From your view of medicine how do you address people were concerned not only in certain areas but rises in covid19 cases but at the same time reopening and the starting of economies. How do you balanceceom those tw. Those are important stories and people are correct to be concerned and numbers that appear to be going up. People are also concerned about the continuation of having to stay closed in, shutting as the economy contracts the way it has, at this point you will have to balance both and i think people are smarter about this disease than they were a few months ago, i think we all seen the benefits in the wisdom of social distancing, certainly i think of times in the past when i did not feel well but i went to work anyway, you cannot do that right now, if youre sick, stay home and if you suspect someone is sick, dont be around them. When remember back in march, the whole purpose of Closing Everything down was to save the Healthcare System from what appeared to be a coming surge of ilplaces that are very, very il, i see you ill, ventilator ill, and would overwhelm our system, there was really concern because we seen it happen in wuhan, china even though they cut off communications fromm their and e kind of saw it happen in italy, there was concern in this country that that could happen. It is not that were completely passed the point of crisis withr this virus but it does appear we are past that part of the crisis with this virus and recognize when you look things up it does not mean there are going to be no more cases. There probably will be more cases in the thing with this virus, you have to keep an eye out for the hotspots, where does it seem to be there is a cluster of infections and do the things necessary to stop the spread in those locations. The current debate onio capil hill is federal assistance financially to those affected by covid19 they debate over a third package that is being debated. Where have you voted on the other packages, what do you think about another round of money. Technically it would be forced there have been three response bills that have accrued so far, actually three and a half, the first one, everyone forgets in early march which primarily was geared at testing when there was in the middle of march which expanded the money going to the agencies that were responsible for responding in the cares bill, the 27th of march which had the payroll Protection Plan and many of the other features, it was a big bill, a quarter of a trillion dollars. It was done with both parties, both houses participating in the discussion, that was as good thing, that bill passed with overwhelming support, i voted in favor in fact of the first three response bills and there was a 3. 5 touchup bill that happened a couple of weeks after cares to add more money to the payroll Protection Plan which many thought wasmo important. But there is another bill out there, the heroes act is passed on the floor of the house and i did not pass for that. It was entirely different, the exclusion of any republican ideas in any republican input and it was simply a bill for democratic leadership supported by the democrats in the house representatives, i do not think its likely to emerge as pass from the house and the senate, we will see s what happens, i think the jobs report last week has probably added another layer to be ahas consideration, does the economy appear is it showing signs of life, is a recovering and if so is it necessary to have a bill as big as a 3 trilliondollar bill on top of the probably 3 trilliondollar bill of spending that has already gone out urgently in the first three and half bills. We will see and certainly there are some parts of that and i dont think theres any question of perhaps more money in the payroll protection fund, all tell you i spend a lot of my time these days working with the people at the agencys health and Human Services on a Provider Relief Fund, really that is one where the ideal was to help hospitals, doctors, medical practices that have been so badly hurt economically when we asked him to refrain from any elective procedures, i will just tell you having Practice Medicine for 25 years and you have elective procedures, that kills yourea cash flow and thats how you pay your overhead every month and many practices of many clinics and hospitals got into significant Financial Stress from this, the purpose of the Provider Relief Fund was to provide a safety valve for that, unfortunately i voted for that but when Congress Passed there was not much in the way of direction or guidance or guardrails to the agencies, we sent a lot of money over there and said its a Healthcare System, the agency has in a little slow about getting things up but thats partly understandable, they want to do things correctly but it has taken some time, this week there was an additional 25 billion announced for practices that were medicated heavy, they were left out of the first couple of rounds of funding out of the Provider Relief Fund. Heres the thing, i do think to the extent that other health is necessary, we need to get back to doing our work and is a member of the authorizing committee and the healthcare subcommittee, we need to have the hearings and do the investigation, hear from the experts and direct the Appropriation Committee as to how this money could be constructed and spent in sending another emergency supplemental over to the agency with no guidance, that in itself becomes problematic and in an odd way may delay getting it to where it needs the most. Are guest with us until 940 and if you want to ask him questions its 202,748,000 in independence, you can text us at 202,748,000 and you can post on twitter at cspan. Our