loui sullivan. the u.s. commission on civil rights is the host of this event, it's about two hours. [inaudible conversations] >> okay. let's get started. i'd like to ask everyone with cell phones to put their phones on vibrate. bear with me. okay. good morning. this is chairman reynolds, and on behalf of the u.s. comig on civil rights, i welcome everyone to this briefing on health care disparities. this project is examining why despite the continued advances in health care and technology racial and ethnic minorities continue to have more disease, disability, and premature death than nonminorities. more specifically, the commission will examine racial disparities in the rates of cardiovascular disease and the related condition of hypertension. experts will present the commissioners with results from on ongoing research and health care delivery systems access to and quality of community education, patient behavior and other aspects of health differences between population groups. the record of this briefing wi

secretary sullivan seems to indicate that there's still something of this. the question is not whether someone is saying i am going to stick it to this group or that group but nevertheless, it comes into resource allocation, where people decide to put their resources, in what neighborhoods, in what clinics, in what areas of further study for research. from your point of view, where is it in that decision track that we still keep coming up with. there's the 60% we can't explain or what happened, that to me is the core of what this hearing is about, because hopefully we are mainly pass the times when secretary sullivan doesn't want to say whites only, blacks only, there's still something wrong. the question is what is it? in this health care debate going on, tremendous change is going to occur. how that change will impact, what we are struggling with is going to be very important. >> you made a good point. one of the things i would hate to walk away from this meeting, the health-care industry is somehow biased towards taking care of patients which it is not. t

sullivan. >> thank you very much mr. chairman, and members of the commission, it is a great pleasure to an opportunity to be here with you today. i am here in my role as chairman of the sullivan commission >> these are c-span microphones, but you will find on your desk these little things right here that you should actually put on, which go to our recorder and also of the audience in the back in here. i apologize for that. i was confused and then i realized it was the double mind. >> thank you, commiser

sullivan pointed out. community-based participatory research is a vital tool in helping us to not on the analyze the hopefully address many of the disparities that we're seeing in minority populations. community-based participatory research involves engage in the community at the grassroots level in terms of research agenda and then feeding back those research agendas to the communities that were initially engaged in that research. i want to talk a little bit about some of the examples we have and highlight the role of other institutes, or other agencies, such as the national center for minority health disparities, which has done tremendous work with community- based chetry research. we sponsored a city's initiative as an initiative looking at stroke as well as hypertension along the southeast corridor of the united states, where we have seen elevated rates of hypertension and kidney disease and stroke, and we look at interventions related to eliminating or reducing those disparities. one of the things we

sullivan did, where he actually had performance requirements in place for purposes of giving bonuses, why not just require of all of the members of the board of directors a fiduciary duty to the shareholders? >> the problem is that in forcing this is difficult because there is -- courts are not going to second-guess the judgment of the elector. this is why the main remedy is to make directors accountable to the judgment of the shareholder. you mentioned a ig. we never had the story of the u.s. public market, a controlled contest for a company the size of aig, because the impediment to folks in a company like that are practically insurmountable. the range and we are discussing, the arrangement that tried to expose the directors directly, the electronic challenge. >> i might know that there's almost never any action abroad against the board of directors, to the best of my knowledge, never brought an action against any of the directors of enron, only one action against the directors of tyco and that is because the guy was taking a bribe. for the most part, given the way state laws operat

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sullivan mentioned a profound one. those issues are often inflated. i think that it currently lacks is sufficiently robust definition an order for people like the doctor and i to study it. i think it is uncertain, given the lack of definition, how we address cultural competency shortfalls if one exists. i am not sure that in reaching the work force with minorities and members of other ethnic groups, which is something that i support, is something that would address this gap. i am a physician and educator. i do think that it is important to appreciate that medical schools are moving towards a cultural competence specialist in their group. the work of the dr and minal work -- and my work have found gaps in clinical knowledge among some doctors and other features taking them away from that environment. we have to appreciate that every layer of the man that we put on them to enrich their ability in one area necessarily takes away from some other area. we have to be very careful that we do not take away the doctor's ability to read and e k g in an instant

