if it is not financially viable or gives you a good return, they are going to ignore that research. they are not going to find the answers to the problem if you are only gearing your research towards what is financially gainful for you. i think part of the problem has to be that we have to get the nih funding and government dollars uncoupled from pharmaceutical and other companies who are looking to make money on the answer that they find in their research. i also want to reiterate my support for the caller from florida, the nurse who said that i had to argue with my mother's primary physician, and a small little town in massachusetts for several years before he would even recommend that she see a neurologist. of cours

. $30 million for the nih which is largest grant the m 236789 l has ever given. first $10 million has gone out to study traumatic encephalopathy. we have university with general electric and under armour to improve diagnosis and prognosis tis of concussion developing better tools. these are ongoing issues an ones that we think will yield significant successes in a short time. so i apologize for exceeding my limit, mr. chairman but i appreciate the time. >> at this time, mr. hallenbach. you're recognized to for your five minutes. >> chairman terry and members of the committee. thanks for invitation to testify. usa football directs programs and resources with important standards rooted in education for youth and high school football. we have experts and medicine and child advocate who believe education changes behavior for the better. this is precisely we're seeing through the heads up football program which is benefiting more than 25% of youth football leagues in the country in the first 14 months and we expect to double that this year. we advance safety through e

care system so i worked on the end of life care, a position patient relationship then i came to the nih with research ethics and because i would see the end of that after seven years i sheltered by a detention to resource allocation i had the good luck to hook up with an economist from stanford when everyone was depressed there will be no reform we were thinking what would comprehensive reform we would have? we developed a voucher based system and that got me thinking into health policy then win president obama won a and appointed peter or sag at omb i knew him from a lot of conferences and meetings i e-mail them and said you need help and he sublets talk and rework dowdy a range and i would work at omb assisting. >> host: aside from the problems of that a cia that you set out to fix collectively can you outline those? >> the american health care system is incredibly complex as the subtitle says. >> host: let's read it. how the affordable care act will improve our terribly complex, blatantly unjust, outrageously expensive, grossly inefficient, error prone system" . >> guest: right. the

research all of us rely on the servants and scientists and the researchers at hhs and the fda and cdc and nih all of them are an extraordinary team and sometimes, the american people take for franted the granted t network of outstanding servants that are helping to keep us h d healthy and helping to improve our lives every day. i want to thank stephen her husband and matthew, helene for sharing wife and mom with us a little bit longer. we'll miss seeing you around the white house but i know you will do an outstanding job as america's secretary of health and human services. i hope that the senate will confirm sylvia without delay. last time she was confirmed unanimously. i'm assuming that not much has changed since that time. with that i want to give you an opportunity to say a few words starting with kathleen. >> thank you. i want to start by thanking you mr. president, by giving me the job of a lifetime serving in this cabinet. i want to thank the health leaders for their incredible work and my personal family represented by our older son ned and my wonderful daughter in law lisa. my husband

. >> we're cutting funding in some areas in the nih.st and brightest are moving. talk about it. >> absolutely. so it happened even before sequestration. but sequestration made it worse. what happened was in 2013 about $1.5 billion was cut from the nih budget. that's the national institutes of health. that affected about 1,000 scientists. so what ended up happening was the pool of money available to people who wanted to do medical research, scientific research was much more -- was narrowed zrasticily. but the number of people that wanted to do research stayed the same. you see a generation of young people saying this is not the field for me. several of them have looked abroad. they've gone to europe or to asia. a number of them have gone to private enterprise. and a number of them have just left the field altogether. in a previous piece i wrote, one of the most drastic examples of this was someone who suddenly couldn't find a job and ended up as a secretary at an automobile company. it was not her field at pall. she didn't want to be the

