maybe they say, by golly, i love the va. i will stay with the va until the day that i died. maybe they say, that hospital 20 minutes down the road for i am at is just simply a better situation for me than the hospital that is 250 miles from our am at with a long waiting list. i am totally out of time, and i do not want to impose on the chairman's patients, but i just think that you guys need competition. kaj feel very, very strongly about that. if you cannot clean up your act then, guess what, you lose a help. that is what i think you need. i don't think you need more billions and billions of dollars so thank you. >> thanks you, senator. >> you will have a modest amount of additional time. >> thank you very much, mr. chairman. thank you both for being here. i appreciate it. you know, it is amazing to me. i have been here not just about six years, but i am looking at a 2003 report, improve health care delivery for our national veterans. are you familiar with this report? if not you should read it when i turn to one page year, part of your point, although enrollment veterans h

if va cannot quickly hire top talent we cannot expect the va to fire that employee if va cannot firemployers would not expect it to deliver timely quality care to the veteran to me. banks and and everything the vfw hears about va care has been bad. nearly 40% of the veterans who contacted us praise the va. just this week several veterans sought out our professional staff to share have va doctors have saved their lives to others offered perspective on how the system has improved. we believe the system can work but it cannot work without congress taking action. this week the fw members also passed a stern resolution going to pass the the access and accountability act. both chambers have agreed these reforms will veterans receive timely care which is what our members insisted congress cannot go into the august recess without passing this bill. when the current scandal broke every legislator in washington agreed that this was a national imperative. however, some of recently backed off hearing more about costs and the veterans are waiting for giving women opportunity. we have an opportuni

the va. if anything, this crisis may damaged the reputation of a great organization. we will have to restore that and the way we do that is by acting quickly to make sure every veteran in need gets the care they deserve. they can tell our positive stories for us. third, we will have to do recruiting. at the procter & gamble company when you and i were together we talked about this. we promote from within. i left the army as a captain. i went to the procter & gamble company. i started at the bottom and worked my way. we spent a lot of time on college campuses recruiting people. last read over 1 million applicants for fewer than 5000 jobs. that's because people want those jobs. it's a company the to work for. and va is a health care system that people want to work for. what i need to do is help recruit the very best people for that system. >> will you go to the medical schools of this country? >> yes, sir. >> and the nursing schools of this country in order to bring right, young people into the

va hospitals? does minneapolis look like l.a.? >> i have only been in phoenix and we give tons of really good care. the problem is with health care needs, when you ignore them, a veteran falls through the cracks and that has devastating consequences to their health. we're focusing on the hundreds of thousands of cases where there's been bad care given. we shouldn't lose sight of the fact we've given millions of instances of quality care and that's the reason the va's worth saving. >> our young graduates of our medical institutions, will they still choose to continue to go to the va and give careers ? my fear is we make it so unattractive, so poison that we can't. >> i wouldn't recommend in the current state that people get a job at the va as a physician physical there's some guarantee that whistle-blower retaliation will be protected, that the pay will be commensurate with what's in the community, that there's a professional work environment. everyone just -- i'm really proud to be a va -- >> that'

you have to use your va doctor. many of our most vulnerable veterans could be confused and end up being stuck in the doughnut role in the back log. i also contacted mr. neighbors about the continued miss management of va programs managed by the chief business office under the direction of them. after sending out information to mr. neighbors, i did not receive a response. i subsequently contacts the dep hit chief of staff anita brekconridge. i also did not receive response. this surprised me that ms. williams would do this because she's a former oig official. to this date no action has been taken. this goes to the very hard of the question whether or not va should be allowed to police itself and whether or not an outside agency should be brought in to fully conduct an investigation to the actions taken at va. i did receive an e-mail from the white house counsel directing me to contact the special counsel. if that was the official position at the white house there would be no need for anyone to contact ms. williams ab

steve hunt with the va. and this model provided one wing of a hospital floor in which an interdisciplinary care team for deployment health post 9/11 veterans exclusively that had a pharmacist, social workers, psychiatrist, psychologist, and primary care on one team and weekly they would meet to discuss the case load of that team. and the wait times were short for care. the quality of care was up. the management of our medications were the best that we had seen within the va. however, after 12 months, the team began to dissipate and what i was told and have been told since by dr. steve hunt and others within the va is that this was a temporarily funded program and it was too costly to provide this level of care to exclusively post 9/11 va -- or veterans within the va center when a facility director has to provide care for all veterans to set aside the amount of funding that it required to provide this level of care for only one portion of that population was not practical. >> mr. and mrs. somers, i would like

