if you get the mother, starting at prenatal, making sure she has the right vitamins, make sure she has the clean birth kit, some antibiotics, make sure she has been given the right advice about keeping the baby warm, breast feeding, vaccination. that integrated approach can save over half of the children that died during that first 30 days. that is a big new focus, not only g with thathi plan, but work we are doing. exactly how you go about that is not well understood. we need to put more into research. the first 30 days peace, there is a lot we know, but there is more that we need to know, because creating the demand by the mothers within their culture that they will want these services, in many places to go, you tell them to take the shot to the clinic. that answer is, that is where you go to die, so why would i take my child bear? there are some new ideas on this that would be tailored to each local area. >> bill just said something -- i think it is very important to understand that partly because of the way programs get funded in the countries providing aid, and partly because of t

if you get the mother starting prenatal, making sure she has the right vitamins, perhaps vaccines, make sure she has the clean birth kid, some antibiotics, make sure she has been given the right advice about keeping the baby warm, breast feeding, vaccination. that integrated approach can safe over half of the children that die during that first 30-day period. that is a big new focus not only of the d.h.i. plan but of work that we are doing. exactly how you go about that is not well understood. the vaccine piece, we need to put more into research. the model is pretty clear there. this first 30 days piece, there is a lot we know, but there is more that we need to know particularly because creating the demand by the mothers within their culture and social practices, that they will want these services. many places you go where your child has chills, take them down to the clinic. they say that is where children die. why would i take my child down there. there are going to be things that are going to be tailored to each local area. >> senator casey, if i could just say something. bill just sa

. >> the donation will buy enough prenatal vitamins to provide women with the vitamins. >>> new information is out today and the news is not good. americans are literally eating themselves to death. >> reporter: stop someone on any street in america and chances are, you will find a chronic health problem. >> a little high on the cholesterol. >> i have high cholesterol, yes. >> this man has high blood pressure. >> hopefully i can get off this medication. >> reporter: they have plan plenty of company. the centers for disease control has starting newdata about the state of our health. 45% of americans, almost half the entire adult population has high blood pressure, high cholesterol or diabetes. conditions that are killing us. >> each one of these conditions is a risk factor for cardiovascular disease. >> even more frightening, the study finds 13% of americans have two of the conditions and 3% are struggling with all three. the cause, signs point to americans growing waistline. we are eating too much and exercising too little. the latest statistics show that 1/3 of americans are obese. >> when

and it provides services, prenatal care and dental care for women expectant mothers and it's a great way for them to be aware. a lot of the problems of preterm labor are ignored by women who aren't aware of them or aren't educated on them. what's what march of dimes is trying to do, educate people, tell them what to look for, all those are on the website, as well. and then also try to prevent that. i can give au example. jack's care was about half a million dollars. it never stopped there because as soon as he left the nicu, we had so many, i mean my entire schedule was full of doctors' appointments and therapies. he still does go through some. he has very bad eyesight. we're in vision therapy for him. there are thingsty always wonder. as a parent you never stop wondering. he's 9 years old, he's doing well in school. but there are some problems. a lot may have to do with his eyesight. anything we can do at march of dimes to raise money to restlaent happening to another kid is just fabulous. >> when we come back, i want to talk more about the cost and average and advances being made o

the wrap-around services, the health services, the prenatal services for parents, the adult education -- is that something to look at? >> guest: i think jeffery canada is doing a great job with harlem children's zone. harlem, unfortunately, has become ground zero for the charter movement. and this is not his fault although he does run two of the charter schools. there will be neighborhoods in harlem where there's no public schools where they have to apply to enter the charter schools. they are replacing public education. and the lowest performing kids are not in those schools. and so it's really -- it's really a problem. but i do think what jeffery canada is doing is the right approach. he's bringing together social services, health services, prenatal care, helping kids and adults in different points in their life span, that's a good thing. >> host: the last title of your book is titled "lessons learned," what is the major things you would want the reader to take away from the book? >> guest: there's no way to turn around our educational system easily or quickly. and if anybody says t

