the american telemedicine association likes to give an example of telemedicine, and that is the medical peer that was provided in the monitoring of the astronauts in the early graham, and that continues today. militaryed in remote deployments to keep the troops say. it provides three areas of patient care, focused on instrumented, interconnected, and intelligence solutions. medical data and transmission and access -- radiology, imaging -- and this gives us insight that is needed to drive the information for the patient from the details of the data. also remote monitoring of chronic care or special circumstances, so in congestive heart failure, one needs to get the regular finals of the hydration of the patient. clinical concentration is the third for convenience to allow for it to happen regularly. the use of electronic information in telecommunication technologies to support is now common and it is coming to provide long-distance clinical care of patients and education, public health, and health administration. technologies include videoconferencing, and the internet is a very common p

. >> now the ceo of doctor on demand, another telemedicine industry leaders find out innovation and technology can transform and improve the u.s. healthcare system your pepperdie university hosts this event. >> please welcome to the stage john figueroa, ceo of genoa healthcare. >> what an incredible morning. the inside that doctor emmanuel provided regarding the intent results and the future of the affordable care act as well as integrated care. and our industry is moving to a value-based system was fascinating. equally as intriguing was a description of our complex and ever-changing healthcare system by our esteemed panel of doctors and healthcare administrators. i trust that their years of practical experience and i trust that they have certainly confirmed the complexity of our healthcare system. and the speed in which it is changing in america. i'm going to take a little bit of a different view on some of seeks comments, consider some of the complexity issues of the day, consistent with things that we need to do to change the system to make it better, but a slight difference from a quality

support this legislation and remain open to innovative solutions in the medical industry like telemedicine. finally, mr. speaker, i want to talk about something very near and dear to my heart, the effort to eradicate polio and truly, mr. speaker, we're this close to ending polio. once a widespread global epidemic is now only endemic in only two countries -- afghanistan and pakistan. when i was district governor of rotary a few short years ago, we were reporting 17 to 18 cases per year and i'm so excited we only had two reported case this is year. there is one organization that's led this charge though many have helped. but rotary has led this since 1979, literally vaccinating over 2.5 billion people in 122 countries. as a former district governor i spent time this past weekend celebrating rotary and all we have done including celebration of international students anti-peace awards they receive through our scholarships. there is no cure for polio, it's preventable by a very simple vaccine. it's vital we aid this last handful of countries, get us over the anyonish line with these resources a

it's called telemedicine.go online and consult with a physician, either by texting on the phone or videoconferencing. it's a field that's offering a lot of advice and bringing up many concerns. adam shownfeld is an internal medicine resident and he's telling us about his experience with telemedicine. >> i was ill one day and i went online to go see where to see a doctor. and this popped up, get your treatment online right now. >> reporter: so adam signed on and told a doctor he had a sore throat, he prescribed him an affe antibiotics and it turns out he was allergic. >> he said does this make since to you? >>i it did not and that simple interaction launched a huge study into websites offering medical advice. >> a standardized patient has trained to exhibit the signs of an illness or a condition. >> i asked her to show me how it works. i'm the doctor and i say to you, so what can i help you with today? >> i haven't been feeling well for the last week and i feel like i have this sore throat that won't let up zwl

ophthalmology is performed through telemedicine. it is working well. dealing with the stroke victims, we have three programs in maryland working today, one in carroll county, westminster. one in maryland but is working well. .e have a program in hagerstown it is also working well in conjunction with a major center. so we have programs in our state that are performing extremely well. also incorporated is the dialysis patients. victim, the cost savings by reducing the disability and time intervention is critically important. for a dialysis patient, it is a matter of cost getting to a center, trying to have some degree of normalcy of life. tele-exam to do your so a person can get care at home exit better. -- makes it better. so this bill moves us forward in telehealth, but where do you see telehealth going? what obstacles are in the way? what concerns do we have as we move towards telehealth system so people can get more timely and efficient care? dr. schwamm if you want to start , then others. i'm curious on what we need to change to accommodate this typ

