Took all of the medical research amendments and all of the democrats and republicans and said lets put everything in one amendment, susan went along with it and she said that she had the alzheimers amendment specifically. And we had 42 or 43 that had cosponsored amendments when it came to medical research. Now we were all together and that is the way this works in the way that you build the coalition. When you look at heart disease, alzheimers has got the largest footprint out there in the costs are the highest as i understand them of all of these. But the level of Research Dollars that the federal government spends is really a pathetic third or less of what you see going into similar rates. Im interested structurally what you think is happening in this field that has made it difficult to step those numbers up. Thats a good question. I am asked about it as long as i have been in the house and the than it how do you pick your research projects. And it is a deadly disease, it affects children. By and large it sounds like all the above. Alzheimers was identified as one of the medical diseases that they are going after in this new partnership and thats a pretty good sign. In this kind of specific investment research, it may turn out to be more productive than a lot of other things. So i wouldnt dismiss it as by dollar amount. So when i talk about this being so important in developing things who would have guessed that that was Biomedical Research when we were developing it 10 or 20 or 30 years ago . But it is and there are many that come into the whole quest to find the answer. When you have talked about conservatives i would imagine that that would be very compelling. You go in there you have that discussion who is the opposition that needs to be taken down . The opposition is not specifically taken down. My bill 5 real growth cost 150 billion. Its likely that we will spend in the neighborhood of 20 trillion on the federal budget during that time. Its a big sum of money. And so i started thinking about how we going to pay for it. Well, for the longest time i have had this thing against tobacco. And the fact that you dont face this is part of it. As i said lets get real real its going to go to medical research and i went to a conservative republican senator and i said medical research up by 5 . So why. No taxes. Its people that have even sign this pledge on tobacco. And other states are doing this already. This includes legislatures and governors. So it isnt as though they are opposed to progress but restrictions on their power to appeal to the certain constituencies and i think you need to have the flexibility to make the right decisions for americas future. Do you think that there is a perspective . Its also about living with caretakers and im interested in what importable care act and the social contract, as you feel it between the government and Civil Society and those People Living with those disease, you have talked about research which may not help many of those within it. And as that come in discussion. If youre friends with a sick child that didnt have Health Insurance, you will never forget it as long as he lived. I was a student a few blocks from here brandnew wife and baby and no Health Insurance and my daughter had a problem and i said that i would leave the Law School Classes and wait to see who walked through the door. And i was hoping whoever came through the door was a competent medical professional and its a basic right that we should establish in america. It shouldnt just be this. When we get into this conversation about the role of government, thats where i come from. The Affordable Care act, most important thing ive ever cast. Down by 30 , the rate of growth of Health Care Costs is still an incline but planning just enough to get 13 more years to medicare system and we have seen that it is transforming the delivery of medical services and there are 16 million or 10 or 11 million fathers without Health Insurance thing that the right doctor walks through their daughter. I want to ask you one unfair question. If you are in the seat that obama had come how would you deal with this political environment differently than he has . What needles would you move . How would you deal with that task of making the nation healthier . I think we are surviving to constitutional challenges of the Supreme Court and we have soldiered on for some impossible challenges. And that includes in terms of legacy as we still have this in terms of the legacy, how could it have been benefited differently. And i really encouraged him to make it part of his president ial platform and budget. He hasnt quite been there. But hes moving with Precision Medicine which really tries to take this and tailor make what individuals need. And i think that he is a great communicator and messenger and i would hope that he would spend more time on this medical research issue. That is a good answer. Senator collins. Come on in please come join us here. Thank you for joining us. Let me just take a couple of quick questions for the senator burr were you run not. Do we have a microphone . And we toss it over fast . Are we going to have fun . Just. Hello, i am on both sides of helping the Alzheimers Association raise money and im also a caregiver to my father who is 88 years old and has alzheimers. And my challenge is we are raising money and i think it is wonderful for research. Because i dont want any other families to go through what we have gone through with her father. At the same time i want to be able to see that my father lives a life of dignity. Up to this point he was an active gentleman and very happy and charismatic. Where does the money come from and how do we get the different Nursing Homes and care facilities and inhome care to meet the requirements to continue to treat people with dignity. Because i feel that as we have been talking to some of the other caregivers, that that is one of the things that theres no standard and is a very high turnover rate and ive been very fortunate and have found an amazing place that i hope others can find and then i hear Horror Stories about what is out there. So when you talk about the Affordable Health care and how we all deserve it, i also think that people who have served in the war as my father had and supported his family since he was 14 he still has a level of care. We are also going to discuss this with the senator because she has been investing so much in this area. She can answer better. Susan was introducing a piece of legislation which gets right to the heart of the question. Thank you. First, let me thank you for hosting this forum and also say that theres no better advocate in the United States senate than dick durban for Biomedical Research