first call for you is from massachusetts, this is elizabeth, democrat, you are on with Michael Burgess pregoahead. Hi congressman. Weve seen the damage of covid19 that has done to the health of the American People in the American Economy and while i appreciate how you been trying to address covid19 and its affects, how will we prevent future pandemics. Do you believe in the Global Health security act that has been introduced that focuses on supporting epidemic and pinned them a preparedness in the u. S. And other countries since diseases do not follow borders . We are interestingly enough that the oneyear anniversary of the signing of a bill that was called the pandemic hazard preparedness act, this was a bill that was done for two congress is. And when i was subcommittee chair we did a significant amount of work on the bill, we did not quite get past the roadblock in the senate, so we did pass in the session of congress and it passed in the early part of 2019 and signed a law by the president in june of 2019 and i have thought one of our feelings in the house of representatives was why if we would have passed this bill to protect us from the pandemic and all hazards like the title says, when we are faced with such a crisis as we were in january, february an early march, where was her curiosity as a committee about looking into, did we do the right thing, do we give the agency the right tools, we talked about the assistant secretary were planning a the lead oning these responses and it did not turn out to look like that when we got into battling the pandemic. Weve been very useful to have done some realtime oversight or implementation questions about the bill again at that point it was a mere six month old. At some point in the aftermath of this, i assure you, they will be looked back and how do we better fortify things for the future but we actually had a chance to do that in real time, the month of february wouldve been a great time for us to have had congressional hearings on how did we do with the construction and the funding of the pandemic with a hazard preparedness act. We learned a lot since then and we heard from experts and with congress out of town in the Virtual Fashion like redoing this morning, we heard from a number of people on things like barter is Strategic National stockpile. I think all of those are components that will have to be looked at in did they work as intended, were they as efficient as possible and again, had congress funded them to a level where they, could respond when challenged. For montreal canada, this is richard calling on the republican line goahead. Good morning congressman. Montreal is where my father was born. Great. Many doctors in the United States like doctor steven smith and William Oneill are having tremendous success using hydroxychloroquine and they say its totally safe and even increased they used it since the start and you only have 182 deaths there, how come the republicans are not calling the media for lyingth about this and how should the president bring in the doctors to the Daily Briefing room to brief the American People and show that it would save lives because people are dying. Let him answer. In fact when we had the hearings when doctor bright was reassigned from barta in the whistleblower hearing, i heard from doctors all over the country who were using hydroxychloroquine and as a first line of defense to develop symptoms of the coronavirus. There has been conflicting reports and this is one of those places where you can construct your own narrative depending on which story you choose to read. But i do agree with the caller, there is some very significant evidence that has been put forward in the reply is we need the randomized doubleblind placebocontrolled studies before being able to make a decision about the spring but there are observational studies and he references those and i do think its important to Pay Attention to those, the administration is an emergency youth authorization for hydroxychloroquine and zinc in the month of february, there has been as a gentleman knows there has been controversy about this in the president who is nothing else he is very honest with you, he related he had been using the medicine himself t and he took hydroxychloroquine in the past not for coronavirus but when i was traveling to malaria and other areas did a particular care for, i thought it had side effects that left me feeling a little bit depressed, i dont recall anyone being concerned about the links of my cardiogram which got all my excitement in the press recently. Hydroxychloroquine and quark when have been used foror some time and patience going to malaria areas and other agent in the form of hydroxychloroquine. There are other agents that have shown some promise, i think part of the answer in all of this may be the suppression of the inflammatory response it appears to occur with coronavirus which is one of the mediators of disease, this is a novel virus, we are learning a lot and have learned a lot over the last five months that weve been acquainted with it, i think there is no question that there will be much more learned Going Forward but the caller does point out an important fact, there are folks around the globe and people in my own state who contacted me the night before the hearing that was going to occur on doctor bright to relate to me their experience that theyve had with hydroxychloroquine and i think it is something on the scientific side we need to Pay Attention to. Doctor bridges, there is a story in the wall street journal taking a look at the possibility of advanced trials of a vaccine even by summer, are you comfortable with the rate that this is going, is this an