i represent the district in youngstown and akron. in youngstown we had two health care systems.proximately 4,000 people in the region. it is now trying to emerge from bankrupt bankruptcy. youngstown has about aç 15% or 16% unemployment rate. warren has one similar in adding 30 million new people to the system and many in ohio and westernç pennsylvania i don't think now is a good time to see a hospital close down. i was wondering if there is anything in your sights or from the administration that could address this issue. >> my understanding is we solved one of the problems in terms of a paymentç stream that will continue during the discussion, which i think is important. again, i think thatç the framework of having a payment system under the individuals who will seek hospital care in the future is a big step forward. i also think there were huge improvements made in the bill over the course of the discussion dealing with d disproportionate share allocation where originally there was a thought that it could disappear entirely and i think that was recommunicated appropriately

madam secretary, you know i represent a district in youngstown akron and in the city of youngstown we them is former health that employs approximately 4,000 people in the region and it is now i am trying to emerge from bankruptcy, youngstown has about 15 or 16% unemployment rate and the city is one very similar in adding 30 million new people to the system and many in ohio and western pennsylvania and only now is a good time to see a hospital closed down and i was wondering if there is anything in your site or from the administration that could help address this issue. >> my understanding is we solved one of the problems in terms of payments that will continue during the the discussion which i think is important and again on a think the framework of having a payment system under the individuals will seek hospital care in the future is a step forward and hospitals have struggled. i also think there were huge improvements made in the bill over the course of the discussion dealing with a disproportionate share allocation where a originally there was the thought that it could disappear en

so many cities, lieng youngstown, for example, have find strategies that help hone in on what they're good at and perhaps where they want to be careful of trying to grow, which may in the end be more costly. and that's the kind of strategy as a state we're taking. with we're looking at large transportation investments, rail that would connect three major urban centers. cleveland through cincinnati. these are the kinds of things in the next decade can drive our economy, a thriving economy and help consumer ps. >> own of course, these are long-term projects. so it will be putting people to work over a long-term period. what are you hearing in terms of business today, as far as what they are under, the pressure they are under, facing higher costs for health care, the possibility of higher taxes on a federal level. what are you hearing from businesses? >> all of the above. i mean, what we know for sure is that we all want our businesses to grow. government wants it to grow, communities want it to grow and businesses want it to grow. it includes things that businesses are doing, private se

that's why homeowners in youngstown, ohio, lost their homes. that's why retirees in sydney, ohio, lost a lot of their wealth. that's why workers in newark, ohio, lost their jobs -- because we -- because we had a banking system that was overreesmg, that was excessive, that got too greedy and we didn't do enough about it. and here's what's happening. these manufacturers i talked to this morning -- early this afternoon from ohio that are looking to try to -- they want to grow, they want to hire people, they've got orders, capacity, they just can't get loans to do this. three of the largest banks slashed their s.b.a. lending by 86% over the last year. s.b.a. loans went from 4,2 in 2007 in ohio alone to 2,100. at the same time, banks have increased their wall street trading by 23%. something was wrong in the last ten years. we paid the price the last two years but something's still wrong when the banks get bigger and bigger, they trade more and more and they lend to main street less and less. that's why the legislation i'm turning to senator kaufman

you really to go back towards pittsburgh and cleveland, youngstown, ohio, to get to moderate to heavypeters out over the appalachians. if you live on the i-95 corridor, you'll see the clouds increase and you'll see it try to rain. at times it will have some success in terms of a light shower. but the real strong system is back out towards the west, idaho falls back through salt lake city. huge trough for this time of year spinning wheels out here, lower elevation rain and higher elevation snows. and also quite a bit of wind. winds gusting over 60 in utah and this strong southerly flow will continue that trend today. windy conditions across the front range. winds whip there up through parts of -- east of the tetons. there will be delays in d.c., detroit and cleveland. light rain. again, more so towards the west. and wind in ft. lauderdale. today it will be more in the way of wind. 80 in atlanta. high pollen counts across the southeast. 58 degrees, not quite as pretty as yesterday in new york city. but not all that bad for the most part. john? back to you. >> sounds good. thank you so m

i hear it in toledo and youngstown.first of all, when i hear this unfunded liability in the tens of trillions or hundreds of chileans or whatever the dollar figures are, i always ask over what number of years because we have not funded the defense department over the next 50 years yet we know we will spend $600 billion or $700 billion a year and they never talk about unfunded liability for their, and i understand and medicare, the government is locked into spending the benefits but tell me we will not do the same for other departments and we will need to raise the revenue to do it. if so, i think those observations are not -- they are not inaccurate but they are not all that helpful accepted that he is right, the caller is right, social security and medicare are serious long-term problems. social security -- i would not say series -- i would say medicare is more challenging to social -- than social security. every few years we make a slight adjustments in social security. president reagan and the democratic congress in

i hear that in the toledo and youngstown.first of all, when i hear this unfunded liability into the tens of trillions or whatever these dollar figures are, i always ask what the number of years is. we have not funded the defense department over that many years either. they never talk about the unfunded liability there. i understand that with medicare the government is locked into giving specific benefits, but tell me we are not going to do the same for the defense department and other departments, and we are going to need to raise the revenue to do it. if i think those kinds of observations are not inaccurate, but they are not all that helpful. the caller is right. social security and medicare are serious long-term problems. social security -- medicare is more challenging than social security. we know how to make slight adjustments in social security. president reagan and the democratic congress, as you know, made the adjustment of raising the retirement rage -- retirement age over a 24 year. period. we can do this. to the he