and its been a great pleasure to work with them. Showing the both of us care so much about this. Just so we could go the senator and i introduced a National Caregivers act. And that includes answering some of the concerns that you just raised. We are spending 225 billion on caring for people and the majority of that is to have uncompensated care that the Family Members are giving up and we dont have a strategy for trying to ensure that caregivers have the support that they need whether it is Care Home Health care, whether it is support groups. It is modeled on the National Alzheimers Plan and i authored with the former senator and that has produced a National Strategy for alzheimers that has brought together all of the federal agencies that is most important that has to do with the appropriate level of funding for Biomedical Research. Let me get this gentleman right here. I commend the legislation with federal research and i think its part of the next two years. Why is it that when the government develops these next kinds of basic Research Things that the Drug Companies pay very little in terms of licensees and you are ultimately provided to taxpayer funding in the first place but. There is no reason why they shouldnt pay more. Its modest. Modest in terms of real dollars. We hope that even that modest investment will lead to some private breakthrough here but its revenues and resources suggest that it can be part of the solution then people will ultimately benefit from these research but some of them will benefit first in developing the new products and when i read this Fortune Magazine piece i sent a copy of it and it never mentioned this once in the entire article. There were 10 different elements of what basic research led to these developing with these new drugs. So there is a linkage there and i think engaging in funding some of this research. And with interest about the amount of money that is very large. Which is one third of the entire budget of the 666 million they put in. That includes those in the lab who are getting the market. Those that invest earlier usually are wiped out in the way that what he is deluded. There is a structural bridge that is not being met by most. To just say that they should do that doesnt necessarily figure out the intent of problem. I think that it makes sense for the business model. But i really view this whole Research Question not just by medical research but related research to be the kind of commitment that America Needs to make in this 21st century. Look at our competition. And what china is doing now. Theres a lot of concrete. They see this coming, they want to be dominant. We better wake up to this reality, i am not opposed to finding the cure for alzheimers and using it in the. What we did has been paid back to us 150 times over for every dollar spent in doing that. And it will continue to and it is an economic driver and not just morally. I just want to encourage us to look at this in a broader way. Alzheimer is the nations costliest disease that it is going to bankrupt medicare and medicaid if we do not invest in the research. The Alzheimers Association has said that if we could delay the onset by even five years it pays for the increase in research and i think that this is one of these issues we we are looking at it because if you look at this, it is the costliest disease, the return on investment, if you look at the tsunami of things that we are going to be facing just because they will be changing demographics as a country, we cant afford not to make this investment. Senator durbin, thank you so much for coming. [cheers] [applause] its great to see you. I think there is a story there. We were just talking about him moving from animal house into his own place and there had to be something theyre from the daily routine. Weve also talking about this, and he talked a little bit about how he was going to the gym with dick and they would target republicans at the gym sort of seduce over whatever legislative game they had. The work that way yourself . I have a far more direct approach and i just bring people fax and then badger them until they agree with me. I spent much of last night actually reading about the volume of things that you had done. And i was just reading tweets of diabetes and the whole broad arena of how to ink about designing homes differently and you must know more about the subject than any of your colleagues. Would you say thats the case . You have invested heavily. Prison while i had the privilege of sharing this committee and he wanted that job and i represent the oldest median age in this country. That certainly is part of it. But also i meet constituents every day including members of my own family who arent going with the issues that one of your questioners brought on they are the low incomes they we have a lot of families that have moved away and we need to figure out a way to make sure about this. The statistics are really a call to action for all of them. What we have been learning from the experts is by age 85 and many of us are going to live to at least 85 nearly one out of two of us will develop alzheimers or some other kind of dementia and the other one is going to be taking care of that person. And so to me that is a true call to action. Finally due to great advocacy , which ive never understood. What is that . I dont understand it. You know it would be whispered that she had it. And i didnt understand that either. And with alzheimers there has been, for some reason the desire to keep it hidden within the family and i think that that has really changed and that is what has helped us make progress and as they have already said, we have made tremendous progress in the appropriations bill and we have only been funding this at the highest level of 600 million and this is for a disease that caused our society 226 billion. 