Host and how bicultural they are and how accultureateed they will become. Theres a theory ive heard mostly through business folks who are trying to reach this market that, in fact, younger hispanics are interested and maybe middleaged hispanics are interested in this retro acculture ration. Perhaps youre two or three generations in the United States, and you realize, you know what . I do want to teach my children spanish and cook certain foods or listen to certain types of music. Do you see that as something that might perhaps connect a second or third or even fourth or fifth generation his pan ins to their original culture, if you will . Guest yes, i have noticed that amongst hispanic families that i know personally in the United States. And it does impress me. And i think it will, you know, have a countervailing effect on, therefore, perhaps my pessimism about the disappearance of spanish in the United States maybe excessive or i may be anticipating a shorter timetable over which thi
Cars thate electric dont use any gas and the use the roads and technically dont pay anything to use the roads. Like many things in this world, as i like to talk about the globalization of technology, the and of Technology Innovation has outpaced congressional response to the changing world area we have the Highway Trust Fund supported with the tax that brings and two thirds of that. That is the essence of the problems we have with the Highway Trust Fund. We probably cant raise it enough. The second thing is to come up with a way of charging vehicles for my miles driven has not tied to gas consumption. If you are an electric car you will have to pay something to use the roads but it wont be typed using gasoline. You have to integrate technology into cars the third solution is to find a new source of revenues to enhance the Highway Trust Funds on top of the cap tax on top of the gas tax. I think we need to do all three. F those things look at fixing framework for funding it. We have to d
And provide responsive strategies remains both a significant concern and an american societal responsibility. Depression. Talking about Substance Abuse, addiction. The selfisolation, whether we like the fact theyre called invisible wounds and is hoping sin because of those who are Walking Around and dont get the same respect and response from our American Public as those who do have the physical wounds because theyre each suffering entering as badges of honor in her own special way, that where does go to suicide. As tom said, we have embraced that and we are very concerned about 22 veterans a day are committing suicide. And that is the end result of a lesion of other types of things that have gone to for legion of other types of things that have gone on before. What about the undocumented family members committing suicide . That is happening, too. Those numbers are not being counted. We are looking for the possibly some legislation being submitted that is going to start to have the req
Well, the United States, we have 350 Million People here. We have such a diverse we do not have a homogenous society, which is much more typical in many other countries around the world. I did want to make a point about life expect answery, and the w. H. O. Often says the United States ranked 37th out of 190 countries. As professor steven wolf in the institute of medicine study, which was really based on Life Expectancy, he said Life Expectancy and other noted Health Outcomes are determined by much more than health care. Here in america, when you look at our lifestyle choices, we have a huge obesity problem. We have homicides and car accident deaths at a much higher per capita rate than any other country in the world. When you look at the numbers for fiveyear survival rates for cancer, the United States ranks number one in the world on 13 of the 16 most popular cancers. You have to compare apples to apples. Thank you very much. My time is expired, mr. Chairman. Let me say before i ask
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, im 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 youre blue in the face, but lets look at the consequences of whether you receive primary care or not in Different Health care systems. We have a very established measure of