who is against one health? we think that animals should be healthy and the environment should be healthy, just like the secretary was talking about with u.s. policy. in one health, your health is equivalent to the health of animals. your health is the equivalent to the health of a lab rat. somebody posted the other day. we put out an essay today about one health and what it really means. they said, hey, i will be glad to sacrifice a lab rat if i can have a focus on my grandmother and improving her standard of living. in one health, the health of animals and the health of the environment are considered equivalent to the health of humans. this has been slipped in, this policy up there with the green new deal. while the new administration was distracted. something that was in progress for two or three years under the biden administration, they managed to sneak in the new director of pandemic preparedness. a veterinarian who is associate dean of one health at texas a&m, before bobby even had a chance to sit in the cha

health policy skills. this is not against people on a partisan basis. we were very supportive of alex azar when he was the secretary of health and human services. this is about getting somebody who can protect the health of the american people. host: referring to the first trump administration alex azar who served as health and human services secretary. when it comes to public health policy, what are you watching during these first few days of the trump administration? guest: the challenge and the tragedy is absolute chaos. it took them a while to name acting directors but some of the most damaging things is they have stopped communication of people in the agency, even routine communications. sharing data. we hear they are scrubbing websites and taking things from websites. we are in the middle of a major h5n1 bird flu outbreak and at the proper data that needs to go out to the states for them to manage the outbreak is not happening in a meaningful way. they have stopped all funding the other day. there was a big brouhaha about that. we are one of the orga

how do we promote health when we have crippled health research? just to the one trump administration proposal to cut the indirect cost of research seeks to destroy about $9 billion in scientific health research. the university of illinois system stands to lose 6-7,000,000 dollars from this one decision. the gutting of health research does nothing to make america healthier. further, the republican idea that cutting medicare would pay for tax cuts for millionaires is important. among children in foster care, about 97% of them have medicaid. so when you cut medicaid, you heard foster youth. you make americans less healthy. to think of cutting federally qualified health centers, or reducing the drug discounts they receive for their low and moderate income patients is off the chart. in forcing the premium tax cuts to expire, it would increase insurance costs in my district by about 150%-200%. in illinois outside chicago, like in my district, by over 300%. mr. dach can you talk about how sabotaging the aca harms health care? mr. dach: i don't think i co

it's joust common sense that we are watching doge right now. i think health is going to go through the same thing. what are we spending money on? probably a lot of employees who aren't doing anything for the help of this country. >> to go back to you removing corporate interest in food and medicine regulation which was the maha movement has pushed on, what does that look like in practice, does it look like going to employees and investigating their backgrounds as you had suggested? >> going to regulatory agencies? >> yeah. >> taking over any company. i think you have to see how productive people are. if they are not producing real results and doing good science, maybe there's a better job for you somewhere else. i think he's got to find a core team that he trusts that he moves through the agencies. i think he's picking beautiful powerful great doctors in memmet oz. he has thorough understanding, brilliant understanding around cms, third-party payers are driving up the costs, when you get people like that, dr. oz is going to build a brilliant team, dr. makery.

this morning we are going to vote on robert kennedy's nomination to serve as our nation's chief health care officer. before we get to mr. kennedy and why i believe he is single orly on -- singularly unfit to serve as hhs secretary, i would like to say this -- the last several days we have witnessed an authoritarian takeover of our federal government by elon musk and donald trump. they have set their sights on a full purge of anyone in government that doesn't bend any and-- bend the knee and follow their orders. they have taken over the treasury department's payment system, and colleagues, that has a direct effect on major programs within our committee's jurisdiction that include social security, medicare, and medicaid. for example, this committee voted for a major reform of pharmacy benefit manager legislation. we passed it 26-0, but trump and musk killed it. think what they could do with abuse of the payment system. now, in my view, much of this is of dubious legality and constitutional authority, and certainly flies in the face of congressional responsibilities. i will wrap up on thi

so we have longer live that's not accounted for in our health care. we have, we often spend our time caring for other people's needs. so we're less likely to tend to our health care needs. as far as i know, and we often make less, not often we do make less and so that alone, all of those things contribute to yes, it's very difficult to be a woman in america. i'm have any needs really at all. and some other shocking number is we came across one in 5 claims on health care and don't golf when we're fortunately denied back in 2023. all of these denied claims and the lack of health insurance in general has led to people finding other ways to fund their medical care. in 2021, approximately $650000000.00 or about one 3rd of all funds raised by go fund me. went to medical campaigns, this is money, regular people are pulling together to support one another because they have no other choice. i mean this is again so unthinkable. eric, when we're talking about a rich country like america a yeah, it's a consequence of decades and decades as normalizing for a for pr