it's called telemedicine.and consult with a physician, either by texting on the phone or videoconferencing. it's a field that's offering a lot of advice and bringing up many concerns. adam shownfeld is an internal medicine resident and he's telling us about his experience with telemedicine. >> i was ill one day and i went online to go see where to see a doctor. and this popped up, get your treatment online right now. >> reporter: so adam signed on and told a doctor he had a sore throat, he prescribed him an affe antibiotics and it turns out he was allergic. >> he said does this make since to you? >>i it did not and that simple interaction launched a huge study into websites offering medical advice. >> a standardized trained to exhibit the signs of an illness or a condition. >> i asked her to show me how it works. i'm the doctor and i say to you, so what can i help you with today? >> i haven't been feeling well for the last week and i feel like i have this sore throat that won't let up zwlch. >> desclib it to m

next healthcare experts on the benefits of telemedicine technology and how it can better manage the patients on medicare. members of the finance committee are working on lek leg slaits slags aimed at improving care for chronic sufferers in the is an hour and 45 minutes. >>> the meeting will come to order. ietd like to welcome everybodier everyone to this morning's hearing on bipartisan medicare policies to improve care for patients with chronic conditions. it was almost exactly two years ago today we reformed a bipartisan working group cochaired by senators isakson and waern to work on legislation to address these issues. that work group spent many months listening to stakeholders in the healthcare community both in person and through more than 850 formally submitted comments. in december of 2015, the working group released a comprehensive document. in october of last year we issued a legislative discussion draft. soon after that we finalized four of our policy proposals in its 2017 medicare physician fee schedule rule, and twon provisions from our discussion draft where included in the 21st

it's the ability to do the tele-working, to bring jobs and commerce in, public safety, telemedicine,initiatives that really kind of keep our country robust can really be derived from broadband. so how do we make sure policymakers see infrastructure beyond just a road and a bridge. so those two are very top of mind. the third i would throw in, you know, that's really important has been rate floor. it's a proceeding that nobody but probably our sector of the industry would have watched, but since 2011 the fcc had designated a rate floor that they essentially said that urban rates and rural rates need to be, match one another. and, you know, if you look at some of my carriers, i've got folks who a local call you may be able to reach 2,000 people, maybe 1,000 people, sometimes 10,000 people. it is not comparable. so how to you find a reasonable way to insure that we're not having to match urban rates penny by penny. so that's been very top of mind for us, and folks have been talking about that on capitol hill. >> how are the universal service fund dollars used by your association members

mentioned, these senators have done a lot of work on telemedicine and telehealth issues. we appreciate your help today and we look forward to hearing your remarks on these important issues in jordan perspectives. senator wicker will provide his statement first and will be followed by senator shots. please proceed with your remarks take the other. >> thank you. we already know it works in tennessee. i have enthusiastically cosponsored. i would like to thank the committee for their years of work to discuss the quality of chronic care in america. it is a testimony to your efforts. i am pleased to be here with my friend senator schatz. we lead the subcommittee. the commerce committee has worked tirelessly to promote barriersn by removing to conductivity and expanding access to rural broadband. in 2015 in a hearing of our subcommittee about the potential of telemedicine, senator schatz and i decided to join forces. we were fortunate to form a team including other senators and the result of our partnership was the connect four health act. policy forgislated health. ands a produ

it was during a 2015 hearing of our subcommittee on the potential of telemedicine when senator schatz and i decided to join forces to reform how medicare reimburses elehealth. we were fortunate to form a team including senators warner, thune, and cochran, and the result was the connect for health act, a widely supported legislative proposal for elehealth. connect for health, s. 1016, is the product of hard work and determination. it is designed to improve the quality of care and cut costs. i thank the committee for improving telehealth provisions inspired by our connect bill in the bill we are discussing today. in so doing, you are recognizing the promise of telehealth. i became interested in this topic because my home state of mississippi has led the nation in maximizing technology to improve patients' health. the university of mississippi medical center in jackson has been a leader in telehealth for over a decade. the team has managed to increase access to quality care and cut costs by using services like remote patient monitoring and tele-emergency, reaching some of our state's mos

