-- sanjay, where are you in this?ing costs here. that's an irrefutable fact. you can't hold up any of these sectors and say, look, this is a good example of how to do this right. by the way, it's not just the united states, it's around the world where health care costs have outpaced inflation in just about every country in the world. so this is something that we're dealing with as a global society, larry. whether it's people are using technology more, using more prescription drugs, whether it's chronic disease, you know, we spent almost $150 billion on obesity-related diseases in this country alone. so, you know, health care is expensive, and i think that's really at the heart of a lot of this, how exactly you pay for it, who's going to pay for it, i think that's where this is centered. >> reporter: still ahead, by the way, later on, michael jackson's doctor speaking out for the first time since his death, but our health care debate continues when we return. with more calcium and vitamin d... to support bone and breas

let me start with sanjay gupta. sanjay, viewers are confused. debate is rages across the country. what's the most important thing that we have understand about this debate right now? >> it's a good question. obviously, there's a lot of different issues here. let me try and boil it down to get back to the basics. autopsy since the beginning of this, you've heard the president talk about the health care and in the economy. and when asked how can he afford to this this with health care. his answer is, how can we not afford to this this. the reason that's important, his idea to cut costs to increase access is at the heart of all of this. what you're hearing out of the various bill, first of all, the president doesn't have a specific plan. the senate is currently debating one. it's only so far in the house that you've actually had a bill passed. trying to fill the gap of 46 million people who don't have insurance. that's where the crux of the debate lies. how are you going to do it, how are you going to pay for it? the house bill, a lot swirling around this, according to the congressio

>> sanjay, stick around. sanjay will work very hard for a long time until we get this resolved. we want to know what you think on the latest twist. is going it alone a good strategy for the the democrats? go to kron.com/heidi or cnn.com/don, or find me on twitter, or facebook. don lemon cnn on both and share your thoughts. >>> don't cover the violence. afghan government appealing to the media just hours before the presidential election. >>> hurricane bill now a category 4. the forecast has shifted to the west. >>> plus southeast texas got hammered yesterday. tornadoes on the ground. damage and injuries. whether's coming up. there's no way to hide it. sir, have you been drinking tonight? if you ride drunk, you will get caught... and you will get arrested. bicycle, i've missed you. gathering dust, as pollen floats through the air. but with the strength of zyrtec ® , the fastest, 24-hour allergy relief, i promise not to wait as long to go for our ride. with zyrtec ® i can love the air ™ . >>> here's a story we're following for you this morning. democrats going it alone on health ca

what sanjay says is true.ou compare hiv, let's say hiv, katrina like a hurricane. malaria has been hitting us constantly for the last 1,000 years. it is a incredibly important parasite. it has ban incredible struggle to come up with an adequate vaccine that prevents against malaria. there are very few models, very few close living relatives to human malaria to compare and generate vaccinvaccines. >> like the smallpox, using cow ul smallpox to create the human vaccine. you mentioned this is the tip of the iceberg. what other diseases are you really focused on right now? >> we tend to be interested in two kinds of diseases. number one, things closely related to diseases that have had a huge impact on humans. retroviruses like hiv, malaria parasites. there was an interesting malaria parasite that jumped over in southeast asia. the second is things that are completely unknown. our ability to understand these agents has just begun. we have the tools that will allow us to do that. we need to do more field studies. w

it's not practical at all. >> sanjay, sanjay, where are you in this?>> no one's good at controlling costs here. that's one irrefutable fact. whether it's the private sector or public sefter. you can't hold up any of these sectors and say, look, this is a good example of how to do this right. it's not the united states. it's around the world that health care costs outpaced inflation than just about every country in the world. this is something we're dealing with as a global society, larry. whether it's people are using technology more, using more prescription drugs, whether it's chronic disease. we spent almost $150 billion on obesity-related diseases in this country alone. health care is expensive. i think that's really at the heart of a lot of this. how exactly you pay for it, who's going to pay for it exactly? i think that's where this debate's really centered. thththh >> larry: sanjay, can you briefly explain the co-op idea? >> a co-op is not government run, although it may have some government seed money. it is a nonprofit organization that, you kn

