funding don't report back to nih in a timely fashion.s themselves, 75% of the time are late or don't report their results. that's the study. it may be wrong and i hope the experts here will tell me that's incorrect. but under the law, it says you must report. if you don't report, the law says you shouldn't get any funding. doc, i'm going to find out if it's true and if it's true, i'm going to cut funding. that's a promise. that's a promise. because all it does is slow progress. change the culture, the moonshot effort has to have a few missions, reclaim the incentive for research within the research system, breakthroughs and faster progress preventing and treating cancer. you have to change the culture of research that turns scientists into grant writers. discouraging risk taking. we have to change academic and publication system and not just raw numbers of publications and awards granted. i said this to 6,000 researchers, hosted by an organization in one of the other cities and i noticed they were a little dismayed when two thirds of the

anthony fouchy at nih. he's a giant in the field, i can't tell you how nervous i was to hear him say, quote, we can't pretend to know everything we need to know about zika. end quote. we're grateful again to nrp's global correspondent for moderating such an important conversation. we hope it can be a wakeup call for this town, especially for those folks one mile away on capitol hill. the senate and house have passed different zika funding packages. they actually have done something. but now they have to hold a conference to bridge the gap between the two measures. i can't image congress is so busy it can't find time for this priority. i don't know when they'll conference, but tonight wouldn't be soon enough. in the meantime, please join me in welcoming our distinguished panel. [ applause ] >> thank you all for coming today. i'm hoping this is going to be a conversation amongst all of us. we'll get to q&a at the end. if you have questions, think about it. we'll pass the microphone around and try to get to so

. >>> quite a treat at nih. >> joyful nose filled the house of hope. ♪ ♪ >> national symphony orchestrarmed for children, families, and staff at the medical research center through the sound help program, the musicians bring joy and smiles to a lot of faces. i had the chance to narrate "peter and the wolf" for the audience. >> early one morning, peter opened the gate and went out into the big green meadow. >> this is the 14th year they have shared this special concert at nih, lot of happy faces there. >> very good. >> lot of fun. >> you go from all that class to-- >> bringing her down. >> keeping me level. right? >>> we had time, on our website, we don't have time to do it now but check it out. we will concentrate on the threat of severe weather tomorrow. 3 degree guarantee, did okay today, we weren't too wordy. we went for high of upper 80s, we went to 88, it was 86. 32 of the last 35. tomorrow is a tough day. some computer modelerize going 79, some going 8-- models are going 79, some 89. we split it, 84 for tomorrow. live look outside, still 75 right now, dew points in the 50s this ev

from outfits like nih to the department of energy. and i've traveled the country and the world touching many of the major nerve centers in the fight against cancer to get the ideas of the experts. is it possible? can we double the rate at which we make progress? by the way, regardless of where i am, i do an awful lot of foreign policy. you know, that old joke, i'm referred to as the foreign policy expert. an expert is anyone from out of town with a briefcase. i didn't bring my briefcase but i must admit i know a lot more about foreign policy than i did at the beginning about the fight against cancer. i was recently in the middle east talking about isis and in the gulf with one of the leaders. i thought we were going to have this long discussion and i brought my entire foreign policy team, my national security adviser. he had his whole team sit on this beautiful dock outside one of these palaces. he starts off and he said can we talk about cancer? can we talk about cancer? when i was in jordan, when i was in israel, japan, south korea,

and i was still at nih. started getting phone calls from people in the fda, you think this is a problem, look at this. i got a call from my dear now departed friend tony mazaki saying would you come and visit these workers who have mercury poisoning in philadelphia. i said this is more exciting than being in the official public health service. i had to take annual leave to take these forays. we decided to start the group. quickly after the first group of public citizen was started we were joined by the public litigation group headed by alan morrison who i think is in the audience. can you stand up, alan, if you are there? okay. [ applause ] and alan was with the litigation group for 32 years and headed it for 25. we were also -- he's been succeeded since then by david vladick, by brian wolfman and allison zeeve. he believed we had a tripartheid government. the public interest movement has to work through the three branches of the government. the executive branch, which is where the fda is, the courts and the