health insurance. but despite of that, i think our cost was around $16000.00 over $20000.00. we have getting better health care and health insurance covers pretty much most of it. basically, would you say women are disproportionately affected by the current context? yes, very much so my, my best friend is an occupational therapist. she has worked really hard her whole life. she's worked with deaf children and she just had her 1st baby and got a $30000.00 bill. and that's as someone who spends her life just pouring back into society and for community, which is a travesty. also when it comes to women, we have obviously the risks that come with our reproductive health care. but we also end up often sometimes sorry, dr. reinhardt, but we end up living longer than men, so we had longer live that's not accounted for in our health care. we have, we often spend our time caring for other people's needs. so we're less likely to tend to our health care needs. as far as i know, and we often make less, not often we do make less and so that alone, all those things contribute to yes, it's very

that is something we saw in home health. we saw an uptick in people not getting the services and continue to do so. robert: talking about health equity, which was a major goal, a lot of regulations and requirements. right now, we have an executive order against d.e.i., are you concerned your work is going to be dismantled? chiquita: i would say it is important to me that as we think about and talk about health equity to be very concrete about what the goal with a purpose is. i would say that policymakers often tried to do the right things. you have to make sure that when you're implementing policies, you have to look at how people are impacted by that. for instance, we had a diabetes program, black and brown people disproportionately suffer from diabetes. there were no black and brown people enrolled in the diabetes program. what do we need to do to make sure that we are creating programs that really attract everybody that needs the benefit? i think that by asking those questions, it really, we have disparities in our country

that is what inspired me to cofound forge health. we address urgent mental health and substance use needs for veterans and first responders. working with the v.a. to help those who could not find adequate care. the collaboration showcase the potential for how these relationships could work with the community but also highlighted challenges. some the amcs and visits fostered strong partnerships but inconsistent implementation across the system resulted in delays highlighting the need for clear, standardized practices to ensure veterans receive timely and consistent care. while the mission act has expanded options for veterans, many do not know about these options. unclear eligibility requirements often lead to delays. even for those who meet the access. one veteran after being told he could not continue care that he developed a therapy relationship told me i am done, i give up. before this year i had been through four clinicians in less than six months. when transitioning from v.a. to community care, many veterans face disruptions caused

we really haven't developed a health system. we haven't put a priority on health.s remind people at the national institutes of health, it's not the national institutes of basic science. so i think this is an opportunity to look at what those priorities are. the fact that 77% of young people graduate from high school, can't pass the military entrance physical exam, that's very disturbing. the fact is we have a chronic disease epidemic in america that's substantial. so, i think part of this is looking at these agencies and trying to resize them for priorities. i don't know what the ultimate consequences are going to be, whether it's going to be good or not good. i do think though that we could all try to focus on this time to transform our health systems and our health agencies so that they're focused on health. they're not focused on what i say is we build a disease system. we need to build a health system and whether that's the research that nih does, and trying to look at solutions, or whether that's an agency that i ran, an agency which i have enormous respect fo

necessarily do not have community health center in the name. weunity health care, which is the largest health center in d.c.. you can go to their website, the health resources and services administration that oversees the health center grant program. i think it is called fin dahealthcenter.hrsa.gov. host: joe, he has mentioned the grants twice. can you talk about how federal funding relates to community health centers? guest: it is critical. we see all patients and that can be roughly 20% of the patients are uninsured so the grant goes to help support that. about 50% are on medicaid. 10% on medicare. it is a one stop shop for a full spectrum of a family. multi-generation so everything from birth to elderly patients. this primary care model along with the behavioral health and oral health and other kind of support services like transportation really has demonstrated over time that it saves the government money through reducing utilization or use of emergency departments and hospitalization, by preventing and managing disease. host: is all of the fu

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necessarily do not have community health center in the name. weunity health care, which is the largest health center in d.c.. you can go to their website, the health resources and services administration that oversees the health center grant program. i think it is called fin dahealthcenter.hrsa.gov. host: joe, he has mentioned the grants twice. can you talk about how federal funding relates to community health centers? guest: it is critical. we see all patients and that can be roughly 20% of the patients are uninsured so the grant goes to help support that. about 50% are on medicaid. 10% on medicare. it is a one stop shop for a full spectrum of a family. multi-generation so everything from birth to elderly patients. this primary care model along with the behavioral health and oral health and other kind of support services like transportation really has demonstrated over time that it saves the government money through reducing utilization or use of emergency departments and hospitalization, by preventing and managing disease. host: is all of the fu