sanjay gupta. it has been a busy day.anjay, our first question is from shatika who asks what would the public option cover in. >> your primary care. your emergency care. there would be several levels of care. a basic plan a premium plan, a premium plus plan at different rates, different premiums. what is important which is your point not everyone is eligible to be covered under the public option. you are uninsured. you go to an exchange, a health exchange and look at the options including a public option. if you don't have access to private insurance or medicare or medicaid, you might qualify for the public option. you can't have premiums that are less than 11% of your total income as well that is a lot of numbers to throw at you. keep in mind not everyone will qualify for the public option. >> janet wants to know how does the plan focus on prevention? >> this is a great question, something we have been hearing since the beginnings of the discussions. a senate finance committee is going to give funding to the states to tr

let's get "csi" facts from cnn's sanjay gupta joins us now.we had jeffrey toobin on who said it was the gold standard. >> it is. the chance of being inaccurate is 1 in 10 trillion. there are 6 billion people on the planet so it is the gold standard. there are problems. if it is improperly collected, old, contaminated in the process it throws everything into question. there are lots of different steps to make it accurate if you can dot all those is, cross all those ts, it would be a good example. >> this person was convicted because of hair on the victim. they weren't his hairs proven by other dna testing. >> that is remarkable. i was at a lab like this today looking at hair samples. in fact, adds part of this anderson, had my own hair tested trying to figure out, could they make a correlation between hair from different parts of my head? it was more difficult for them than i would have thought. they needed lots of hair to do it first of all. second of all, hair can be different from different parts of your head and different amounts of pigment

we have other own sanjay gupta. but, first, c candy crowley. >> senator chuck grassley holds his second town hall meeting of the year. >> we're here at a time when i fear that people are scared for our country. >> town hall has been sometimes two, three times bigger than in previous years. so many hands in the air and so many cross burns. >> i need to know what are you doing to these insurance companies that are putting ne g everything in their pocket and laughing at everybody else. >> so we can cover the people whop want coverage with a private policy cheaper. >> making his way through the questions festering in the iowa countryside, grassly is really in a mind field. why does he sip port cuts in medicare? he doesn't. will he support a plan with a government insurance option? no. and about those so called death panels, they say it will put the government in the ut eat nash sha business. . >> i don't have any problem with things like living wills, but they ought to be done within the family. we should not have a a g

let me start with you, sanjay. explain what the coroner has concluded because he's suggesting this anesthetic together with the other drugs resulted in a mixture that turned out to be homicide. >> reporter: that's right. we're learning about -- the term they use is acute propofol intoxication. what that means in english is he received so much of this medication propofol, which is typically used as a general anesthetic, that it, in combination with other medications, led to his death. wolf, let me tell you again real quick. we talk about the various medications that michael jackson received that night, this has been part of an affidavit we saw last week, i think we have a list of those things. i want you to take a look, for example, again at the overall medications over that short period of time starting about 1:30 in the morning going till 10:40 that morning, over nine hours. i don't know if we have that list. but in essence it started with valium, about ten milligrams. then versed, ativan, these are all sedatives,

sanjay gupta is keeping them honest tonight. he and i spoke earlier. >> all right, sanjay, let's tack that will first one, cost. arlen specter said he won't sign anything that adds to the deficit. the president said the same thing. senator claire mccaskill has said the same thing. but the congressional budget office tells a different story when it comes to the cost. >> they do. they say it's about $239 billion of potential addition to the deficit. and that was, i think, a wake-up call for a lot of people who are really paying attention to the numbers. it is hard to piece this all together. what i can tell you, john, we have talked about this. i've read through the house bill in its entirety. the way it's written specifically is they say that unless the finance committee can come up with certain money to try and offset some of these deficits it's not going to pass. what i think is a little bit more nebulous, john, is the idea that in the long run through ideas like prevention, adding more wellness dollars to try to keep people he

sanjay, you were up for consideration as surgeon general. you talked to the president about health care in general. what is agreed upon in all of the various bills? since you actually read them. >> well, i know the house bill. lowering costs and increasing access, sort of the broad categories. having said that, it's very expensive no matter how you look at it, which bill you're talking about. over a trillion dollars over ten years. so these are the numbers we're starting to hear and when that sank in people really started paying attention. also, the idea that people have to have insurance. so for example if you're uninsured right now, but you can afford to buy insurance you got to go buy it. if you don't you pay a penalty. if you can't afford it you might get subsidies. that's sort of a broad principle as well. another big deal from a medical perspective of both policies, the idea you don't discriminate based on preexisting conditions. this has been a real problem because people simply can't get health care insurance because maybe they have