153 of medicare and medicaid in this year we got a 60 increase of the appropriations bill to bring us to 950 million and we should be at 2 billion and that is what the experts tell us. If less than 1 that we are spending. To durbin was sharing with us ill be at a different Inflection Point in technology and history and he was pretty modest because i was looking at his target for dealing with alzheimers and you got your colleagues to basically say this is a Vital National priority, lets move up the date. And when i think that 18 back 18 years ago we didnt have gadgets like this or all of the embedded sensors were the wearables. Do you feel in your service to the country that all this stuff do you see in the crystal ball Something Different in the next 10 years . Yes i do. I have tried with so many researchers and i spent a fascinating two hours at mass general with their Alzheimers Research and they are making Real Progress and it takes money. No matter where it is mass general university of pennsylvania, all across the United States there is finally a focus on alzheimers leaves me optimistic that we are either going to whine better treatment that will probably come first, but ultimately a means of prevention or a cure. Its the only one of the top 10 diseases and here is what makes me optimistic. When hiv and aids came on the scene, we really made some breakthroughs, look at the breakers that we have made in treatments of people with hiv and aids. It is just amazing and it happens, if you think about it pretty quickly. But it was because there is a National Strategy and the investment. Still spend 3 billion a year on hiv and aids compared to the meager 600 million, soon i hope to be 950 million for alzheimers. So for me, that shows the execs are concentrated effort. Back we had called this money would this and she said that she was sick of mice. When she was trying to say is that we can show that we have for them of alzheimers but the translation of thats what we are dealing with a soda limited and there are so many problems and she made two interesting points, one of them was that the stigma issue or something out there is still limiting those people willing to step he forward to have those genetic markers done and get into the pool that they would need. Hundreds of thousands of people is what they would need over a period of time and the second issue is that we have a ridiculously low tolerance for risk. But if you are having a valve procedure or other procedures in which the risks are high, people take them. But there seems to be a barrier to that. Have you ever thought about that dimension of risk and population pools . I have. One of the hearings that we held, we had the restauranteur to testify and she sadly has earlyonset and one of the wonderful things that she has done a Public Service announcement reaching out to africanamericans in particular. Because they are not participating in Clinical Trials and she is encouraging their participation and ive had members of my own family participate since this for alzheimers. But we need people to think not only about themselves but the nextgeneration and yesterday i met with two constituents who were struggling with early onset alzheimers which is the saddest kind. And there are genes that have been identified for earlyonset and so they can get tested for it and they talked about the dilemma of their 29yearold daughter who is about to get married and she cant decide whether to get tested or not. She cant decide whether she wants to have children or not because she feels that she doesnt get tested she shouldnt have children and that is a horrible dilemma for someone to be in. And i think it causes people when there isnt an effective treatment or cure to be hesitant about getting tested or genetic markers because they think well if nothing can be done do i really want to know . Him and i think that the more we can get people to participate. They still want it to be known. Sold part of our job is to do more forums like this to encourage people particularly celebrities for the we had Glen Campbell come. He played his music before going on with his daughters help and music has stayed with him and i have seen that before. You also had richard gere playing an older man who was homeless so there is the element of homelessness and not being connected. So a to be honest some democrats were not big on science but their savings to be a lot more in your party. [laughter] with the investment in science the belief it can deliver something is a point of contention is there ewe to bring over . Talk about the most conservative members of the caucus so go talk about Biomedical Research with your constituents so interested in this debate about science and if that is a challenge . The best answer i can give you is that the republicans are in control of the senate and for a the third time ever we had a 60 percent increased in the alzheimers funding. [applause] very good dancer. You make a compelling case about the National Security issue and victor been talks about that area of necessity. What is the problem to bring on more more quickly . There is a lot of serious diseases in this country to give focus on Cancer Research that we spend 5. 4 billion. Rebate to look at the successful investment of Cancer Research and cardiovascular diseases. There isnt an awareness of the prevalence of alzheimers. Partially because people used to die earlier and also people would say she has got to do and senile aunt they didnt realize that was the disease. Raising Public Awareness is critical to get that type of support that has been there for other diseases to those powerful advocacy groups that is what we need to do. Senator clinton was my first cochair. Has ben a while since she was in the senate but back then it was difficult now i have people clamoring to be that cochair. Now senator warner it is a real difference. To bring bipartisan efforts. Were in a jury a political season just about everybody know was running for president. I dont know donald trump [laughter] is there a responsible way to elevate . To talk about silly stuff but is there a chance to bring those issues to the broader discussion . Jeb bush called me to ask for my support. I am endorsing him but i took the opportunity to talk to him about alzheimers i had him on the phone. That is a treatable moment if you were tweeting. I would ask him to comment. Here is the good thing just a few weeks later he talked publicly about alzheimers disease his motherinlaw battle with alzheimers and said the for more investment. It worked. [laughter] but regardless of who you are supporting what is their position . Encourage them to make it part of the platform or the agenda and push them to speak publicly. It worked in my case. Lets go to the audience. If has not entered the discussion by interested how you think about that what are the ideal will pull things to check off the box it is beginning to percolate i will give my parents credit but they built their twostory house 1957 and smart enough to put a master bedroom and the bathroom on the first floor. And they closed off the top floor. But i cannot imagine hell they had the foresight to think about their ability to climb stairs. When my father had his tuttis replaced, was not an issue for them. I happen to have broken my ankle last december and the house that i lifted the goodness has the automatic chair that goes up the staircase. Little would i guess i would be the one to use that. To be the university of maine to help people aged place. To interview 50 seniors what you mean . It was all sorts of indicators to be