what does the va do? >> the va specifically utilizes medication to control it and keep them, suppress the symptoms without working on the deeper issues. >> thank you. please. >> brian was never put on any medication. only for his back when he had that problem. >> okay. >> yes. clay was on quite a bit of medication. as i said, he felt like a guinea pig, constantly being begin something different. >> do you think they chose medications in lieu of therapy? >> sure. >> one-on-one therapy? >> yes. the only one-on-one therapy that he spoke of that seemed to be effective at a certain point in l.a. he went to a vet center and had a counselor there that he really liked and felt he finally found somebody he to talk with. >> okay. >> from daniel's point of view, i think part of his problem was that he also had gulf war syndrome which manifested with so many physical symptoms. so, yes, he had a 24 inch by 24 inch drawer full of pill bottles, but i think it was because he was having such incredible interactions betwee

since our last hearing on va health care the va conducted a nationwide audience dealt. it found the biggest obstacle to timely medical care at va is lack of service providers. a lack of service providers. i'm looking forward to hear from the va on this audit and follow-up actions moving forward. since our last meeting the white house has also complete review on issues impacting access to care. this review echoed what we've already heard, that the va provides high-quality health care once veterans get in the door. va scheduling technology is outdated, i believe 30 years old. it is secondary to the need for additional resources such as doctors, nurses, other health care professionals. physical space, inappropriately trained administrative support personnel. since our last hearing the senate also passed a comprehensive bipartisan pill that would address some major issues impacting access to timely medical care at the va. it passed by an overwhelming 93 votes. we seldom get 93 votes for anything in the united states senate. right now we're in the fourth week. there isn't mu

most people that don't work in the va don't realize that they are done as punitive actions in the va in order to sabotage the physician's credibility. it's also incredibly demeaning for the physician to go through the peer review practice because they were practicing professionally. psychologically it is so stressful but most would quit. >> but if it is done by other physicians on the staff with you. >> usually it is the administrator they all get together and say -- >> but he is not a physician? it isn't the peer review? >> it doesn't mean that they have the ethics. >> i guess i'm out of time. thank you doctor. you are recognized for five minutes. >> thank you mr. chairman. and i will associate myself with my colleagues. thank you all for the work that you are doing. you understand that the nature of this is not just the personal damage that is done to you but as each of you have stated so eloquently with the passion it hurts our veterans. that is what is at stake to you here so i appreciate that. there is no veteran strategy. when i ask what the strategy was, they give me the goal

¿cÓmo va?ctos de esta terapia genÉtica a largo plazo, para verificar si es eficaz, segura, sin efectos secundarios. si los resultados son positivos, esperan comenzar los estudios en unos tres aÑos, natalia, asÍ que son muy buenas noticias. >> la ciencia siempre avanzando, muchas gracias, marÍa eugenia. y si usted tiene un bebÉ en la casa, es posible que estÉ ansioso para escucharlo hablar. realmente prÁctica en sus cerebros cÓmo decir sus primeras palabras antes de pronunciarlas. el estudio encontrÓ que su cerebro se estimula cuando escuchan la voz de sus padres lo que confirma que debemos hablarles a nuestros bebÉs con palabras claras y frases completas. ya lo sabe. y esta pareja no olvidarÁ jamás la experiencia que vivieron juntos mientras viajaban por una carretera. el video muestra a un grupo de motociclistas que lo obligan a detener el auto y cuando el joven baja, lo reciben con violencia pero la muchacha no estÁ dispuesta a tolerar el abuso y abre la puerta para enfrentar a los vÁndalos.