as i mentioned in my opening statement, these two senators have done a lot of work on telemedicine and telehealth issues. we appreciate your support and your input today and we look forward to hearing your remarks on these important issues and your perspectives on this topic. senator wicker will provide his statement first and followed by senator schatz. senator wicker, if you would, please proceed with your remarks and we'll take senator shoots schatz's next. >> thank you mr. chairman, my distinguished colleagues it's a pleasure to be here. thank you for allowing me to share with you what we already know in my home state of mississippi, telehealth works. i'm glad to be here to discuss the promises of telehealth and to celebrate the progress your committee is making with the chronic care act, which i have enthusiastically cosponsored. i would like to command the leadership of the senate finance committee for their years of work to address the cost and quality of chronic care in america. today is the testimony to your efforts. i'm pleased to be here today with my friend senator brian sc

army telemedicine and advanced technology research center and the national science foundation. it is fully researching and developing self-powered prosthetic devices and the lon for use with leg prosthesis. these electronic mechanical devices make life better for every amputee in every walk of life. and today with mike thompson of california will introduce a bill that will curve medicare fraud when it comes to doctors of prosthetics. we make sure that c.m.s. stops allowing these onlicense operations to apply for and collect federal payments. as a former certified therapist and licensing home nursing administrator, i know the important porns of safe products that's needed. when they receive these services, both medicare beneficiaries and the american taxpayers are shortchanged. i urge my colleagues to support this bipartisan medicare or thodics and prosthetics improvement act of 2017. thank you, mr. speaker. i yield back the balance of my time. the speaker pro tempore: thank you. the chair now recognizes the gentleman from massachusetts, mr. kennedy, for five minutes. mr. speake

drugs now, the benefits of telemedicine technology and how it can help manage the care of patients on medicare. this is just under two hours. [gavel pound] >> meeting come to order. >> i would like to welcome everyone to this meeting. to approve care for patients with chronic conditions. it was almost exactly two years ago today that we fm

it's the ability to do the teleworking, bring jobs and safety, in, public education, telemedicine -- all of the initiatives that keep our can really be derived from broadband so how do we make sure that policymakers see infrastructure beyond a road and a bridge. >> watch the "communicators" on espn2t 8:00 eastern >> here's a look at our primetime schedule on the c-span networks. at 8:00 p.m. eastern on c-span, a three-judge panel for the ninth circuit court of appeals reviews president donald trump's travel ban of six majority muslim countries. on c-span2 at 8:30 eastern, "washington journal" with journalists and reporters in arlington, virginia. on c-span3 at 7:00, transportation secretary elaine trade association leaders discussing infrastructure investment. today at the white house briefing, press secretary an update onave finding a new f.b.i. director after james comey was fired last week. added he believes there's no need for a special prosecutor in the russian investigation. look. a >> the comey replacement all, jeffirst of sessions is leading the search. a lot of democrats thi

we put together with folks in tennessee doing interesting telemedicine initiatives with a university,nd she addressed our group last week in washington dc and shared some of her agenda and talked a lot -- rurall broadband broadband. i am very optimistic about this. and congressman walden has a history of being from a state that has deep, rural pockets and has a cheap -- chief of staff that spend time with the acp. you find in washington you will not agree with everyone all the time, but if you can have good discourse, if you can find ways to engage on things and find areas of commonality, we can work together to push the ball forward on behalf of all consumers. let's assume there is a broadband infrastructure component and infrastructure is being pushed as it will. we have some different models. you have the rural utilities service, usda program out there, and the universal services program, and the stimulus bill of 2009 which you said did good things, now that people have criticized it. if you were giving advice, what would be the best way for to -- for congress to channel? shirley b

do teleworking and to bring conferences of public safety, telemedicine, all of the initiative they keep our country robust and had he make sure that policymakers the infrastructure beyond just a road and a bridge. announcer: 8:00monday night at eastern on c-span2. >> each week, american history tv's american artifact visits archives and historic places. the national museum of african american history and culture opened in september of 2016. located on the national mall near the washington monument, the museum has quickly become one of the most visited in the nation's capital with capacity crowds almost every day. next we visit the museum to tour , the history galleries, which begin three stories underground. mary: welcome to the slavery and freedom exhibition. my name is mary elliott and i am a museum specialist and co-curator of the slavery and freedom exhibition, which is one of three exhibitions in the history gallery. we have three exhibitions in this gallery and those exhibitions cover 15th-century africa and europe all the way to today. some of the themes we cover include holding