connected to their loved ones there are a previous privacy issues but we are all long way from the i have fallen and i cannot get up. But then to realize you could redesign Living Spaces to renovate those Living Spaces so there would be a sensor if you did not change the refrigerator door or a better pathway through your house if you lose your vision through macular degeneration. It is a really exciting area most of us want to say to stay in the privacy of our own home. We have to make that possible. And did this issue to have someone come in to institutionalize care verses to predecessors and it was wonderful. I am talking about you the other night and no one knows this. Yesterday i had a nice conversation the Surgeon General was a member of the alzheimers study group that was supposed to be a wakeup call for all the statistics that you have manchin and or dr. John has an agenda. Has mentioned and i asked him if all of this is true facing the tsunami of cases why is that . What is the problem . He does it knows the answer but one theory is id like hiv aids that affected young curve people one reason for the slow response unfortunately affects older people as those who were afflicted but that does not explain everything but what explain what party think it explains the slow response . To piggyback of that. With the self awareness hopes our genetic makeup is the question of that changes the stakeholder petri 50 your 30 years before. First half to tell a story about the doctor he was surgery general. It turns out that the institute of medicine study with my old school who practiced for many years and has since died of alzheimers. I do think the world of him. Any of you who have had a Family Member with alzheimers no that it affects the entire family. And not just the victim of. Dead grandchild and whose name is no longer remembered, the spouse who is trying to deal with at the first time is yelling at them. It affects everybody. So have been seen this up front and personal i dont think it is because of the disease of the elderly. I think it was because for years it was hidden in or people died earlier or she is senile. We did not understand it was a dizzies even though the work had been done for years. But think of the difference in the last five years of Public Awareness is remarkable. With the Alzheimers Association has the purple flag advocates to town i always have the hearing that day because it fills up the room. Items are a im sorry. You answer my question. I will take one last question. I with so the other people want to personally thank you for everything youre doing senator collins. To knock that up a notch to talk about a president ial candidate but in the words of a waterfall journalist we have to declare war on alzheimers. If you have worked with a foreign leaders or a counterpart to address this in a more global way . Yes. Great britain had international conference. I was invited to it. I desperately wanted to go but but george brought in people to meet with the internationally because we do need and the international approach and we need to pull resources. If you do get federal funding for Alzheimers Research, you should be required to share. Not always. Are they. I dont pretend to be an expert but i am told that some of that is proprietary is in conjunction with a Pharmaceutical Company which often is. But that one ruth be published as i recall that it should be a menem set minimum but we do needed international approach the problem will only grow worse across the world than there are countries in western europe where the population is aging to be particularly interested in a collaborative approach. With the sharing of data or research as long as the privacy issues, the single thing that comes up the most. We didnt begin careful blood dash cambridge the absence of protocols is the biggest inhibitor. Thank you. [applause] this has been a remarkable morning and theyre pretty a gratifying amount of humor with such a serious subject with the economic cost. I have one request that if your email you have a survey about today we would love your feedback. They give it to steve rand oblivious and also to the Alzheimers Association give yourself a round of applause and have a wonderful day. [inaudible conversations] anything complicated confuses him. The numbers are dwindling to talk about a topic number two. I dont think that was normal they did not need that. The was a distinguished newsman and was embarrassed. He was moderating but disappearing five minutes at a time today you would not have a moderator jumping in every 30 seconds so everybody stood back to let the fire burn. Is a buddy settled . There are still chairs. Hello. All come to the National Press club and the host of todays the bench this is a news Makers Committee event there especially happy to have lasted angeles mayor Eric Garcetti to discuss the broken system to discuss reform through the al local auspices. And he launched the step before Heard Campaign that raised 4 million to help the agency knows work legally and then to make the case for the minimum wage adopted by the city of lhasa angeles the second largest on june 30 in it was signed. It is called for incremental increases. Teeeighteen also violate the leadership as california battles the drought. This is teeeighteen first press club event elected may may 21st, 2013 involving 20 or 30 minutes of remarks he will take questions from club members. It will be in a News Conference format and will work pretty well. Our onsite coordinator will pass around the microphone so everybody can be on cspan2 that covers the entire event. Back to basics teeeighteen is solving everyday problems had been with 85,000 new jobs registering 65,000 businesses reducing by 3. 2 it was sworn in as the 42nd mayor of acidulous being elected four times to beat served as president of city council. 