industry, we have to remember that the early-stage innovation for biotech comes primarily from the nihments we make into those institutions is what will fund new drug development over the next 25 years. it's also exciting about the moonshot that they are focused on improving some of the industry collaboration dynamics. we will see increased data sharing and potentially more efficient clinical trials and that will be important in the era of combination therapy. a discussionads to of what it might mean to the different candidates who are up for the presidential office who have different takes on funding the nih and spending money. >> we have seen strength in across at the nih political parties but we need to encourage both parties to support this going forward. carol: do you have a favorite name coming out of asco? >> it will be exelexus. they recently had a drug approved for kidney cancer. immunotherapies don't work well in kidney cancer but the main treatment has been a targeted therapy. they will have the best in class targeted araby for can't -- or liver cancer. -- for kidney cancer.

-- because you were really instrumental in making sure that -- the first woman president or head of nih was under your -- >> yes. >> -- command, and then also the surgeon genoas the first latino woman. you were -- when you took over this -- talk about meeting the bushes and then this next stage of your life. >> yes, right. well, what happened was this. we start with our first class at morehouse school of medicine in 1978, in facilities on the campus of morehouse college. the first building we constructed for the medical school was dedicated in july of 1982, when vice president george h.w. bush was the speaker. he came and was scheduled to stay only a few minutes for a reception afterwards but stayed more than an hour help was enjoying himself. then andy young, john lewis, ed macen tire, the black mayor of the city, and all were there getting pictures taken with this republican vice president. so that was a great event. then he left, and two weeks later, he called and asked if i would go with him on a trip he was planning to substar sahara -- africa. i said what would my role be? he said

atn though we did a good job nih, we were handcuffed until we were able to get through the hurdles on the brazilian side. where ourt be places government can apply effective resistance to streamline things and make those go faster. beforenow been two years we been able to start work on the resilient component of that project. senator johnson: i would usingiate where you are regulatory streamlining. we have to cut through the red tape. one final comment before we go down the list again? just to remind people that we live in a world where we don't have one infectious disease at a time. we live in a world where ebola and zika can happen at the same time. i would like to emphasize the importance of control. we did a study on malaria gatestion with the foundation in indonesia. a 30% reduction in fights led to a 70% reduction in disease transmission. i think you have to take an integrative approach and i do want to support an emergency reprieve on registration of some toredients to get access those this year if they are expiring. would like to thank you for the opportunity to be here. we ar

will nih funding come through and will they cut drug prices or not?nto the election, probably more speculation after the election is probably where you want to look at buying biotech. >> the point about disconnect is the most important thing because you can rationally layout all these great points why nothing will happen but that doesn't matter. the direction of the sector has been lower. >> well, and so i think lack of clarity and lack of certainty, these are usual tenants we talk about of investing are not helping. what you have to do therefore is find relative value and i think you have to find companies, those that under for formed and looked interesting. gilead is an interesting trade, if nothing else based upon what under performed versus what hasn't and on valuation -- >> do you mean a pear trade. >> to be long gilead so make yourself essentially sector neutral but find a company under performing and why have the under perform but valuation is interesting at gilead. >> last question for you, meg. when you talk to investors, are they actually ma

but the nih and cdc are with money that we have taken from other funds, going ahead right now.ctor control, which the cdc and their staff are very, very much involved with, and helping the individuals and the agencies in south america, the caribbean, particularly puerto rico. but brazil also. and we are in the process of developing a vaccine, wolf, that we hope will get into the initial studies to determine if it's safe by hopefully, and i believe it will meet that landmark that we will be there in september of 2016 to get that at least started to determine if it's safe. and then we'll go into a much bigger efficacy study as we get into 2017. so we are really pushing the envelope, both from the cdc standpoint and from the nih standpoint. >> you have been the director over there at the infectious disease center since, what, 1984, a time when hiv/aids was just beginning to emerge in the united states. let me play a news reel clip from the cnn original series "t "the '80s" which documents the fight during that decade. listen to this. scientists at the national centers for disease