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we work with maternal child health. are at this point plug in holes where we can. we know that although there has been some waivers for some care to continue, it is limiting, even where those waivers are put in place, we hear of medications are not leaving. clinics are closed. we hear of medications are not leaving. clinics are closed.— clinics are closed. we know ha the atient's clinics are closed. we know ha the patient's expense _ clinics are closed. we know ha the patient's expense m _ clinics are closed. we know ha the patient's expense m to _ clinics are closed. we know ha the patient's expense m to ten - clinics are closed. we know ha the patient's expense m to ten days i patient's expense m to ten days without receiving care, supply chain is impacted, it is such fragile health systems around the world and it usaid has been a critical part since 1961 to help both — build these health systems, and they are important notjust for these health systems, and they are important not just for the these health systems, and

that is something we saw particularly in home health we saw an uptick in people not getting the services. at the same time estimates are people who are getting the services continue to do so. >> want to talk about health equity which is a major pillar and goal during your time as administrator. there's a lot of new regulations, requirements different facets of the healthcare industry, insurers and providers. right now we have an executive order against gei. are you concerned your work is going to be dismantled. >> i was a couple of things. it's really important we talk about health equity to be very concrete about what the goal, what the purpose is. will often try to do the right thing. you have to make sure when you're implementing a policy that you look at howbo everybody is being impacted by that. that requires asking certain questions. that was a lotns of our focus. we havebe a diabetes program. black and around people disproportionately suffer from diabetes. there were no black and brown people enrolled in diabetes program but we need to ask these questions so what do we need to do

the united states has the worst health of any developed nation yet we spend more and health care at least in some cases triple other countries. last year we $4.8 trillion not counting the indirect cause of this work. that's almost a fifth of gdp. it's tantamount to a 20% tax on the entire economy. no wonder america has trouble competing with countries that pay a third of what we do for health and have better outcomes and a healthier workforce. but i don't want to make this too much about money. it's a human tragedy that moves us to care. president trump has promised to restore america's strength and the american dream but he understands we can't be a strong nation when our people are so sick. a healthy person has a thousand dreams, a sick person has only one. over half of our countrymen and women are chronically ill. when i met with president trump last summer i discovered he is more than just concerned for this tragic situation of president trump is committed to restoring the american dream and 77 million americans delivered a mandate to him to do just that. in the elevation of the make

it is why we are ranked number one in education, number one in innovation, number one in health care. we were named the best state for women, best state to have a baby, and best state to raise a family. we are ranked the most environmentally friendly state, and the safest state as well. our economy has continued to grow and add good jobs. unemployment is low, and median household income is the highest in the nation. we have an excellent bond rating, and our rainy-day fund is at record levels. and i can say it tonight, with both pride and confidence, that the state of our commonwealth is strong. [applause] it is. it is. it is. it is. i also know we have a whole year ahead, and this year, we are going to work to implement all that historic legislation that i was talking about. we are going to stay focused on the things that matter to you. we will take new steps forward to fix transportation, make homes more affordable, invest in education, and grow our economy. state revenues are growing. but we also know, no matter what you are buying, the costs have gone up. the federal pandemic relie

how do we promote health when we cripple health research? the one trump administration proposal to/the indirect cost of research, seeks to destroy about $9 billion and scientific health research. that university of illinois system stands to use lose six -- $7 million from this one decision. the gutting of health research does nothing to make america healthier.ng further, the republican idea with cutting medicaid to pay for tax cuts for millionaires is appalling. among children in foster care about 97% of them have medicaid when you/medicaid make americans less healthy. and to think of cutting federally qualified health centers or reducing the drug discounts that they receive low to moderate income patients is off the chart. forcing the premium tax cuts to expire would increase insurance costs in my district by about 150 to two 100%. and in illinois outside of chicago, like in my district by over three 100%. can you talk about how sabotaging the arms healthcare? cannotot meet health in americaf you could never see a doctor. you could not be h