2001 until taking office serving as the council member. One of the first major Public Officials to endorse barack obama for president with the record having registered 100,000 voters. Congratulations with your incredible performance. But as a Rhodes Scholar he studied at oxford and the London School of economics and taught at occidental at university of southern california. They have a young daughter and is a lieutenant i want to thank the National Press club staff her to make sure the events have been with a Service Winner of the year a photographer for the National Press club. The mayors staff for the communication rand director and your whole team. And and to have pieces in the Baltimore Sun raise your hands. I want to introduce my wife dr. Berg who has suffered through all of this but kind of enjoys its i think. And jack has said that teeeighteen is the smartest when losses angeles history i want to say my wife is the smartest in the country she discovered the gene activated to 80 percent of women with Breast Cancer are 70 at Prostate Cancer and had four cameras and her press conference then cheney when he was sick. So now mayor garcetti and immigration and drought and immigration. We are so proud to have to hear. They explore coming out this a little earlier for the but i appreciate you being here. Rehab an exciting moment and we are here in the midst of said is a newsweek what i want to talk about is if it is as important but it is an exciting time to be of mayor. I am the mayor of the largest city in america. A place and is arguably the western capital of the night is states ended global city. And i embody those white guy embody the nation. That is what the country is about the you are we dont judge to but the rhetoric is about opportunity for all people around the world and it is an exciting moment because if you realize the clock has always been that way the last half century has been tough and in the 60s cities were burning in the most crippling recession but yet if you look to day now is that a place with abundant investment but now it is seen as a model that embodies what the world lowes like today and what the country will look like tomorrow. We are seeing the economic resurgence fuelled by americas cities. Very different from what they represented over the past decade. As part of the class of the 2013 and then graciously to invite as for almost two hours with those of represent the American Cities we have a lot of commonality but also what i want to talk about today inequality or lack of investment and integration. But the president asked me to kick off the comments if this was the 60s or 70s we all would be here covering as americas cities as they were burning but given what we see that there is inaction the formula has been reversed the American Cities are here to save washington with investment and policy work and the American Dream that part of that is part of the Job Description we dont have the luxury to decide which issues are partisan i was elected two years ago with republicans and independents alike i did not have the support because they did not trusted the thing ben allowed me to come in and in a nonpartisan way to allow the republican to feel ownership in a progressive part of town and it is what they must do we are ceos to address the ongoing concerns and present a vision that will last after us. To live as private citizens in our own town it transcends geography and ethnicity of the water main breaks we dont ask their ethnicity we fix it. If they called 911 we have to make sure the fire truck arrives but i inherited a city that was very old. I san we have a Cutting Edge Technology for the 80s the system that was never updated since. We had a bureaucratic culture and the overall lack of an enthusiasm and accountability people at the top did not feel day were accountable so i interviewed by managers to say start counting and measuring and sharing the datasets that we have that model what the modern there is supposed to do and then have people hold us accountable. And i reduced crime by 1 but instead own the bad news and share what is happening to gather. My philosophy has been simple to get back to the basics that people are dependent on to help businesses create jobs or show up or a kid out of the way and quite frankly to rebuild the public trust to build a life back into democracy for local level up. Why shouldnt people expect that from government . Nobody does but the constituents are the same with automatic todays shipping from amazon expect tertiaries on their doorstep that why shouldnt City Government be held to the same level of accountability . Our 311 system actually had someone to say that that call time was reduced 82 my first year i wanted to make sure it was picked up quickly that led to a second or third or fourth interaction with the engaged citizen. We have seen a tremendous turnaround. 85,000 jobs. Unemployment cut by 3 percent we cut the city business tax and tripled the tax credit to focus on hollywood to bring jobs back to california, manufacturing in the aerospace industry, new either Merchant Industries a lot of people though no lots los angeles we have more tech jobs more than washington or Silicon Valley or boston. We have a Huge Investment we did not wait for washington we come with that half full we tax ourselves first largest Public Works Program with 36 billion alone with a redo of lax end you know, that it needs it had 1 billion at the port of lawsuits angeles with that one out of 50 american jobs camby traced to the docks. It is critical for americas success. If it is hollywood or international trade, not just a Great American city but a gateway for this country in and out for products and our economy. We have seen a record amount of streets be paved, back to the basics of fixing every single sidewalk. Not just analogue that were ranked the number one digital city last year number one city with open data that journalists can hold us accountable so they can go to a dashboard to look at where the Building Permits are or the Response Time for calling 91 how long it takes to transfer or the fire truck to rollout or the travel time we went from zero of that number one we were not ready to. But we also most important they are addressing the issue of equality. We could say l. A. Is doing amazing with more Foreign Investment and realestate investment that we have to look for those pockets. The with an area of high crime who cares . But if you dont have a job or are under employer you dont feel that. So leclair that inequality is felt so sharply. Not yvettes unique to america but to figure a ways to do proust investment with a pathway lifting 600,000 earners out of poverty. With one out of four living in poverty we have a shot to put that back to help small businesses. Not just minimumwage but a housing crisis onequarter of which are under way in the pipeline we believe we house more Homeless Veterans than all the others combined over 240 per month. Redoubled the youth jobs because that gives us a pathway to make sure they have three years of jobs that connect them that love what they are making but selected by the Obama Administration to show with them with all paid resources to go to college and finally their reflection so much of the National Debate and assiduous will take that on a big city in america to every care route we were testing that his two years ago so we could be make sure every officer has a camera. But because of the paved that we went through we to have independent investigations and a faith said day resilience to address those feelings of an equality. Getting back to