patient and health groups are speaking out against the bill. the american cancer society calling the changes particularly egregious. the american medical association warning of second class health care coverage if people with pre-existing conditions are able to obtain coverage at all. >> there are so many variables unknown that to make an analysis of that level of precision it seems almost impossible. >> reporter: the house vote coul afternoon here in washington on capitol hill. if the bill passes, it's on to the senate where it will face an even tougher fight, diane and kendis. >> that's kenneth moton live from d.c., thanks. >>> just as they are voting, president trump will be heading back to new york city for the first time since taking office. >> the president is expected in new york city this afternoon. he is set to meet with australia's prime minister where attending a world war ii commemoration. all the while a thousand members of new york city's police department will be protecting him. >> the trip also means protesters. demonstrators are preparing a less than warm reception. protests are planned in a number of locations including outside h

awareness month and the american heart association is working to raise awareness and save lives >> health reporter stephanie stahl is here with the stroke patient from bucks county who stephanie says she's lucky to be alive. >> reporter: she's lucky. almost 800,000 people in the united states have a stroke every year. most people don't realize young people are at risk too. surviving depends on quick action but many people don't know all of the warning signs to look out for. hand washing can be tricky for 31 year-old christie fleming, she cannot feel hot or cold and whole left side of her body is weak, so is her memory all sim tolls from the stroke she had last year. >> you think stroke, heart attack is an elderly person. you don't think a 30 year-old. >> reporter: warminster office manager said it happened out of no where, first her arm went numb and then her whole body. >> it was terrifying. like my life was flashing before my eyes, i truly had no idea what was happening. >> reporter: fortunately she got quick treatment with the c lot busting drug. >> three different types of strokes with three causes. >> reporter: this doctor at temple hospit

nurses, hospitals, the american cancer society, american heart association, basically every group that's focused on taking care of patientsthis country is deeply opposed to this bill. they're deeply opposed for the exact reason that jimmy kimmel raised, because it will affect people. he articulated that in a powerful way, i thought. >> alice, you are tweeting saying people should watch it and congress, get its act together, even before coming on the show. >> absolutely. it's a compelling story about health care and how it personally affects him. a lot of folks on television will say they're the party of no, or obstructionists or they won won't take no for an answer. those why they're making their choices. i think -- hats off to the members of congress who are making choices based on constituents like jimmy kimmel who don't have anywhere near the resources that -- but they're doing it for their constituents and what's best for them. they hear stories like that every day. here's the thick. you've got republicans who don't agree with republicans. you have republicans who don't agree with what you're saying. >> and they're sh

patients. >> but doctors don't support in plan. you have the american medical associationho says this isn't going to work. that it is going to hurt the people that are most vulnerable. >> that's right. ama was part of the deal in 2009 and 2010. they got some special deals to work with the obama administration. many doctors think this is a ka it isfy and want to look at a different plan. that's where republicans have focused their time talking to dock force individually as opposed to the ama who set up a deal for themselves within the aca. you've got to look at -- pull apart a little bit what people are saying in this because the goal once again is to take this back from a government control to a doctor/patient relationship. >> i thought the goal was to give americans better health care. this bill absolutely does not do that. this bill -- >> they will have better health care. we seen what we've gotten. skyrocketing premiums. >> per few people. let's talk about facts here. yes, premiums have gone up, and that needs to be fixed. but those premiums have gone up for a minority

it is opposed by almost every major patient advocacy group including the march of dimes, the aarp, the american medical association which warned the bill to return people to -- the congressional budget office won't score the bill until next week after it was passed. the cbo score for the previous version found that 24 million people would lose coverage. medicaid would be slashed by $639 billion. and premiums for older, poor americans would skyrocket by as much as about 750%. the top two percent of households meanwhile would get a massive tax cut. as the vote was being passed, house democrats broke out into a chant of hey, hey, hey, good-bye, sending a message the vote could cost many republicans their seats in 2018. >> it's an opportunity because the public will now see what they gave their name to. they put their name next to you're paying more for less. and we'll make sure that the public is aware of that. i think they walk the plank. they were, i don't know, duped into walking the plank for a bill that will not become law. >> joining me now, republican representative tom cole of oklahoma, who voted yes on the b