because of our lack of affordable housing, we face a shortage of teachers, shortage of health care workers, and more native hawaiians live in the mainland than in our state. i know that was mentioned another speeches. together we took action and approved 10,800 new units of low income housing for struggling families. exemptions from our proclamation helped approve or accelerate nearly 7000 units of affordable housing across our state. we also worked closely with the legislature and over the last two years you deliver the most significant regulatory and zoning reforms in over 40 years. it has cut red tape, helped update and improve rental laws, and increased housing inventory statewide. our combined efforts are paying dividends. affordable housing measures passed are fueling a surge in housing across the islands. we are tracking more than 62,000 units, over 257 projects built by state and county agencies with private developers over the next decade. with 13,000 new units completed this year and 10,000 more next year. this includes 46,000 new units of affordable housing. thank you everyone f

that meant a stronger foundation for health care. don't weant a stronger foundation for rural health care? it's critical to a secretary for health and human services who understands these issues, and that individual is not r.f.k. jr. he is, however, something else. one of the world's best known purveyors of conspiracy theories, about the alleged harm that comes from effective vaccines. that is he is a conspiracy theorist who says these effective vaccines that everyone knows is effective, he will tell you something different. he'll tell you that hpv and tetanus and polio vaccines don't work. his conspiracy theories have been debunked time and time again, they have been repudiated time and time again, including the big one, and that's that vaccines cause autism. this is a straightforward thing. it's been studied time and time and time again, and it's powerful conspiracy theory if you happen to have a child who has autism and it starts to appear at the same time you're giving childhood vaccines, you could believe that may be the cause. it's been

we can do that by banning prior authorization for all behavioral health care. [applause]" rural illinois families and those who live far away from certain medical care, we will require insurance reimbursement for reasonable travel costs associated with medical appointments when the distance traveled exceeds network efficacy requirements. [applause] the days of unchecked health insurance greed are coming to an end here in illinois. predatory practices are being dismantled one by one, and we will lower the cost of health care for working families. [applause] one of the biggest affordability challenges people are facing is housing. amid the construction supply chain challenges of the last few years along with higher interest rates, illinois housing inventory decreased more than the national average. that's got to change. last year i appointed a director of housing solutions and formed an advisory committee of housing experts. they proposed a slate of reforms to unlock new financing, attract capital, incentivize builders, and eliminate unnecessary barriers to housin

we know that has since been debunked. so what does kennedy junior's new power mean for the future of our health care system in america? is expected to make a lot of waves, and we want to get some answers now from susan poland, executive director of the american public health association. thanks so much for being here. >> thank you for having me. >> in broad strokes, can you paint the picture of what we expect public health to look like with rfk jr leading the department of health and human services? >> i think he has a very big learning curve. this is one of our biggest concerns when he was nominated and as he went through the nomination process. there's going to be a focus on chronic disease, which we wholeheartedly support. our concern comes to some of the other issues when we're talking about vaccines, when we're talking about understanding all of the implications of the of the multi-billion dollar agency that he's overseeing, which takes care of health, the health care of more than half of the country. there are so many questions, and we really hope that he follows the science driven approach to address those ques

we can do that by banning prior authorization for all behavioral health care. [applause]" rural illinois families and those who live far away from certain medical care, we will require insurance reimbursement for reasonable travel costs associated with medical appointments when the distance traveled exceeds network efficacy requirements. [applause] the days of unchecked health insurance greed are coming to an end here in illinois. predatory practices are being dismantled one by one, and we will lower the cost of health care for working families. [applause] one of the biggest affordability challenges people are facing is housing. amid the construction supply chain challenges of the last few years along with higher interest rates, illinois housing inventory decreased more than the national average. that's got to change. last year i appointed a director of housing solutions and formed an advisory committee of housing experts. they proposed a slate of reforms to unlock new financing, attract capital, incentivize builders, and eliminate unnecessary barriers to housin

department of health and services. we are still waiting to get our members here while we wait for that to occur. if confirmed, he will have the opportunity to deliver much-needed change to our nation's healthcare system. he spent his career fighting to end the epidemic and leading advocate for healthcare transparency both for patients and taxpayers. mr. kennedy clearly responded to questions during rigorous due diligence process in the course of answering 900 questions and beyond what's required and has proven his commitment to the role of secretary of the hhs and i will vote in favor of his nomination. i strongly encourage my colleagues on both sides of the i recognize senator wyden for remarks. >> i'll have a brief statement and several colleagues on my side and robert kennedy's nation healthcare officer. before we get to kennedy why he singularly unfit, i'd like to say this. the last several days we witnessed authoritarian takeover federal government by elon musk and trump. they set their sights on a project anyone in

