Transcripts For CSPAN2 Food And Public Health Panel 4 201608

CSPAN2 Food And Public Health Panel 4 August 1, 2016

Trail and headed toward the candidate debate. Three are scheduled. Monday september 26, sunday october 9, and wednesday octob october 1 19. All will start at 9 p. M. Eastern and you can watch them on csp cspan. Tonight on the communicators we visited a Technology Show on capitol hill and spoke with several developers at start up Technology Companies including the top of the policy issues they would like to discuss with members of congress. It is an excellent year and why this committee nation. You are looking at 10 times, 15 times the frequencies of cellular operations. The biggest advantage of that, it gives you more bandwidth. Spin watch the communicators tonight on cspan2. Did you miss any of the republican or Democratic National conventions . You can go back and watch every moment, cspan. Org to find every speech from both conventions and watch ondemand whenever you want. At the top of the cspan. Org homepage click on it at the democratic or republican tension where youll find biggest from each day of both conventions. Youll find highlights near the top and scroll down and browse through every speaker. Click on the speech you want to watch and share on social media or email. Cspan. Org visionless copperheads a guide for finding video of any convention moment. Cspan greeted by cable, offered as a Public Service by your candidates provider. Both the president ial candidates are set to get the First National security briefings sometime this week according to news reports. We are joined on the phone by former acting director of the cia John Mclaughlin for some insight into what is inside of those briefings. For joining us. Erector, thank you for joining g us this morning. Guest good morning. Host how did thesefi briefings come about when did they first start . Guest they been doing briefings like this since 1952 when harry truman was president. Truman recognized that the candidate that year, dwight i doubt and allie stephenson, should be briefed on Foreign Policy before they walk into the oval office in order to be prepared for what was then a very tumultuous world. World its been going on all of the se time since. While i was in office i did this several times, greek candidate bush in 2000 been briefed johnca kerry a couple of times in 2004. And had been president clintons briefer after he was elected in the period when he was president elect. Host in this atmosphere of these reported russian hacks, how does cia director or a briefer ensure that briefing state classified first in terms of where its done and in termse of other people allowed in the room . Guest at the end of the day you are trusting the discretion of the candidate and other people who may accompany him. Typically i candidate in these briefings is not accompanied by a large number of people. There might be one or two close aides who are allowed to be there. At the end of the day, you are really just trusting theirtrusti discretion, patriotism, good judgment and order to maintainyw the confidentiality of what they are hearing host the are they hearing specific threats or general, brought issues of National Security . Guest in my experience its quite specific in terms of the threats and the assessment of them. Its less specific in terms of the precise nature of the sources, the identity of the sources that are contributing to those assessments. And also the methods by which intelligence acquires that information. So in other words, you really dont hold back on the bottom line, if you will. Heres whats happening inin china, and russia, iran and syria in quite clear terms but you dont go into all of the details about precisely how we acquired this and so forth. That comes after a person is elected president at which time of course they are entitled to anything you want to know from the intelligence world. Host ahead of election day or one of them being elected president , how often are thesegt briefings done . Guest it varies. Some president ial candidates, for example, president billnt clinton, or candidate bill clinton i think had one of these briefings for an hour or two. Senator kerrey as i recall had at least a few and maybe more. I certainly did too. There may have been some additional briefings with him. There are times when candidates have had four, five sessions with intelligence as the Campaign Goes a long. So the frequency and location of the briefings is negotiated with the sitting white house, between the candidates, represents and the white house so they can vary from one to many depending on what the two sides agree on. Host whether its been a president ial candidate or member of congress, have you ever hada concerns over briefing an, individual, and what would disqualify somebody from receiving one of these briefings . Guest i have not had concerns like that in the past,e in the few number of times ivee done this of course. What would disqualify someone . I think what would really disqualify them would be breaking the rules after the briefing. In other words, if after such a briefing they simply went out and talked openly about everything that had beente discussed in terms of, in terms of how violated the understanding that they were to be discreet about what they heard. That i think would ultimately disqualify them, but im not aware in the past of anything someone has done before the briefings that would disqualify them. Many people ask this question. They ask india of some of the things that donald trump has said, is it okay to briefing . I tend, heres how i see it. I think when someone becomes a president ial candidate, they are entitled to these briefings, and you simply have to trust that having reached that stage ofof political achievement, that