payment system proposed by the american healthcare association is based on the creation of clinical groupings that would include an array of different patient types and cms has studied this type of payment and i would like to know if you believe that a move to patient characteristics instead of length of stay is feasible for cms and providers if it results in better cost savings. >> our work, the starting point in this process reconstructed in a different way to do the payment system based on patient characteristics, what you are referring to, the industry's notion is taking that and aggregating it into patient category. as long as the underlying patient payment to patient need is not lost in the process of doing that, it is consistent with the direction we have been talking about going. >> we appreciate your being here. medpac over the years has helped deconstruct the hopelessly complex system congress routinely makes more complex and helping us dive into the details that otherwise we wouldn't have. we can explore some of this but otherwise we wouldn't. i'm hopeful that once we can move past the current controversies we can do a better job

package to cover preexisting conditions that the deal with the higher premiums associated higher risk pool of potential patients whether that, a, will be enough or b, if you think about it, ends up being a slightly less omnibus government program than the one it replaces. it will still be big and will still be eye-popping but not be the affordable care act. that is one thing that republicans zoom to be united on, anything to replace a measure that the replacement itself might not be all that much cheaper. adam shapiro with the very latest. rolling out how this vote could go. adam? reporter: we're very close to the vote taking place. the live puck ture from the floor of the house of representatives. debate has been underway for about an hour it has been heated at times. we expect a vote to begin at 1:00. the guidance from the majority leader kevin mccarthy, the representative from california. we expect the vote about 1:30. louie gohmert from texas says it will be tough. 216 is the one the republicans needs to pass the bill of the is beginning to repeal and replace obamacare. i mentioned this hooter debate. democ

the association wrote in a letter to house leadership that this plan would likely lead to patients losingir coverage and effectively making coverage completely unaffordable to people with pre-existing conditions. the president said over the weekend that pre-existing conditions will be in no matter what it is finally. by the viewers have been through a lot in regards to health care over the last several years and several months, so why should they trust that the new bill or new amendments will actually make health care better? >> this has been a big priority for the president, but republicans of the house. obamacare is unsustainable, collapsing under itself. we need to take a drastic action to repeal and replace it. one thing that is being discussed and is currently in the bill, i know the controversy that you said with pre-existing conditions, that is in the bill. there is some flexibility to the state. that was important. obamacare was a one size fits all between what we knew would not work. what may work in california, my network in south dakota. so this health care bill offers some cho

dalton, former british ambassador to libya and iran, now an associate fellow at the chatham house think tank. thank you for waiting so patientlyon young people who may be radicalised? first, we need to be clear about what he said and what he didn't say. he didn't say what boris johnson alleged that he was somehow justifying terrorism. nor is he trying to draw attention away from the main focus of combating terrorism, which must be domestic and about countering radicalisation. but what he did say is there is a connection in many people's minds amongst this appalling minority able to contemplate these acts between what britain does overseas, particularly the middle east, and the twisted narratives they put together to justify their appalling acts. to my mind, that is undeniable. first, because islamic estate make such a connection themselves when publicising the attacks they claim —— islamic state. they say in the case of france that they are responding to france's bombardments of isis targets in syria. but they were responding to france's efforts in north africa, to rollback advances by islamist extremists. secondly, the eviden

reform payment system proposed by the american health care association is based on the clinical groupings that would include an array of different patient types and c.m.s. has studied this tiche payment basis and i'd -- has studied this type of payment basis, and i'd like to move to characteristicics instead of length of stay and if it results in bipartisan outcome and cost savings? mr. miller: yes. our work is sort of -- we think the starting point for this thought process where we construct it a different way to do the payment system based on patient characteristics. we have models that do that. and i think what you're referring to, the industry's notion, is taking that and sort of aggregating it up into patient categories. as long as the underlying tying of patient payment to patient need is not lost in the process of doing that, then it's consistent with the direction that we have been talking about going. ms. jenkins: thank you. mr. miller: if i follow what you're saying. chairman tiberi: mr. blumenauer, you are recognized for five minutes. mr. blumenauer: thank you, mr. chairman. we appreciate your being here, medpac over the year

patients. they are ignoring opposition from gupe grouping like aarp, the american medical association, the march of dimes, and the american hospital association. the score later today from the congressional budget office won't change the underlying facts of this bill. it will gut protections for people with pre-existing conditions. it will gut essential health benefits. kick millions of people off the health insurance. and place a crushing age tax on those a to 64 whose premiums will go up. it will also cut billions from medicaid to pay for a major tax cut for the wealthy. that's $880 billion that they want to take away from medicaid to give to the poor -- to the rich and corporations. this is so un-american that i've stumbled over saying it. mr. speaker, a bad process has led to a bad bill. we should be doing what the american people want and improving the affordable care act and i yield back the balance of my time. the speaker pro tempore: the gentlewoman from new york yields back. the gentleman from colorado is recognized. mr. buck: thank you, mr. speaker. in voting for the rule and the under