health care. my friends from texas. we have an epidemic, as he knows, across this country in mental health care, partly because of the massive social media platforms that are sitting behind the president of the united states had inflicted on her children for their profit in the last decade or so. so we have no shortage of challenges to confront and i even agree with some of the diagnoses of mr. kennedy. what is so disturbing to me is that out of 330 million americans, we are being asked to put somebody in this job was then 50 years of his life not honoring the tradition that he talked about at the beginning of this conversation, but peddling and half-truths. peddling in false statements, peddling in theories that create doubt about things that we know are safe are unsafe. not that every vaccine in america is unsafe, not that you can't possibly have been adverse reaction, but in parents and children in my school district, they would be better off not getting vaccinated and getting vaccinated. unlike his own children who are

health records. this is a problem we can fix. we have a lot of good health i.t. xperts that could fix this and when they hear from people in the v.a. system, the wait times, and we have talked about the backlog, at the fort campbell v.a. facility they wait to get a primary care appointment today, and we have just checked our numbers, is 81 days. and in chattanooga it is 110 days. in murfreesboro, it is 54 days. that is not acceptable. if people are going to not show up to work, if they are beholden to the union and say it is about them and not about the vet, that is something that is just completely not acceptable and one of the reasons we need to strengthen community care. the suicide rate, that 34.7 individuals per 100,000 of our vets that choose suicide, the mental health components and having that community care where they can access it in their community without having to travel, having an ehr they are caring with them to the doctor, that will be helpful. mr. collins: you have hit a multitude of things that are all-important, the health and safety and wellnes

state budget news we know there are no cuts to health. a slight surplus but as we have seen time and again, january through may proposal may revise likely to be changes that we are monitoring. and locally the updated 6 mont report is coming. we don't expect there to be revenue improvement. that's something we are making sure that dph will be able to make sure our projections follow the city needs and meet our budget targets. that's the policy environment as we develop this budget this does show 355 million dollars over a two year budget of improve am 200 million dollars of on going revenue improvements. >> that gives way our approach. our prop for the budget was to focus leveraging revenues to meet general fund targets where we could. consistent with what i presented on the january 13th meeting look for revenue opportunity where we find them. reasonable, aggressive assumptions we identified that with could use to close the meet the mayor's instructions. which was a focus more with existing funding. look whering we leverage building to incr

health. and it's not just that we didn't get somebody who has expertise in public health, we have someone who caused disease and death. and i say those words with precision. i understand that both sides of the aisle are prone to exaggerating their case and being apocalyptic when we describe a pending vote. i've been here for a while, and everything is always the most important vote that we will ever cast. and i don't know if this is the most important vote we'll ever cast. i do think -- gosh, i hope i'm wrong, i really do hope i'm wrong. but i do think this is likely the cabinet secretary vote that is likely to age the most poorly because this person has the potential to actually cause diseases like rubella, like mumps, like measles, like polio that have been gone for many generations. because we have a vaccine regime. and i want to tell you what he did in samoa. in 2019 he flew to samoa to discourage people from taking the measles vaccine. and the reason was that he wanted to run a, quote, natural experiment to see how people would fare against the disease without protections. now, some of y

we think there will be updates we provide to -- health commission throughout the spring. much more information to come. ultimately, we do ask we will ask for your approval at the time you feel comfortable. appreciate your review and diligence with the questions and with that i'm happy to get to additionaling questions i missed or hand it over. >> thank you so much for the clear presentation and again for the diligence of you and the entire team and the office the budget office. we have quite a few public comments. call people up. i think that may be if throw could lineup at once we have submit will read your names. the hiv advocacy. david count from thes advocacy network and william dean. so you can come up and again each of have you 3 minutes we welcome your comments >> hi. i'm mark the health commission second at 30 second tells do a ding and you got the final at throw minutes >> thank you. >> hi. i'm eve chu. i'm a san francisco resident and community member i worked for castro mission health center and mission neighborhood health center. i work wor for upon community h

we have two different clinics going on at that time. when is women's health services. ople can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first learned i was hiv positive i do not know what it was. i felt my life would be just ending there but all the support they gave me and all the information i need to know was very helpful. so i [inaudible] hiv care with their health >> about a quarter of our patients are women. the rest, 75% are men and about half of the men who come here are gay men or other men who have sex with men. a small percent about 1% of our clients, identify as transgender. >> we ask at the front for $25 fee for services but we don't turn anyone away for funds. we also work with outside it's going out so any amount people can pay we will be happy to accept. >> i get casted for a pap smear and i also