unless republicans become a will havee zika no work done at nih, cdc. there is no money left to do work on zika. vaccine research, other efforts to protect americans could stop without immediate action. we should be meeting today to work something out on zika. remember, we passed overwhelmingly a bill, the -- it was the house $1.1 billion emergency funding, unpaid for. we know what happened when it went to the house. because paul ryan operates under they could not have a bill that had any sense to it. they could not take our will, which was reasonable. back a bill that was just -- that's the only way they can get things done, majority to majority. they will not be able to get anything done on zika ever unless they get democratic votes. whacked veterans 1/2 of $1 billion. that money was going to be used for processing claims that they always complained about. of course we know what they did whatplanned parenthood, they did with environmental issues. i had to take a whack at the clean water act to satisfy a few of them. we think we would like to be able t

the nih responded by saying, whole genome synthesis projects extend far beyond current scientific capabilitiestely raise numerous philosophical red flags. first of all, does this mean you could make babies without parents? >> that was one of the concerns raised, butople just making the dna does not mean it would automatically be used to create people. a step pretty far beyond, and it's not what the have in mind. >> what do scientists have in mind? what are the actual goals of the study? >> they want to synthesize the complete set of dna for a human being. dna can already synthesize and create bacteria. they can synthesize dna from other organisms. they are looking at doing this with east. this dna andcreate try to learn more about what it works. >> talk about the ethical debate here on both sides. what do people think? >> scientists say they just want to create the dna and learn from it. the ethical concerns come from what if you took it a step further and actually produced humans from this dna? it's a similar kind of objection to what came out in the late 1990's when scientists cloned a sheet

the nih responded by saying, projectsome synthesis extend far beyond current scientific capabilitiesly raise numerous philosophical red >> talk about the ethical thing here on both sides. what are people saying. wante scientists say they to create the dna and learn from it. it comes from well what if you took it a step further and produced humans from this dna? it is similar to what came out in the late 1990's where .cientists cloned a sheep there was concern people may start cloning humans. that never actually happened. >> we first heard about this at harvard medical school. is it possible to create dna and a lab? >> it is. not the amount you would need to create the whole human genome. they are the coding element. they have created the entire genome for bacteria, even produced a new bacteria that wasn't known to nature. emily: which scientists are funding this? francis collins was quoted in the new york times saying he was lukewarm about funding it. there may be mostly private funding in this case. emily: are there any regulatory issues that could hold this up or is this something

upset because they've seen the progress that has been made with these investments, cordoning with the nih and institute of medicine. they've done the right thing and found cures and relieved challenges and problems facing our military and their families and those who have served. in terms of whether it has been put into the bill already is going to have any negative impact on department of defense medical research, but what they set about the language from chairman mccain, these changes would drastically delay the awards risking the timely obligation, significantly increase the output and cost for both recipients and the federal government with the additional audit services needed and documentation, the scientific programs would be severely impacted. most likely recipients, these issues would lead to the failure of the congressionally different directed medical research program.onest. the senator wanted to come and just they put an end to it, it would be bold and breathtaking but it would be direct and honest. what it does is to cover it in red tape. i'm in of research, not red tape. ther