at the va is a disaster. what is the answer to the question of how can we possibly trust you now, even for another billing for i.t. when all of that money has been unaccounted for in the revelation underwrote i think that a shocking than the american taxpayers deserve an answer as to where did the money go and how can they trust you with another 17 million or one alien in i.t. after? either of you. >> i was listening for a questionnaire. >> my question is how can the american people trust you for more money? >> i'd be glad to give you a laydown of the brick i.t. does on an annual basis. the projects undertaken, the system is maintained and developed in the functionality delivered. >> mr. chairman, if i can watch one final question. the information we heard that day from the guy in charge of i.t. was correct. they could not have possibly been correct information where people are taking a nose they were using outdated scheduler software when he simply sat there to the bad boy made no money. were compliant, we a

culture is any different than it has been and they will have to see to it the culture of the va va changes and we have become ability from top to bottom but in particular the senior leadership and management of veterans management and health care. >> i would say a vote has been called to a number of senators are going to be leaving. we will go to senator tester moran corona and johansson -- johanns. >> thank you senator murray and i want to thank senator sanders and burr even though they aren't here for their work on this committee. access to health care for veterans did not pop up overnight. it's a topic that many of us have been working on for years. solutions must be based on good information. it can make good decisions without good information. hopefully the conversation today will be straightforward and frank so that we can get down to some solutions. it's going to require tough decisions and it's going to require creativity. it will require focus of engagement for folks on the ground in washington that go beyond the media span. veterans deserve better than to have folks jump on the l

that work at the va. i have never been in the military and when i started working there, i was expected to know when i looked at your dd 214 how to tell with those codes that you were in vietnam. i had no idea how to tell that you were ever in vietnam, so i took it upon myself to learn those things on my own time. the average employee does not do that. >> but if you get a purple heart in combat, it's not from -- i'm going to get facetious because i'll say something about people in this town here. i'll withdraw that, but you're absolutely right. i just think it's a basic part of the claim, and i feel there's this tremendous disconnect with washington and the bureaucracies and as the first sergeant said the veterans. you know, we've lost that, and that's what we've been talking about. >> you should see if you served on a ship, what we have to go through to prove that you served on that ship or that the ship was in that water. so some people because of production standards don't take the extra mile to look t

in partnership with the va. to begin to repair the damage that has resulted from systemic failures, that have undermined the trust veterans have always placed in the veterans administration. to begin to change the culture at va, there are several reforms we must pursue to ensure veterans have access to timely, quality health care. now, the start of an effective congress, and a conference, comes with accurate numbers. and since ranking member michaud mentioned cbo, let me talk numbers for just a minute. va is basically broken down in two sides. the veterans benefit administration and the veterans health administration. last year, this congress for this year appropriated $55 billion for vha. the veterans health administration. of that $55 billion, most members would be shocked to know that 48% goes to direct patient care. we're talking about $27 billion of appropriated money goes to the delivery of health care to our nation's veterans. 52% goes to administration and other programs that emanate out of the vha budge

va hospital? >> like many of our institutions we have an affiliation agreement and a institution and a member of them have joint appointments with both of these within the university and also with the va. so i ask because this is a very egregious case and i shared my colleagues comments and it was a case ultimately against ucla board of regents. >> that is correct. >> so the settlement was with this and not with the va? >> well, it is a complicated case in with my case we both satisfactorily agreed to part ways. but if you have noticed, there is tremendous overlap in a federal component two. >> so here is my question. trying to distinguish this. the incident he referred to was the june 2006 party of one of these parties. so was it strictly ucla party? or was it also the va institutional involved in our? >> at a particular party of there were a number of members who were employed as physicians at the va. a component of that was directly related to that investigation occurred at the va. >> the facts

ya quiero ver rÍo el fin de semana que va a ser. va a ser como buenos aires.e hombre que generaba dudas. se convirtiÓ hoy... en el gran heroe de la albi celeste. ahÍ celebran los argentinos. una presencia mÁs en una final de mundial. >> era lo que le faltaba al chiquito romero. a sergio romero este portero argentino que como lo decÍa muy bien josÉ luis llegaba sembrado de dudas, porque no tenÍa continuidad en el mÓnaco. en el confiÓ sabella que mundial que tuvo chiquito romero. fue importante con sus atajadas en partidos como aquel de irÁn para el cero a cero. permitir a messi definir al final. pero en ninguna actuaciÓn mÁs importante que esta para romero. defendiendo el arco de la selecciÓn argentina con estos penales que contuvo frente a vlaar y frente a sneijder le dio a la selecciÓn de alejandro sabella la chance de disputar por quinta vez una final de una copa del mundo. ramÓn. >> sÍ. por otro lado la tristeza. la amargura del cuadro holandes que ve frustrada una posibilidad de una final. algÚn dÍa acariciar la posibilidad de ser campeÓn del mundo. >> seÑ