nih can look at problems of mental illness, and what happens when the mentally ill have firearms, theepartment of justice can look at what happens when convicted fell lens and criminals have firearms, but cdc can look at what is the impact on the population as a whole? they have the tools to do it, and they do very high quality research. we trust them with our lives in other areas. >> do you agree? >> absolutely. >> because there is funding for research at other agencies. >> absolutely. and the ban is unique to gun safety. i don't know of any other area where you are literally banned from doing this type of research. the president did an executive order that said that research could take place in this order, and it makes it clear that the dickey amendment did not prohibit research for gun safety. >> i want to bring up one more thing with you dr. rosenberg. the cdc has not been funded to do anything on gun safety since the 1990s, but you have written we have spent billions of dollars on prevention of auto accidents, to understand how traffic accidents are killing people, that has been

the 80-year old oyster farmn marin county has petitioned high court to review the nih >>> fought to stay in business. the 80-year-old oyster farm has petition the court for a permit to keep operating. the owner said the deal call canned for the oyster farm to always be there. the former secretary of the interior and the appeals court disaemployed. >>> new federal regulations to make shower feed is safe for animals may have an unintended consequence. an kpix reporter don ford shows us, that involves cows and beer. >> this brewing company is santa rosa is known worldwide for its beer. grain is one of the main ingredients. >> brew batches every couple times a week, so we will have a lot of grain left over. >> one man's trash is another man's treasure, of course. or, in this case, cattle feed. the brewery kneads knead -- needs to get rid of it and cows need to eat it. >> it is a win-win situation for everybody. >> at least it was. this rancher says proposed fda regulations may outlaw the practice unless expensive federal oversight is enacted to monitor the handling of the train. >> once they

. >> nih is not coming up with next cue for cancer. >> a lot of research scientists contributeed to the a at - that the pharmaceutical companies capitalize on, this is not about putting them in a saintly grandfather of american healthcare role they from that. >> thank you, i respect you. dennis kucinich, what is in a name? >> is obamacare a winner or a loser politically. >> i believe it is a winner, by the way it called the affordable care act. the affordable care act. neil: obamacare. obamacare. obamacare. the product naming wizard who could not help pelfre pehl -- ny pelosi change it all, if government is not spying on you, hackers are. the worldwide web is their oyster, 60% is vulnerible to their attacks, authorities discovered a huge bug, find how much this going to bug you after this. (dad) well, we've been thinking about it and we're just not sure. (agent) i understand. (dad) we've never sold a house before. (agent) i'll walk you guys through every step. (dad) so if we sell, do you think we can swing it? (agent) i have the numbers right here and based on the comps that i've found,

. >> nih is not coming up with next cue for cancer. >> a lot of research scientists contributeed to the drugs a at - that the pharmaceutical companies capitalize on, this is not about putting them in a saintly grandfather of american healthcare role they are far from that. >> thank you, i respect you. dennis kucinich, what is in a name? >> is obamacare a winner or a loser politically. >> i believe it is a winner, by the way it called the affordable care act. the affordable care act. neil: obamacare. obamacare. obamacare. the product naming wizard who could not help pelfre pehl -- ny pelosi change it all, if government is not spying on you, hackers are. the worldwide web is their oyster, 60% is vulnerible to their attacks, authorities discovered a huge bug, find how much this going to bug you after this. i'm nathan and i quit smoking with chantix. when my son was born, i remember, you know, picking him up and holding him against me. it wasn't just about me anymore. i had to quit. [ male announcer ] along with support, chant (varenicline) is proven o help people quit smoking. it reduces t

she oversees the nih that provides all these important grants, the cdc, she's really involved in allssues having to do with health care. the food and drug administration falls under her watch. many other illnesses all happened under kathleen's watch. she has a great deal to be proud of and i think we should all be grateful that someone of her caliber served in the administration and did such a terrific job. >> let's talk about sylvia burwell. some raised frustration at the timing of secretary sebelius stepping down and the timing of sylvia's confirmation process in terms of concerns that the affordable care act will be kind of the punching bag for the republicans rather than the agenda that democrats wanted to be talking about in the fall. are you concerned about that timing. >> i think the timing worked well for kathleen. she goes out on a high note with the huge accomplishment of the enrollment period. sylvia comes in with really wind at her back and the fact that she was confirmed the first time. obviously she's well respected on both sides of the aisle. we had senators mccain and