ago in a children's hospital which does some of the most complicated surgery on infants and even prenatalhat i have ever seen. the have invented into the electronic records system the checklist that we know works to reduce hospital infections. they've gone 1,000 days without any safety concerns. it is a great example of what meaningful use in an electronic record system can do which is to embed the kind of safety checklist and make sure it is done time and time again and if you can do it in that kind of environment we can do it everywhere so i think there are resources coming together but i can tell you it is something we take jury seriously and i think it's not only a huge cost that we are killing people by the health care system. >> thank you mr. chairman and madame secretary for being here today. as i talk to hospitals in my district and it's a rural district, a lot of small towns, medicare, medicaid intensive facilities most of them are expecting -- and this is not for your actions or the health care bill but medicare reimbursement rates are being cut, they are going down. they look o

i think the affordable care act takes a step to get affordable prenatal care to pregnant women. >> i'm want to know whether or not, since the new law requires medicare to cover care provided in all free-standing birth centers at a cost of $6,000 less, is there any consideration to increase the availability of licensed birthing centers across the country? is that being looked at? >> i can't answer that but i will look into it. >> thank u. >> thank you, mr. chairman and madame secretary. i have two questions. the louisiana delegation is supporting a piece of legislation to address medicaid reimbursements or medicaid costs. governor skwreupb-- governor un is supporting the legislation and they are in a legislative session today dealing with the shortfall there of half a billion dollars. my question is, what is being done to prevent states like louisiana, who were unfairly, when you look at the formula because we got a lot of money into the state of louisiana as recovering from the hurricanes, louisiana was looked at as being a state that was financially better off than they really are. so

the prenatal services for parents, adult education, is that something to look at?guest go i think that jeffrey kennedy is doing a great job. harland unfortunately has become ground zero for the charter movement and this is not his fault although he does when two of the charter schools. there will be neighborhoods in holland that have no public schools, where kids will not be able to go to school across the street because they have to apply to enter the charter schools. charter schools are really replacing public education and the lowest performing kids are not in those schools. and so it's really a problem. but i do think whichever he came canin is doing is the right approach parities bringing together social services, health services, prenatal care, helping kids and adults at different points in their life span. >> host: the last chapter of your book titled lessons learned, what are the major lessons come the major things you want a reader to take away from the boat? >> guest: i think the major thing is there's no way to turn around educational system easily or qu

the bus was placed on the road initially in 2000 because the early prenate alrate in the district of. we wanted to get to the curve, talk to people and we have out reach workers that go out. also we have partners in each one of our areas so we are welcomed. that makes it work very well. >> donna, we thank you for coming in this morning. you're going to be at the healthy expo. you can learn more about the marsh of dimes and the mama and baby bus at the be more healthy expo. when it comes to living right, fox 45 is stepping up and helping you get on started on the path to more fitness. there will be experts in nutrition, physical fitness, mental health and admission is free. for more information, go to be more healthy expo.com. >>> coming up it's a great meal and it's half off. this week's dining deal is just >>meteorologist steve fertig is here. he has been talking about this fog all morning and the rain that caused and what we can expect for the rest of the day. steve. >>> good morning, patrice. the fog is still with us. it's certainly nothing like it was when we started out this mor

ago, in children's hospital which does some of the most complicated surgeries on infants and even prenatallyedded into their electronic records system a checklist that we know works to reduce hospital infections. they have gone without any safety concern. it is a great example of what meaningful use in an electronic record system can do, which is embed the kind of safety checklist, make sure it is done time and again and if you can do it in that kind of environment we can do it everywhere, so i think there are some resources coming together but i can tell you it is something we take very seriously. i think it is not only a huge cost but we are killing people by our health care system. .. smaller hospitals close and that population base has moved to their facilities so i would like to just walk through if you could tell you see hospital reimbursement rate development over the course as you phase-in the new health care bill. >> congressman, i think that is a great question and i -- whether it is in rural areas in your district or in a state like kansas or urban areas i think every hospital adm

changes incorporated into that bill and as a consequence, you may have to go to h&r block for your prenatal care. the current tax code is a significant burden on all americans, we spend billions of hours and billions of dollars complying, and that doesn't even count the billions of hours that we spend complaining about the tax coat. look, the average taxpayer loses about 30% of his or her income to federal, state, and local taxes. that's a greater share of income than is spent on food, clothing, and housing combined. according to the national taxpayers union, in 2009, american families and businesses spent almost $8 -- almost eight billion hours complying with the tax coat. that's eight billion hours they weren't spending with their families or engaged in some productive activity. the cost of all that time spent on complying with the tax code is estimated at in excess of $110 billion. in addition to the lost time, last year, americans paid nearly $30 billion for help preparing their taxes, using either covet ware -- software programs or tax professionals, a little more than $200 daughter fo