sanjay gupta is taking your questions. i got one for you, sanjay, from a viewer from illinois. take a listen. >> this is anna from illinois and i was wondering with the new health care reform if doctors will be able to opt out of taking these patients that have this insurance done by the government because reimbursement rates may be too low for them and how that's going to affect the patients with less physicians to choose from. >> this is such an interesting question, it comes up a lot. you have insurance, what do you do with it? you find a doctor, how good is that insurance for you? >> nothing. >> that's the heart of anna's question. a couple of points, one is we don't have enough primary care doctors in this country, we're about 16,000 short, problem number one, problem number two, and i think this is what she's asking about. doctors aren't required or mandated in any way to take any particular type of insurance. we've seen in before with regard to doctors, for example, not taking medicare in the past. if they do accept it, you continue seeing your own doctor, but if they do

sanjay gupta, appreciate it. >> thanks, john. >>> the cost of doing nothing. the staggering amount of waste in health care. i think it's millions? billions? think higher, way higher. >>> also, the latest search involving michael jackson's doctor and the powerful drug that no one should get outside a hospital. jackson reportedly getting at home. thermacare® heatwraps. that's 8 hours while you wear it, plus an additional 8 hours of relief after you take it off! thermacare® delivers heat that penetrates deep, to relax, soothe and unlock tight muscles. after the heat gets really deep, my muscles do feel loose. even after i took thermacare® off, my back stayed loose for the next day. go to trythermacare.com and get up to 16 hours of pain relief... ...with thermacare® >>> as you have no doubt noticed, who could miss it, the debate over health care reform seems to be get louder. here at "360" we are committed to focusing on the facts. so tonight we are digging deeper on a new number recently thrown into the debate. $1.2

sanjay gupta, a neurosurgeon, joins me from dublin, where he is attending a global summit, sponsoredce armstrong's foundation. what type of brain cancer did the senator have and why was it so hard to treat? >> reporter: this type of tumor is a malignant glioma. it starts with a single cell that goes awry and then starts to divide. part of the issue with this part of tumor, the rate at which it divides is so much faster than other types of cancers. this is a type of tumor in the brain, obviously. it does not spread to other parts of the body, but it just starts to invade other parts of the brain, anderson. we know with senator kennedy's particular tumor, it was located on the left side of the plain, and parts of the brain responsible for speech and parts of the brain responsible for his strength on the right side of his body. and that's why he needed that surgery while he was awake back last spring. but this is one of the fastest growing tumors of all, anderson. left unchecked, within three to six months, it usually causes death. >> he had surgery, had radiation, chemotherapy, lived 1

>> sanjay says he's read this. anderson, president obama has taken a very different approach from what president clinton did. mrs. clinton, co-captain of the team in the white house to write a bill, came up with a will that was even bigger than this and sent it to the hill. and congress essentially said, not written here, we don't like it and it fell with a thud. instead of doing that, rahm emanuel working with president obama and others, said let's have the hill write this this time. so president obama came out with a set of general principles, very vague, but general principles. and they left it to the congress to write it. >> so now we have several different plans being talked about on capitol hill? >> right. and that's been a problem for everybody, because there is no one bill. instead we have this, and in fact there's going to be more. >> let's talk about what's been agreed upon in principle and what has not been agreed upon. sanjay, you are up for consideration for surgeon general. you talked to the president

sanjay gupta and jeffrey toobin. cnn has confirmed that dr. murray is claiming he didn't know what drugs jackson was taking when he was hired. i want to play exactly what his lawyer told the "los angeles times." when he accepted the job he was not aware of specific requirement of medications that michael jackson was taking. do you buy that? >> it's an unusual situation that michael jackson and some of his drug use, some of the drug use that wasn't alleged but he admitted to was pretty well defined. >> if you had googled michael jackson, you could have found out he himself said he had been addicted at one point. >> i would say two things. one is most doctors prior to taking on a patient do a pretty thorough history of the patient, not a physical exam, at least the history. who is this patient, what is their past history, including drug use. given that this was so much out in there the public and obviously conrad murray must have known about michael jackson, it just doesn't pass the sniff test, so to speak. >> jeff, why do you think dr. murray's