psychological, and the person who's actually giving that psychological is getting a grant from the nihon as they become a ward of the state, that person becomes a subject of research. there's all kinds of problems between what's happening at boston children's hospital and dcf and in the meantime we've got a family who've been torn apart with a 14-year-old rl, now 15-year-old, who has lost 14 months with her family. you cannot replace 14 months at a 14-year-old/15-year-old age cycle. >> let me say one thing as i close because the governor's office sort of indicated, well, governor huckabee surely will understand, him having been a governor, the difficulty that this state is in. let me tell you something. it's because i was a governor for 10 1/2 years that this case has lit me up. i would never have watched a family lose the custody of their daughter for this length of time without some very clear evidence. somebody in my agency would have been bringing me evidence. by golly, there would have been people unemployed in the state of arkansas. that's why i feel so strongly about what dcf ha

lesson jobs overseas and in cut research and development, cut sba loans, cut range of initiatives and nih funding, cut education and then the nfl minimum wage increase our immigration proposal that all affects real jobs. i think the only serious part about this is the public to seriously look at what is in this proposal because this is the reality if the republicans were ever in charge. i yield back. >> i think the gentleman and now yield two minutes to the gentleman from california. >> thank you mr. chairman. appreciate this opportunity to comment on the budget. i would just like to point out that this budget cost 3 million american jobs. does the way this budget the simple word, and it is important for everyone to understand that we're talking about the budget were talking about the most dynamic thing that congress can enact. it is unfortunate the we're contemplating this. in addition to that it's important for us to our member that this budget bin does not go after. this budget actually attacks those who are hard working american families. it might cost them as much as $2,000 in taxes

the nih to do, it's almost $2 billion. point at this stage, but it's opened up a lot of doors which require a lot more effort and the government has to -- that's one area where the government has to act. >> and what we know is that there's a tsunami coming for all of these kids that have been diagnosed with autism are moving up the age spectrum to where there's going to be this need for all of this care for adults, for senior citizens with autism. no one is sort of dealing with that yet and it's going to require a lot of money and, unfortunately, the government is not either in a position or not willing yet to commit the kind of money that the government should be committing to this horrible situation. >> mattias, do you have other friends with autism? >> a few of my friends have brothers and sisters with autism, and they say the same things like it's hard for them to play and do stuff with other kids. >> yeah, i know, it's such a struggle to grow up with it and really appreciate all of you being here. >> thank you. >> be

and nih made massive investments in hiv research. i remember harold, tony fauci was saying there are only two kinds of researchers in the world and people reserving hiv now and people that will be researching hiv in the future. harold moved huge amounts of funding into this particular area. so in hiv we put money into basic science research. we changed the laws so it would be easier to get promising molecules into industry. then we changed the laws around food and drug administration to get molecules that are promising from industry through the fda more quickly. then people set up clinical trials, a network the likes we never seen before. in 15 years, from '81 to '96. we had a treatment turned one-time, completely unvert sally deadly disease into a chronic condition. i said that is what i mean by a plan. you have the basic science, industry, clinical trials, whatever that would be in terms of a sustainable energy. do you have that all together. the answer i got was a resounding no. there is nothing like that for something that so pot

care system so i worked on end-of-life care and the physician patient relationship and i came to the nih annual worked on research ethics and the end i was seeing the end after seven years seeing the end of that i decided i should turn my attention to resource allocation and the health care system. i had the good fortune of teaming up with a prominent health economist from stanford. when everyone at health policy was depressed about there would be no conference of reform we were thinking what would a conference of form we would want to have and we developed a voucher-based system. that got me into thinking more about health policy. then when president obama one the appointed peter orszag as the office of management and budget i knew peter from a lot of conferences and meetings and i e-mailed him and i said peter do you need a doctor to work on healthcarhealthcar e reform? we talk that afternoon and worked out an arrangement where i would work at omb assisting. >> host: as far as the problems with the aca which you devote perhaps the first half of the book to that you set out to fix colle