efficient results in good care one example is minor but so much has been replaced with technology and telemedicine to give everybody bi pad it will be better that is the electronic medical records of those can be a useful tool but too often have been used as the substitute for face-to-face interaction which is so crucial there is a program to give patients home hospice the ipad that is great at some level for certain kinds of things but it is the nurse to hold somebody hand to talk to them which is what a lot of people need with home hospice that has diluted everything about health care and what they really want. efficiency is a business metric. it should not be the primary goal of health care. >> as we're speaking the house is engaged in the future of the affordable care racked with governance and policy at the national level and that discussion is a big philosophical question whether health care is a market like any other the there should be rules or other mechanisms sometimes i felt i was watching the market go bad it was treated like a market but the forces that would constrain or at work did

i'm michael finney, coming up on your side, looking at telemedicine. >>> i didn't see it coming. >> ithe president, you're making a big mistake. >> shock in washington after a drastic move by the white house. the president has fired the director of the fbi suddenly who is investigating his administration's ties to russia. good evening. >> the president's directive came down late this afternoon. >> the president sent a later to the office of director james comey informing him of the immediate termination. comey was in los angeles and had the letter read to him over the phone. >> in the letter president donald trump said that he did not have trust in comey. however the decision also comes after the fbi began investigating the white house's ties to russia and it's interference in the 2016 elections. >> democrats have expressed concern over the stud move, while republicans remain confidence the investigation into russia will carry on as it should. >> this investigation must be run as far away as possible from this white house and as far away as possible from anyone that president trump ha

it is the ability to do the teleworking to bring jobs and public safety, education, telemedicine, all of the mission they keep our country robust. it can really be driven by broadband. how do we make sure policymakers see ever structure beyond a road or bridge? announcer: watching the communicators at 8:00 on monday on c-span2. announcer: next on american history tv, civil war historian and author joseph glatthaar on the political intrigues within the union army's high command in 1864 and the role the squabbles played in the union's response to jubal early the shenandoah valley campaign. and joseph glatthaar looks at what ulysses s. grant learned from these events. this 40 minute talk as part of a conference hosted by the university of virginia's center of civil war history. >> the first lecture is joseph glatthaar. i told joe and the others speaking i will keep their introductions very short printed i think it is safe to refer to that we invited her these people because they are really good and accomplish scholars and we do not wonder if we could do somebody mediocre because they wer

to get them into the areas that might be access to the approaches to get to that like telemedicine. so this particular specific epidemic, we can turn it around and the fault problem, i am not so sure. >> and i would like to reiterate that, because in many way, i would like to end up in a very positive way, and i look at it from the perspective of what is the challenge that we have on addressing the opioid epidemic, and we know how to do it, and if we have a road map, we will implement and succeed. i always put in the counter argument if someone were to tell me how the address the problem of the alzheimer's, i would not know how the start. we don't have treatments, and we don't know how to properly prevent it, but here, we have a much better understanding, and we know where the epidemic generated and we now ho to grow it, and prevent it, and treat it, but it does require a very integrated approach of resources to do it. and look at tobacco. we can do it, but obviously, it is going to require an investment. and another thing that is important that we have not been discussing, but we h

about broadband, it is the ability to do teleworking and to bring conferences of public safety, telemedicine, all of the initiative they keep our country robust and had he make sure that policymakers the infrastructure beyond just a road and a bridge. announcer: 8:00monday night at eastern on c-span2. >> each week, american history tv's american artifact visits archives and historic places. the national museum of african american history and culture opened in september of 2016. located on the national mall near the washington monument, the museum has quickly become one of the most visited in the nation's capital with capacity crowds almost every day. next we visit the museum to tour , the history galleries, which begin three stories underground.

