Representatives of disease groups know more about the diseases than anybody else. They have worked so hard to try to understand whats at stake. Pressing the government to be as flexible as possible. I think its important for the infrastructure for the 21st century cures. I want to say i would be a little cautious about thinking we can solve big problems with legislation with all the unforeseen consequences that can sit inn at a panel here ten years from now and bemoan. I guess thats not a question, but comments. I thank the witnesses and particularly, my good friend and constituent mike milken for all that he has done. Thank you, mr. Chairman for convening this roundtable and thank you to the expert witnesses for your insights. Every time we have one of these hearings or roundtables, we learn a lot. We had an excellent roundtable with dr. Collins, dr. Hamburg, our chairman, dr. Burgess, frank blum were there. It was very important and meaningful. Dr. Collins, youve forcefully made the
40 years. One, putting the patients at the center of discovery, development and delivery process. More efficient Clinical Trials. Meaningful working relationships between patients. And diseasespecific organizations. One of the great advancements of the past two decades has been the strengthening and improvement of the disease Recognition Research group. Two, incentivize collaboration across sectors in the r d process. Public private partnership. Look at history books and see those partnerships between ford and kaiser and the government that allowed us to have victory in world war ii as we moved our forprofit Industrial Companies quickly to produce ships and other products we needed during world war ii. Three, encourage novel Financial Solutions that address the riskiest r d endeavors. Change this risk return ratio. As an example, mr. Chairman, all we have to do is look at acid rain. A major issue in the latter part of the 1980s in america. Movies, public hearings, et cetera, the loss o
Home from those extended duration shifts. Its been recognized in the Transportation Industry since 1907 when in the United States Congress Passed legislation saying anyone working for more than 12 hours would be considered that its illegal and the Supreme Court has ruled that theyre considered impaired by fatigue if theyre operating a train for more than that time, and yet we dont have any limits, even though we now have limits for commercial drivers, train operators, bus drivers, pilots, mariners and so on, there are no limits on work hours in socalled nonsafety sensitive industries, and yet in those industries, as we heard today, in those industries people are driving home many times for doing super commuting. We know from our own research that theres 168 increase Motor Vehicle crashes after working extended duration shifts. We have no limits in the United States for those work hours, and i think an important countermeasure would be to consider limitations such as the european workin
The expression too big to fail doesn apply here. The total budget has more than doubled that. My concern is that the savings and deficiencies in the orr all hhs budget are very small when compared to the overall spending. The president s proposed budget would save just over 250 billion over the next decade. On the policy front the 5d min straegs needs to be up front. For some time now, ive been concerned with the impact of the entitlement programs. ; at that time hha was the largest operating Division Within hhss total staff. And more than half of hhss total annual budget. I sbebd e intend to introduce ledgelation to move chh out of chs. I look forward to working to end overreliance. Secretary, i look forward to working with you to ensure our most vulnerable citizens get the care they deserve. And i do appreciate how difficult your job is and appreciate the openness with which youve considered with myself and others on this committee. Senator . Thank you, mr. Chairman. Secretary burwel
Country. There was a women in the Law Conference i attended at i think the first one was at yale. And we were getting out materials to i rode with my friends, herman cain and kenneth davidson, one of the published cases on sex discrimination and the law. But we came to see by the way, i should say who the we were. A brilliant lawyer, marvin kilpack, he was one of the general counsel. He spotted in law week what he said is going to be the turning point gender discrimination case. The year is 1970 and the Supreme Court has never seen a gender classification that it thought was unconstitutional. This case was decided by the Supreme Court of idaho. It was about a woman named sally reid who was divorced when her son was what the law calls of tender years so sally got custody. When the boy got to be a teenager the father said he now needs to be prepared for a mans world, so i want him to live with me. Sally thought that was a bad idea. Ill cut part of the story short, but the boy one day too