Transcripts For CSPAN2 Washington Journal 20160430 : vimarsa

CSPAN2 Washington Journal April 30, 2016

In the student videos. It is a remarkable video showing tremendous insightht of what happens with Mental Illness in america with lack of access to care and the cost and the costa perpetuity and whether it was elected officials it is america is greatest health care embarrassment teeseven what is the federal governments role right now . Under the Affordable Care act and medicaid medicare it is pretty sizable but it also creates the barriers that prevents people from getting the care. We passed a few years citgo sova prior insurance the provides end of an in those second duty of patient or out. But 5 of the population use medicated 55 of medicaid spending is a huge cost. Those chronic choses also those of not getting the care or to follow through terribly have problems if you are a minority e it is even worse. Ms so if you see if believe physicians and the doctor says your setting showing bad symptoms she is depressed am withdrawingis from activities his grades are going down. Is mu so then he was sent to an emergency room where the General Hospital bed but it is much more expensive the view would be 500 a day bed General Hospital it is 1,200 views per day here are the dead at the risk of finance over those who have the most difficulty this got to read skyrocket in this heroic role of fact when but where theyre supposed to do . E costs get transferred to a rural hospitals sell the cost is going up. Of belgium heart surgery the doctor says the shift is over. Again the government comes up with these bizarre directions. But if that is the case to say we will work with that but we want them to collect. But betty will end up going to jail. They to messiers heinrich said initially fe investors we will work with him to see what happens in this his. What do you do . If that person is walking down the street me be homeless or somebody ranting and raving bill those one to 30 billion of the federal government spends is allocated. Yes. The office told us that this in the rest of theso disability treatments there is some portion but we sent about 500 million to the states but it is the last way to press his to check wounds and to but oftentimes is in the criminaljustice system because after all the judge knows when they have committed a crime they yes to provide. The judge then says that isnt a crime to be crazy. Weis isnt a crime to have pay but in that dehumanizing environment and relegated them to the backroom and alleys of Mental Health care. D they are not that nuys, the furniture is sold. Show them what to front. And to maintain its low thvel. And to restructure the organization but get the money out to help the homeless also the same dayes doctrine rule teeseven youre on with senator murphy. Caller thankyou. My question is that i have seen in there was no qualms but a charge about what to do with them but did not want to get sued. Then the tragedy happened instead of dealing with his mental issue it was put on the guns. The guns are the issue. They d they know what to do with Mental Health but so they do get a hold of the guns legally. Nothing was said about that or the responsibility for a fairer and though the knicks you are a great point that when these tragediess occur every year by roofers who was mentally ill. But it is six or 10 times more likely to be victims of crime and crime and fraud and abuse and rape and homicide. Sole also she likes to do something that when you mention it out we used to put people in asylums but we have to get rid of those days because they are warehouses of a cruelty but the leading person to get it moving the goal was get these bin to the petered and with those abuses to protect someones rights. We have not changed much but what is in their mind . Teeseven poughkeepsie a new york. Caller. Good morning. Congressman im sorry not senator. Dont promote me. [laughter] i am used to seeing the Mental Health area said closedown to preferred years asian. Those two so we both know that they are mutually exclusive. So i am wondering if we go back to that direction . I wouldnt categorize this institution that we have here but they were given in good care and i work in a nursing, but probably better than 80 have some sort of a psychiatric problem. And the but some people but they could save money because of a significant part of theca states budget but then patients because many were assigned to those places but what happened after treatment 88 communitybasedse care and that is where people were arrested in going to jail because we focused and for them to die with their rights on an york changed some of this that they a system without patient treatment because a person has a history of violence and incarcerationotectd when not in treatment so does a judge me of resuatient care. But what they have found ae the results are staggeringly positive natalie do they say my case worker was doing well but near 80 percent for rest and incarceration and homelessness reduction and Health Care Cost and the costs went down by half. I think it is more to maine to do that. But the work also spent money on Outpatient Care teeseven sebastian Florida Democratic klein. Caller good morning. They insert taking my call. Comi as a psychologist at was watching your program this morning talking about immigration. When the congressman get up there for two years than why dont you know, . Senate o no matter what party we cannot leave this for our children grandchildren. Key is a little off topiccons you are now in your seventh term with a short take . Its Mental Health. But i am chairman of the oversight investigation subcommittee in we have had witnesses come forward to deal with this issue in the cost of health care sometimes they have not done their work were giving it a region that is misleading. So we are hearing for example, why are you spending betty on 5,000 on the painty sitting on a rock . Like you have singalong songs a website for the people please it has nothing to do with