telemedicine will give everyone an ipad and it will be better. they can be really useful tools but too often they've been used as a substitute for that kind of face-to-face interaction which is so crucial to trust a. that is great if it's used for certain kinds of things but if it is used with a nurse coming by holding someone's hand and talking to them, which is what a lot of people need with home hospice is so precious to me at healthcare and it's something the patients really want. so in some cases that is a business metric. that shouldn't be the primary goal of health care. >> host: as you and i are speaking, the house of representatives is deeply engaged in the future of the affordable healthcare act into governance and policy at the national level and underlining that discussion is a big philosophical question about whether healthcare is the market could, whether healthcare is the market like any other market and if it should be ruled by market forces. as i read your book, i sometimes felt like i was watching a market gone mad. it was being

why do we have to be licensed in 50 states of the union in order to use telemedicine? delivery system. need hospitals to come togethers country of smoking, obesity, drug use and all those things that come together over time will begin to drive the cost of health care down so that we can cover people an cover them well across the entire society. liz: i agree with you. people have to take control of their own health and not leave it as a burden on hospitals, doctors and taxpayers, but, for that preexisting condition, i don't know, you heard about jimmy kimmel and his speech last night born with a hole in his heart, you're a heart surgeon. you know very rare thing where pulmonary valve is entirely blocked. he didn't do anything, this ild, not to ta care of himself so what about people like t one way or another by their insurance, particularly about medicaid which increased number of people being covered across the united states. children certainly get their coverage in that respect and children's hospitals are well-supported. i amde lighted with that. and it is important

inadvertently drives up the cost of coverage and lowers the quality because of policies on things like telemedicine, which can help to decrease wait times at hospitals and costs for every party. >> let's say that evan is right and this drives down costs and provides better care. would democrats get on board? >> i think it would be difficult for them to do so because they're hearing so much from their base right now that we don't want to go along with anything that president trump is doing. but also because it seems difficult to envision the scenario in which republicans would come up with a bill that could be palatable to democrats. when president trump said that preconditions would be covered in the bill, it seemed to indicate that he didn't know what was in the bill rather than that we should listen to him and hear that as gospel truth. i think that, again, it will be incredibly difficult for democrats to find some common ground on this. again, the bill has been so, you know, centered on taking rights away from people. for example, giving states the ability to essentially tell insurance companies

telemedicine, we will give avenue -- everyone an ipad and it will be better. electronic records. all of those things could be useful tools but they have been used as a substitute for that face to face interaction which is so crucial to trust. i was just hearing about a program to give patients in hospice ipads. home hospice ipads. that is kind of great at some level if it is used for certain things but instead of a nurse coming by and holding someone's hand and talking to them which is what a lot of people need in home hospice that is just diluted everything that is so precious to me about health care and what patients really want. it shouldn't be the primary goal of health care. >> as you and i are speaking the house of representatives is deeply engaged in the future of the affordable care act and government and policy at the national level and underlying that discussion is a big philosophical question about whether health care is a market good and whether it should be ruled by market forces or some other mechanisms. as i read your book, i sometimes felt like we could solve our

telemedicine. just give everyone an ipad and it will all be better. thick all of those things are electronic medical records which you were a big part of. all of those things can be really useful tools but too often they've kind of been used as a substitute for that kind of face-to-face interaction, which is so crucial to trust. it was just hearing at my hoves in kaiser health news about a program to give patients in hospice ipads, at home hospice, ipads. that's great at some level if it's used for certain kinds of things but if it's used in stead of a nurse coming by and holding someone's hand and talking to them, which is what a lot of people need in home hospice -- then it's just diluted everything that is kind of so precious to me about health care, and what both physicians and patients really want. so, efficiency is a business metric. health care could have been loot more efficient than it was 30 years ago, but it shouldn't be the primary goal of health care. >> host: as you and i are speaking, the house of representatives is deeply engaged in th

public safety, education, telemedicine, all of the things that keep our country robust can really be derived from broadband. how do we make sure that policymakers see infrastructure beyond just a road and a bridge? >> watch "the communicators" tonight at 8:00 p.m. eastern on c-span 2. >>> we need physicians and other health professionals who are technically competent,er who -- who are life long learners, who are team leaders, consensus builders, indeed, business managers and who can share power constructively and gracefully. >> i would just hope that you would understand what this responsibility means. that it means reaching out, it means caring about more than yourself. it means asking about we rather than me. >> have the fortitude to do the right thing, not the easy thing. don't be somebody's lap dog or sycophant. have the courage to speak the truth even when it's unpopular. >> i want to talk with you about being open to the unexpected. about making room for the improbable and the unlikely. >> past commencement speeches from the c-span video library and join us as we hear from poli