theyre going to handle these briefings responsibly. Thats where i am on that. Host and i will direct our viewers at our listeners to a piece she wrote about a month ago that posted on what comes first intelligence briefing will look like from John Mclaughlin. Is it director clapper that will do this first briefing . Do you have an idea of when that might be this week transferred i dont know when it will be. It will be director clapper who organize it. I dont know that he will do it personally. He may. Event instances in the past would have had the Intelligence Community has done this personally. That i believe was the case with candidate bill clinton. Back all those years. But director clapper, he will organize it and he will designate who will do the briefings. Could be himself, could be somebody designates, could be c one person, could be a team of people. Its been done both ways and i dont know precisely how that is going to happen or when it will happen. Host former acting director of the cia and the Bush Administration John Mclaughlin, thank you so much for the insight this morning. Guest thank you bill spent part of a summit on food and Public Health. Georgetown law center on new institute for national and Global Health law posted this. This portion o could a Panel Discussion on access to produce an healthy foods. This is just under one hour 20 minutes. Are you ready likes all right. Hello, teen. I know people are still trickling in from the break budding interest of time because we have this because we have establishethis type of spam, let started as people coming. Also want to say we just had this panel about sugar and obesity and we did put out cookies during the break. Those cookies were made by an organization in d. C. Called together we bake. Its a group that takes women who are coming out of being incarcerated who dont have job skills and helps train them and not only gives them skills but confidence in other necessary tools for getting their lives back on track. So they are full of sugar and butter and they are delicious but you can feel good about them. I just wanted to add that in. So we are ending the panel, the ending part of the comforts with a panel about access to produce a nutrition to give me say what i would ending the conversation, access to healthy food is among the most fundamental of the social determinants to health and you think we should talk about this first. Without access to healthy food, all the other conversations are not quite as important. When we started to think about what does it mean to ask us to produce we realized it was one of the most holistic all encompassing topics we should talk about today. Access to healthy food and produce in particular is really about all the of the issues that right now and they selection cycle. Were talking about the economy. You dont have enough money you cant afford healthy food. By that same token, Food Production both the production peace, the restaurant peace our huge parts of the American Economy and huge part of our labor force. Access to healthy food is about immigration. If foreignborn workers make up about 90 of our seasonal workforce, so we cant let that happen ask itself if it ever dont talk about who is going to pick that food and get it to market. Access to healthy food is about the environment. We heard a lot about concerns about water usage in Food Production. Its estimated that as much as 80 of this nations consumptive water use issues for agriculture. Went to think about those kinds of issues that you want to access to healthy food. I could go on and on about this topic but i wont because your speakers are about to do that. Im going to defer reading their bios. The each have really interesting jobs, and does account in each of the panel on the upper like to do what you do. I suggest, i really encourage you to read their bios. And without i will introduce our first speaker. We will go down the line and start with manel, please. [applause] let me get myself sorted out. All right. Good afternoon, everyone. Thank you for sticking with us. We are a small but mighty crowd at this point. I appreciate that you all still here. I am from kingsland solution where an National Nonprofit based in oakland, california. We focus on helping communities address the tribes of chronic disease using law and policy. Today im going to talk specifically about how we can use law and policy to increase consumption of fruits and vegetables. Im going to talk about this topic in the context of a new collaborative project that im part of. Its the Healthy People 2020 law and Health Policy project. This is my First Technology test. Lets see if i can change the slide. Excellent. So these are the partners in this project. Its Cdc Foundation and the line Health Policy project is under the umbrella of hhs Healthy People initiative. Im sure many of you are familiar with this but it is a sciencebased tenure national, an initiative that provides sciencebased International Objectives for improving the health of all americans. The purpose of the law and Health Policy project is to provide in depth analyses of evidencebased legal interventions and strategies to improve the health in a series of reports. The project is open to issue about 10 to 15 reports on a wide range of topics from dental health to hospital acquired infections. One of those reports is going to be specifically on using law and policy to increase fruit and vegetable consumption. So lets dig into the fruit and veggie report. Im going to try to use as many times as possible throughout his 15 minutes. So the Healthy People 2020 identified increase consumption of fruits and vegetables by individuals two years and older as a leading indicator for over all population health. The report were developing provides a summary to influence the