i was starting and growing a telemedicine company. one of the ways we were using telemedicine was to bring specialty care in the population center where i am from to rural communities through partnerships with community hospitals. >> you mentioned george w. bush. talk about your experience working for him. rep. arrington: a great friend and mentor and a strong leader. somebody who obviously has made a tremendous impression upon me as a young staffer who grew in my 10 years of service with him as governor and president. i got to be an advisor to him in the white house. i was there on 9/11. all of those things really did impact me and my view of governing and leading. i think he was a strong leader when it came to national security. i think he understood his first job was to keep the american people safe, and i think protecting strength and exercising our military force responsibly was something that kept the world more stable and kept the american people safer. that was something i talked about during the campaign and would harken back

telemedicine is absolutely vital, and i thing we need to accentuate the ability to use telemedicine. as you well know right now, telemedicine and telehealth is not often paid for, compensated, so people eat -- the clinicians eat those costs, assume those costs that help the patient, yes, but they make it much more difficult for them to be able to provide the quality care necessary. >> thank you. another interesting topic you should be fairly familiar with from minority perspectives, south carolina like georgia has a high percentage of african-americans, you probably know breast cancer deaths are approximately 1.5 times higher in african-american women, prostate cancer deaths are proximally 2.5 times higher in african-american men, and new diagnoses are twice as high. i would love to hear your perspective on addressing some of the health disparities and communities of color specifically. >> this is an important area, i appreciate your bringing it up because i think so often what we do in this and other areas is to say, okay, we are going to set up this facility here or this agency her

president of health care innovation company that owns a health system that was starting and growing telemedicine to bring specialty care to the up population center to their world communities through the partnerships like community hospitals. >> talk about your experience working for george w. bush. a great friend and mentor and a strong leader who has made a tremendous impression upon me as a young staffer who grew with 10 years of service with him as governor and president i was an adviser in the white house i was there 9/11 so they did impact me with my view of governing and leading he was a strong leader with national security. i think he and stood his first job was to keep the american people safe to project strength to exercise our military force responsibly kept the world more stable and the american people safer. that is something i talked about in the campaign to talk about george w. bush commander in chief compared to the last eight years with the obama. he is from midland texas that is the neighboring community with my district and actually ran for this seat the lead time he was be in

so telemedicine is a vital and i think we need to accentuated the ability to use telemedicine. as you know i'm oftentimes telemedicine, telehealth is not paid for. it's not compensated. people eat, the clinicians eat those cost, the sm those costs that help the patient, yes, but make it so it's much more difficult for them to provide them quality care. >> thank you. another interesting topic you should be i think certainly with from minority perspective, south carolina like george has a high percentage of african-americans. as you probably know, breast cancer deaths are proximate one and a half times higher in african-american women, prostate cancer deaths are proximate 2.5 times higher in african-american men and new diagnosis are often twice as likely i would love to your perspective on addressing some of the health disparities in connection with color specifically. >> this is an important area. i appreciate you bringing it up because i think so often what we do in this and other areas is to say we will set up disassembly or this agency here, and we have taken of the problem.

so telemedicine is vital that i think we need to accentuate the ability, used telemedicine or as you well know oftentimes telemedicine, telehealth is not paid for. it's not compensated. people eat, the clinicians eat those cost. they assume those costs that help the patient, yes, but make it so it's much more difficult for them to provide the quality care necessary. >> thank you. another interesting topic that you should be fairly summary with, minority perspective, south carolina like a georgia has high percentage of african-americans. you probably know, breast cancer deaths are approximate one 1/2 times higher in african-american women, prostate prostate cancer deaths are approximate two and half times higher in african-american men. i would love to your perspective on addressing health disparity in two minutes of color. >> this is important very and appreciate you bring it up because i think so often what e do in this and other areas is is okay, to set up this systole or this agency here and were taken care of the problem. what i don't think we do is look at what's happening on th