public safety, education, telemedicine, all of the initiatives that really kind of keep our country robust can really be derived from broadband. how do we make sure policymakers see infrastructure beyond just a road and a bridge. >> watch "the communicators" tonight at 8:00 eastern on c-span2. >>> c-span where history unfolds daily. in 1979, c-span was created as a public service by america's cable television companies. it is brought to you today by your cable or satellite provider. >>> the environmental and energy study institute hosted a panel discussion recently on infrastructure investment. speakers outlined ways to make infrastructure more resilient and provided recommendations for financing infrastructure projects. also, the american society for civil engineers executive director, thomas smith, discussed the findings of his group's 2017 infrastructure report card. this is about an hour and 20 minutes. >>> good afternoon, everyone. my name is carol western rner. i'm executive director of the environmental and energy stunnedstunned steweddy insuran study

it's the ability it to do the teleworking to bring jobs and commerce in public safety, education, telemedicine all the initiatives that keep the country robust. can really be derived from broad band how do we make sure police makers see it beyond just a road and bridge. >>. >> we need physicians and other health pr professionals technically competent, problem solvers, lifelong learners, who are team leaders. consensus builders, indeed who are business managers and who can share power constructively and gracefully. >> i would just hope that you would understand what this responsibility means. that it means reaching out. it means caring about more than yourself. it means asking about we, rather than me. >> have the for the attitude to do the right thing not the easy thing, don't be somebody's lap dog or sycophant. have the courage to speak the truth even when unpopular. >> i want to talk with you about being open to the unexpected. about making room for the improbable and the unlikely. >> past commencement speeches from the c-span video library and join us for this in year's commencement speeche

the bill also expands telemedicine, broadband ackserks and stem, distance learning. as well as we provide $400 million in community development block grant funding for disaster assistance. rural development, which is central to rural commutes and the economies vital for producing america's food and fiber products. the bill provides $37 billion in direct and guaranteed loans to support clean water, decent housing, telecommunication, and elengleck trick services and rural businesses which is more than we provided last year. on the grant side, water and waste grants are more than 10% higher than the president's request. broadband grants are more than three times higher than 2016. community facile grants are 25% higher than the 2016 qul, and what was appropriated. all the domestic nutrition programs, mr. speaker, are funded at levels that will fully meet the estimated needs for the rest of the fiscal year. the f.d.a. is funded above both f.y. 2016 and 2017 requests. however, for the third consecutive year i'm disappointed that congress continues to kept commodity futures

we can use creative approaches, telemedicine and the like to get. that i think we can address and turn around. the larger fault zone problem, i'm not quite so sure about. >> i would like to reiterate. that i think that in many ways i think that we need to end up in a very positive way. i actually look at it from the perspective of saying okay, what is the challenge that we have on addressing the opioid epidemic? we know how to do it. we have a road map that if we implement, we will succeed. i always put the counter argue ment. if someone were to tell me, how you would address a problem of the alzheimer's? i wouldn't know how to start. we don't have treatments. we don't know how to properly prevent it. here we have a much better understanding. we know where the epidemic generated. we know how it grows. we know how to prevent it and treat it. but it does require very intergrated approach of resources to do it. we've done very successful campaigns on preventions of other drug use disorders. look at tobacco, how we have dramatically reduced it. so we ca

believe and hope we are catching up and hope that this is a month where people really think about telemedicine and contacts and opportunities and excellence in mental health in ways we haven't before. i'd yield the floor. the presiding officer: the assistant democratic leader. mr. durbin: madam president, before the senator from missouri leaves the floor, i want to say a word about him and the topic that he raised today, the issue of health -- in this particular case children. senator blunt and i have a adjoining states, illinois and missouri, and we have joined up as well on medical ref. i just want to -- on medical research. i just want to salute him. this is a bipartisan issue, and he's made it a bipartisan issue, and we've had the good support of senator alexander, a republican of tennessee, senator murray, democrat of washington, and this senator from missouri has done some amazing things. i want to say specifically for the record that america owes him a debt of gratitude. as chairman of the appropriations subcommittee that's responsible for the national institutes of health, the foremost