patient and health groups said "no," calling the new funding just a drop in the bucket. the american cancer society calling the changes "particularly egregious." and the american medical association warning that people with pre-existing conditions will get "second-class health care coverage, if they are able to obtain coverage at all." the white house admits the real impact for people with pre-existing conditions is hard to gauge. >> there are so many variables that are unknown that to make an analysis of that level of precision is almost impossible. >> reporter: but tonight, republicans are hopeful. the bill will pass the house. mr. vice president on health care, do you have the votes? will you finally get this done? >> stay tuned he says. bottom line here from your count tonight, do republicans have the votes to pass this effort and if so do they face a tougher fight in senate. >> republican leaders are meeting here tonight to see if they have enough support to get this done. the republicans are on the cusp of victory. if this gets to the senate it will be scrutinized all over again. the fight is likely to be brutal. >> mary bruce on the battle ahead. mary, thank you. >>> we tu

about how patient care is being impacted by what they call a constant turnover of newly hired nurses lured away by other south bay hospitals with higher pay. the nurse's professional association salary survey and found starting pay to be 16% lower than the average wage at seven other hospitals. new nursing graduates get trained at valley med or vmc in a wide range of specialties including intensive care, oncology, trauma and diabetes care. but when they leave it puts pressure on other nurses. >> the burden is falling on our experienced nurses which leads to burn out because there is not enough nurses to stop the hospital wards. in fact, we're pretty short on an average daily. we're always short. there's always nurses working overtime. >> reporter: vmc has more than 1600 full-time registered nurses. one care unit lost 32 nurses in the past three years. laura says it does affect patient care. >> when i come on a shift and we have more new nurses than new hires, you have oncology and cardiac patients and the new nurses are not trained in those and we lost all the ones we trained. >> reporter: the facility acknowledged the role of nurses. >> the leadership at santa clara county m

we know that the american medical association, we know the aarp is against it. but you have at least ten patient groups including those representing cancer patients, as we're waiting to see members of congress who have come out against this hooflt are going to express their concern about what it might mean for people with pre-existing conditions. the senate won't do anything until they get cbo score. as democrats expect the news is bad, if the headlines again are as they were in march the first time this came around, unsee the problem this is will cause. having said that, they're getting the rose garden set-up. this is a president who likes the pomp and ceremony of what places like the rose garden represent. earlier he talked about it a couple times. he said to the religious leaders something like, you never thought you would be here. and they gave him a standing ovation. he mentioned the rose garden several times. he also announced officially his first foreign trip. for this administration which saw all the coverage going into the first 100 days about he never had a major legislative accomplish

associated press says the v.a. has opened 36 new cases in the last six months. that brings the total number of open criminal investigations to more than 100. officials say the thefts put patients' lives at risk. they point out drug thefts are a growing problem at private hospitals as well. >>> scientists say a volcano in alaska is likely to erupt again following a massive blast that affected airline traffic. take a look at the graphic coming from the alaska volcano observatory. it shows the eruption of a volcano along the southern edge of the bering sea. the eruption sent a cloud of volcanic ash 45,000 feet high. airliners operating between north america and asia fly near the volcano and ash is a threat to jet engines. >>> happening today, two san francisco giants will trade in their gloves and bats for baristas aprons to benefit local kids. hunter pence and denard span will serve peet's blend. if you want to see pence, he'll be at the peet's inside the ferry building and span will be at the peet's in the marina from 11 to noon. peet's will donate up to $11,000. >> time is up for you to vote for two cranes born on a chick in richmond. names have been narrowed to ten finalists

association is working to raise awareness and save lives. health reporter stephanie stahl has the story of the stroke patient from bucks county who says that she's lucky to be a live. >> reporter: hand washing can be tricky for 31 year-old christie fleming, she cannot feel hot or cold and whole left side of her body is weak, so is her memory, all symptoms from the stroke that she had last year. >> you would think, stroke or heart attack is in a older person not a 30 year-old. >> reporter: warminster office manager said it happened out of no where first her arm went numb and then her whole body. >> it was terrifying. my life was flashing before my eyes i inadequacies clue what was happening. >> reporter: fortunately she got quick treatment with the c lot busting drugs. >> these are different strokes with three different causes. >> reporter: doctor lenner assays 80 percent of strokes caused by a blood clot in the brain and while strokes usually happened to older people, those with risk factors like heart disease in one is immune. >> stroke is one of the leading causes of disability and mortality in the country. >> reporter: hoping to reverse that