many ways it's like at health care in south dakota couple of health care systems to help root telemedicineundreds of miles away on video screen in some cases of emergency rooms or a remote area with a trauma case they can consult the of specialist in this transforming the way to develop health care and enhancing people to not only travel a couple hundred miles because of what is happening. the town that i grew up in is under five and did people . there was a hundred one i grew up. we are losing a lot of population. but what is amazing to me my life begin and end at the city limits we would go to the closest largest town of 10,000 they had a movie theater and a top codons. all of the essentials. but my dad was 97 years old still lives in the of little town that i grew up in with the little house that i grew up in. he doesn't have a lot of contemporary so he looks for things to do but because in the internet use connected to the world he looks for news sources and e-mail's family members leave then connected him with a net flex. i don't think she uses that much but the way we can provide the

i think we need to accentuate u the ability to use telemedicine. it's not paid for. it's not compensate d. so people eat those costs. they assume those costs that help the patient, yes, but make it so it's more difficult for them to provide the quality care necessary. >> thank you. another sbrsting topic that you should be fairly familiar with. a high percentage of americans. breast kacancer deaths are approximately one and a halftimes higher in african-american women. prostate cancer deaths are two and a halftimes higher in african-american it men. new diagnosis of twice as high. i would love to hear your perspective on addressing the health disparities in communities of color specifically. >> this is really an important area. i appreciate you bringing it up. what we do so often in this and other areas is to say, okay, we're going to set up this facility here or this agency here and we have taken care of the problem. what i don't think we do is look at what's happening on the ground. the metrics as well as we could or should. we ought to be defining specifically whe

telemedicine is absolutely vital. i think we need to accentuate the ability to use telemedicine. telemedicine is not paid for, it is not compensated. the clinicians eat those costs. they help the patients, but make it so it's more difficult for them to provide the quality care necessary. sen. scott: thank you. another interesting topic i think you should be familiar with. georgia has a high percentage of african-americans. breast cancer deaths are approximately one and a half times higher in african-american women. prostate cancer debts are to have times higher in african-american men, and new diagnoses are approximately twice as high. i would love to hear your perspective on addressing the health disparities in communities of color, specifically. rep. price: i think so often, what we do in this and other areas is to say we will set up this facility here, or this agency here. we have taking care of the problem. what i do not think we do is take a look at what is happening on the ground. the metrics as well as we could, or should. we ought to be defining whether or not we are defi

health care systems who are able to serve remote, rural communities hundreds of miles away through telemedicine. and being able through, on a video screen to do patient consultations, to this in some cases when you have emergency rooms in remote areas of the state and they get a trauma case that's brought in, to be able to consult with a specialist someplace else in the state, it really is transforming the way we can deliver health care across this country too and enhancing people's not only convenience and not having to travel a couple hundred miles, but certainly saving lives at the same time because of what's happening. as rebecca mentioned, the town i grew up in is under 500 people. when i was growing up, there was about 800 people, so we're like a lot of small communities, smaller. we're losing a lot of population, rural areas of south dakota. but the thing that's amazing to me about that is when i was growing up, i literally, my life began and ended at the city limits, you know? if we went anywhere, it was typically to pierre, the closest large town, 10,000 people, but they had a taco joh

to be able to access one of the world's foremost specialists in stroke treatment by telemedicine at the university health center. so, that's improving the lives and care of patients across our state. and i think there's so many things we could do that would mirror that kind of technological expansion. >> thank you. one final point i'll make, as my time is expiring, but i know you've probably been questioned already a good amount about what happens next with respect to replacing obamacare. i would simply say that, i hope that we can work with you in beginning to shift a lot of t the -- giving the states more flexibility when it comes to designing plans that work in our states. i think one of the problems that we've had with this is there is just too much dictation from washington, d.c., and too much one size fits all. that's something that i think most -- most states would probably agree with, and certainly i think most providers would agree with as well. so, we look forward to working with you in designing programs that get that flexibility to our states and put them more in charge