sanjay gupta takes us inside an o.r. where you'll get the demonstration of the drug and how quickly it stops the patient's breathing. >> eight, seven, six, five, four, three, two, one -- >> also tonight, what a newly released report says cia interrogators did, mock executions, and more. was it torture? or was it politically motivated? what's the white house doing about it tonight? find out later. reading about washington these days... i gotta asyo what's in it for me? i'm not looking for a bailout, just a good paying job. that's why i like this clean energy idea. now that works for our whole family. for the kids, a better environment. for my wife, who commutes, no more gettin' jerked around on gas prices... and for me, well, it wouldn't be so bad if this breadwinner brought home a little more bread. repower america. i hope our senators are listening. k,ought home a little more bread. repower america. thch he hilp they taste fresh... say it again! what? say it like, "mmmm, these healthy choice fresh mixers taste freshh!!"

>> sanjay claims he read these. >> who is lying?it is like med school. >> anderson, president obama has taken a very different approach from what president clinton did. in the clinton days mrs. clinton, co-captain of the team to write a bill, came up with a bill bigger than this, if you can believe it and sent it to the hill. congress said we don't like it and it fell with a thud. instead of doing that rahm emanuel said let's have the hill write this. president obama came out with a set of general principles, very vague but general principles. they left it to the congress to write. >> so now we have several different plans being talked about on capitol hill. >> right. that is a problem. there is no one bill. we have this and, in fact, there is going to be more. >> let's talk about what has been more or less agreed upon in principle and not. sanjay you were up for consideration for surgeon general. you talked to the president about health care. what are the general principles agreed upon? >> since he has read them. >> i read the hous

sanjay gupta went to find out. >> reporter: you're looking at the second busiest emergency room in thetate. they treat over 100,000 patients over a year. here's the thing, another to this doctor who runs the e.r., a quarter of them don't need his services. >> the way i would phrase is i think there are alternative sites of care that would be more appropriate. >> reporter: he means a primary care's doctor's office. >> the majority of users have a doctor's office and a primary doctor's office but come here because they don't have access. >> reporter: like kenneth mills, who's in pain from a bowling injury. >> i want to call my doctor but wouldn't be able to get in to see him. >> reporter: he is bruised and broken and could have easily been treated outside the emergency room. are you surprised you had to come to the emergency room? >> i wish i had a primary. i wouldn't have to wait as long. >> reporter: that's the issue. there aren't enough doctors. that's a real problem. we have more than 16,000 primary doctors short in the united states. only 6,500 doctors every year start in primary ca

sanjay gupta, cnn, reporting. >>> sanjay gupta with us with a little timeline.lly enough is at a cancer summit that's taking place now in dublin, ireland. they're looking to find ways, sanjay to maybe extend the life past 14, 16 months for people who have this malignant glioma. talk about the challenges of treating and surviving this disease. >> you're absolutely right, first of all, kiran. i've been here all morning. since quite early this morning. as you might imagine, kiran, this has been the topic of discussion, ted kennedy and his influence, certainly on the global cancer community. this is a diffuse disease. you think of brain cancer, you think of it as one disease. but it's the type of tumor that senator kennedy had, you really have to think of it as several different tumors all wrapped up in to one. that's important because when you're treating it, you know, no particular therapy sort of works against all those separate diseases. and that -- that in part is why it's so hard to treat, kiran. you know as you've been talking about all morning, he had an ope

sanjay gupta in atlanta this morning with that.s surprising, in part because it's not just overweight children as you mentioned. but kids of normal weight even underweight, as well, looking at this pretty good link between television watching and increased blood pressure. and, again, we're not used to talking about hypertension in kids, but something we talk about more and more often as we talk about the childhood obesity epidemic. what they followed specifically, kids between the ages of 3 and 9 and followed them for a period of time trying to figure out what was going on here, what was the association exactly and found kids watching more than 30 minutes of television per day, which isn't much, it's pretty common for them to watch at least that much television, but they did seem to have an increase of blood pressure of about 6 to 7 points overall. when they tried to figure out why that was, a couple of things emerged. one is that what kids tended to eat while they're watching television. poor choices in terms of food, pretty unive

