As a married father, great role model, to make that a part of his message to all americans the importance of family. One need to aim it at any group, just say this is important for social cohesion. It is important for outcomes and a lot more important than mrs. Obama speak out the lights in the campaign. If you want to improve life for case, give them a mother and a father and this president did not choose to do that. Follow up on that. If you look at barack obama who is so admired in the Africanamerican Community and other communities as well, you could argue he has a unique ability to make the case. The next president is a republican, scott walker. Fatherhood is important. That is why its such a tragedy that obama chose not to do it. Hes occasionally delivered the message. But usually to an audience of young black teenagers rather than the whole country and making it a really key message of his presidency. Is it possible to talk about this intelligently and sensitively in the sensiti
Well, certainly if you look at that diagram you can see we are down more than 10 billion over where we would have expected to be if we had stayed on that dotted green line which is the trajectory for nih going back to 1970 so it will take quite a bit to make up that ground. The other thing the other thing i might show you a consequence of that for people trying to get Research Funded that is the success rate, an investigator who has sent there grant in is facing. You can see going back a couple of decades that has been in the range of 25 to 35 percent. More recently we are down in the zone of 16 to 16 to 17 percent, which is very unhealthy and has caused a great deal of teefor. What is the number . One out of six would be funded at this time. How easy you turn away . Five out of six. What does that mean . I see where you are going a number of grants we find each year at the present time is about 9,000 which means we are turning away about 55,000. I do not think i can tell the differenc
Between basic research and Clinical Research all the way from the time of concept to the time of actually getting in the marketplace what are the key factors that you see thats increasing the cost more than anything else . And i know its not only one thing but if you can give me a couple things here what we should watch for. A lot of it is the high failure rate and that is in fact very troubling when you consider how rarely an idea about a new drug makes it all the way through to f. D. A. Approval its less than 1 of the time. So all that cost of the failures has to be added into the overall enterprise. One of the things were doin is the formation for the National Center for translation sciencings which aims to identify some of the places where failure happens, where bottlenecks occur and develop new technologies in concert with the private sect tor see what with k be done about that. I mentioned this idea of human cells on a chip as a way of testing drug toxicety instead of using anima
My hope, we have this all with open code and open source to repeat the success that motorola had with the Android System where they had 70,000 aps from the industry that was written to the open code of android. Could you give me a comment on that . I will be coming to you with a stroke Net Consortium that were putting together across illinois with five hospitals including barnes jewish, which is particularly good at working with n. I. H. Dr. Collins well, i am really my hat is off to you for what youre doing with d. O. D. And v. A. To try to make this into a Seamless Health record because i know all people in the service are anxious to see that happen. Its been difficult i think with those transitions. This fits together with a broader effort to try to see if electronic Health Records that are being collected on all of us can be made more interoperable so that you can walk around from one state to the next and have your Health Records accessible when you need them. There is in our Prec
[inaudible conversations] [applause] my book released in november has the title with a slight sense of irony freemarket is in quotations i talk about how the free market which we think of as the quintessential opposite of the government was created by the government. This is clear they a push back against the talk of recently to keep the government out of health care, my medicare coming is the government up to the task of reforming the Health Care System . After the shaky rollout is it capable of doing anything . I started this book in 2008 before there was obamacare or even president obama banda has a lot to say about the Affordable Care act white is the way it is with the content so events played themselves out as they did so that i can leave up to what is happening today that is part of the historical picture. I start out with the conventional view of the widely held view of how government regulators and private industries interact or failed to interact which is true across the coun