va de vrij.i vamos a los penales la argentina ganÓ una semifinal en definiciÓn por penales en italia 90. despuÉs de empatar uno a uno. la argentina ganÓ aquella definiciÓn por 4 a 3. holanda en semifinal tambiÉn perdiÓ una definición por penales. en marsella, en francia. 4 a dos frente a brasil en un partido que terminÓ uno a uno con goles de ronaldo y justamente el seÑor que estÁ parado, o sentado al lado de van gaal. >> pelota para la argentina. la reiteraciÓn del emgujón de robben sobre rojo. que ya va a cobrar. adelante la pide agüero, va atrÁs en el apoyo. con garay, juega lateral con demichelis. martÍn con mascherano. otra vez jugaron con garay. pelota larga buscando a rodrÍguez. la dejÓ correr, maxi, sale del campo, saque de banda para holanda. donde blind estÁ para meter a zona reglamentaria. dice al carrilero, ven tÚ. no me mueve. blind recibe de hsh. kuyt. jugando para de vrij. apertura para janmaat, estamos por cumglir 7 del segundo extra. kuyt el rebote, sneijder mete la pierne. bigli

un paseo, despuÉs nos va a llevar al desierto, nos va a hacer cavar nuestras tumbas que nos va a darlaron! estÁs pensando lo mismo que yo! >> golosa! >> no! esto! >> ay! >> federica, ahora sÍ ya lo mataste! >> estÁ reaccionando! >> ay, quÉ me pasÓ? seguramente que ya di mi mal paso, esto me pasa por no usar zapatillas! >> se volviÓ puÑal! ♪ ♪ >> y usted cree que funcione, patrÓn? >> no sÉ, pero lo vi en un programa del chavo del ocho. >> quÉ me van a hacer, desalmados! >> persona del departamentos de lÁcteos, pasar a la caja 8. desde el principio de los tiempos se comenzaron a apariar los animales. ma, por quÉ me duele mi cabecita? >> no, imbÉcil, ya era junior! >> pues hay que volver a empezar. >> eso es todo amigos. ♪ ♪ patrÓn, yo sólo soy la sirvienta" ♪ ♪ >> hoy es 13 de julio del 2014 y estos son los titulares: alemania rompiÓ una tradiciones se llevÓ a casa la primera copa del mundo que gana un el titulo pero en tierras americanas. a a miles de millas de distancias la alegrÍa y la tristeza se apoderaron de dos paÍses, alemania celebrÓ su triunfo, argentina tuvo dolor pero con d

the va. ten years ago, decade or so ago, we went to war, the government didn't really envision the number or the severity of injuries that would come out of the afghan and iraq war. i think we probably also undercounted the number of agent orange men and women, men and women exposed to agent orange that would be under presumptive eligibility to be coming into the va system with illnesses that were serious and took a high level of care. that's the importance of the va. we know that those who are in the va system get good care. it's access to the system that both senator burr and chairman sanders underscored that is so very, very important. the three issues that i know when mr. mcdonald came to my office, we've had two face to face lengthy conversations and one over the phone since he was selected for this job. he understands reexamining the va employee evaluations, how important that is, restoring accountability among the va senior managers and then ensuring that the focus of the entire depart

he writes about the va and his feelings as former va secretary.the secretary notes i was staggered when he said the department wasn't was in good shape and had no problems and he continued i have been around long enough to know that one of the head of the department says the organization has no problems he is either lying or he's delusional. so i will close my remarks by speaking to vba directly. whatever when you attempt to take credit for in 2015 you will not be celebrated. it has been clear that there is not a leadership that will not cut nor statistic that they will not manipulate to lay claim to a hollow victory. what we all want to see both my republican and democratic colleagues on this committee is progress, not deception. with that i now recognize the ranking member for his opening statement. >> thank you very much mr. chairman for having this hearing this evening. tonight we will have an opportunity to continue an important discussion we have touched upon in several of our previous oversight hearings. veterans benefits administration and