availability and offer a, fruits and vegetables, particularly and settings wired access by the general public. And highlight examples of, wide range of sectors institutional policies, federal, state, local, tribal policies, all of which are likely to increase fruit and vegetable consumption. What we are trying to do although some possible in every case, is tied to policy the evidence that the policy works. One of the things we have learned from the process of developing this report is that the evidencebased related to how law and policy influences public of a generally, fruits and vegetables consumption specifically needs to be strengthened. Doctor angell did a good job of talking about the Health Disparities and so im not going to dig into what the problem is that were trying to address here but i do want to highlight a couple things that are specific to fruit and vegetable consumption. Currently fewer than one in four American Adults consumes the recommended daily servings of fruits and vegetables. And one in 10 children eat no fruits and vegetables at all in a day, which is kind of amazing. The rates of consumption across the board for americans is a poor but its lower in communities of color and underserved communities. This is as has been discussed earlier today, due to the fact that these communities do not have access to healthy food generally, and fruits and vegetables specifically. The Research Evidence does show us that there is a Clear Association between access to healthy food, particularly fruits and vegetables, and Better Health outcomes such as lower rates of all of the things doctor angola laid out earlier today. So i could not come to Georgetown Law Center and the site professor lawrence cost and. He is cited here. We were looking at the universe of policies that can address fruits and vegetable consumption to it is the aspect in the things we talked about today can impose bad public policy. So to organize our thinking we used this framework which has been developed by the professor to think about the different strategies and try to put them into some context. We also looked at the different settings where possible to implement policy related to increasing consumption of fruits and vegetables. And thsettings very broadly our government settings, School Settings which are just mentioned as an important kind of access point, Early Childhood setting, retail settings, worksites and generally community settings. So im going to give you kind of a whirlwind tour of the policies that we looked at in the 20 settings and im going to drill down in 2 two to examples that i think are particularly interesting. In the community and government setting, obviously that covers just a wide range of things. That kind of things we looked at in terms of different policies and also in terms would evidencebased is, where zoning regulations, local policies for Farmers Markets and community gardens, local ordinances, regulations of restaurants. Dr. Jacobson talked about childrens meals at fast food restaurants, making the default choice the healthy choice. He can do to local policy. Nutrition policies for food banks, this would be more of an institutional policy, and food procurement policies for Government Agencies and properties. This is one i want to take a minute to highlight. In 2011, hhs and the General Services administration with a lot of support from the centers for Disease Control issued the health and sustainability guidelines for federal concessions and vending operations. I know, i can just everybodys faces, i know this sounds incredibly boring but this is a really interesting policy. The guidelines came about because president obama met with ceos from major corporations about their worksite wellness programs, and he wanted to put something in place that was similar for federal employees. So we passed the office of Personnel Management to develop similar plans for the federal workforce, and as part of that effort, the General Services administration, worked with other agencies to develop foodservice procurement guidelines for federal facilities. So these are guidelines that vendors are either encouraged or required to follow if they want to contract with the federal government to serve food on government property. These are the types of things that are covered by the guidelines. They are obviously nutritional standards but theyre also recommendations, which could be interpreted as requirements, or pricing, healthier food more cheaply and unhealthy food. For promoting and marketing healthy food in a way that we dont typically see. And guidelines related to sustainability, environmentally responsible practices using organic products, sourcing food locally. I will just note that the cdc is in the process of updating these guidelines and they are going to be, the revised version will be issued probably later this year. I think that this is a really elegant intervention because it has brought impact. It sets an example for states and municipalities to follow but its not a regulatory intervention. So it avoids the nanny state brand that Public Health so often receives. As the gsa says on its website, this increase is choice not restrict choice but the guidelines are designed to make healthy choices more accessible, more appealing and more affordable. They are not designed to restrict choices. Imm or so im all for regulation. I love it. I want to see more of it, but i think this is an excellent middleground tickets into vendors, choosing the consumer with the federal government being a very big consumer insane as a consumer this is what we want and this is what we need you vendors to do. I will not run for all the statistics but ill just highlight the National Parks statistics. You can think about the

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