one of the top reasons patients are using cannabis is to reduce the use of other farm suit cals including opioids. >> reporter: research in the journal american medical associationund opioid overdose deaths are down, as much as 25 percent in states like california with medical marijuana. >> i'm golden. i'm very, very happy and i sleep like a baby. >> reporter: but not everyone is sold as cannabis as a cure. several have come out against legalization. and the attorney general jeff sessions has described marijuana as only slightly less artful than heroin. >> i reject the idea that we're going to be better place if we have more marijuana. >> we try to base a lot of our products just on aroma therapy. >> reporter: but cannabis creators including carter lash who make oils, creams and candles disagree and say the impact on patients is impossible to ignore. >> patients are getting sick of taking owe i don't see and taking thing that are making them sick. >> reporter: they're holding out for the cannabis cure. >> it's literally like a new form of life. >> deaths from prescription painkillersers from more than quadruples since 1999. >>> well, concerns about possible list

patients for russian officials from foreign trips. wolf this, comes also as we're learning about efforts by the senate intelligence community to interview other trump associates, including paulm manafort and others who have turned over documents to the committee, and we'll see if it satisfies the senate intelligence committee request. >> what are else are you hearing, manu, about the fired fbi director jim comb who has supposedly agreed to testify in public shortly after memorial day. >> yeah. i talked to mark warner who is the top democrat on the senate intelligence committee who told me that they do plan to hear from him, not just -- not next week but the week after. that's the likely time that they will meet and he also said that mr. comby is actually going to meet with bob mueller who has appointed last week as a special counsel in this russia investigation to determine what he can and can't say in that public testimony. this is what mark warner is saying. >> i think there will have could be a deconfliction, but i think it's really important for the american people to hear jim comey's side of the story after you've heard the really outrageous comments tha

patient groups, hobble groups, let's talk about the impact. >> and the opposition is essentially a who is who of all of the big players. you are talking ama, american heart association. for the most part they agree on the winners and losers. the insurance companie ty are able to separate the ones that are healthy from the ones who are not. the healthy and the young people will be able to have less expensive insurance and that will help them as well. we're talking older americans because they might be charged more, the poor and disabled as well. the presibting conditions, according to aarp, the centers for medicaid and medicare, what i tell people all of the time, we're one illness, one accident away from having a pre-existing season that cuts in the bucket of having one group that might be accessible but not affordable for the health care insurance that we can have. >> and not surprisingly we saw a twitter storm back and forth. protections, addiction services, all gone. hillary clinton tweeting "a shameful failure by the gop today. fight back on behalf of the millions of families that will be hurt by their actions." bernie sandiers you saw with chris hayes, and the

the public we would not be in a position to make progress and at the association of breast surgery we would sympathise with the patientss, the kennedy report and the harris report, kennedy dealing with the nhs and harris with the private sector looking at this in detail, putting things in place to make sure systems are a more robust and hopefully it should not happen again. 0k, what about, we are talking about, but could be other people out there who are concerned so could be other people out there who are concerned so what sort of thing should they be doing? what we would like to reassure them at the association of breast surgery we have 80—90% member of breast surgeons in the uk, we aim to make the standard the highest available in the world and of divisions have any concerns please go back to their clinician, to the multidisciplinary team members, ask the question and picture they get appropriate answers. at the heart of what we do we want to make things as good as we can for patients and i think we do, this is one surgeon acting in isolation which does not reflect the way breast surgery should be carried out in the

patient data could be destroyed. how vulnerable, morgan, are u.s. hospital systems? >> liz, i'm actually in the process of doing a bunch of national keynotes right now across the united states to hospital and health care associations. not only are they vulnerable like the previous person from britain was saying, these are the most valuable records on average. the average data breach per record, those records are worth $355 a record. that's more than anything else out there and so it is vital, you know, that these people protect us. but, look, they're getting into these systems, they're holding these things hostage. hollywood presbyterian was the first hospital to be hit. they ended up paying $17,000 to get their data back. liz: we understand that part of it. the ransom part of it. but we're hearing reports that surgeries were even canceled, potentially. >> absolutely. liz: in england. i mean, what's the fall out of this? what do these people do with this information, these hackers? >> well, it's not so much what they do, it's what they extort out of you. they don't really want the information as much as they want the money and the fact that this threat is transitioning now from the it environment into the clinical