sanjay, what changes your opinion? what turns you negative in 2010 if in fact we were to see some upsets? what are some upsts you watch for? >> i think obviously to the extent we see a reversal in the delinquency trend upwards by a material amount, i think that would be a red flag. i think one of the other trends we've noted are the roll rates, which are the amount of delinquencies rolling into the charge-off buckets have been on the decline. to the extent that that reverts back upwards, i think that's a negative as well. and then finally, i mean, our baseline assumption over here at kbw from an economic standpoint assumed the unemployment rate will peak sometime early next year at around 10%, 11%. to the extent that doesn't happen obviously we have to reconsider our investment thesis on these names. >> we'll leave it there. gentlemen, great conversation. we appreciate your time today. we'll see you soon. 35 minutes before the closing bell sounds for the day and the dow industrials right now really down just about 12 p

answering questions and as always, e-mail sanjay cnn.com/amfix.bombing of that panam flight is about to walk out of jail. should he? it's what doctors recommend most for headaches. for arthritis pain... in your hands... knees... and back. for little bodies with fevers.. and big bodies on high blood pressure medicine. tylenol works with your body... in a way other pain relievers don't... so you feel better... knowing doctors recommend tylenol... more than any other brand of pain reliever. and i'm joni. we've been best friends since we were two. we've always been alike. we even both have osteoporosis. but we're active. especially when we vacation. so when i heard about reclast, the only once-a-year iv osteoporosis treatment, i called joni. my doctor said reclast helps restrengthen our bones to help make them resistant to fracture. and reclast is approved to help protect from fracture in more places: hip, spine, even other bones. (announcer) you should never take reclast if you're on zometa, have low blood calcium, kidney problems. or you're pregnant

sanjay gupta is here. he's going to be answering some questions. >> is it true that seniors will get counseling about end of life treatments? and what does that really mean? here's the part of the question that's most interesting. i've heard people calling it a death panel. sarah palin. but even that confuses me. all right. i've got to tell you, sanjay, i'm kind of embarrassed as a news anchor i would have to ask you whether the president of the united states is actually setting up a panel to decide what people should be killed and when they should be killed. but that's where this conversation has gotten to, so have at it. >> you know, the hyperbole here, i think, going out on a limb and saying this is hyperbole without question. you're getting e-mails. >> that's fine. the truth is important. >> this idea that you have -- the truth is important here. and if you look at the language of the bill, which i think is very important, identify done this. page 425, for people who pay attention to that sort of thing

welcome to you, sanjay., if you would, listen to this question with me for just a moment. >> sure. >> do they plan to cover illegal immigrants with their health care plan and their children? >> good question and controversial one at that. who the uninsured are and who would be covered in the specific bill. when it comes to undocumented workers, illegal immigrants as randy asked there, how will they fit into the system? we don't know for sure, but the president was asked about this specifically by katie couric. here's how he responded. >> do you think any illegal immigrant should be eligible under the new plan? >> no. the one exception that i think has to be discussed is how are we treating children? partly because if you've got children who may be here illegally, but are still in playgrounds and at schools and potentially are passing on, you know, illnesses and communicable diseases -- >> not getting vaccinated. >> aren't getting vaccinated. that's a situation where you may have to make an exception. >> so p

sanjay gupta, thank you. in other news tonight, a sad note, political columnist in bob novak died today at his home in washington after a year-long battle with brain cancer. as the sharp-edged conservative voice on cnn's "crossfire," robert vo advantage pioneered the high volume.... >> just shut up, will you? >> rodriguez: high tension talking head battles that are a staple now of cable news. >> what do you think about federal funding of abortions? >> rodriguez: but he was more than just a face of high-pitched washington political theater. the column he wrote for 45 years-- 30 of them with roland evans-- was one of the longest running in u.s. history, offering political analysis and opinion. he also often scooped competitors and in 2006 he famously blew the cover of c.i.a. operative valerie plame, sparking a government investigation that led to the perjury conviction of scooter libby, vice president's dick cheney's former chief of staff. in his memoir, novak wrote "i had a terrific time fulfilling all my yout

