The second hour of the future of health care summit. Id like to thank our sponsor for their support of todays great program. We spent the first out on lessons we learn from the coronavirus pandemic. Will expand to look at policymaking breakthroughs and innovation in the face of seen and unseen challenges. Before we get underway a few housekeeping notes. You can tweet as at hashtag the Health Health and taking questions. Ive got a bunch that already come in. Speakers beware. If your experience, with a live stream lees refresh the page. It should be a quick fix. Thats what they say. Lets get started. Im please enter it is my first guest dies Health Official in the land alex faison sect of health and human services. Secretary azar has a a breadthf expense of both public and private sectors. His key areas of focus include healthcare reform, research and innovation come all of which have assumed added significance in the coronavirus era. Well, thanks for joining us today. We had a fantastic form and it wouldnt be what it would be without you. Thanks for being here. My pleasure. Let me start off and just ask you, weve had a lot of discussion of various dimension of the coronavirus challenges from the front line, whats going on in canaries, debate about schools. What im interested in right now are vaccines because theres a lot of confusion about vaccines seem to divide of getting to that point. Is there anything to tell us about where were at on that Front Operation warp speed and your oversight and encouragement of a vaccine thats going to save us . Absolutely. Thanks for asking about warp speed and what were doing on vaccines. What were doing with warp speed and the president commissioned us to say i heard the Pharma Company timelines and theyre also drawn up. I used to be at a pharmaceutical company. I know these timelines. I know why they are drawn up and he said can we with the full might of the u. S. Government and all of the Financial Resources that we can bring to bear, can we compress those timelines while still delivering safety and efficacy on vaccines . We said yes, we can. We are following basically tracks. The first is you compress the Development Timelines by reducing 80 unnecessary delay or inefficiency in that system. The second is you actually invest at scale up front commercial manufacturing rather than waiting until you have faced two, three, or even file fda approval. You build scale and you manufacture product now at risk with the kind of investment. Thats what enables us to fairly dramatically reduce the estimated timelines. What if we done . We currently have four Major Investments that weve made in vaccine candidates, so we have the Moderna Vaccine which came out of dr. Fauci collaboration with the thats in where the oxford vaccine which is an adenovirus vaccine candidate. Jj jansen which is also an adenovirus plaque from canada and that which is this weekend and out 1. 6 point potential potential investment in advanced development and advanced manufacturing of a nova backs protein vaccine. We now have major bets and all three of the major potential platforms for vaccine. With each of them we wont drive towards manufacturing to tens of millions of doses by this fall and hundreds of million into the beginning of next year, and phase two, three clinical Clinical Trials will be beginning just later this month probably. Do you think its important to communicate to the public more what you just said, that theres some risk in this, that you could invest so much because thats what we need to do today but one of these vaccine candidates or other women in ia talked about might be blocked . We have and will continue to do so. We are placing multiple investments across a portfolio, and we are not done. Because we know its science, its a pharmaceutical development. Not everything will necessarily hit and thats why we are placing disinvestment and again its that. When the same country back into the apollo project can radically change the speed of development of vaccine given the urgency, look, we spent 3 trillion so far just in Government Spending connected to coronavirus, not even consider the economic impact. I like to see the return on investment for a vaccine is almost infinite in terms of the investment that you would make. I want to move in a moment to the broader healthcare ecosystem which is also what were talking about today. The various dimensions, not everything is code. There are other pieces of the puzzle that i would love to get your insights into but i do it ask about the manufacturing side and International Research base because this isnt just an american problem. This is a global problem. Some of the firms are talked about have Global Manufacturing deals. How does america position itself both so that it gets vaccines developed and produced here but it doesnt excuse my language the of the finger to the rest of the world . How do you manage the International Dimensions of science and production and global need today . Let me give you an example just like the astra seneca platform. They took the oxford vaccine and astra seneca has Done Development rights in most of the world that they contacted with oxford, what weve done is contract the research and Development Work in the United States so Clinical Trials, but also for manufacturing here in the United States. That doesnt preclude their doing manufacturing elsewhere in the world. In fact, i think they talked about several billion doses to be manufactured in india and elsewhere for the rest of the worker we dont stint in a way of that. We encourage you that. With our candidates we are investing, investing in u. S. Manufacturing and u. S. Feel confidence unfinished capacity so were not dependent on any movement of products across borders from outside the United States. But in no way would we do anything to preclude the velvet for the rest of the world. We. We coordinate closely with the g7, with the European Union and andrew witty who is leading the accelerator project that its a very tight international collaboration. We are all working towards a common goal. And because of current tensions, are you just a sick, only put a fence around china now and leaving china out of this bible . China is not a participant in the excellent project even so they were not cleverly with them in any direct way on vaccine or therapeutic manufacturing so they are doing, theyre doing their own think that were working very much in collaboration with the rest of the world so as i just mentione mentioned. One of the other dimensions within looking at is the kind of broad state healthcare in america and are a lot of different moving pieces to that. Sometimes people look for silver bullets. Theres been this Administration Trump administration has wanted to replace obamacare with something. How have you been managing that . Is there an altar that you been working on as you look at we provide healthcare insurance and alternative to obamacare . You said Something Interesting with your question. You refer to silver bullets in healthcare, and i think what weve learned as part of the experience with the promises that failed with obamacare is the American People with healthcare, a that would like utopian visions. Most people when it comes to their healthcare are actually relatively happy with what they have. They dont want that taken away and it would like to see continued incremental improvements with their experience, with the choice, with the cost and outcomes have an healthcare. But they dont want their settled expectation or delivery, the relationships with the hospitals or doctors, they dont want those taken away or disrupted. Thats how we have tried to approach healthcare is how can we deliver more choice, option for people in the individual market, more options and medicare