i think we need to accentuate the ability to use telemedicine. oftentimes, telemedicine is not paid for. , the clinicians eat those costs. it else the patient but makes it much more difficult for them to be able to provide the quality care necessary. sen. scott: another interesting topic i think you should be fairly familiar with. georgia has a high percentage of african-americans. breast cancer deaths are 1.5 times higher in african-american women. prostate cancer deaths are 2.5 times higher in african-american men. i would love to hear your perspective on addressing some of the health disparities in communities of color specifically. rep. price: this is an important area. is to say,at we do ok, we will set of this facility here are the agency here. we have taken care of the problem. what i don't think we do is take a look at what is happening on the ground. to be defining specifically if we are actually improving the lives and health for individuals in challenged communities. and if not, we need to step back honestly and sincerely and say, what

we can do it by expanding telemedicine and using new technology. we can do it by creating more opportunities for nonphysician providers. these are all ways that we can build on the medicare promise anded medicare guarantee and deal with the challenges of our time, but we're not going to be able to deal with those challenges through partisan approaches, like reconciliation that would privatize the program and unravel the promise. so i'm very pleased to be able to have a chance to be out on the floor with my colleagues who have been strong advocates for medicare, who rightly put this issue front and center in the debate because i think a lot of what is being discussed is really getting lost. a big part of this debate really seems to be about creating a trojan horse to give tax cuts to some of the most fortunate while infect raising health care costs for millions of others and breaking the medicare promise which is what my colleagues are seeking to protect in their amendment number 20. madam president, mr. president, we're going to be talking more abo

allows for health care and ability for new delivery systems for health care and remote monitoring, telemedicinewill enable cms to reform payment systems. >> when will that be -- >> it is already in the law. that's a component that we have already moved forward on. that's done, finished, it is law, and we are thrilled with that. now going to the balance of this, as we do the reconciliation, which the reconciliation budget passed yesterday, that's the document we will work on and at some point in february you will see us with the details. there are components, yes. dealing with title 1 of obamacare, the insurance title, that's got to get off the books and in its place across state line, purchase of health insurance, pardon me, bipartisan support on that, and association health plans, health savings accounts, some of those. >> congresswoman, i have the same thing you have, i had it last week. >> for some reason, a tickle in my throat, i'm sorry. >> as you look at when this will be replaced, republicans for six years have been saying repeal and replace. we know you are instrumental offering the bet

we've got to give broadband money or bring telemedicine, there are serious issues in rural america thateserve our attentio trish: look, rural america used to be predominantly democrat. you look at ohio, you look at places like pennsylvania, wisconsin. >> i grew up in an irish catholic family, irish catholic roots, family of eight my dad came from, and his dad was the night watchman at the naval shipyard, they were longtime democrats because you were a worker, and i think, ford, about the party and how it's deteriorated. the democratic party. you're a republican, so you don't care necessarily, but, in fact, maybe you watch this and you get a smile on your face because they're increasingly losing the rural voters but there are a whole group of people in this country that feel like the democratic party has completely shut them out. >> yes, because the democratic party's identity and politics above all else agenda is not compatible with rural america and working class americans, ans because whites represent 70% of the electorate, and hillary clinton only got 37% of them. in fact, donald tru

these days with telemedicine, everything is online. i am not sure i want everyone to know i hope information. i am not sure i want my employer to know everything about my health information. sherman my doctor -- surely my doctor, but not my employer. this can cause people to go hey, that is a little much. combine this altogether, and it can become much bigger. one of the issues with your digital footprint and collecting this data, you have no way to see if this is an accurate picture of you. think of that. a level data is collected about you. they are creating a digital version of you. i'm going to show you the decisions being made based on the profile. and you do not have access to fact check to make sure it is correct. if anybody does not think there will be errors made, a law of this is done on a statistical basis. i have news for you. there is a good possibility it is not all accurate. why should you care? people say, i am not a criminal, i have nothing to hide. there is not one person in this room that has something they don't wan

to access one of the world's foremost specialist in stroke treatment by telemedicine at the university health center so that improving the lives here across our state and i think there's so many things we could do that would mirror that kind oftechnological expansion . >> thank you, one final point i will make, my time is expiring but you've probably been pushing already about what happens next with respect to replacing obamacare. i would simply say that i hope that we can work with you in beginning to shift a lot of getting the states i guess more flexibility when it comes to designing plan that works in our state. i think one of the problems that we've had with this is that there's too much dictation from washington dc and too much one-size-fits-all and that's something i think that most states would probably agree with and certainly i think most providers would agree with as well so we look forward to working with you and on programs that get acceptability to our state and put them more in charge of some of these issues in a way that removes that power from washington dc where i thi