sanjay gupta. >>> now the forecast certified baltimore's most accurate. here is chief meteorologist norm lewis and maryland's most powerful doppler radar. >> i think the humidity creeped up a little bit today. >> a little warmer today, a little more humid out there. it feels a little more sticky. it even looks sticky outside. the thing we're watching right now, we were looking at the little area of low pressure north of puerto rico has developed into tropical storm danny. we'll show you where the national hurricane center thinks danny is going to be going. let's take a look outside right now. down on pratt street, things looking good right now. temperature at bwi 87 degrees. wind currently from the west at 8. and the pressure steady, 29.97. as far as your tide tomorrow at fort mchenry, a low tide at 8:15 in the morning, right there. high tide right after the noontime hour, 12:24. tomorrow's winds from the east at 6 to 12. sun comes up at 6:30. we'll set at 7:44. temperatures across the region right now. it's 91 in hagerstown. 91 in winchester, virginia. 8

sanjay gupta inside a crime lab.'s his report. >> reporter: here is where forensic investigation begins. investigators cobble together a theory based on evidence, a swap of hair torn out during an assault, blood spatter, fingerprints, residue. if that was "csi" that's a mother lode of forensic, the case solved. but is it really foolproof? i wanted to see to myself so we got access to the georgia bu roar of investigation. high powered microscopes looking at hair and be fiber, results of dna technology and amidst all this we're trying to answer a question that's been plaguing forensics for some time, is all of this rooted in science? let's take a look. >> we're in the evidence section of the crime lab that examines hair, fiber, painted chips, gunshot residue, glass chips found at crime scenes. >> reporter: this hair was found at a crime scene. it's compared to hair on the right. taken from the victim. they seem to match. the techs show us fiber analysis. in this case they compare a fiber from a different crime scene fr

sanjay gupta. but first, candy crowley has the "raw politics." >> if it's okay with you, i'll get started. >> reporter: senator chuck grassley holds his 72nd town hall meeting of the year. what a year. >> we're here at a time when i sense that people are scared for our country. >> reporter: his town halls have been twice, sometimes three times as big as he's had in previous years. so many hands in the air, so many cross currents. >> i need to know what are you doing to these insurance companies that are just putting everything in their pocket. >> simple math, even for this southern iowa redneck? so we can cover the people who want coverage with a private policy. >> reporter: making his way through the questions festering in the iowa countryside, grassley is really in a minefield. why does he support cuts in medicare? he doesn't. will he support a plan with a government insurance option? no. and about those so-called death panels, a term critics use to argue against a provision they say will put the

sanjay gupta, cnn, new orleans. >>> tune in tomorrow. sanjay will be back in new orleans looking at the lingering emotional effects of hurricane katrina to help residents cope four years after the storm. to see our series, check out our blog, cnn/amfix. >>> finally, an answer to what killed michael jackson. preliminary findings from the los angeles coroner suggests what was long suggested, he died from the lethal levels of the powerful drug propofol. it included a statement from his physician, dr. conrad murray. he gave the singer a cocktail of drugs to help him sleep over a six-hour period. he said he had been treating jackson for insomnia for about six weeks. will he or won't he run for governor in 2010? that's the question surrounding former new york city mayor rudy giuliani. according to "the new york times," giuliani could make a decision sometime in the next two months. the former republican presidential candidate has been meeting with gop movers and shakers across the state and urged the chairman to step aside which party insiders

sanjay gupta. thanks, sanjay. coverage on the passing of senator edward kennedy continues with wolf blitzer in washington. >> thanks very much. i want to go right back to martha's vineyard right now where the president is vacationing but is about to interrupt his vacation and make a statement to the nation, indeed to the world, about the passing of his friend senator kennedy. dan lothian our white house correspondent is on the scene for us. dan, this is supposed to happen momentarily. is that right? >> it is. we are told it should happen within five minutes or so you about time has been sliding. the initial start time was to be at 8:30 so now it's been moved to 9:45. expecting that based on the movements we're hearing about expecting that to take place again in the next five mints or so. we are told he will make his remarks on the property of the blue heron farm where they are spending their vacation and near a guest house. we expect to hear from the president echoing what we heard from his statement that he relea