secretary sullivan mentioned a profound one. those issues are often conflated with the issue of cultural competency with linguistics groups. that lacks a robust definition for people like dr. chandra and i to study it. i also think it is uncertain given the lack of definition, how we address a cultural competency shortfall if one exists. i am not sure necessarily that and richie the physician work force with minorities and members of other ethnic groups, which is something i fully support, is something that would necessarily address this gap. i do think it is important, i am a physician and educator, i teach at cornell medical school, i think it is important to appreciate that medical schools are moving towards cultural competence, focused within their curriculum and we should appreciate the medical and education is a zero some game. the work of dr. chandra and my work have demonstrated profound gaps in clinical knowledge amongst doctors and with workforce regulations and other features taking away from an education environment,

on sundays at the ballpark, god bless america today doing the honors, sullivan of the u.s. navy cruisers.  ♪  - oh, it's on, all right. - it's on. - it is totally on. jimmy, it's on. it's on. oh, yeah, it's on. pilot: affirmative, it's on. times may be tough today, but the things we all look forward to haven't changed. like owning a home. watching our children grow. and retiring with confidence. so whatever you're looking forward to, m&t bank is here to help you get there. m&t bank. understanding what's important. >>> the nats need some runs,  down by 4, bottom of the seventh. >>> they're very thin in the bullpen, trying to salvage the series. mostly blue jays all day today. >> first pitch swinging again. nationals have had their opportunities, but they've stranded seven runners and lost two others on double plays. >> i don't think there's any ball club that's been hitting hard with their starting pitchers as the blue jays, roy halladay, justin, bobbi ray, malcolm, the entire starting rotation of what they probably thought -- rolen playing shallow. n

. >> johnny: started in 1967 in the booth with sullivan and jim mc tire. he finished his last year of broadcasting a couple of years ago in 2007. >> rob: i loved him. he used to come over late in the game, he was such a country boy. he'd eat ronyons right out of the fridge. he was awesome. he was one of my favorite people. he still got out there well into his 60s, batting practice. >> he loved the game. >> rob: he was a great teacher of the game. he was the type of guy -- we'd do the on deck show with him. he'd always give a honey baked ham. >> johnny: when i did my on deck show, i would get gift certificates to the restaurant downtown. i found an interview with mickey mantle. i think we gave him a $25 gift certificate to a clothing store. it was a nice store in those days which is closed. >> rob: do they still do like player of the game and stuff? i was going to tell a story from montreal days. >>> i was player of the game. usually it's the guy that wants to do the interview after the game. they gave me a weed whacker. i had to get through customs. i gave

you look at who is around, people like john sullivan, i just don't see anyone who would have fit the bill. you look at the total picture of washington, he is a pretty good administrator of the army. the officer corps was blindly loyal to washington. with state governors and congress. as a soldier with other qualities, in the end, the country was fortunate to have had him, i sometimes say i think the country was fortunate to have had washington and lucky to have survived. >> i read that hundred american prisoners died in the all of ships of new york harbor, what prevented the british and americans from working out a system of prisoner exchange like we have had in other wars? >> there was a conflict between washington and congress regarding prisoner exchanges. the problem was once the prisoners were exchanged, the american prisoners would go home and wouldn't serve again, but the british prisoners would serve again or they would be rotated down to the caribbean and replaced by soldiers who were rotated up from the caribbean or from europe. that became an obstacle to prisoner exchanges,

martin sullivan, a former economic aide to president reagan, actually, who backed president obama last fall said and i'm quoting -- "you simply can't tax the rich enough to make all this up." unquote. he goes on to say and the quote continues: "just getting the budget to a sustainable level, there needs to be a broad-based tax increase." leonard butman with the tax policy center said and, again, i'm quoting -- "there is no way we're going to be able to pay for government 10, 20 years from now without coming up with a new revenue source. and, finally, economist paul krudman wrote, and i quote -- ""i find it hard to see how the federal government can meet its long-term obligations without some tax increases on the middle class." unquote. all of these experts echo the point i'm making, you can't tax the rich enough to pay -- to cover all the spending. inevitably what all of this is leading to is the middle class will fall victim to massive taxation. i'll put this into more tangible terms by examining how much the tax rate would need to rise to make up for only this year's projected budget