then i came to the nih and mark don research ethics. as i was seen the end of after seven years i decided i should turn my attention to resource allocation on the health care system and be a prominent health economist from stanford and whenever i'm in health policy is depressed about there's going to be no comprehensive reform were thinking over the comprehensive reform would want to have developed a voucher-based system and that got me into thinking much more about health policy and then when president obama won any appointed peter orszag as head of the office of management and budget, i knew peter from a lot of conferences and meetings can i e-mail him and said peter, you need needed doctors who help on health care reform. he said let's talk about what that an arrangement for a work at omb assisting. >> as far as the problems with the aca, which you do though perhaps the first half of the book to comment that you set out to fix, collectively, can you outline those? >> the american health care system as i say sub title is terribly comp

creating medical research, and all of the dedicated scientists and researchers at the fdc, and the nih, and the cdc and all of them are an extraordinary team, and sometimes the american people take for granted the incredible network of outstanding public servants that we have, who are helping to keep us healthy and helping to improve our lives every single day. so i want to thank steven -- sylvia's husband, and matthew and helene, for sharing wife and mom longer, and we will miss seeing you around the white house, but we know that you will be doing an outstanding job as the secretary of the health and human services. i hope that the senate confirms sylvia without delay. she is going to be doing great. the last time she was confirmed unanimo unanimously, and i am assuming that not that much has changed since that time. and with that, i want to give them both an opportunity to say a few words starting with kathleen. >> thank you. >> well, i want to start by thanking you, mr. president, and mr. vice president, for giving me the opportunity of a lifetime to serve in this cabinet. i want to

there's no nih-funded study on this as you can imagine. i hope that they follow him and they see what happens. >> look, let's be honest, too, for a kid to take those lengths to run away. there's some mitigating factors. hopefully the kid's going to get the help he needs. >> elizabeth cohen, we'll be asking you to go out to the wheel well -- >> that may be up to martin savidge. >>> family members torn apart as dive teams search for victims. now begging for foreiveness. >>> and it vanished without a trace. the search for flight 370 continues. we'll talk about it coming up at this hour. he thought it was the endn for his dof the conversation.d... she didn't tell him that her college expenses were going up. or that she maxed out her card during spring break. when the satellite provider checked his credit, he found out his daughter didn't pay her bills. but he's not worried. now he checks his credit report and score at experian.com, allowing him to keep track of his credit and take a break of his own. experian. live credit confident. captain: w

how do we get the fda, the nih, the drug companies, the government to do what they weren't doing, what they should have been doing? and that was a very different sort of activism. and ultimately, it became much more focused on the treatment activism because the treatments were starting to trickle out, you know? they were in the pipeline, we were just desperate to expedite them, you know, and waiting for the next one and trying to get it. and that was very important. but in the process, the human rights based approach to the epidemic with concerns about privacy and confidentiality, but also about patient awe topmy and about stigma -- autonomy and about stigma kind of got put to the side. and that is where aids activism began, was fighting that stigma. and so we're kind of in a catch-up phase right now where there is a renewed effort on addressing the stigma and where that has led us like the criminalization that cleeve referred to. so the book has lots of fun, juicy stuff of me, you know, peeing out a window with gore vidal and getting tennessee williams to sign a letter for the campaig

healthcare, so i worked on end of life care, the physician-patient relationship and then i came to the nih and worked on research ethics, and after seven years, i decided i should turn my attention to resource allocation and the healthcare system, and i had the good 2014 of teaming up with a prominent health economist from stanford, rick fuchs, and when everywhere was depressed about reform, we developed avoucher-based system, and that got me into thinking about health policies, and then when president obama won and he appointed peter as the office of management and budget, i new peter from conferences and meetings and i said, peter, do you need a doctor to help on healthcare reform? he said let's talk, and we work out an arrangement where i would allergic another omb assisting. >> host: and as far as the problems with the aca, which you devote perhaps the first half over the book to that you set out to fix, you collectively, can you outline hose? >> guest: the american healthcare system, in the subtitle, terribly complex. >> host: right. let's read this. how the affordable care act ill. p