appropriate rate when it comes to Vaccine Development . Let me cite the cautionaryai side and then ill address your question if i may. I was in medical school in the 1970s and we had a bad spot of swine flu in this country and there was a Rapid Development of the swine flu vaccine, gerald florida who was president mandated that everyone receive the vaccine and unfortunately there were some very serious side effects and it really was not helpful and in fact it was more hurtful than helpful. But Vaccine Development has come a long way into 1970s and it got several vaccines that are actually coming down the track with a very different method of production and i think everyone of them is intriguing those that are focused purely on the rna part of the virus, those that are more conventional like in the old days you would make a vaccine by using part of the virus to invoke the antibody response, but i will also tell you this, i have never seen i was here through zika, i have never seen this kind of energy coming through the federal agency in the hhs to work on this problem collaborate private sector and Public Sector to get this to the finish line and heres the other thing they will be more than one vaccine that is ultimately available, that is not necessarily a bad thing. But i also know this the appearance that the day the vaccine im almost old enough to remember the polio vaccine and how it was transformative in this country and how parents worried about their child becoming afflicted with this illness suddenly had the burden lifted and that will be a big day and they talk about how the bells ring in the churches and when that news was brought forth, i think itll be an event of similar significant when this vaccine, which everyone makes it across the finish line when this vaccine arrives. This is the democrats line. Thank you for having me. Im sure you may know of the covid19 pandemic and lockdowns are causing spike into tuberculosis and many nations around the world and this is been the potential to fight back against tb. The legislation is to recommit the u. S. To Tuberculosis Research by establishing new science and treatment goals for u. S. Efforts inls authorizing increased assistance to the World Health Organization in the tb partnership, legislation were brought to the house, would you ensure the u. S. Is doing Everything Possible to fight tuberculosis. The answer is certainly we would take a look at fighting against tuberculosis is probably what has defined the Public Health response that we today sort of except as what the normal business of Public Health is. But the Public Health response for tuberculosis and the turn from 1800s to the 1900 of this illness was devastating in this country and of course at that time there were no chemical agents to fight the disease, is simply was a method of identifying and coring teaming andg Contact Tracing so many of the same things that your hearing about today were actually based on this countrys fight against tuberculosis. I dont know that ive heard exactly to what the caller is referring but certainly it makes sense that if you have people enclosed or restrained environments that there is typically locus in the community, yes that is the type of environment in which it can and does spread and particular attention needs to be paid to that. And you reference the World Health Organization and obviously in that has been introduced has been introduced for a number of reasons in the past coupleth weeks, i think the are some questions the World Health Organization needs to answer as far as our knowledge in response to the coronavirus but i will also say someone who has been to geneva and the headquarters of the World Health Organization during the first brewed flu back in the middle part of the last decade, i do know they have a significant contribution to make to the health of the globe and as another color pointed out many of these diseases will not recognize borders between countries so what goes on in one country can become important in another. In this country as first tuberculosis the big issue has been the appearance of drug resistant tuberculosis. That is the form of tuberculosis that really requires our intense scrutiny and attention because that is obviously becomes very difficult to treat if you have a tb bug that is resistant to all of the therapeutic agents. A quick followup on the World Health Organization, we heard the president threatened to pull funding from what would you advocate from that. Again there needs to be significant study andhe investigation, there would be questions of how the World Health Organization handled the information as it came out of china or as it didnt come out of china, the statements that did not see human to human transmission early in the month of january were h misleading and probablyg delayed in our respone. I think the day that i heard te human human transmission was not recognized and happening was probably about the 17th, 18th, 19th of january and thats the point i became very concerned about the coronavirus and the fact that the chinese had shut down the city of 10 Million People, ive never heard of that happening before. They shut down the city of 10 Million People and told me it was a pretty serious problem that they were having. The downside is they also shut down any information coming out of wuhan and they do think the cdc couldve been helpful because the cdc in our cdc was not allowed on the ground in china but the World Health Organization was to the extent that they had or couldve shared information with us and did not, the president is correct, were paying 90 ofct the bill and not getting the correct return on investment. So i dont think its