Earlier, i dode not think we have done a good understand what the Affordable Care act did. Yes . Thank you for your remarks. Hospitals were deeply involved in giving people getting people enrolled. For hospitals that were not yet engaged in that war have hesitated because they are in states where the aca is not as popular, do you have guidance for those in how they can work in their community and getting people signed up . Thank you for the support and help. With regard to the state where the aca is not as popular, one of the things is making sure states reach out to us. There are regional offices across the country for hhs, and with the hospitals, weather coming to our business organizations in washington or the regions, that might be more familiar with the challenges you are articulating, we want to work with those so we can enable them to do what they can do. Now that people can see last time we did not have something we could point to. We did not have those stories, and we are hopeful that will be an element that can create a better environment, that where the environment is still out, we will work in ways that will work for the context that these hospitals are in. We are working with hospitals, insurers, stakeholders. This is an all hands on effort. Yes. One of the things as we think the number of latinos who are signing up for the law could be improved, and i am wondering your thoughts on how we can make a more concerted effort to get to that community and make sure their community is covered. Place, and important we believe we can make progress, even more progress this year. One of the things we need to do is listen, listen to the feedback we received last year about a number of challenges. Some of those challenges were technological, and some came and other forms, and we are trying to work through and make sure, whether through our navigators, to how we share information through language issues, that there are a whole suite of things were working on to make it easier to engage in the system and, second, to make sure we are sharing the information so people can understand what it means in terms of the benefit that it will mean. And then work with stakeholders that are closest to these organizations to help make sure, whether it is how we phrase something, explain something. Often those kinds of things are making a difference. We have heard from probably some of you all here on the issues of our challenging. Leaves keep letting us know. The ones we can fix, we will work to do that and do that as quickly as we can. In the back. Thank you. I wish the National Center for transgender equality. And with all the great things that have been done for years rules for thehave active civil rights provisions, and most people have not heard of those provisions, including providers i have talked to. We have delivered hundreds of those stories of discrimination to the department, and i would like to know, are we going to 1557 implement he rolls this years . That is something we are most focused on, making sure as we are getting the system up and running that if there are issues of discrimination that we are working through those. Thank you for doing that. With regard to that question for the specific timing of the role, not something that i am at this to a ready to commit specific timetable on where we all and that. Consider the issue extremely important. You know the administrations commitment on a number of fronts to the issues around making sure that there is access and that the access is not discriminatory, that cuts across a wide range of issue. We want to work to make sure we are enforcing the law and understand the importance of the issue of that specific provision. Thank you. Thank you very much. [applause] on behalf of brookings, i want to thank secretary burwell and thank all of you for coming and listening out there. And good luck. We need this thing to work at hh s, and we are counting on you to make it work. Thank you. [captions Copyright National cable satellite corp. 2014] [captioning performed by national captioning institute] cspan campaign 2014 debate coverage thursday night at 9 00. The nebraska second congressional debate. Sunday, the iowa u. S. Senate debate. Thann campaign 2014, more 100 debates for the control of congress. On the u. S. And allies response to the crisis tears jurist crisis to the isis terrorist attacks. Part of the Iraqi Study Group chaired by james baker and lee hamilton, who teaches at Johns Hopkins and george washington, and has lectured at more that 30 countries. Team,art of the csis Senior Adviser, counterterrorism sis, was Deputy National security adviser in the Bush Administration. He worked on the investigation of the uss cole. Juliana goldman, who i am proud to say is our newest cbs news correspondent. She came over from bloomberg in august and has more than a decade of experience covering international news. She covered both president obamas president ial campaign, went with him to china, got the first oneonone interview with the president after his reelection, and reported from the white house on the night Osama Bin Laden was killed. Jon alterman, let me start with you. You wrote after trying hard to downplay policy in syria and iraq, the white house has dived in. You said the beheadings of two americans had crystallized the new policy approach by the administration. You said while the new policy is more than merely military, it is more military than it should be. It seems like a good question to start us off with, what do you think about that . I think the next 800 words i wrote tried to capture that. [laughter] it is on the csis website. For a long time, the administration was cautious about being drawn too far into syria. We saw that caution manifested when the president a little more than a year ago hesitated to use military action. There seemed to be a confluence of forces, and we pulled off. When i spoke to people, people in the white house kept saying we are not sure what we can do