serious Mental Illness they dont even the gin the words bipolar or schizophrenic in their document. Wheres the money going . Now with regard to the overall issue dont die in house on a colleagues but tension is part of politics even before we started to disagree but add millions to us like a struggle with Mental Illness they go this firsthand those to come to them to say how do we get a list . Ve they feel that saved misery and say wills of stigma and investment we say it is okay had in america when we make is so difficult and those that are standing for courage a courageous million. S but he is getting better. God bless him i want to seeat more to do that. But that doesnt make good copy for the do. A very sympathetic person to work of the wording of some of the divides it will take them how many billions of dollars to deal with that but then to go with that but the do when intense study how was out working. That is the biggest hurdle with the cost. Were also looking at structuring other things or how we had the rule. Summer releases and the records but when a person hits the wall they may have a standard ill this sort have diabetes are not seeking care, of one there to beat a keeneland do and he reacted. We should at least have that. Caller i have vague comment. Mr. Murphy, want to congratulate you because you made the comments and the hospitals how they transferred to one or the other and how the prices go up. I have been given the in and out of the hospital to tell me what my do we hear again . We dont have enough to read mitt you. So something has to be done. For the people in our area. But we cannot afford it stick it is important. I want to show you. With the poll of people who support the legislation. The numbers are staggering also are they more or less likely. To they have their own alternative . But the democrats have been alternative the day and are well attended the rumor and providers and new american psychiatrist unit said coalition okay. So there are many aspects in some great points but all of those murders over all our men to lung dash mentally ill. And to be reseed and and for those whose but to bea involuntary commitment the name goes on a listed they cannot persian they reinvestn but also to say this is a pretty serious problem. And they should not be able to transfer. But we can continue to work with people and then to enforce some of those that are out there. I am retired case manager i retired about eight years in vivid think so i think theres three major the first is of poor perjury medicare or medicaid will only pay for the cheapest medication. I dont know part of it is a lack of money, i think part part of it is for treatment programs and medication, it was very frustrating when a psychiatrist. Host joanna, what was it like to deal with the federal government . [laughter] caller it was very frustrating. It would repeal their decisions and it would take nowhere. It would take forever and meanwhile someone is suffering. Their behavior is out of control or they are on the street. The bureaucracy and red tape that you had to go through would take forever. s host thank you. Lets hear hear from the congressman. Guest thank you for your service. She is aptly right news aspectsi obviously we want to have theple support of employment. Employees are afraid of hiring h and they said how does he get his son a job. He knows with support he can define. Theres people in the workplace who in treatment do great. But they need someone to checks in on them on a regular basis. Are you handling your stress atu work . Its better to do that then have a person who is not doing their own job or gets fired or takess up the stress at home. She brings another point about medication. Cms has worked with this that will limit the types of medicine they havent go for the cheap one. Heres the thing. When when you have eight or nine antidepressant drugs on the market theyll treat depression, but the side effects can be very different. A patient who may take drug a may do well, on drug see the side effects are not good so they dont want to take it anymore. But if drug c is cheaper and they say thats when youre going to get, that manned ups and im not going to take that anymore. I dont like the side effects. So what we want to say is have a protective class of drugs that for psychotropic medications i do not want any federal bureaucracy interfering with the doctors ability to prescribe what is best for that patient. To me thats malpractice. If you dont have a license to practice, stay out, stay out of it. Because of that important issue of the side effects and most effectiveness of drug. Now the department it of defense will try to resolve some of it but i will see patients at Walter Reed Hospital get discharge of certain medication would be a say thats not enough, that were going to try something else. E, if it so we have said wait a minute, if it works leave them alone. Let them let them continue tom take that medication that helps them. Why trim them into a guinea pigs and experiment. These are human beings. And the cost of when that person stops taking medication and the other a fax effects. Far outweigh the cost of those drugs. Lets focus on doing whats right. Host jeff, you we we have about one minute left. Verse well i want to thank cspan very much for the service they provide and my question is a little offtopic but it seems like there is a clinical that iy affecting the congressman about not being willing to accept what most people consider science when it comes to climate change. I would would be interested in hearing the congressmans reactions. Host anything you want to address their. Guest instead of looking to what divides us and building on the prejudice against the parties im reaching across the out constantly send this is an area where members of our country are suffering. Lets not work at other ways to pick a fight, lets look at ways to pick a solution. Host din speaker ryan speak favorably about your legislation recently. Guest he is very supportive of this and he will