>> it has been used informally in the past, but about five years ago the fda, nih advocacy groups goter and said, we need to do something about making it more formal. emily: what does the fda want you to prove? something about the ratios of the peanut proteins? >> they want us to formally approve in randomized controlled trials, that if you slowly introduce peanut flour to patients over time, they are n fact attested from -- protected from accidental exposure to pants that occur in the environment all the time. emily: your competitor makes a peanut patch. why is this better? >> we believe the approach is better because it works faster, and we believe the speed is something extraordinarily important to the patient population. we will see at the end of the day if either therapy ultimately results in something that will be a long-term response. emily: there are new studies out that support tackling food allergies early. getting peanuts to your kids, yet parents still don't do it. it can be paralyzing to have conflicting information. what are we really supposed to do? >> it is kind of a s

amazes most people to hear that the nih works to achieve the public's understandably high expectations for less than $100 per american, per year. 15% to 16%only bond of all the good ideas it sees from extraordinarily well-qualified investigators. it could do so much more. people brightly are asking, what are we waiting for? we also need to equip the centers for disease control and prevention to fully protect an advanced population health, and ensure that the agencies for health care research and quality can identify evidence-based solutions to the costly and deadly shortcomings in our complex health care system. medical errors are in fact the fourth leading cause of death in this country. that is a crisis we just simply have to overcome. speeding medical progress is also about doing what it takes to make sure the life sciences industry of our economy continues to produce new medical advances, so we propose to you a platform that would say achieving faster medical progress is an american imperative. we will do what it takes to overcome diseases that rob the people we love of hope, indep

we had a major bipartisan agreement on significantly plussing up nih, national institutes of health. president and vice president are interested. the cancer moonshot, which we are interested in doing. the president is interested in precision medicine. reformserested in fda that will quit slowing down getting into clinical trials for exciting new things like interbody cell transfer. charlie: the research they have done on bring cancer at duke has gotten fast tracked. sen. mcconnell: we have bipartisan agreement. we can do it without dramatic overhaul. we are massively overspending. during added more debt the obama years than all the presidents from george washington ahead of george bush. some of the spending needs to go up. a highway bill is a good example. we had not passed a five-year, fully funded highway bill since the 1990's. that is infrastructure, and that is important to the country. charlie: should we do more? sen. mcconnell: we certainly need to do more in selected areas. in selected areas. charlie: bridges, highways, rapid transit? sen. mcconnell: medical research. charlie:

i got caught which is wednesday, that's even worse, all the way to nih. got off the road and went a different way. >> all lanes should reopen no later than 5:00 a.m. monday. >>> like it or not, rain is likely in the forecast later today. and that could mean dinner on the patio is out. oh, well. chuck bell is working on the 4 things to know for 6:31. >>> once a warlord, now a tsa agent. the fme oooh, i think i saw dessert! but you just had a big lunch! it wasn't that big. steve! hey! come back here! you want me to eat you? honey, he didn't say that! he did! very quietly. y-you can't hear from back there! don't fight your instincts! with each for 150 calories or less, try our chocolate-y brownies, tangy lemon bars and creamy cheescakes! fiber one. go on, have one. >>> the >> most precipitation is north of us right now, but that is about to change and it could have a big impact on your weekend plans. >> let's get right to chuck bell 4 things to know now. >> good morning. friday off to a cloudy start just like yesterday. rain more likely later today than yest

nih and congress to not only -- to not go halfway on the agenda. federal government must work hard to reach the goal of finding a cure. our challenge to you today is to champion this research to fully fund the parkinson's disease research agenda by submitting $300 million for year three. together, let's knock parkinson's disease down for the count. thank you very much. [applause] >> some tweets from the campaign trail that the death of mohammed ali. donald trump says, she was truly --e was truly a great champion and a wonderful guy. he will be missed by all. another tweet -- rest in peace mohammed ali. life alert. wrote, mohammed ally was the greatest, not only end effort, but a man of great courage and humanity. coming up, we will hear from bernie sanders at a town hall in los angeles. you can watch it live, right here on c-span. secretary, we probably toe 72 of our delegate votes the next president of united states! [tears and applause] [cheers and applause] ♪ >> this weekend, the c-span's cities towards explores the history of literary culture o