¿cuÁnto me va a costar?cio tÚ te comprometas a mantenerlo fuera de la vida de emiliano, porque yo de ninguna manera lo quiero cerca de mi hijo. >> ya te habÍas tardado. de una vez te advierto que tÚ podrÁs decir misa, miguel Ángel va a ser mi esposo y emiliano va adonde vaya yo, asÍ que hazle como quieras. >> guadalupe, de verdad, no puedo permitir que cometas una locura como esa. tienes que entender, miguel Ángel te esta engaÑando, siempre ha sido amante de minerva. >> ahÍ vas otra vez con la misma cantaleta. >> es que te estoy diciendo la verdad. mira, es mÁs, no me creas a mÍ, pero te pido que no te cierres a la verdad. >> ¿de quÉ me estÁs hablando? no te entiendo. >> le voy a pedir a vilma que venga y te cuente directamente algo que te va a interesar muchÍsimo, algo de lo que ella y yo juntos fuimos testigos. vilma, venga inmediatamente. siÉntate. como quieras. >> ¿saben quÉ? yo mejor me voy, no tiene ningÚn... >> por favor, no pierdes nada con escuchar a vilma. vilma, por favor cuÉntele el dÍa que descu

¿quÉ vas a hacer hoy?al de wisin. ya regresamos a la casita mÁs feliz ♪ deja, deja que te cuente, deja que te enteres del nuevo chisme que estÁ caliente ♪ ♪ deja, deja que te cuente, deja que te enteres del nuevo chisme que estÁ caliente ♪ >> eso! >> claro que sÍ. yo soy la que tiene el chisme bien calentito. no. de verdad que tengo la primicia del nuevo video musical de wisin que estuve con Él ayer y esta vez no lo hice hacer tantos ejercicios. >> me encuentro aquÍ, detrÁs de cÁmaras con el nuevo video musical de wisin de su nuevo sencillo "control", featuring pitbull y chris brown. wisin, ¿cÓmo estÁs? ¿estÁs un poco dolorido de los push ups que te hice hacer en previo? >> no. estamos sÚper emocionados. tenemos una gran participaciÓn. el pÚblico espera muchÍsimo de mÍ. no los vamos a defraudar. ya la parte de pitbull la grabamos. es pura energÍa. >> y me llamÓ mucho la atención tus zapatos. parecen como zapatos de flash siento que vas a salir corriendo. >> me encantan los tenis asÍ, diferentes >> yo me fu

is the va managing a? are we keeping track of what's going on so all of the aspects of that veteran as he is being treated are being properly managed. >> great feedback. thanks again. >> mr. walz did you have an additional question? >> if anyone wanted to follow-up and we are going to nick a decision next week what are we going to come out with? >> mr. walz i would say this. i've resigned myself that something would pass in a particular had concerns with the choice act. the great irony of this is both of the committees went into conference with probably the most difficult part of legislation virtually marrying each other and other provisions the senate bill. you went into conference close to one another and somehow they are going further and further part on your own. i need that happens. it's just amazing. i assume the choice act or whatever the final name is going to be is going to pass. my concern is not that bill. my concern is what happens next. i don't want this to become the into the debate. mr. chai

what does the va do? >> the va specifically utilizes medication to control it and keep them, suppress the symptoms without working on the deeper issues. >> thank you. please. >> brian was never put on any medication. only for his back when he had that problem. >> okay. >> yes. clay was on quite a bit of medication. as i said, he felt like a guinea pig, constantly being begin something different. >> do you think they chose medications in lieu of therapy? >> sure. >> one-on-one therapy? >> yes. the only one-on-one therapy that he spoke of that seemed to be effective at a certain point in l.a. he went to a vet center and had a counselor there that he really liked and felt he finally found somebody he to talk with. >> okay. >> from daniel's point of view, i think part of his problem was that he also had gulf war syndrome which manifested with so many physical symptoms. so, yes, he had a 24 inch by 24 inch drawer full of pill bottles, but i think it was because he was having such incredible interactions betwee