for people . How can we deliver lower cost through transparency, to reducing Prescription Drug prices come through in the Surprise Medical Bills . How we deliver Better Health tackling some of the real discrete and impact of Health Challenges like any the hiv aids epidemic, solving the rural healthcare Crisis Consulting the maternal or tell the price come into the open epidemic, dressing and tackling social determines of health, fixing how to take your people with endstage renal disease of preventing it in the first place . We look at healthcare, help for 330 million americans instead of only thinking about the important issues, but the more limited issues of the 10 million in the individual market and we will be a ready and willing partner for congress if there comes a time when theres an impetus to address the Affordable Care act with congress to get. One of the big zinger items, you get to hold the i largely agree with with you that people most people want to keep what they got. They do worry about those that are not covered and how does this all work. They worry about losing coverage of preexisting conditions. The administration has come in my view, you can look at what you like but there it been different moment where you could read different things. Is the administration, is your tenure committed to maintaining coverage of existing conditions . Absolutely. The president has made this as an ironclad commitment from him directly and it assured by his of administration, i can assure you can which is first off its in statute already in hipaas that pretty conditions the present conditions are comfortably at at people with preexisting conditions will have access to affordable healthcare enhancing options. That commitment is there. Obamacare, while it has insurance for individuals with preexisting conditions, its not always an affordable solution for them. We got to stop talking about this as it we are living in the land of milk and honey with obamacare. When you are a couple that makes 70,000 a year and you are living in nebraska and having to spend 38,000 a year on premiums and 12,000 12,000 in deductid jeff preexisting conditions, thats not actual affordable healthcare financing for you. We do believe there are ways to approach this working with congress. We do believe that our proven mechanisms. One of the fatal conceit of obamacare was you were going to make the Healthy People in the individual market pay more, excessive more to find affordable interest of the less Healthy People in the same individual market. We believe in the protection and Affordable Access to Health Insurance the people who have preexisting conditions but we think about as a societal obligation to help them. We work with congress if the time ever comes to find solutions that help those people get real insurance, real affordable insurance, allow them to the coverage they need while letting Healthy People those who dont have preexisting conditions have insurance that meets their needs at the cost that they need also. I dont know what its been like for you during the time of covid. You look like youre in your office, in dash i ministered to my life is moved on to zoom and skype and the digital platforms we are all wheezed to talk about it but now were doing it. Healthcare is there, telehealth, we have the seal of teledock tk joining us in the pyramid arrested, i think theres a lot of nervousness out there among some people been getting help through new media come new mediums and getting covered right now under the things you play that for people to get that covered but theres a worry thats going to fall back. How much of this new world we entered into of Health Consultations and Health Online if you will is going to remain and remain paid for under our system at we move past at some point, god willing, the covid era . This pandemic has led to a lot of innovation in health care to the president s leadership, the National Emergency authorities that weve been able to use to wait some of the embedded requirements that of ossified healthcare system, kept it as a 1960s stop a delivered. We have been able to break through that with the regulation and telehealth is one of the things we wanted to do for so long but congress has been unable to change the Social Security act to make medicare and medicaid amenable to telehealth. Now thats a male. Ive been traveling all over the world and that thats available. I think wed have a revolution if anyone tried to go backwards on this. This is now an embedded part of our healthcare system. It has changed the nature of delivery. Its brought us back uptodate in the system. We will do everything we can by regulation to keep the gains that weve had that put the patient and the doctor relationship in the center and work with congress to get statutory changes as needed to make sure that we keep whatever is required by statute. Final question. Dr. Fauci this morning was blowing the whistle as loudly as he could in saying, worried about was happening in certain states in the country. A lot of folks need to take this more seriously. How worried are you that america is not getting this right and that theyre going the wrong direction on covid . What we are experiencing in the southeast and southwest and, frankly, seeing emerge in some other areas of the country is aa very Serious Public Health situation, very serious and weve called that out. But it often is phrased as a question about reopening. We dont believe its about the fact of reopening in terms of a legal or regulatory structure. Its rather how are we behaving within that context . Are we practicing appropriate social distancing . Are we wearing facial masks, facial coverings, spatial in circumstances where we cant social distance . Are we practicing good personal hygiene . Went to the individual responsibility in the construct of reopening work, school and Healthcare Systems again. If we dont, we will see results like this. That doesnt say thats every aspect of what we are experiencing but that is definitely the feedback were getting on the ground from these impacted areas and thats why weve been talking about acting with good individual responsibility. Mr. Secretary, great to see you even if virtually so thanks very much for joining us today. Good luck with the challenges that are ahead. Thank you, steve. Good good to be with all of you. Our live Coverage Today on cspan2 includes a hearing on developing safe coronavirus vaccine. At 3 30 p. M. Eastern eastern susan rice from Obama AdministrationNational Security adviser and just ambassador to the u. N. Will talk with Washington Post columnist jonathan capehart. They will discuss u. S. China relations and to potential to be a running mate for joe biden. You can watch all of these online at cspan. Org or listen live on the free cspan radio app. Watch our live daily unfiltered coverage of congress, the white house. 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You may read some of her postings at yahoo news, shes a medical contributor and the founder and ceo of an Organization Called advancing Health Equity. Doctor blackstock, welcome to washington journal. Thank you for having me. Tell us what is your group advancing Health Equity, what is at about . I form the organization a and half ago in response to Racial Health inequities that ive seen in my clinical practice, practicing over ten years in the Emergency Department. We have some very concerning statistics, blackman have the shortest life expectancy. Black women have highs Maternal Mortality rates and a really wanted to work with healthcare and related organizations around these Racial Health inequities. How do you propose to going about doing that . In a practical way what is your organization doing . I partner with these organizations and i do talk, trai