we have gotten $3 billion worth of federal government money sent to the -- nih autism research. >> it's people don't know what it is and the children suffer. i'm glad you're doing this and i wanted you to come on and promote your book "the write -- wright stuff." >> people who have entrepreneurial spirit take responsibility for your own business life. you have to have a lot of passion. and you have to control some of your ideas. you and the factor are a perfect example of something that you could have gone and done it yourself, maybe syndicated over period of years. you could have gone to a smaller company but you went to a big company and you managed to do those three things and that's partly the reason that's the most -- that's the first part of the book, that kind of motivation and passion. >> thank you. i appreciate that compliment, mr. wright. nice to see you. >> thank you. you two. -- you too. >> miller is next. >>> thanks for staying with us. i'm bill o'reilly. in the miller time segment tonight, an editorial in north korea state run media says quote donald trump is a wise politi

researchers in the nih are working on a study of 10,000 pregnant woman in puerto rico brazil and other countries where zika is spreading rapidly. study will track several birth defect is associated with the virus. >> the babies have my row selfly and babies are then born normal are there underlying conditions. >> reporter: in dallas, texas officials are tracking ten pregnant woman who traveled and may have had infections health officials are concerned that a local out break could happen here if a mosquito by the a person infect with zika and picks up the virus. that is why people with confirmed cases are receiving kits with insect repellant and condoms. they are also told to stay indoors for at least five days. now sick ace currently spreading in more than 40 countries mainly caribbean and south america, the cdc is recommend ago this pregnant woman not travel to area infect with zika and men can pass infection to women. while not offering any specifics the golfer rory mcilroy hoist engaged said that the health of his family comes first and even though the risk is low he is not willing

all the way to nih. i got off the road and went a different way. >> all the lanes should reopen no later than 5:00 a.m. monday. >>> more d.c. traffic signals will get upgrades to help your commute. today transportation work crews begin to retime the signals at nearly 400 intersections in northwest. the signals will reduce wait time by using traffic and pedestrian data. transportation officials estimate the signal updates could reduce delays by nearly 30%. >>> it's going to be a tough day for a lot of students at gaithersburg high school. an accident took the life of a freshman yesterday afternoon. derrick ward is live in montgomery county this morning with what is happening at the school today. >> reporter: good morning. grief counselors will be here when school starts later today after the death of the freshman yesterday. it was about 2:30 in the afternoon when a freshman student santos escobar-villatoro was riding his bike away from the school along route 355 not far from here when he hit a sign, a com

according to the nih, the national institutes of health, it takes about three months for the body toes, it could take six months for some people so you have this period where you might be infected but you're not showing the sishow ing the signs that would then have the blood screened out. how do you handle that issue? >> i think you first you change the questionnaire to reflect that. second you recognize that discrimination exists because of the questionnaire. just remember that straight men who are practicing unsafe sex with multiple partners are not denied the opportunity to give life straight blood while a straight man in a 30-year monogamous relationship is denied that same right. so i think it makes sense to be consistent with those who participate. >> so you're saying in effect -- and this is factually true, we know gay or straight men and women can be exposed to the hiv virus. you think both the policy and questionnaire should reflect that? >> absolutely. the science has changed and the medical communities and the blood bank communities agree this should be a risk-based decisi

because they have seen the progress that's been made with these investments, coordinating with the nih and they have done the right thing and found cures, they relieved problems and challenges facing our veterans. they put into the bill already is going to have any negative medical research, let me quotecc the department of defense and what they said about the language from chairman mccain, quote, these changes bowled drastically delay the awards risking the timely obligation op funds, significantly increase the effort and cost for both recipients and the federal government with the additional audit services needed, documentation that recipients would be required to provide, changes to recipient'sw. accounting programs and the scientific programs would be severely impacted and moist -- most likely recipients would not want to do business with the department of defense. if the senator wanted to come and just say put an end to it,be it would be bold, it would be breath-taking but it would beor direct and honest. what he has done is to cover it in red tape. i'm in favor of research and no