sanjay gupta takes us inside an o.r. where you'll get the demonstration of the drug and how quickly it stops the patient's breathing. >> nine, eight, seven, six, five, four, three, two, one. >> also tonight, what a newly released report says cia interrogators did to terror suspects including threatening their children, mock executions and more. was it torture or investigating it politically motivated? what's the white house going about it tonight? with rheumatoid arthritis, it seems like my life is split in two. there's the life i live. and the life i want to live. fortunately, there's enbrel. enbrel can help relieve pain, stiffness, fatigue, and stop joint damage. because enbrel suppresses your immune system, it may lower your ability to fight infections. serious, sometimes fatal, events including infections, tuberculosis, lymphoma and nervous system and blood disorders have occurred. before starting enbrel, your doctor should test you for tuberculosis. also ask your doctor if you live in an area with a greater risk for

sanjay?n, talking about health care reform, a term you hear a lot is rationing. what does that mean? we came here to this icu to try to figure it out and we heard the tale of three sisters. >> reporter: at 78, thelma is the youngest, then there's carolyn who is 80, and helen, who is the oldest, she's 82. >> are you worried with health care reform? a lot of people have been talking. >> i'm concerned with it. >> tell me why. >> i try not to worry. well, i have read some things that says that as you get older, you're liable to wait and wait and wait before you can have surgery. you're going to wait longer than the younger people. >> reporter: a lot of people think so. a look at the reform bill, there's no mention of that, no mention of rationing, no mention of the government making so-called end of life decisions for seniors. so where is this notion coming from? from a provision in the house health care bill providing for end of life counseling. republican chuck grassley says his senate committe

sanjay gupta. >> good to see you. a question from one of our am fix viewers concerned about the the disabled. let's listen. >> hello, this is james windings. i am in west frankfurt. i just have a question about people who have disabilities with, will this health care reform affect us? okay, thank you. >> well, that's a great question, an important point. there's about 1,100 pages of house reform bill. we've scoured through this looking for mention of how disabilities, people with disabilities, would be covered. a couple of numbers to keep in mind. there is about 54 million americans who have some sort of disability, physical impairment, a mental impairment, they may have visual or hearing impairments. a lot of though people as far as we can tell simply are under insured or uninsured as things stand now. they say if you do have some type of insurance, including medicare or medicaid, there would be no change in coverage. medicaid does cover a lot of people who do have some sort of disability. what happens a lot of times

sanjay gupta. explain the difference between a public option and a co-op? >> first of all, a co-op is not government run. a not-for-property government organization that could offer insurance through a health exchange. or they could choose insurance coming from a co-op. this is everyone who buys into the program, pays premiums is essentially on the board as well. they are all sort of members as well as insured people. they figure out what the premiums are going to be. exactly what benefits are going to be offered. they are members as well as people who benefit from the plan. >> how does the co-op work? do they have their own doctors? >> you can have an organization that is not comprised of doctors or health care professionals. and they bid on services. you skrould doctors and nurses that provide care. there are different models. there are a couple of co-ops that exist like this in the country in washington state for example and minnesota. it can be made up of a variety of things t. big issue is scale. how big might it be. a state level, regional level or na

sanjay gupta. want you to listen to a question about medicare that came up today when president obama held his town hall in new hampshire. >> okay. >> i am presently on medicare. i do have a supplement. if something happens to my husband, i lose the supplement and what will happen? i take a lot of medications. i have had a lot of procedures and how will medicare under the new proposal help people who are going to need things like this? >> the president answered that question. i am interesting to hear how you would answer that question. >> taking a step back, first of all, when people have lots of conditions or are on lots of medications, concerns about getting health care insurance later on is a big one. this whole idea of not discriminating on the basis of pre-existing conditions is something we hear about a lot. a couple of calf vee otts. discrimination on pre-existing conditions only works if most people have health insurance. they can help offset the cost of people with pre-existing costs. with