support a vote. Leader said, i hope during may which is Mental Health month in america that we can do something, youre wearing a green green time im wearing a green time, thats the color spring, rebirth, Mental Health support. Host its an Election Year will it pass this year . Guest i believe it will. The senate has a version that theyre working on, that doesnt go as far as ours in some areas but senators want to have something in there. Even if you dont understand issue what im showed you before in terms of that graph of support, americans want to see that. And just the politics alone outside of polict people should be passing this and going to the constituents. Ir please come back and talk to us on a late longer segment. Host now joining us is a ted lou, democrat from california was recently featured on 60 minutes. Congressman, why were you on 60 minutes . Spee2 60 minutes gave me an apple iphone that they bought from a store and said keep it for one week. Were week. Were going to try to hack it. One week later they play back the conversations i had with my chief of staff and others. It was quite disturbing and really creepy. They basically had hackers in germany hack into this phone knowing just the phone numbers. Host what was their goal . Was this after San Bernadino . Guest it was, but their goal was to reveal a flaw, its a technical technical term but what it means is the Cell Phone Networks have this design flaw where Foreign Governments and hackers just by knowing your phone number can listen in on your conversation, get your Text Messages and also track your location. They knew where i was washington d. C. In california, they could get my Text Messages and here in realtime the conversations i was happening. This this could happen to anyone cell phone. Host so whats the solution. Guest have called for congressional investigations, very pleased their different committees now looking at investigating and im very pleased that the fcc has now started an investigation. Keep in mind, again, again they just need yourself phone number. O yop it is not related to your phone, its related to the network you happen to be on. So this affects hundreds of millions of phones. Host what is ss seven . Were talking about cell phone privacy, were talking about other communication privacies as well besides this ss seven technical issue that the congressman is bringing to our attention. Guest its sounds for system number seven. Its how networks communicate with each other. Then there then there is a flaw and how they designed it. It was first revealed in 2014 at a hackers conference. Now they figured out how to use it. Any Foreign Government has access to it. Including the Foreign Governments of iran, china, russia, be quite surprised ifs conversation of elected officials, both in congress as well as appointed officials were not being monitored by Foreign Governments as we speak right now. Host does it have to do with whats in the cell phone with wifi tower . Spee2 it has nothing to do with whats on the cell phone. It has to do with what your network is. If is. , so if you are in 3g, the flaws in their part if you own a 4g network it is possible the possible the flaws in there. As as we moved to a new 5g system in about ten 15 years the flaw will go away but the problem gets worse because that systemm is now open because its based on the entire internet and anyone can try to access it. Host are there patches available. Ai guest in the meantime there is something that you can do in the public can do and that is go to encryption. After i watch the 60 minute episode because they dont show you the episode before they do it, i went i went ahead and started encrypting my Text Messages. There are different apps you can download on your phone one is called cigna no. Theres other applications. Want to once you get that your Text Messages are encrypted. As long as the other person is using the same application. So no longer do you use your providers text message system is that correct. U guest i try to shift my staff to this other app and asats what ill be using asas well sing crip to my voice communications. Which means now for Foreign Government or hacker is now intercepting these Text Messages they cannot do very i much with it because its all encrypted. Host how does one encrypt a voice message . At guest we have applications that do this. I have actually no idea, even though i am a recovering Computer Science major to rated program to encrypt. You have applications that do it for you. You download an application, yol install it on your phone and then use it. Its encrypted. Host if you want to talk about electronic privacy please call in, go ahead and dial in Electronic Communications privacy act it passed 419zero. What was the bill my did you support it. Guest im a big believer in privacy. You had mentioned in addition about wifi. One of the areas you can get is if you go to a coffee store or hotel, anyplace with a wifi network and you think you are using the coffee stir but its a hackers sitting 5 feet away from you and you sign onto his network that looks just like the starbucks network you thought your on and then all your phone data gets to that hacker. In terms of privacy i think it is going to be one of the cecil key civil rights issues of the 21st century. Thats why why it last year we worked hard to rain back what some of our intelligence agencies were doinr in terms of seizing phone records and to me that violates the Fourth Amendment. The Fourth Amendment amendment is prettys clear says government shall not engage in unreasonable searches and seizures unless they have a warrant on you. I can guarantee you they did not have 300 some million warrants on people. So we wring that back in any bill that helps protect privacy im going to support, right now there is a dispute between the fbi and smart phone manufactured like iphone in terms of whether they can violate your privacy and get the company to unlock. These phones by writin

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