the basics that is still held back in this country that los angeles is an amazing community. Not just people in the of world but it is the most diverse city in history. We have over 224 languages and dialects spoken 115 countries of origin and. Outside the home country the largest collection in outside of thailand day and if the list goes on the second largest of a certain dissent like those from mexico and in the mexican descent and what is iraq of all is if the people and the National Media talk about the race riots if they would ever carry along and they see it as a weakness. But jumped for word i was traveling in korea and a friend said how do we get to be more like los angeles . We need more diversity so there is a recognition of a declining population and a lack of diversity they devlin competitive. So there is diversity they say you can see the face with the ballistic of Dreyfus Cross oceans to come here. Led one to speak to you today but we must do to make sure that integration continues here in america. We have sold many engineers but they would go to Silicon Valley bell we are retaining more because of the excitement. He said they did jumping off point. And lax is the number one airport in the world. Number five in traffic but the ithers our people flying through but if you go to the city we are the busiest in the world. For that east coast to london or to china there was one flight a week in 1983 there were 44 flights a week nonstop now each week he said we needed jumping off point and though less saying is we need a diverse population to speak every language of the world that there is no place like losses angeles. Insists is a nobrainer. Episode to figure out a pathway of integration that is the core of who we are. This is a return to who we are as of value or a conservative return to what we are about and what we need to be about. The investment of the eradication of inequality of the immigrant communities communities, this has always been our formula for success and must be again. You will hear it 1 million times when the bears repeating i feel that and americans feel that. Even as the rhetoric has shifted i want to give thanks and praise it is a very ripe moment to meet with tom donato and richard trumka. Both of them mentioned this is one of the top issues. How often do we get that coalition together . Not very often. Also with a majority of Peter Mccarthy to talk about how important immigration and was it reminds me of the shift there was said to a set of the the rhetoric shifted talking about to measure the inequality there may have been disagreements but there was a shift that happens so that is positive that the same time we have not seen action the bipartisan n. Rhetoric has transcended and we as mayors san cities are leading because we must it is a practical necessity as much as fixing that water break or the pothole. There are 9 million legal permanent residents 11 million and documented estimates with 1. 2 cent across the border . And here is in a lawsuit june this he was not drafted for world war ii but he volunteered as says argentine the Pacific Theater and came back and became a barber now the integration of his story is what we hear every single day. Folks you graduated who got there masters degree but are working under the table. For the moment they went through the first round of daca to bayadere to save up their money but we need to figure out a way to get people on the path to citizenship. Not just to give them a legal status but to engage them and involve them and hire them to make sure they are part of the country. Think of new york as people got off the votes from italy or ireland or greece the city set up citizenship Integration Centers to teach people in english a trade them in what it meant to participate in local government or to enroll in Public Schools that is why i reestablished that had fallen to the wayside now we know 12 initiatives that have been launched around the United States and it is not an issue area but of value drop government sofer made to be successful we have to make sure we talk. So it becomes something. Is it is pushing so the first crew that i mentioned no matter what happens with executive action and daca we have the obligation to help become citizens it this is the Program Reaches across state lines the best way to strengthen our cities across the United States with naturalization resources to invest practices may a targeted 3,000 angelenos said recently honored by the warehouse for the National Medal for libraries and those said a car chase in don and to root but one of five countries that were honored for that libraries are always a place for informational and no reason they cannot find jobs or health care or citizenship as well. To launch a campaign called step forward with 750,000 permanent legal residents. The centerpiece is the librarys we have linked ted thousand jews services to legal status or citizenship for pro it is free we are exporting and now we hope the model goes across the country and finally the Third Initiative is now more than 70 cities to be involved in the harsh bite but to read it is disheartening. I dont want to overstate but it is important but not the promise plant but that hostility is something that is an american. Not only because of my own Family Experience but we are the epicenter of the immigration reform. They have 500,000 dead arm eligible for release. But i will be clear and not trying to preach but if we got them through executive action the earnings by 124 billion. With the increase of our gdp. But in my city was 3 billion weve left on the table. The woman that i just mentioned a moment ago also for those but that our legal citizens to see our incomes go up as well but the courts stepped in to put a stop to that one reason i have advocated vigorously that was 70 mayors have said. The online action but to make sure they keep the corer value net retained. I began to really get this moment to be shocked and embarrassed just looking back at the president ial debate how it was possible and it was taboo than in 2008 list listening to the rhetoric. I dont know. Right now all i am but from 1965 later that savior with farmworkers intend 2004 when Marriage Equality move forward is the place the with the means have changed but a movement that manifest itself in debt this saving taxpayer and out to get america back to basics. In many ways my story is the american story. A country full of people who make mistakes and take risks who cross rivers editions who may hit bumps on the road but the hardest working people on the face of the earth. We are the imperforate chantry but the least bad that makes us the best in the embrace those things to read mitt our imperfection. This event