sanjay gupta checks out what went right and what went wrong for them. for arthritis pain... your hands... knees... and back. for little bodies with fevers.. and big bodies on high blood pressure medicine. tylenol works with your body... in a way other pain relievers don't... so you feel better... knowing doctors recommend tylenol... more than any other brand of pain reliever. (voice 2) how bad is it? (voice 1) traffic's off the chart... (voice 2) they're pinging more targets... (voice 3) isolate... prevent damage... (voice 2) got 'em. (voice 3) great exercise guys. let's run it again. >>> less than a week left in this make or break month for health care reform, and you still have a chance to speak your mind for or against this issue. there are town hall meetings today in reston, in fairfax, virginia, oklahoma city, and germantown, maryland. we are taking a look outside the united states to see what works and what doesn't for other countries. our chief medical correspondent dr. sanjay gupta is in dublin, ireland, where it's an even split between private and universal coverage

sanjay gupta, has more on this. >> there's blood everywhere.een a tough transition from fallujah back to small town america for marine veteran, matthew brown. >> you're constantly alert, looking around. is it a mcdonald's bag on the side of the road or just a bag? is someone trying to get me. it's different paranoia factors that weigh you on after a while. >> reporter: just 24 years old he joins the 1 in 5 iraq war veterans returning from combat with posttramatic stress disorder. ptsd. >> people knew i wasn't right in the head anymore. i wasn't the same person. and then i couldn't explain to them that there's no way i can be the same person after the things i've done and seen and has happened to me. >> reporter: his escape? abusing prescription painkillers and alcohol. at his worse, brown said he was drinking a fifth of liquor a day. >> the pain is always there, and it doesn't go away. but i was using way more than i was prescribed to and drinking on top of it. i was just, i guess, indirectly just trying to end it, end the pain. for a brief mom

sanjay gupta. >> we are here inside the operating hoom with the chief of anesthesiology. propofol is a medication he uses all the time. is this it over here? >> yes. >> it looks like milk of amnesia, they call it. >> milk of amnesia. >> >> vincent, you okay? we have to monitor his ekg, his co 2., make sure he is breathing and ventilating. >> that's all typical. >> standard of care, yes. >> so the propofol. >> you are going to get a little sleepy, vincent. give me some good, deep breaths. >> take a look at his eyes, how quickly. >> deep breath, vincent. doing great. may feel a little burning, okay. >> deep breath. >> ten, nine, eight, seven, six, five, four, three, two, one. >> there is a reason for his heart race increase. >> his eyes are closed. >> what else are you looking at? >> he stopped breathing. this is watching his co2. he is not breathing anymore. my wonderful anesthetist is going to help him breath. >> you can see part of the problem. with that much there, the propofol, he has stopped breathing and he will need a breathing tube. >> what's so attractive about th

sanjay gupta. thanks for joining us here. was administered through the i.v. to michael jackson on that evening, what do you make of this kind of treatment and the timeline leading up to his death? >> well, it is pretty remarkable to look at. it is not just what drugs were given but over what period of time. a relatively short period of time. lots of these drugs are administered quite often. take a look at how often. look at the timeline, 1:30 in the morning. 10 milligrams of valium. a half hour later, two milligrams of ativan used for anxiety or as a said deaf. after that, two milligrams of versed. after that, two milligrams of ativan after that. and then two milligrams of versed and finally this medication we have been hearing so much about, 25 milligrams of propofol. these are medications that are used as sedatives often. except for the propofol which is often used as a general at stet particular. >> sanjay, would propofol have been as dangerous if he hadn't gotten this other cocktail of drugs that he had received before th

here to explain what it means, 360 sanjay gupta. explain to us the difference between a public option and co-op. >> a co-op is not government run. a not for profit organization that could offer insurance as part of the health exchange. people go to health exchange. everyone who buys into the program, pays premiums is essentially on the board as well. they're all members as well as insured people. what kind of benefits are going to be offered. members as well as people who benefit from the plan. >> how does it work? do they have their own doctors? >> you can have an organization that sort of tries to bid on doctor services or bid on certain hospital services. so all you could have doctors and nurses as part of it that also provide care. there are different models. there are a couple of co-ops that exist like this in the country that work pretty well in washington state, for example, and in minnesota. it can be made up of a variety of things. the big issue, here, anderson is scale. how big might it be? a state level, regional level or