that figure came from proposals that were put forth about how we at nih and the cdc and other agenciesould be able to respond in an expeditious way to this throwing threat. we know this is a very serious situation in south america, puerto rico is in serious trouble, on the verge of what i would consider is going to be a very serious outbreak. we already have a considerable number of travel-related cases, almost 600 travel-related cases in the united states. and the concern that we have is that as we enter into the robust mosquito months in the next couple of months as we get into the summer, that there will be local outbreaks within the continental united states. fortunately we've not seen that thus far. it's only been travel-related cases. but these are the things we need to move quickly on. on public health issues, on the development of a vaccine. so we do need the money. the figure the president made was a figure based on things that we need to do. >> is the expectation that the vector would be the mosquito itself throughout parts of the southern u.s.? >> yeah, exactly what happens.

. >> i would add nih in particular to have the ability for investigators who can study and other conditions to have explicit permission to redirect some of that funding to support pilot projects and other small-scale projects would be very useful because every delay cost time and knowledge and with respect to international research zero lots of what we can do to control zika is contingent on the relationships we build in central south american countries are they are coming from to make sure there are as few impediments as possible that are negotiated at the governmental level for researchers are scientists is important to make sure there are as few barriers as possible that inhibit our interactions with the of brazilian or columbia colleagues. >> give an example of those barriers. >> for example, on an unrelated grant i have work that was directed to the university by my colleague it was awarded two years ago and there was a one-year delay to get that award issued in part because of the amount of administrative paperwork to be done on the u.s. side also extensive requirements on the brazili

they would offset those funds with cuts to the nih and moving more money over from the existing ebola >> seth: moving money away from ebola. poor ebola, used to be the hot new thing, now it's being pushed to the side by zika. [ light laughter ] basically ebola is the bieber to zika's one direction. or of course as the kids call it 1-z. [ light laughter ] so republicans have essentially paralyzed the government. they can't even perform basic constitutional functions to respond to public health emergencies. and maybe the worst is republican obstruction has become completely normalized, no one even questions it anymore. the only time congress ever gets covered on cable news is when it involves donald trump meeting with house speaker paul ryan. not only did cable devote wall-to-wall coverage to the meeting, they thought we cared what the buildings and cars looked like. >> just hours away, the highly anticipated meeting between donald trump and house speaker paul ryan. >> all eyes on that building, the rnc headquarters on capitol hill right there. >> there's the suv brigade pulling out fro

so that's why, nih went out to university of chicago. >> rose: will you continue this after you leave office. >> yes. >> rose: this say passion. >> this is a passion of mine. >> rose: it has to be. talk finally about the friendship with president obama. what it is. >> well, you know-- . >> rose: what is the connection because clearly, clearly relies on you. >> well, first of all he jokes and he says, you know, we make up for each other's shortcomings. he makes up for a lot more of my shortcomings than i do his, number one. >> rose: what did he mean by that. >> well, what he meant was our stielts are so different. and as well as our experience. and so when he asked me to join him, i asked him why, he said i want you to recover-- you know the system. when we did the recovery ak over 800 billion, had to be spent in 18 months. he said joe, do it he announced in the state of the union without telling me, sheriff joe will do it, everybody clapped, well, remember, i did the whole thing. he never, never intervened. because what happens is whomever the next president is should have somebody th

mcconnell: we had a major bipartisan agreement on significantly plussing up nih, the national instituteshealth. up? ie: plussing sen. mcconnell: cancer research, the president and vice president are interested. the cancer moonshot, which we are interested in doing. the president is interested in precision medicine. i am particularly interested in some kind of fda reforms that would quit slowing down getting into clinical trials for exciting new things like interbody cell transfer. taking it out of one part of your body -- charlie: the research they have done on brain cancer at duke has gotten fast tracked. sen. mcconnell: we have bipartisan agreement to do that. we can do it without dramatic overhaul spending increases. we are massively overspending. we have added more debt during the obama years than all the presidents from george washington ahead to george bush. so i think the overall spending does not need to go up, but some of the spending needs to go up. a highway bill is a good example. we had not passed a five-year, fully-funded highway bill since the 1990's. and so that is infras