¿quién va a estar en tu framily? y las superficies. separe las carnes crudas de las frutas y vegetales. cocine hasta la temperatura adecuada. refrigere a 40 grados. proteja a su familia. >> despuÉs de que te defendiÓ como leÓn a sus cachorritos, yo creo que ahora sÍ la seÑora copetona esa que me cae en la punta del hÍgado, por fin te va a dejar en paz, m'hijita. >> como siempre, mi papÁ tan lindo. >> pero aparte de la bronca esa con tu suegra, tÚ andas cargando otra cosa, ¿verdad? pa'mÍ que es el chisme ese que te soltÓ el papÁ de tu hijo. >> pues tampoco es cosa de creer lo que diga alejo. >> pero bien que te dejÓ la espinota clavada, pues si te estoy viendo. yo nomÁs te digo: no le hagas caso a esas cosas porque luego lo dejan a uno muy mal parado. >> pues sÍ. sÍ me dio cosita cuando me imaginÉ a miguel Ángel con la gÜereja esa. pero no por eso puedo estar de desconfiada. lo que de veras me tiene con el jesÚs en la boca es todo lo que estÁ pasando con emiliano. >> [llaman a la puerta] ¿quÉ onda? >> mi tÍo tizoc no

>> yo creo que el pÚblico va a decidir bien y va a ganar la que va a tener que ganar.estÁ bien. >> ¿quÉ pasÓ? >> este hombre estaba viendo ensayar a j balvin, que tiene unas bailarinas espectaculares. no podÍa ni parpadear. >> paul, de enserio... espÉrate. ¿por quÉ tantas parejas, paul? ¿no has encontrado una? >> vamos a las noticias. este bloque la comenzamos con una desafortunada. el suceso dejÓ un saldo lamentable. se movilizaron para el traslado de heridos. >> el mal tiempo continÚa empapando a millones de estadounidense. las tormentas vinieron acompaÑadas de fuertes vientos y rayos. estas imÁgenes fueron captadas en virginia. situaciones similares se vivieron en west virginia y en maryland. las lluvias intensas provocaron inundaciones en carreteras de pensilvania, nueva jersey, nueva york y connecticut. y fÍjese en las descargas. la fuerte corriente dejÓ atrapada a la mujer que no sabÍa nadar. como ella, otros conductores se vieron en aprietos. en colorado, una fuerte lluvia de granizo. justamente, las temperaturas descendieron. meteorÓlogos dicen que continuarÁn.

va a ser maÑana viernes.y avenida kostner, en chicago, illinois. los espero a todos. >> si te gustÓ cuando estuviste en mÉxico, ahÍ vas a ver otros paisanos. >> estoy sÚper emocionada. yo quiero ir a chicago. mira. se me dio. >> y mÁs adelante... aquÍ, en el rincÓn social, hubo una fiesta en hollywood que fue la creme de la creme. asÍ que mÁs adelante les traigo fotos y todo lo demÁs. >> a partir de hoy, no me llamen paul, llÁmenme cuerpo del verano. por favor. por favor. llÁmenme puerco de verano. no! oye... >> mejor, estrella del verano. >> a partir de hoy. pÚblico... por favor. no me llamen paul. llÁmenme... [♪ mÚsica ♪] >> tÚ tienes lo mÁs importante, ¿sabes quÉ? >> carisma. >> lonja. >> no. seguridad en sÍ mismo y que su cuerpo es natural. ¿saben quÉ? se nos ha olvidado admirar la belleza natural. >> lo bonito de todo es que le dieron la pÁgina del centro porque no cabÍa en una sola. >> los que tienen la verdad son el pÚblico. quiero que voten. >> ya hasta conchis quiere estar. me acaba de decir conchis.

va is not. ultimately we're talking about a system that has a long road ahead of it before it can get back to an organization deserving of our veterans and the sacrifices that they have made. i hope that today we received the needed insight from our veterans service organization. they and their members are on the ground. they need to be partners when the va try to rebuild the trust that is lost her i hope that together we can bring about true change to this broken system and a change, and a change that will fix the corrosive culture that has encompassed the department of veterans affairs for far too long. with that ideal to the ranking member for his opening statement. >> thank you very much, mr. chairman. good morning. i want to thank you, thank you are holding today's hearing and for leading a rigorous oversight over these past few months. it's been a long road getting here. the hearings with held for the past few months have yielded difficult, disturbing but ultimately important information.