we are a country that does believe there should be a measure of inequality to invest in infrastructure that at the end of the day the story is of integration of the first population of americas cities to lead the way. Thank you so much. [applause]. It is a challenge with the immigration issue with donald trump and others to say it is embarrassing. But what do you do about that . Or the accord that he struck but has put him at the top of the republican field and if you talk with boehner and to mccarthy except that they block the bill the senate has passed and languishing in the house how do get passed if you have a of a great idea . If we are past the gridlock now . When somebody pulls 15 percent, a minority even with the democrats but to do the statistics talk about 67 they say absolutely. With many parties throughout the years and individuals but that does that mean there represents america more than so i returned to rome was done consistently to show a constant evolution and has a statement of fact in 1994 it was is interesting with our gubernatorial race. Pete wilson began the campaign and it looked at the top than the concerns of california by the end they were number one and a virtue but people at that hit the point where all lying to against immigration. He won the race but today there is the missing gold republican but Marriage Equality, a when a people whose folks didnt know them. And i think the same thing is happening with the immigration and. Refitted as day care teacher but this woman her hair and his but how do we break the gridlock . Ince to a the president on the executive action to see those against the governor read have to remind people that america is if you look at the polling the majority want to see that if my john kasich says we have to figure out a way to deal with the problem. I respect you if you have a different perspective from the then with an offer something constructive because they are not going away and do not use monday so it is continuing to engage and they themselves want to revoke their timing is sooner them later but we could have the support. And the other parching is apparently are of the day and a National Effort to get city is to do their own thing with your library program, education, youre leading a National Moment is that true . Absolutely. I respect the constitution is an amazing document. That does not mean we are powerless. But integration is what we can continue to work on. The more integrated people are coming is so well lead to win california goes dry in two years . [laughter] people ask me if i am stressed out priam very focused. We have plenty of water. My favorite statistic is we have added 1 Million People but we dont consume one more drop of water collectively then we did. We change bosses and got smart about landscaping. If we are smarter we could do better and even just to reduce his. But then we headed isnt like rocks or cactuses. But we put backwater into the wells or recycling water to reuse and conserve. 60 of the water we use every day goes into a jury in. We trinket then wash it out to the ocean. We can look to austria or israel we are implementing these policies without Massive Awareness Campaign with the celebrities with a character called the drop. With eggs that have not have helped to turn the tide. That we will have plenty of water i am confident we can meet the challenge. And the city of los angeles the minimum wage is 15 an hour that will help end inequality but what is the case that it will not cost jobs . We passed that in the county which encompasses 10 Million People. Cities that are not and incorporated it is 1 Million People. We are debating that right now as well. But they did a study to pull 1,000 businesses about minimum wage and the impact is and i was blown away. We have seen the studies say and the work but out of 1,000, zero said they would pack up and leave. Of course, some may have to raise prices reserve may lose an employee but it blew me away because twothirds of businesses said it is likely they would save money to reduce the cost of employee turnover. That cost 150 per year like a permanent helpwanted sign it is expensive to treat people. A lot of companies are seeing this. The wall street journal said more more companies are seeing it is good for the bottom line to pay more. So it is one paying for politicians but they said they did not expect to reduce staff some said there was unlikely or to replace with machines 72 there would be happier some thought there would have to take on additional duties but when 1 billion is put into the pocket of the angelenos it doesnt go into savings is talking about the phone bill or a pair of shoes for the kids. I did before it and identify yourself please. I am with the wall street journal. On the minimum wage, read that you dont put the Hotel Workers for those lecter of bargaining agreements they explained as you surf. We do have close ties but we also have labor and business support like caruso who is the biggest but to have to fortune 500 companies are supportive. But yen terms of a carved out i dont support that. But i understand the logic the minimumwage should be minimal wage it could be an organizing tool. But in general for the average person, this isnt about organized labor most people are not part of the union. So what can we do to make sure that is raised up . That is the pathway we are taking and i respect folks who put that in there, it has ben overblown and people think it will hit us low percentage of workers. I was injured at the lax airport when i entered. I was covering emigration and i have two questions. It is popular to say Congress Says gridlock but really is between comprehensive and piecemeal. There are issues you agree with including utilization so to talk about comprehensive why does it have to be and why cant it be piecemeal . And also a sanctuary cities that yesterdays wide to have Immigration Law if they say we dont believe in that . Doesnt that open a pandoras box . I will take whatever piecemeal i can get is somebody said tomorrow i would embrace that but i push for comprehensive because it is like addressing homelessness i try to add that for Homeless Veterans but i want to make sure we have everybody at some point we need workers san dreamers so we need to solve the problem. With sanctuary city it was of very specific terms. Cities like the wagon the United States was if you experience that is what the century was about. Now it is like for criminals which is not historically accurate that is perverting of the words. But as i stated we do coordinates all the time and any locality should. With a violent criminal deportation happens all the time and it should. Redo demand there is a judicial order if theyre