that is what the nih does. is the medical community is not heavily involved in autism because it has a urological mental illness tag on it. -- a neurological mental illness tag on it. they are overwhelmed. that is a big issue. in terms of the services, it will have to be from the ground up. we are trying to focus. walkve 400,000 people who for autism speaks. drivee to help them service response in their own community. we did it with insurance. 75% involvedtes, with insurance. every one of these items in their lifespan under enormous pressure, including their own personal loss of income for the family. we are trying to give everybody .he tools, plenty of willpower families that have autism are used to extremely difficult circumstances. >> how are we doing on awareness? >> very well. in fairness, some of the increase in diagnosis is a result of awareness. on the medical side and on the parent side. awareness was our primary objective and we have done a lot and we have done it outside the united states. --she is a

they gelato partnering with the nih. it is critically important. part of the value of a national strategy is to bring all the stakeholders together in a coordinated way. as a vehiclesm act to provide the funding. we did a lot of work with other organizations to lobby to get that first bill passed in 2006. president bush signed it. in 2000 --thorized it was reauthorized by president obama. we are lobbying for passage and we have a president -- unprecedented bipartisan support. the able act, which is a 529 account, tax-free so that individuals can say for all the problems that come with a disability. we have been fighting very hard to make sure that our veterans who get the same kind of autism benefits, that the federal civilian workforce gets. general population gets. showed,ers you just they are a drop in the bucket compared to what you need when you look at what the prevalence is right now. we're going to continue fighting very hard. just for more research funding, but for a very coordinated strategy to identify what we want to fund, what needs to

all of us rely on the dedicated servants and scientists, and researchers at hhs, the fda, cdc, and nihan extraordinary team. sometimes the american people take for granted the incredible network of outstanding public servants that we have who are helping to keep us healthy and improve our lives every single day. , want to thank stephen sylvia's husband. and matthew and helene for sharing wife and mom with us. you arounds seeing the white house. i know you will do an outstanding job as america's secretary of health and human services. i hope the senate confirms sylvia without delay. she is going to do great. last time she was confirmed unanimously. not much has changed since that time. [laughter] i want to give them both an opportunity to say a few words, starting with kathleen. [applause] that was president obama introducing his new secretary of health and human services, sylvia mathews burwell. let's bring in julianna goldman. part of the team that broke this story yesterday. what everybody is wondering about is the timing. why "get rid" of kathleen sebelius now, so long after all of

the researchers in nih labs and scientists working to improve new drugs and devices are helping changeof humanity by advancing new cures, research, and innovation. we are advancing public health in the u.s. and around the globe, with anti-smoking efforts and promoting child health. finally, behavioral health and physical health issues will be considered both part of essential treatment, and that's a big step forward. our workers look out for a safe and secure food and drug supply in a global market. our smart diplomacy, sharing health expertise and advances, win the hearts and minds of nations across the globe. we have done transformational work in communities across this country. at any point in our history, that mission would be highly rewarding and some of the most important work anybody could do. but i have had an additional amazing opportunity. no one has had this before. i got to be a leader of hhs during these most historic times. we are in the front lines of a long overdue national change, fixing a broken health system. this is the most meaningful work i have ever been a part o

these investments in our kids education and have a college system that was second to none, to have nih which is the premier institute. without the economic power we have today, the republican budget ignores that art of the american character, the idea that we want to focus on individual responsibility and entrepreneurship but there are some things we can accomplish better when we work to gather and that is absent in their budget. >> we appreciate you coming and we look forward to the next one. . >> [captioning performed by national captioning institute] [captions copyright national cable satellite corp. 2014] >> our budget includes all the economic benefits. 15 which is the house version of the senate bill -- the is we get some benefit. >> [indiscernible] >> it's not identical. we don't have that expenditure. if we have to choose, this is our democratic budget. >> the face of the opposition, [indiscernible] that gave you a little bit of a punching bag. >> i agree with all of that. they are not out there every day. -- askinge argument voters why these billionaires from outside your stat