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Secretary would you please call. Clerk thank you, president scott. Present. Commissioner brezlap. Commissioner freno. Excused and commissioner saff. Supervisor. Expected. We have a quorum. The chair thank you. I would like to ask the. Members of the board stand with me for a moment of silence for the passing of commissioner frignos mother during this recent period. So would you please. Thank you. We will now have action number 1. Check check item 1. Approval with possible modifications of the mi...

Gaf [gavel] there we are. Good afternoon. I would like to now call this meeting of the Health Service system board of the city and county of San Francisco. I order and ask that we please stand for the pledge of allegiance. I pledge allegiance to the flag of the United States of america, and to the republic for which it stands one nation under god with liberty and justice for secretary would you please call. Clerk thank you, president scott. Present. Commissioner brezlap. Commissioner freno. Excu...

Affordable care act. We wanted to start with the chairman of the Senate Health committee, lamar alexander. He has been holding a series of hearings. Here is the senator talking about the goal. [video clip] our goal is to come up with in a census consensus early next week. Hopefully we can have senator mcconnell an Agreement Congress can pass by the end of the month that will limit premium increases next year and begin to lower premiums after that and prevent insurers from leaving the market. Tha...

Naoam leavy. Want to do an update on the Affordable Care act. We wanted to start with the chairman of the Senate Health committee, lamar alexander. He has been holding a series of hearings. Here is the senator talking about the goal. [video clip] our goal is to come up with in a census consensus early next week. Hopefully we can have senator mcconnell an Agreement Congress can pass by the end of the month that will limit premium increases next year and begin to lower premiums after that and prev...

A vote could come as early as next thursday. Now, a look at the future of healthcare in the u. S. The senates work on healthcare is the topic of the next discussion. Also the longer look at what healthcare might look like in the United States. To guess joining us the senior policy correspondent and joining us for this correspondence is the White House Reporter and to both of you, thank you for joining us. I know you do not write the story but your colleagues say house that there is a plan vote o...

A vote could come as early as next thursday. Now, a look at the future of healthcare in the u. S. The senates work on healthcare is the topic of the next discussion. Also the longer look at what healthcare might look like in the United States. To guess joining us the senior policy correspondent and joining us for this correspondence is the White House Reporter and to both of you, thank you for joining us. I know you do not write the story but your colleagues say house that there is a plan vote o...

Senate side for next week. Can you give us a sense of the white house role in what they would like to see happen . The timeline is that is expected this week and then potentially vote on thursday. The white house says it is not yet aware it has the 50 votes they need but they will have a better sense at the end of the week and their confident things are heading in the right direction. Give us a sense of that confidence. What is this based on . Are they willing to take a gamble even if the votes ...

To provide the committee further assistance. Thank you very much. At after new chairman mccain, chairman graham, Ranking Member killer brand and members of the personnel subcommittee. It is a privilege to appear before you today at this initial hearing on Defense Health care reform and i hope my participation in todays hearing will be of assistance to you in the Defense Department as you seek to ensure the military Health System is strength in and is able to provide optimal support to those who ...

Salami slicing. Very small increments advancing interests by building up islands, adding another weapons system, making small moves, none of which is egregious enough tow cause the United States to use massive hard power but would we slowly tip the balance in chinas favor. We dont have a strategy to counter that. Deterre our hard power capability, the weapons you have described, this is a deterrent to world war iii, not to intelligent gradualism. We need a better policy. From florida, independen...

Nation, their families and those who earned a retirement benefit due to their career of service. I believe any framework for reform needs to begin with an assessment of whats working and not working, what the environmental conditions are likely to look like in the future including the go to work the capabilities and needs and what approach will likely insure success in the future. For my nearly 20 years of Privileged Service at the side of d. O. D. And now v. A. I believe there are four fundamen...