not at that level. But i want to make sure there is something there. To me it is establishing trust and if we were doing that with murders and rapes and the amount of work it would take. I could not to my core job. National association of beverage importers for the past year we experienced a debilitating slowdown on the west coast. Many companies lost the entire Holiday Season because they cannot ship into the west coast ports would you recommend to the east coast that will have this in a year or so. Was very involved with that port dispute i ask the federal government to bring in mediation then we close the deal this secretary of labor and commerce was in San Francisco but it was debilitating ceos of the gap was year to talk called the big importers and exporters to tell them the positive news to modernize not just physical but the negotiations. But the east coast is different because those who were killed and the unions here are were affiliated with the actual companies. It is a little harmonious but that doesnt mean there could be strikes or unrest. This isnt just a union or in industry. Looked out of one of 50 jobs on the ports whether a small retailer or a huge retailer like home depot the impact it had was debilitating on the american economy. I would say elevate this if you deal with the sanitation and teamsters it is an american issue. Also get it and early to establish we will not back this up to its 11thhour to make sure both sides have the agreement. Worked never stopped it just slowdown we had 24 ships off the coast of the habit and despoiling and i can guarantee the next round will start very early. To bring in the ceos of the internationals not just the representatives to make sure we are friends with both sides but but you have been so much that the west coast economy is falling apart. If you are with a media outlet. If the l. A. County does not come up with what is close to or matching in the metro area each honoree . I think it will be better looking at some good data on of this. County next to a county to think famous be going of business. If there was a Poor Community some started day minimum wage or resaw the opposite effect. I say dont do this because i am asking a favor but to read for yourself. Workers can cross a border state can work in another city why would you work at 10 an hour if you can work f15 . The employer can pick the very best. I am with the german press agency. With the minimum wage at 15 to encourage all cities to raise orgies think youre in a unique position . I faith that is a good goal. Maybe in 15 years that is a fine number but it would be great to raise the basement nationally but were not seeing that happen anytime soon. But the majority of republicans and democrats. But the cost of living is different to cater toward what is right toward your on city. One or two more. I am with the associated press. Sends your required a judicial order for these details your request, what has the impact ben and have you seen a decline since then . It is pretty constant. You do want to a few better in a different category. That is part of the new discussion. But obviously we have the policy in place long before it was official but informally we just dont have the time to do it quite frankly if the government has that mandate but also to have the resources to help us do it youre already taxed andover burgeon to deal with everyday street crimes but if you want to take on business possibilities here need the resources to do it. You said youre committed to a social justice . So how does raising minimum wages but my grandfather on my mamas side is interesting american. From russia and poland from the time of the early 20th century his father came to los angeles and he took up his profession and decided to take his fathers name to turn into a seed company. During half after the kennedy assassination he left ted johnson. The rich dont talk like that as the pillar of the president of the United States. But he was active with progressive politics as the businessman he had a union job and more and more he had a crossroads to say i would speak out but then newsmen most famous and important client or to remain silent . To check out a fullpage ad with my grandmother to tell president johnson not to run for reelection and get out of vietnam offering to pay him a little money. Is made National News and i grew up with that story. My grandfather to see you stand up what you believe and even with your own sacrifice. And that came in tennessee from social justice but even just to be an american and that with the obligations to speak up and speak out. I have to ask this. Should israel and the world feels safer or threatened by the iranian deal . As the mayor from losses angeles the largest population of iranians outside of iran i take for a lot day lift forward to an engagement. But the opportunities are important but the pathway is not between if we have saved your not. If we see a of a pathway to a bomb with no agreement i am cautiously optimistic of the president s efforts it took a lot of political courage and even in israel there is a range of thoughts even as mayor of the city it had much more positive to offer and we should not fear that but to be engaged is more benefit in terms of security becky paid careful eye. It is solid all verification and no trust. The peace that allows the majority that china and russia cannot veto but a majority of the states are able to immediately said they are violated to put those sanctions back makes me feel secure there will live up to their agreement at least to this status quo which is not good but it is that these that. One more question. It sounds like you have been doing a great job of water comments and also have noted you view of the. First of all, academic we spend way too much and the stupid way. I want to keep the bad guys locked up to major some times the criminal Justice System puts them away for too long but doesnt support them while theyre there and it came that of his experience says the mayor to open the office of the entries to help people to get jobs to reintegrate. I dont know if that individual part but i am sure he is doing the right thing to say read to spend a lot less money than to keep them locked up at an expensive cost. With los angeles you have to hold the bad news but put it into perspective. The prior level even with the uptick are the safest since the 50s but any increases troubling. We see this happen across the country as the demographics or the hangover . We are not sure of the cause is but we will not be flatfooted. Brith were doing and then you keep the door open there is a 40 drop of prime. Because they become the victims or the upper for traders in the summer and on the weekends