thank you. and good morning, everybody. so a few weeks ago the president came over to my offices at va at his 100-day mark to talk about the recognition of the progress we ve had at va. so i thought it only fitting at my 100 days to come to his house to talk about what s happening at va. and as you know, the president is so committed to fixing issues for veterans that what he has told me is, is that it is important that we be open and candid and transparent about where the problems are, that as a businessman, the only way to fix the issues in an organization is if you come out and you talk about what those problems are. and so, as you know, i m a doctor and i like to diagnose things, assess them and treat them. and so what you re going to hear today is really a candid assessment of where our problems are in va, with the focus of a businessman and the skills of a doctor to be able to actually help you with that. and as you know, many of these challenges i m going to talk abo
african-american voters and also african-american candidates? let me share with you, jesse holland, this is from a democrat, he worked for president bill clinton as a speechwriter and he says to t voting rights nationwide on heading on inattention by the american people, emboldened by the recent supreme court case limiting the reach of the voting rights act, they have worked weeklyo cut voting same-d is not a paradox because often the african-american voters are those who cast their ballots early according to a number of studies. guest: that is a paradox. you would think someone is trying to recruit voters would want to make it as easy as possible those people to vote. now, a lot of republican opportunists will tell you that even african-americans are concerned about voter fraud and that s one of the issues that they tried to point at when you look at voter id law. however, one of the practical effect of voter id laws obviously is that make it makest harder for some peopl
basically it relates to the activities counter by the activities or overseeing this by activities of another group so one group does not have full control over this or a process where this is being processed because they could potentially make undetected changes to the software processing data and we don t want that to happen. so developers in this case should be confined to a development environment. my understanding, my children will till you but i have no technological knowledge, but kind of like a submarine when there is a leak in one area you can close off that section and in another area where the leak occurs doesn t infect the other areas. is that occurring now in the federal agencies with the situation? yes, and several there are about 14 agencies that have weaknesses in segregation control. and they have an example that you highlighted that exude a sense and that is another security defense principle that agencies support layer upon layer of security controls in
performance is called avoidable mortality. that is in a good health care system, women should not die in child birth. people should not die of tuberculosis. people should not die of aschemic heart disease. people should not die of cancers that can be cured. and when we look at that, i m embarrassed to say that we come out in the united states as 19 and the french come out as number 1, i repeat, number 1. that is a fact that cannot be ignored. it must be addressed. it was written up in health affairs, a reputable journal. it was confirmed with different measures by the oecd, and it has not received in my judgment sufficient discussion. another indicator of how well a system is doing and a theme of this subcommittee that i know is dear to chairman sanders is access to primary care. you can talk about primary care until you re blue in the face, but let s look at the consequences of whether you receive primary care or not in different health care systems. we have a very establish
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