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Like the Substance Abuse medical is the bridge to reform waiver as of 13 it is a demonstration waiver 1115 waiver called the organized Delivery System of medical waiver so the state amended the state plan and made a parole to cms approved this august to show it if they increased the Services Covered by drug medical that they could by organizing the system and having smooth trisz from levels of care and using evidence based practices they could improve the care and overall costs of medicaid would...

It continues to be sluggish and i cannot give you a reason why that occurred. We are aware that mortgage credit is very tight for a wide range of borrowers and that maybe part of it. We hear about supply constraints builders are facing but i have to say i am surprised. What more do you think the fed can do to help stimulate recovery in the housing sector both for those homeowners who are upside down in the values and those to help new people qualify for homes. Housing prices are continuing to in...

Become central. The veteran needs to be seen today, we have failed that veteran. You are looking for different ways i think we will be looking at different ways to evaluate timeliness of care, a combination of patient satisfaction, veterans waiting too long and seeing that number coming down steadily. And then as we have the system could ability to do things like you see in the private sector, metrics like the third next available appointment which gives you some gauge of the capacity of the sys...

On the veterans we are here to serve. Fifth, the va has failed to hold people accountable. And last we lack physicians, space, staff, Information Technology and perchase care funding to meet the current demand for Timely Health care. Furthermore we dont have the capacity to quantify the staffing because we have not built resources from the bottom up. We have instead managed to a budget number. As a consequence of all of the failures the trust that is the foundation of all we do, the trust of the...

To va asserted reaching down the organization to get Additional Information. I think your sense is an accurate one. Historically they have operated in an insular organization. Part of what we have been doing is dismantling a lot of those barriers. Since my first day as acting secretary, every single morning at 9 00 a. M. We have something called access stand up. Senior leaders from across vha and the department up in our integrated Operations Center and bore into data are round access to care. T...

All right, senator burr suggests maybe we should make a wait a few minutes for other members to come back from recess. Lets take a quick recess here. Its create cal we continue to have these hearings to do everything we can to hold v. A. s feet to the fire and make sure that accountability is there. We know some things now that we did not know at the last hearing. We know for a fact that v. A. s wait list manipulation and access to care issues is, in fact, systemic. Report after report has confi...

But what could be more pressing than to make sure our veterans receive the care that they need and deserve . Thank you, mr. Chairman. Other members will be filtering back. But i would like to hear from the acting secretary now. And customarily, we give five minutes, but youll have more time. This is a serious discussion, and we want you to have the time you need to make your case, and we want the members here to have the time they need to ask you the questions. All right, senator burr suggested ...

Ladies and gentlemen last summer i was in, going from india to japan and i stopped in singapore to meet with what people refer to as the Henry Kissinger of the far east. A fellow a lot of you know of equal on you someone that most foreignpforeignp olicy experts note and almost every world leader has sought his opinion. He was kind enough to meet me in his home because he has written and spoken a great deal about the future of india, china, russia and the United States. I sat with him. He is 90 s...

To thank you and the Ranking Member who is currently not here, but you all in this committee have done such a great job in responding to this crisis. I think showing excellent leadership. We heard from the va directly. Weve heard from the gao, the office of Inspector General, hearing from the private sector. Each of us in our individual capacities are listening directly to the veterans in our community. I ask we have a panel of vet vans and Veterans Service organizations if we are talking about ...

By a Panel Discussion on ukraine with former russian german and polish officials. In 1997 my daughter hillary and i have for hillary in my own family, then it presents senior majoring in politics pics nato as her thesis topic. She called her mom then in my third term in congress to get my assessment. So i had to really think about it. Nato expansion have been agreed upon and in 1994 brussels declaration and there was real enthusiasm certainly in the United States congress. The senate voted 8919....