the bill also expands telemedicine, broadband ackserks and stem, distance learning. as well as we provide $400 million in community development block grant funding for disaster assistance. rural development, which is central to rural commutes and the economies vital for producing america's food and fiber products. the bill provides $37 billion in direct and guaranteed loans to support clean water, decent housing, telecommunication, and elengleck trick services and rural businesses which is more than we provided last year. on the grant side, water and waste grants are more than 10% higher than the president's request. broadband grants are more than three times higher than 2016. community facile grants are 25% higher than the 2016 qul, and what was appropriated. all the domestic nutrition programs, mr. speaker, are funded at levels that will fully meet the estimated needs for the rest of the fiscal year. the f.d.a. is funded above both f.y. 2016 and 2017 requests. however, for the third consecutive year i'm disappointed that congress continues to kept commodity futures

it's the ability to do the tele working and public safety, education, telemedicine, all the initiatives that really keep our country robust can really be derived from broadband. how could we make sure they see infrastructure beyond a road and bridge? watch "the communicators" tonight. >> we need physicians and other health professions that are competent and problem solvers, life long learners, who are team leaders, consensus builders, indeed who are business managers and who can share power constructively and gracefully. >> i would just hope that you would understand what this responsibility means. that it means reaching out. it means caring about more than yourself. it means asking about we rather than me. >> have the fortitude to do the right thing, not the easy thing. don't be somebody's lap dog and have the courage to spet truth even when it is unpopular. >> i want to talk with you about being open to the unexpected. about making room for the improbable and the unlikely. >> past commencement speeches from the c-span video library and join us for this year's commencement speeches as

it is the ability to bring jobs, public safety, education, telemedicine, all the initiatives and keep our country robust. we have to make sure policymakers see infrastructure beyond roads and bridges. >> watch "the communicators" tonight on c-span2 at 8:00 eastern. >> he was a look at our primetime schedule on the c-span networks. at 8:00 eastern on c-span, a three-judge panel for the ninth circuit court of appeals reviews president donald trump's travel muslimsix majority countries. on c-span2 at 8:30 eastern, axiosgton journal with media. on c-span3 at 7:00, transportation secretary elaine chao and other leaders discuss infrastructure investment. need physicians and other health professionals who are technically competent, who are problem solvers, who are lifelong learners, who are team leaders, consensus builders, indeed, who are business managers and who can share >> i would hope that you would understand what this response ability means. it means reaching out. it means caring about more than yourself. it means asking about we rather than me. >> have the fortitude to do the right

and also eliminates programs that help rural communities build hospitals and get access to vital telemedicineservices, and it cuts critical medical research happening at the n.i.h., just when at the end of the last year we added that money to the n.i.h. funding and just in the last month with the budget for the rest of the year we continued that positive trend. the budget also doubles down on other cuts that would hurt small towns and rural communities, impacting jobs and opportunities. it eliminates rural business programs that have helped create hundreds of thousands of jobs. it cuts rural housing programs and infrastructure grant and loan programs. all together, these cuts not only threaten the progress we've made to fight against the opioid crisis, but they also threaten the prosperity of the rural communities that have been hardest hit. we need a budget that helps and not hurts rural america, so we have a lot of work to do. i appreciate again the work of our democratic and republican colleagues in this senate. as we have shown with the budget from the last month, for the rest of this yea

next healthcare experts on the benefits of telemedicine technology and how it can better manage the patients on medicare. members of the finance committee are working on lek leg slaits slags aimed at improving care for chronic sufferers in the is an hour and 45

next healthcare experts on the benefits of telemedicine technology and how it can better manage the patients on medicare. members of the finance committee are working on lek leg slaits slags aimed at improving care for chronic sufferers in the is an hour and 45 minutes. >>> the meeting will come to order. ietd like to welcome everybodier everyone to this morning's hearing on bipartisan medicare policies to improve care for patients with chronic conditions. it was almost exactly two years ago today we reformed a bipartisan working group cochaired by senators isakson and waern to work on legislation to address these issues. that work group spent many months listening to stakeholders in the healthcare community both in person