patients and families and doctors making medical decisions, not washington, d.c. >> well, as you know, a lot of doctors don't like this plan, including the american medical associationwhich you are a member of, which endorsed you to become secretary of the department of health and human services. tomorrow a liberal health care grouped save my care will launch a six-fill ad campaign against 24 republican members of the house who votesed to repeal obamacare in this bill. the ad notes that the bill is opposed by the ama, the aarp, the american cancer society. what's your message out there to someone at home who looks at this list, watches this ad and wonders, if it's such a good idea, why are those three groups against it? >> i would urge that they talk to their doctor. talk to their provider. when i talk to the docs i used to practice with right here in atlanta they tell me the current system isn't working for them or for their patients. we've got 120 milli20 million f across this land who told the federal government i'm not participating in your program because it doesn't do what i need done. they're paying the irs a fine or penalty because the federal government is

associated cancer. including, nine deaths. the american society of plastic surgeons telling abc news, it has a singular focus on patient safetytinue to fund multiple research projects to further delineate this disease process. >> there may be something about the texture of the implant. inducing inflammation. causing the cancer. but it is currently not well understood why it happens. >> reporter: after four six-week rounds of chemotherapy at moffett cancer center in tampa, florida. stacy's cancer is now in remission. next month two years cancer free. >> well, good luck to her. >>> coming up, the toy insider mom here with toys for all climates. >> kendis is going to get an education in fidget fun. that's all coming up next. stay with us, you're watching "world news now." guard pack. tide pods child helps keep your laundry pacs safe and your child safer. align, press and unzip. two kids barfed in class today. it was so gross. lysol disinfectant spray kills 99.9% of bacteria, even those that cause stomach bugs. one more way you've got what it takes to protect. toxic chemicals and carcinogens are leaching into the environment. it'

associated with delivery of healthcare and services. identify employees for employment record keeping and free, ensure one percent accuracy in patient identification. mistaken identity in the delivery of healthcare can result in catastrophic outcomes. until such time when the comprehensive and equally accurate is established and implemented, the use of ssn's remains the best means of ensuring patient identification. in addition, ssn's must be used as required by law and identification for purposes such as background and identification, income verification and matching computer record between government agencies. elimination of the ssn use is not solely a function of information technology. this is process is used by the veterans health administration, veterans benefits administration, bba and va offices require a complete overhaul and how they establish absolute identity verification inside va and equally important, outside va. it solutions to eliminate ssn use can only occur after our integrated and comprehensive review of ssn's use and its intricate interconnectedness is complete. va recognizes the growing threat posed by identity and the impact

patient with me. washington anchor for bbc world news america katty kay, pulitzer prize winning columnist and associate es tore for "the washington post" eugene robinson and bob woodward and michael schmidt who again has a front page piece this morning. you were whacked by the alt right as carlos slim's blogger. >> i've become carlos slim's blogger. the right doesn't like me anymore, but that's okay. >> the right loved you when you were tearing into hillary clinton's story every day. >> how quickly they forget. but that's okay. it's part of the job. >> bob woodward, we're faced with two options. mike penn, a man i like very much personally, like his family very much personally. as it pertains to michael flynn, as it pertains to rod rosenstein and the firing of donald trump, as it pertains to more and more things -- >> the firing of donald trump. >> mike pence, the vice president of the united states is either a sucker and a dupe for donald trump, is being set up that way to go out and lie and lie and lie again or he's a liar. there's no middle ground. if it is the first, i think it's about time for mik

associated with those conditions. >> well you know, there are huge hidden costs of stroke on our society. i'm sure many of the members have had has family member who has had a stroke. patients become disabled, often can't return to live at home or if they do often need close to 24-hour care. loved ones have to give up working or reduce their work in order to be available and help take care of their loved ones. if people need chronic care and residential care, they go through all of their savings first and end up on medicare and -- end up on medicaid and in the nursing home with frequent admissions to the hospital for bedsores, pneumonia, urine infections, recurrent strokes. it's a debilitating disease and it happens in an instant. your life changes in an instant. the math is simple in that we know that telescope increases the use of tpa. every treatment with tpa saves money because it avoids long term disability. a study back in the late 1990's estimated $4,000 per treated patient of savings because of the reduced burden of this. and if you multiply that together with 500,000 medicare beneficiaries who would be eligible for consultation if the restrictions were removed, you