, ed mierzwinski, program director with the united states public interest research group, known as pirg, and peggy shanks is a senior examiner of the maryland attorney general. with that i turn it over to chuck. >> thanks, mike. as my panelists take their seats here, i'll begin with an observation. who among us hasn't at one time or another thought, gee, wouldn't it be great if i could go out and start my own job? maybe it was a fleeting thought but i suspect if if we tack a poll of consumers many of them think they have within them some place the ability to make it on their own, to start their own business. to at the very least go out and do something that will make them extra money. in many instances it stops right there. consumers think it would be nice if i had my own business, but they pretty much stop at that point. and in times of financial anxiety when people are feeling anxious, feeling uncertain, i suspect at times, for example, when people are thinking that their job is at stake, they think they need a little extra income because they aren't getting as many hours as they used

mierzwinski, consumer program director with united states public research interest group also known as pirg and peggy shanks who is senior examiner of the maryland attorney general. i turned it over to chuckle. check. >> who among us hasn't that some time or another thought wouldn't it be great if i -- it was a fleeting thought but if we took a poll we would find many think they have within them some place the ability to make it on their own, start their own business, maybe not the next bank but they will do something that will make some extra money. in many instances it stops right there. consumers think -- it pretty much stops at that point. in times of financial anxiety when people are feeling anxious and uncertain i suspect when people are thinking that their job is at stake and they need extra income because they're not getting the hours they used to get and they are facing extra education costs and worried about medical bills that they may be facing or realizing for example that their retirement doesn't go as far as they thought it would. their feeling financial anxiety and that is th

justice, at mierzwinski director with united states public interest research group, also known as pirg and peggy shenk, senior examiner at the office of maryland attorney general. so with that i turn it over. >> thanks, mike. [applause] >> by my panelists take your seats here and i'll just begin with an observation. who among us has a one time or another type g, wouldn't it be great if i could go start my own job. maybe he was only a fleeting thought, but i suspect if we took a poll we would find many things they have within them someplace the ability to make it on their own to start their own business. she may be at the very least go out and do something that will make them a little extra money. in many instances the substrate they appear consumers think it would be nice if i had mail business, but they pretty much stop at that point. in times of financial escaping when people are anxious to run certain i suspect when people are thinking that their job is at stake in a neat little extra income because they were getting our seas to be the campaign and make inc. they're facing extra edu

ed mierzwinski, director for the united states public interest research group are also known as pirgand peggy shanks. so with that i turn it over to chat. >> thanks, mike. [applause] >> i'll let my panelists apcs here and i'll just begin with an observation. who among us hasn't at one time or another thought she, would it be great if i could go out and start my job, maybe was only a fleeting thought, but i suspect if we took a pool of consumers who would find many things they have within them someplace the ability to make it on their own, to start their own business, to maybe the next banks, but the very least go and do something and make them a little extra money. in many instances, his stops right there. consumers think you would be nice if i had no business, but they pretty much thought at that point. in terms of financial anxiety when people are anxious in turn, i suspect when people are thinking that their job is at stake, they think they need extra income because they are getting the hours they used to be kidding, dating there facing extra education cost because they've got kid

to those pirg rams target the medical provider, the community, may be becoming more? >> thank you. alicia, can we -- >> high, shannon from the future screw. very diffuse question i think. so thank you for your question. it's really wonderful to be seeing some of the cost effectiveness. being able to show some of these improvements and increments. but with an eye to its 2012 coming in and realizing a lot of times we usually talk to ourselves, this committee group of people who are well-versed in public health in developing and hiv/aids, and realizing this great opportunity we have where the american public and congress and people who haven't been following even hiv/aids or perhaps even the invisible successes of public health are going to be exposed, are going to be exposed potentially to what we would hope could be reaffirming exciting and new ideas. sometimes when we limit discussions to cost and cost effectiveness we forget to make the next jump to value, and sometimes surprising value. sort of the difference of in difficult budgetary times, what's the value of continued funding,