there are names that you would recognize, like the centers for disease control and nih. i tried to promote this perspective and i have counterparts in federal departments. i workshem, he and together with other members of the federal family to promote justice at the federal level. perspective tog that and the environmental justice respective to agency activity with climate change . it did not always think about health. the profile has been raised a bit, as people begin to ignore knowledge the effect of climate change, which have been happening for a while. this is specific to a group of people. climate change happens locally. not what experience is is experience in the southwest. >> can you give an example? >> say the hampton roads area of virginia was at sea level. s a vibrant community there and military installations. it is important for that area to preserved from the effects. there is work going on. it is not the same as the people who experience droughts. , that could happen at the same time -- that could happen, at the same time, thousands of miles apart. what hap

you've got the, for example, the nih lowering the money that it is giving around.you turn, other than the private organization? >> well, actually, we need everybody involved. we need the nih and other government agencies, so we advocate for global research and development spending. we need private industry, we need governments, we need universities. maria: the president asked everybody involved. 1.9 billion for zika in february. congress says it should be lower than that because money is so tight. what do you think in terms of congress and how congress can act better or faster on something? >> well, i'm a big advocate and we're big advocates at the gates foundation for the funding for zika and specifically that that zika funding not take away from other r & d projects. because all of that r & d has a great return for america and for the globe. and so, we are advocates for that zika funding. it's extremely important as summer approaches in the united states that we not get complacent about zika and the mosquitos. so far, there's been no mosquito-born transmission of

we have a major bipartisan agreement on significantly plussing up nih. the national institutes of health. >> rose: plussing up. >> yeah, cancer research. the president's interested, the vice president in particular, the cancer moon shot, which we're excited about and interested in doing. the president's interested in precision medicine. i'm particularly interested in some kinds of fda reforms that will quit slowing down getting into clinical trials, some of the very exciting new things like inner body cell transfer, from taking it out of one party and putting it in another. >> we have gotten the research at the brain cancer at duke has gotten the fast track. >> i think we have a bipartisan agreement to do that. but i think we can do it without dramically overhaul spending increases the government. we are massively overspending now. we have added more debt during the obama years than all the presidents from george washington down to george bush. so i think the overall spending doesn't necessarily need to go up. but some of the spending does. and the highw

with names that you would probably recognize, like the centers for disease control and prevention, nih, i try to promote that perspective in the work that they do, as well. i have counterparts in all of those agencies. i have counterparts in other federal departments. one of my counterparts is standing in the back and had one of these seats here today, mustafa ali. you and i worked together with other members of the federal family to promote environmental justice at the federal level. so i try to bring a health perspective to that and i try to bring an environmental justice perspective into interagency activities dealing with climate change, because climate change didn't always think of health first. it's gotten its profile raised quite a bit in the last several years as people begin to acknowledge that yes, there are health effects from climate change, and they've been happening for awhile. and they're happening to very specific groups of people. climate change happens locally. what we experience here in the mid-atlantic is not at all what people are experiencing in the southwest. for

nih which associate with to the department of energy.and i've traveled the country and the world touching many of the major nerve centers and the fight against cancer, to get the ideas of the experts, is it possible, can we double the rate at which we make progress? by the way, regardless of where i am i doing awful lot of foreign policy. you know, that old joke, referred to as a foreign policy expert, an expert said from an account with a briefcase. i did not bring my briefcase but i must admit i know a hell of a lot more about foreign policy than a do or did particularly beginning about the fight against cancer. i was recently in the middle east talking about isis, and in the gulf with one of the leaders. and i felt we're going to have this long discussion. i brought my entire foreign policy team, my national security advisor. national security advisor. he had his whole team sitting on this beautiful doc outside one of his palaces. he starts off and he says can we talk about cancer bikes can we talk about cancer? when i was in jordan,

