That lets people know when thers been a problem there . There are multiple alarm systems within cdc. In this case, it was a crosscontamination of a culture. So somehow, and we havent figured out how yet, a relatively low virulence Avian Influenza was crosscontaminated with the highly pathogenic h5n1. Is there any evidence of cover up here from employees not wanting to let someone else know that no. Weve seen at this point no evidence of a cover up, but we do see the need to strengthen the culture of safety that encourages reporting. Anytime theres a problem or potential problem so we can assess it and take rapid and prompt action. Thank you. I now recognize ms. Degette for five minutes. Thank you, mr. Chairman. Dr. Kingsbury, let me just make sure i heard your testimony right. You testified that theres an increasing number of labs that are handling these bioagents, correct . Correct. And you said theres really no one agency in charge. Is that correct . Correct. Now, in you said that to
We go through this investigative process and we must insist on the access to do so. We must demand full, immediate, unhindered access to the site of the tragedy, including all parts of the aircraft, missile battery and site evidence and, most of all, proper treatment of the remains of the many victims. President putin by himself can ensure that success and that access and he absolutely must be required to do so. Third, we need to demand an immediate russian standdown in the ukraine. Crimes like malaysia air flight 17 can only happen in such a lawless wasteland of renegades and desperado with their fingers on the triggers of the most advanced weapons. Lawless reigns in ukraine because the government of that nation does not yet have control over its sovereign territory. The situation is greatly exacerbated as a result of president putins outrageous territorial aggression that has already severed an arm of ukraine and threatens the entire countrys disintegration. Make no mistake, the russ
Regulate and have transparency for limited network plans. Because they are and im familiar with some anecdotes where say in ophthalmology, which i know fairly well where the issue about retina specialists was raised. And, you know, through the academy of ophthalmology went to the insurer who i think just responded. Oh, we didnt know that. So we will make sure to put some retina specialists in the plan. So i think its just discovery that this is an issue. And i would say yes, you know, the detail that is going to be needed in some specialties will probably have to go by sub specialty. And it is going to make it more complex but this is going to be a big part of our market environment. So we mights well ju as well ju that. Anybody else . Brian. It does vary by state. But some do a deep dive and they go down to specialists, subspecialists. Not at medicare venues though. We dont get to regulate that. So were excluded. Yes, go right ahead. I work with the American College of nurse mid wives
[laughter] thanks, i appreciate your comments. And i am intrigued by those that you wrapped up within the decision they can process for the preparedness and the allocation of resources and you find it completely ad hoc and disjointed and one response to that is democracy. It is a messy process with the location resources done by things allocated by criteria that might not always be rational. That is the reality of the democracy and the testing of the responsibility and the political executive branch. You mentioned in terms of how to fix it in rationalizing the democracy i think that we could agree you suggested this Public Health czar or official. Any other specific ideas to lead from the federal level on how we can make that process a little bit more rational and Going Forward . Well, i guess i would start at the top. I think the president staff and the cabinet have to come to some agreement about instructor for the decisionmaking that becomes increasingly more inclusive. And it gets
Im the acting director of policy and planning. National concept operations was created in initial request in december 2003 from the executive of office of the president to u. S. Postal service to deliver oral antibiotics during large catastrophic events, especially the outdoor release of a biological agent. The postmaster general made the decision this could be done voluntarily. If health, safety and security were provided. In february of 2004 the secretary of health and Human Services secretary of the Department Department of Homeland Security antiagreement to establish policies for oral antibiotics. Later in 2004, the citys initiative federally funded program led by hhs to launch in u. S. Cities to respond to a large scale health emergency. The primary objectives are to avert mass casualties and dispensing antibiotics within 48 hours of the postal concept because an offering an additional method of Drug Distribution to the general population. Commands were tested as well as as in oct