louis va health care system. dr. christian head, associate director, chief of staff, legal and quality assurance at the greater los angeles va health care system. dr. katherine mitchell, medical director for the iraq and afghanistan post-deployment center at the phoenix va health care system. and at this time, i'd like to introduce our colleague dr. price to briefly introduce his constituent, who will be the fourth witness on the panel this evening. >> thank you, mr. chairman. i want to thank you and the ranking member for allowing me to offer this introduction. this is a remarkably important topic, and i commend the committee for the work that you've done. as a physician, i worked at the va hospital in atlanta, as a matter of fact, for a number of years during my training. i know how important it is to have honest and real information for our veterans to honor their service, which is why i'm so very pleased to welcome scott davis. mr. davis, who will be on the panel today, is a resident of my district. his father se

>> de quÉ te vas a cooperar?an 20 aÑos de vida, pero se espera que luego de la cooperaciÓn no presenta complicaciÓn alguna. >> en primer lugar necesito que todo salga bien y que nos ayude dios. >> gabriel y su madre llegarÁn a estados unidos el prÓximo miÉrcoles. estaremos muy pendientes. si quiera ayudar, puede hacer su donaciÓn en la pÁgina que ver en pantalla. gracias! >> los dejamos con el nuevo vÍdeo musical del mÁs nominado a premios juventud. es el tema del rey de la bachata y se titula "eres mÍa". ♪ ♪ ♪dice tu amiguita que no quiere que sea tu amigo, piensa que soy un pirata y robarÉ su flor♪ ♪ no te asombres si una noche entro a tu cuarto y nuevamente te hago mÍa♪ ♪ eres mÍa. no te hagas la loca, ya muy bien lo sabÍas♪ ♪ no te asombres, si una noche entro a tu cuarto y nuevamente te hago mÍa. bien conoces mis errores y el egoÍsmo que es dueÑo de tu vida.♪ >> al ritmo de bachata estamos calentando motores para premios juventud y nos vamos! >> maÑana tendremos una gran cobertura que lo dejarÁ mover de su s

louis va healthcare system. the associate director chief of staff o legal and quality assurance for the greater los angeles va healthcare system. doctor katherine mitchell medical director for the iraq and afghanistan post-deployment center at the phoenix va healthcare system and at this time i would like to introduce the colleague doctor price to briefly introduce his constituents that will be the fourth witness on the panel this evening. >> i want to thank you and the ranking member for allowing me to offer this introduction. this is a remarkably important topic and i commend the committee for the work that you have done. i worked at the va hospital for a number of years during my training and they know how important it is to have honest and real information for our veterans to honor the service which is why we were pleased to welcome mr. scott davis will be on the panel. his father served in the vietnam. mr. davis is a specialist at the national health eligibility center in atlanta and he' he has been in cont

acting secretary of the va, sloan gibson, to assess the needs of the va. we said, sloan, you're in there, tell us. what are the needs of the va? what he has told my committee, and i understand today has told the house committee, is that, in fact, the va needs more doctors, more nurses, more medical personnel and more space so that we do not, two years from now, find ourselves in the exact same place that we are today. but it's not just sloan gibson. yesterday 16 major veterans organizations, these are the people who in many ways know the va better than anybody else, because these are the folks going into the va. 16 major veterans organizations, including the vfw, the disabled american veterans, the vietnam veterans, the paralyzed veterans of america, the iraq-afghanistan veterans of america and many others, they made the same exact point. and the point that they made is, yes, we have to provide

va a ser un tema nuevo.aber una presentaciÓn solamente. >> sÍ. va a ser una canciÓn nueva. >> como te has preparado? >> tomando clases de canto, me han dado muchos tips. me he preparado mucho, ya me siento mejor. >> yo dirÍa que es normal que te sientas. cuÁn importante es que tu familia te apoye? el mayor no va a poder estar. >> es muy importante porque los niÑos, tengo la bendiciÓn de ellos, me siento con todas las fuerzas de seguir adelante. va a llegar mi tÍa rosa y mi tÍo juan, mickey no puede llegar porque tiene que trabajar. >> en primer impacto te dimos la patadita con el estreno del vÍdeo. el vienes tendremos un prÓximo vÍdeo. ha sido mÁs difÍcil de lo que pensabas o ha sido algo fÁcil? >> un poco de las dos, me siento bien. mi mamÁ dejÓ una plataforma muy grande, pero tambiÉn ha sido difÍcil porque uno tiene que lidiar con crÍticas, con cosas que no son agradables, pero tengo mucha fe en dios. >> crees que desde que te lanzaste a la mÚsica ha sido lo mÁs difÍcil? cÓmo has logrado sobrellevar eso? >