sullivan spoke about the workforce data. it there is this idea that we train a workforce that is reflective of our nation and what our country represents. it is important not just in terms of the altruistic goals but in terms of some of the health outcomes. >> the doctor has had her head up for quite awhile. >> very quickly, that was not an arbitrarily chosen example. data suggests that process analysis in emergency rooms and in cardiac catheter labs, it has shown that many of the steps have to do with indecision where data arises. reading in e cagy is extraordinarily important when you are making sure that if they get a heart attack, they get the same care. there are a lot of things i could rattle off. >> the commissioner is right. i think that i had an example here. this is mine numbingly vague. the distinction is that she made between linguistic competence and what i would call anthropological competence, especially when you work with different populations, you want to know what kind of home remedies they use. at its wors

russell sullivan, the top staffer on finance, and baucus chief of staff met with a block of more than 20 contract lobbyists, including several former baucus aides. "they said republicans are having this meeting and you need to let your clients know if they'll have someone there that will be viewed of a hostile act," said a democratic lobbyists who will be attending the meeting. republican leaders have been meeting with health care stakeholders for months with those sessions occurring more frequently than once a month, according to a senior senate g.o.p. aide. margarita, democrat, alexandria, virginia, you're on. how do you pay for health care? caller: through our own taxes. right now we pay taxes through the nose and we don't see any personal benefit. >> and we're leaving this and taking you back live to the u.s. house. they've gaveled back in. 1687. the first electronic vote will be conducted as a 15-minute vote. the remaining electronic vote will be conducted as a five-minute vote. the unfinished business is the question on the motion to instruct on h.r. 2346 offered by the gentlema

you and sullivan -- on facebook? >> bob: nice. you and sully type. it will be top of the order now.co scutaro and then aaron hill. look at that. first-pitch strikes to all nine hitters so far. no nationals pitcher has done that this year. >> rob: those are some of the stats maybe we hold off until the ninth inning. >> bob: did we jinx him? >> rob: no, if he throws a ball right here, steve mccatty is going to come up here and smack somebody. >> bob: he'll have to go to the truck. >> rob: it's 10-10. now it's ok. now we can talk about it all you want. >> bob: i know. i hate friday night brawls in the booth. we've had too many of them. >> rob: yeah, you and charlie fighting over hot dogs. it's ugly. >> bob: he's off this inning. what do you expect? i don't know how you do two innings at a time. that must be exhausting. here is scutaro who bounced back to the pitcher first time up. that's a good fastball when you're ahead just moving off the plate. a tradition of innovation, firestone. most starts by national league rookies. shairon martis is right up there with 13 with are karakma of a

my friend andrew sullivan, conservative gay writer who is hims hiv positive and in fact if hhs doesn't change the ban, he himself faces deportation to england as much as he loves this country and wants to liff here and has made it his home for sefrls years. so real lives are affected by these policies. and it has required a lot of people stepping up and speaking out for compassion and responsible policies, a problem doesn't go away because it is ignored or is as treated as it is sort of ghettoized as an issue for one community. we've come a long way since then. we have leadership, we have i think a bipartisan recognition now of how serious that matter is internationally. president bush was very good on hiv funding for africa, for example. host: if you're trying to get in touch with us via twitter, the address is c-span wj. and geevet this one from captain mergo. do you think employees will start adding their friends to their coverage? how will the government keep fraud at bay? >> it's hard for me to imagine, rob. why somebody would pose as a gay married couple for benefits . first of a

phase, while that meat hunting was going on native americans hunted a lot of buffalo for ropes and sullivan to white people. these robes usually had, were always taken with the hair on and so they were animals hunted in winter time. you could sell it road for about $5 had the tanned and had to have a good winter coat on it. it was good money but the demand was not that great. once you take this leather, and turned into a serviceable leather footwear with advanced scanning techniques, it did not matter when you kill the animal. that opened up punting year-round and is easier to go on the great plains to hunt in the summer than it was in the winter time. also rio was for coming across and a lot of weapons to cayman and allowed heights about. cod a guy named jay wright more was a big hunter. he killed 20,000 buffalo in less than six years. they sold 154 calves, three andra 54 the mature cao, two and 50 for the mature bull. it was an enormous amount of money. people it seems are so blown away by the excessesness of the slaughter that they always want to attribute it to some sort of evil or some