i want to go to urgent care or simply sit on the couch at home and use my mobile device to via telemedicine see a doctor, i want to make sure we as employer all all those choices at different price points to allow them to make a decision. those are things we as employer invest in so we make sure we have that available and have those choices available. the key point i would like you to take away, offering a hsa is a choice. we brief it is really good thing and we need to surround it with the infrastructure to allow for those good decisions. what we've seen in our experience in the space, our team members are using the hsa. we've seen the usage double in the last six years. and our team members are also contributing to their hsas. in addition to the money we contribute as wells fargo through the wellness accounts, about 70% of our team members put their own number into the hsas, and that amount is steadily growing over the last few years. really important point the care continued. anytime you use a high deductible health plan there is a concern, will people avoid going to get care they need?

retail clinic or go to urgent care or simply sit on the couch at home, and use my mobile device for telemedicine to see a doctor, i want to mach sure that we as an employee offer all of the choices to the team members and the price points to allow them to make the decisions. those are all parts that we as an employer invest in to make sure they are available to make sure that we have the choices available. so that the key point they want you to take away is that offering an hsa is a choice and a really good thing, but we need to be surround it with that infrastructure to allow pore the good decisions. so what we have seen in our experience in this space is that our team members are using the hsa. we've seen the usage double in the last six years. also our team members are contributing to their hsas. in addition to the money we contribute as well as wells fargo with the wellness accounts, 70% of our team members are putting their money into the hsas, and that amount has been steadily growing over the years. and more importantly, the care is continuing. any time you use a high deductible health ca

it is possible to reach one of the world specialists in stroke treatment by telemedicine. that is improving the lives of care of patients across our state. there are so many things we can do that would mirror that kind of technological expansion. sen. thune: one final point i will make, i know you probably have been west and a good amount about what happened -- have been questioned a good amount about what happens next with respect to replacing obamacare. i hope we can work with you in beginning to shift a lot of the -- giving the states more flexibility when it comes to designing plans at work in our states. i think one of the problems we have had with this is that there is too much dictation from washington, d.c., too much one-size-fits-all. that is something most states would probably agree with and most providers would agree with as well. we look forward to working with you in designing programs to get that its ability to our states, and put them in charge of some of the issues that moves the power away from washington, where i think too many of the problems have been

i was growing a telemedicine company. one of the ways we were using telemedicine was brings sketch -- specialty care in the population center where i am from a rural communities, through partnerships with community hospitals. host: you mentioned george's w bush. your expense working with him. caller: great friend -- guest: great friend, someone who made an impression on me. as a young staffer who grew in my 10 years as service, i got to in thedvisor of him white house. was there with him on 9/11. all of those things impacted me and my view of governing and leading, and i think he was a strong leader when it came to national security. i think he understood his first job was to keep the american people safe, and i think projecting strength and exercising our military force responsibly i think was that kept the world more stable and the american people safer. so that was something i talked about during the campaign and will hearken back to george w. bush as commander-in-chie versus the last eight years of commander in chief

very positive message discussing the importance of commerce, rural telemedicine and jobs. confirmation hearings beginning next week starting with alabama senator jeff sessions. president-elect trump's nominee for attorney general. his nomination begins next tuesday. you can have live coverage on c-span three in streaming live on c-span.org. you can listen to it on the free c-span radio app and we will showed hearings again in the evening. we'll have live coverage of all cabinet level confirmation hearings of the c-span networks, tv, radio, and online. we'll be showing the hearings in their entirety live as they happen. we will read air. we'll repair each hearing that night in prime time. >> the presidential inauguration of donald trump is friday january twentieth. c-span will have live coverage of the days events and ceremonies. watch live on c-span and c-span.org. listen live on the free c-span radio app. >> to celebrate the 35th anniversary of the appointment of the first female justice to the supreme court, justice sandra day o'connor, the ronald reagan presidential org