or mayo, or cdc, centers for disease control, nih.mation that is well-vetted. i don't think google can really compete with that. >> i've done it. webmd.com. go to the notes section and compare what other people are saying. is this smart? is it reassuring? does it take the place of a doctor? i mean you say, your patients are better informed, but do your patients walk into your office and have all this information that they have been googling? >> yes. and that is what the google search is trying to get away from. if you go to webmd, can decide you're dying at any particular day. bill: supposed to make it better? >> less worrisome. come up with ideas you doesn't need to see the doctor about and some ideas you do need to see the doctors about. here is where i throw in my con. i told you the pro improving it. the con is internet search will never take the place after doctor. i'm not totally comfortable going to an app saying you don't need to see a doctor. you can not ever plug in your personal information. medicine and technology are beco

one of the brightest men in all of edison is the guy sitting right there who is the head of nih. i mean it sincerely. the lackiment is not of the brain matter and genius in terms of new drugs on the treatment, it is all this stuff that gets in the way feel a thing i'm getting government is getting things out of the way. i'm good at that. i am good at that. i don't want this to come across as somehow the federal government has the answer. we don't have the answer. we have to figure out how to get out of your way and you guys have to figure how to get in each other's way and more. generations have faced some are problems. given us longer last. theirof people fear children through the epidemic in the 50's, hope conquered fear. look at what you have all done. how you have aggregated capability. cancer lunch when i conquer any one thing. but i think it is a challenge with your brilliance we can win if we are devoted to winning. meeting yesterday. today, announcing a series of measures. implement it by government agencies that addresses some of the problems that move us toward the goal

and congress was asked by the white house at the request of the cdc and nih in february for funding to in a number of ways. a lot of people in the medical community are scratching their heads saying why hasn't that funding happened. and there's -- i have spoken to officials in houston, people of every level. they're saying where is the >> we're talk about it -- >> we're well into june, the time is now. >> next, the fda is launching an assault on sodium. it put out new voluntary guidelines aimed at cutting salt in food a third over the next decade. what's behind the recommendation? >> eating too much salt is a high contributor to high blood pressure. and high blood pressure is the main risk factor, the main factor in causing deaths from heart attack and strike. we all eat too much salt in america, 90% of us eat too much salt. the fda is recommending no more than 2,300 milligrams a district attorney, a teaspoon. we each -- a day, a teaspoon. and we eat about 3,400. three quarters of the salt we eat is not from the salt shaker, it's from processed foods and restaurants. we don't know what

develop a hispanic health research program led by nih built on the study of latinos to develop more knowledge on improving strategies of health for hispanics and families. lowly payment, mentoring of junior faculty and clinical trials also need to include more hispanic researchers. lastly, about a national effort across the board, federal and private sector foundations, corporations to have executive leadership element training. training.ment we don't have this in existence. our programs are focused on delivery of service. we need others to take over the jobs of our linux and community hospitals and medical schools to be able to on the boards of trustees, ceos, to make decisions and help with the redesign of health care to reduce health disparities. in summary, i thank you for the opportunity to share these strategies and look forward to working with you. >> thank you very much. [applause] any questions. ? >> thank you. entering --- from puerto rico. a few months back, that the divide people of the united states, puerto rico was the only people did not leave puerto rico. never traveled anywhe

nih. i have counterparts in all of those agencies and in other federal departments. one had this seat today. we work with members of the federal family to promote environmental justice at the federal level. i try to bring an environmental justice perspective into interagency activities dealing with climate change. climate change, it has gotten its profile raised as people begin to acknowledge that yes, there are health effects and they have been happening for a while. they are happening to specific groups of people. climate change happens locally. >> what instance where climate change is affecting people here in the midatlantic differently. >> say in the hampton roads area in virginia where they are very much concerned with sea level rise. there are a number of vibrant communities there and military installations there. it is very important for that area to be from the effects of that. there is a lot of work done in that area. same as people experiencing drought. that may be going on at the same time. what we see here is going to be different there. if course it depe