in syria that would not open the door to further involvement. In many ways our policy was defined almost as much by what it was not as what it was. There was a desire to avoid getting too sucked in. What happened was isis spread into iraq where you have a government welcoming of u. S. Involvement, where you have kurdish allies of the United States desirous for american involvement. It took it out of this messy how do you attack a Hostile Group in a hostile country and you are trying to work with a group to take down this government and on the other hand you dont want the group to win, it seemed much clearer in iraq. It provided an opportunity in iraq. The American Public said we should be active against people killing americans in iraq. We support military action in iraq. The problem the peace talks the piece talks about is all the things worth doing, very few have military components. The harder part, diplomacy, economics, politics, intelligence sharing, maybe have a military role in convincing people youre serious. But you have to accomplish them away from the spotlight with more qualitative kinds of actions than merely bombing things from the air. Bombing from the air comes down to physics and chemistry. But changing the situation on the ground is more complex. I remain worried we are doing what we can, but not doing what we need to be. We have to focus more on doing what we need to do. Do you think the policy is too focused on the military . What is your assessment . What do you think the policy is right now . That is a great question. In part, that is the challenge for the administration. What is our policy . What is the regional strategy and how does this fit into the other things we care about . Things like what happens in damascus, in our relationship with iran, how we posture for the longterm. How does this fit into a Broader Vision for the region . What it feels like is it is very reactive. We are reacting to the videos and the sense of threat. We are reacting to the reports of thousands of foreign fighters that now potentially threaten the west. That lends itself to a whackamole approach. To jons point, the military solution is not the only solution, but it has to be part of changing the landscape on the ground. This is about the laws of physics and geography. This is a group that has created the largest safe haven of a terrorist group in modern history. You have to dislodge a group like that. That takes military force from the air and ground. One criticism from the military standpoint is to execute a longterm strategy like that in a complex environment like syria is going to take more than just proxy forces hoping you can build the forces over time to take on the fight in a place like syria. Thats the danger for the policy, that it becomes a halfhearted attempt to dislodge the group, and at the same time we are distorting the policies that matter to us on things like iran and syria. Juliana, i know you have done work on this. I was surprised yesterday when ambassador Samantha Powell called it easle or Something Like that. I know the president calls it isil. Some of us call it isis. Where is cole porter when you need him . [laughter] what is the deal . What is the name of this outfit . We can confuse it even more because isis calls itself the Islamic State. It rebranded itself in june. In the arabic world, it goes by daish. But isis does not like that name for itself. The problem for the government is it wants to refer to the group, did not validate the idea it is the Islamic State. If we drill down at the name, in arabic, the rub is the last word that refers to either syria or greater syria. The is at the end of isis is this. The greater syria refers to the lavant. There are some in the government who want to come up with ways to talk about it differently. Daish could be among those options. The french announced they will be using daish. That is not to validate the name Islamic State. Did we ever come to closure on obl and ubl . The government had a whole debate. The question of lexicons is important for two reasons. One, the group is trying to hearken back to history and the lure of the movement they are trying to now lead. This group in establishing itself as the Islamic State is pronouncing itself the vanguard of the new movement, giving the right to the imaginings of ubl and trying to give life to that. One of the dangers is in its inspiration, it is not only establishing territory, but inspiring others to imagine what is possible in terms of an Islamic State. The other thing important about lexicon from an american standpoint is we go through contortions to make sure the terminology we use does not inadvertently aggrandize groups. John brennan gave a speech at csis early after president Obama Took Office talking about not using the term islamic extremism and jihad because jihadists use that term to validate themselves. Lexicon matters quite a bit. The problem is we contort ourselves quite a bit to describe the enemy. Let me ask all three of you, the secretary of state said last week there is a part for every nation to play in the fight against isis and terrorism, including iran. What is the role of iran . How do they fit into this . Iran is in an interesting position because on the one hand they hate these guys as much as anybody. Partly because isis is attacking their allies in iraq, in syria. It is attacking some of their allies in iraq, the kurds, who iranians have a historic relationship with despite the kurds have a historic constructive relationship with the United States. Iran also fears u. S. Plans for the region. Iran does not want to give things up to the United States without getting something in return. I think where that leaves us is the challenge of how to work in parallel with the iranians without coordinating with the iranians, certainly without cooperating with the iranians. It seems whenever we ask the iranians for something, the next part of the conversation is, what are you going to do for us . So the challenge i think our diplomats and others are up to it how do you signal to the iranians what it is we are doing, what it is we have an option to do, but will not do in deference to them, what we might do that will annoy them but maybe we wont in case other things happen, and keep that in a constructive direction and not fall into the trap of if you do this, we will do that. On a series of levels, that would put the u. S. In a much more where do you see iran in all this . That is one of the most difficult questions. The iranians have learned and played a great game of duality. Where there is commonality of interest, they have been able to work with the United States or other adversaries, while at the same time attacking those interests. The u. S. And iran were aligned in attacking the precursor to isis, Islamic State of iraq. At the same time, the revolutionary guard was coordinating against forces to create instability in iraq. They were working on narcotics issues with nato while working with the taliban. Being opposed to al qaeda in taking steps to put senior Al Qaeda Leaders under custody, but allowing al qaeda Facilitation Networks to operate in and through iran. Iran is a curious animal in this game because they have learned to play multiple games at once. They can feed from one hand and bite the other. That is what makes iran difficult to work with. I dont think we are going to find the sweet spot of commonality in this context. If youre going to see activity happen, it will happen in parallel, not in coordination. In the middle eastern context, to able to play two sides is seen as a sign of sophistication. I think right now the challenge for the administration and why kerry is making the distinction is because they are trying to assemble this coalition of arab countries. They want to bring the saudis on on board. What are they going to say about coordinating with iran . The white house announced today the president will be meeting with netanyahu when he comes next week. The israelis have long voiced their concerns with the u. S. Engaging with iran on nuclear talks. The iranian and Saudi Foreign ministers met this week. Samantha powers said yesterday on all three networks yes, we have gotten commitments from some arab countries to join in airstrikes on syria. Do you have any idea who they are . Looks an official said there will be multiple arab countries making military commitments. Did they tell you one name . It would not be going out of the limb to save the uae. Jordan would also be likely to be one of those commitments. Will you take that seriously . I think it will happen. It wont be terribly decisive. Dont you think it would be important . It is important to say we having the uae and other countries with us in libya made it seem like there was a broader coalition. It does not necessarily get to Better Outcomes down the line as we have seen in libya. There are lots of rules people template. You can be the refueling guy, the logistics guy. You can fly surveillance. I think one of the things that will be discussed is whether the egyptians signal something visible in support as a way to try to limit hostilities. We Just Announced we were giving them 10 apaches that had been in the u. S. For repair. One of the characteristics of this is you can contribute on many different levels, just like in your church or school. There different levels. I think we will see different levels. The challenge is how to make it out to mean something. You need all of these pieces. You are going to rummage sales and picking up this and that that people contribute. How does that turn into the sustained campaign the administration has committed to doing . And not just for a month. This is a multiyear commitment long after people have lost interest in the headlines. What is the latest number . About 190 airstrikes we have flown so far . Has that made any significant difference that you can tell . I think the notion of degrading the group, remember we degrade and destroy isis. For our allies, it has been effective. The release of isis control of the dam and other infrastructure, very important. The beginnings of hitting supply lines, probably important longer term. The real question is we can do this in iraq. You can imagine what scenario in iraq looks like with the peshmerga fighting along with us. What does it look like when it crosses the Syrian Border . I think that is the tricky military, political, social conundrum here. Also, in terms of the coalition, it is important symbolically to have these countries involved militarily. But it also is critical to have the Sunni Arab States behind the u. S. Going after the ideology and funding. This is where turkey becomes very important, qataris and kuwaities. And providing a patina of legitimacy in the heart of the middle east for what is to happen. This is not going to be a monthlong effort. This is going to be years in the making if we are to really destroy this group. Two other important pieces for the sunni states. One is persuading the sunni tribes to come back over. One is creating incentives for the government of iraq to be more inclusive. They have been very much ostracized from their neighbors. One thing that is attractive is you can be closer and in a better environment. That is Something Like a country like saudi arabia can offer the iraqis. This is a moment of opportunity for the u. S. To rejuvenate some of the strained relationships it has had and to serve in a leadership role that the region has been thirsty for. Not that we put thousands of troops on the ground, but that the u. S. Serves as the quarterback aligning forces to go after this group. The world and the region is hungry for u. S. Leadership. The question is whether we can do it credibly and whether we have staying power. Youre close with the president. You have interviewed him numerous times. You have been with him on good days and bad. It took a while for him to get to where he is now. Talk about that. I am amazed to h