when the embargo lifts. okay. in this chart, we put into context the relationship between health spending and economic growth. and namely, the effective economics on projected health spending is an overarching theme of our paper. and as you can see, looking at nhe growth, both historical and projected, which is the blue dash line and nominal gdp growth which is the red dotted line. you ll see that they ve been growing at similar rates since 2010. and they are projected to do so in 2013, as well. growth is projected to accelerate in 2014 as i ve alluded to due to the coverage expansions under the aca. however, in 2015 and after, the historical relationship between health spending and economic growth which is that health spending tends to respond to changes in economic growth with a lag becomes more evident. while projected economic growth reaches a peak in 2018. we project that growth will reach a peak in 2020. also, contributing to the acceleration in growth during that perio
to iraq, his last memories as he dove onto of his soldiers to cover them from a rocket propelled grenade was that you would never see his wife or his child again. while he would survive, his last words proved to be prophetic. the blast cost him his site. but despite his injuries has pursued his education and is planning to start a new business. though he may never actually see his firstborn daughter, he and his wife, heather, have added two more children to their growing family. in a sense, veterans like sergeant pepper and many others have sacrifice one life to the country and service. in an instant, their hopes and dreams for the future were shattered. but with a love of their countrymen and the support of the family and their community, they rediscover their purpose in life to learn to accept or overcome the obstacles their injuries have imposed. these walls remind us that a sacrifice might only have of our nation is most often shared with a loved one who cares for our inj
not there. i we are developing and promised the principal sponsors of this law that we are going to develop a plan to get to 100% not have the we do resources. congress has not given us the resources. we are developing that. i would like to see us get to a higher percentage of what is dean s scanned what is being scanned right now. i look at what comes into the country and the method we have for screening it all, and it is pretty sophisticated. so i take away from that a pretty good story. ok, yes, sir. last question. on ebola. we are now screening at five airports. do we have the capability to deal with this, and do we have contingencies if things get worse? we very definitely in this country have the ability to deal with the ebola virus. every time there has been an outbreak of ebola in the world, it has been defeated. here in the united states, we have the best health care, doctors, infrastructure, hospitals. it is a treatable disease if it is caught in time and yo
recommendation which is that we reform health care regulations to promote a system effectively. malpractice is often brought up. that s typically handled at the state. the scope of practice for nurse practitioners and physician assistants and other nonphysicians did typically done at the state level. often that is the place where not only is the scope of their practices determined but the limit to which they can practice is determined. another recommendation encouraging consumer selection of high valued based on information. having transparent information of cost and quality. states again have the capacity to harness that data. in early 30 states now we have all-payer databases where the state has accumulated information from all of the plans. those could be used to drive that kind of information. and lastly the final recommendation, help from a population health and personal responsibility for health. this recognizes that health is very much in ecosystem. it involves the hea
the real challenge is how do you balance this environment and not lose that edge or lose that equipment. and the air force mission is very unique. within 72 hours the air national guard unit can deploy and they have to be ready to deploy. this is my good friend here from the international guard. we have these tankers on alert right now that if something happens over the united states there are pilots and jets. and that mission of the air force is unique. it takes more get up and going. the air force does a great thing and we have a great partnership. on the army message and transmission, depending on what skills that you need, if you need support personnel in my branch, for example, if you need engineers. most of our engineers have some civilian backgrounds. the wyoming guard came in and i think that we had 23 combinations and pulling people off the side of the mountain and went back later, which you probably didn t see on the news, after four states rolled in with national