>> 15 year i have been a government employee. >> all at the va? >> no. >> how long at the va? >> ten years. >> and mr. robinson, you have been at the office nine years, did you serve at the va in other capacities? >> i have been in the columbia va office for 18 years. >> and the past nine years you have been in the current capacity you are in now? >> yes. >> ms. ruell? >> i worked at the va for seven years this august 20th. >> let's just start with you ms. ruell. has the situation with these metrics and management measurement, which is focused on concern outcomes in which could only be described as preverse incentives, have they existed for the last seven years? >> yes. >> so there wasn't a time that was better? >> no, our office used to ha have -- we started doing original claims a few years after i got there so philadelphia didn't have as much jurisdiction. we had a lower volume of claims and i believe we were able to give more times to the claims. we didn't have to know how to do so many different types of claims because each claims has so many rules and laws that go with i

a clickear. >> ya va por 420 lies.tura, que suba la temperatura me suba, que suba ♪ ♪ la temperatura que suba ♪ tÚ me calientas ♪ ♪ mujer tu cuerpo es muy caliente me pones a temblar, solo verte ♪ ♪ mujer tu cuerpo es muy caliente me pones a temblar, solo con verte ♪ ♪ mira cÓmo me sofoco, que ni el agua me controla que tu vas a venezuela, vamos a bailarlo ahora ♪ ♪ mira como me sofoco, que ni el agua me controla que tu vas a venezuela, vamos a bailarlo ahora ♪ ♪ tÚ me quemas, me quemas, me quemas y el fuego en mis venas me pone a bailar, me quemas ♪ ♪ me quemas, me quemas, me quemas y el fuego en mis venas me pone a bailar ♪ ♪ me pone a bailar soÑando con ser el dueÑo de tu cintura ♪ ♪ tu fuego me estÁ quemando, que suba la temperatura ♪ ♪ que suba la temperatura, que suba la temperatura que suba, que suba ♪ ♪ que suba la temperatura, que suba la temperatura que suba, que suba ♪ ♪ la temperatura que suba ♪ la temperatura que suba ♪ esto que traemos es candela conexiÓn del caribe ♪ ♪ maffio ♪ chino y nacho ♪ los cadill

the va needs to do. that is a copout. the va needs to be able to do excellently what they have been created to do. >> anyone else want to comment essentially offering fewer services but doing them better an referring remainder out into the community? we have 10 seconds left. with the chairman's indulgence maybe go over a little bit but? five seconds. >> i say this, mr. chairman. thank you, mr. o'roark, i rest. i would say this, let's not forget the va is fully integrated health care system and all the components of it support one another. if one of our members with spinal cord injury gets primary care and gets that in the va and he need good care. you can't send that sci veteran out, if they need audiology which is basic service purchased in the community that should be provided in the va. if they do orthopedics which is very common, the expertise should reside in the va, those things prop one another up. that veteran depend on all of those things over the course of their life. the concern becomes, if we

a ver quien va. va el Último. no, penúltimo. y aquÍ tambiÉn. sÍguele, ahÍ va muy parejo.o desde estados unidos. eso estÁ buenÍsimo. >> claro que sÍ. recuerden que univisiÓn mobile estÁ disponible. visite univisionmobile.com para saber mÁs detalles del programa de recompensas al igual que para encontrar tu tienda mÁs cercana. >> ¿viste? >> ay, vamos a tomarnos un selfie. >> ¿me van a dar el honor? >> y esta foto ahorita la vamos a subir a nuestra pantalla de despierta amÉrica tv. mimre. aquÍ estÁ la selfie que nos tomamos con la tracalosa de monterrey y muchÍsimas cosas mÁs. >> la cocina. >> y ya tenemos ciento cuenta y un 1000 seguidores. >> este es nuestro instagram. ¿verdad? me encanta que nos sigan y aprovechamos para darles el agradecimiento. >> miren, todos los momentos. quÉ maravilla la tecnologÍa. ahÍ. >> entren y disfruten, la verdad. >> bueno, vamos a seguir con mucho mÁs aquÍ, en despierta amÉrica. >> eso! >> vamos a la pausa. y regresamos. mÁs adelante, no dejen de ver quÉ colores debemos usar para vestir la buena suerte. >> y dale vacaciones a ese cuerpo. alex