. >> rick smith? >> ken, you have referenced several initiatives around the cluster of chronic conditions that you identified as significant cost drivers. can you speak a little bit to what happens to utilization and outcomes as these interventions take place and how does care change and what does that ultimately add up to? >> yeah, that's a good question. you can look at the prevalence data, and the more question is, what are we getting from it? is it worth it? i referenced david's work on this and others, that on balance, the more aggressive the treatment is worth it. we're getting improvements in longevity and the quality of life. that those are investments that not only are clinically driven but generating better outcomes. then there's a series of prevalence increases that are bad, that we should try to do something to reduce. so there are different issues and how we think about them i think are very different. >> tom miller, and i saw a hand up there. we'll come back to mary ellen. >> ken, we've

. >> rick smith. >> hi, rick smith. ken you have references several initiatives around the cluster of chronic conditions that you identified as significant cost drivers. can you speak a little bit to what happens to utization and outcomes as these interventions take place and, you know, how does care change and what is that ultimate will add up to? >> it's a good question. you can look at the -- look at the prevalence data in terms of how we're treating patients with cardiovascular risk factors and the important questions, what are we getting from it? is it worth it? i referenced david's work on in this and others, i think on balance the more aggressive of treatment of patients with cardiovascular disease is worth it. we're getting improvement in longevity, improvements in the quality of life, that those are investments that not only are clinically driven but generating better outcomes, so that those are sort of parsing my prevalence increases into two components, things that are good increases, things that we want, you

to write this book was because i got to see this video of the texas tribune editor, ian smith, interviewing rickrry before the last gubernatorial election, saying, should we do this as the last state in the country? and he said, nope, nope, we're good. and he pushed and said, we have the second highest double or triple teen pregnancy rate in the country. perry said, no, no. we're good. kept poking him. he said, i know from my own personal experience abstinence works. i thought, oh, my gosh. i want to go and write about this. this is wonderful. the interesting thing about it is i kept trying to balance states' rights versus our national interests in texas. the birth rate is humongous because there is a war going on against family planning. the teen birth rate is humongous partly because there is no sex education, there is no contraception availability even if you are a mother as a teenager, you cannot get publicly funded contraceptives. so the result of all this is you have a humongous birth rate, 60% of which are medically funded deliveries because the women are so poor. now, we as a nation pay

smith of florida. now the governor, governor rick scott, has decided there's so much public outcry, he'd like to hear fromaring. apparently, according to the trayvon martin family they have 300,000 e-mails asking for repeal. signatures on a petition, e-mails supporting that. don't know if that's true, but i think he feels now is the time to at least get some public interest and sentiments and at some point thereafter they'll look at repealing or modifying the law. >> but the law's still applicable. >> yes. >> what happened that night, we don't know what happened, we can't adjudicate it on television, whatever happened that nigh, the stand your ground law applies. as lax as it was, it doesn't apply to zimmerman. if i'm prosecuting, i say because zimmerman went beyond that. he did not just not retreat, he went after trayvon martin, and that's the key legal question. jon: all right. we're going to have to leave that one there and see what florida decides and what comes out of this public testimony. but we wanted to bring up this other case. it's about the girlfriend of accused mobster james whitey bulger. sh

rick kwan has >> terry: 36th annual film festival is now underway. oldest festival dedicated to gay, lesbian, bisexual and transgender programming. nick smiths it promises to be as exciting and edgy as always. >> this is the theme as we came up with. >> casey is the man leading the san francisco international film festival. it's the largest gay, lesbian, bisexual and transgender film festival in the world featuring films from 33 different countries. it's programming edgy and all inclusive. >> a total of 104 programs over the course of 11 days. >> one of the most buzzed films is love for your guy. the story of gene robinson. openly gay bishop fighting for rights. >> having the whole theory about this very brave man it will be very special moment. >> there are other films aimed as highlighted the lb gtd community but thee he says it's also about san francisco. >> to share a film in our festival with our audience. it's a unique event. >> a slumping economy says the nonprofit will have to work harder to secure donors and volunteers but asking tow work a little harder has pulled everything together without a hitch. >> in san francisco, nick smit

smith: madam speaker, i yield five minutes to the gentleman from pennsylvania, mr. fitzpatrick, the sponsor of this legislation. the speaker pro tempore: the gentleman is recognized for five minutes. mr. fits spat rick -- mr. fitzpatrick: thank you, chairman smith. your staff has been wonderful to work with and i'd like to give special recognition to carolyn lynch and art bake whore did a fantastic job of this bill. i rise to support this bill with needed reforms to the public safety officer's benefit improvement program. the public safety officers' benefits imact provided benefits to families of those who lost their lives in the line of duty. now we have the opportunity through needed reforms to make the p.s.o.b. program even better this bill corrects a tragic oversight in current law that unfairly excludes certain first responders. my inspiration for ts bill, madam speaker, is daniel mcintosh. danny mac, as he is known to his family and friends, was a veteran of the ben salem emergency medical services. he serves numerous other bucks county communities both as paramedic and volunteer firefighter since 1993. he was a volunteer firefighters, he was a member of the nottingham fire department a newly