Done within the existing legal frame work or we need to at least change the Payment System rules . And the way im approaching it is im working then exactly as sue has talked about with the fortune 500 companies and with the unions and thats what were announcing today the bps council the ceo council, we will be taking the selfinsured and in that context, build a collaborative of providers across this nation, install this system, but on one condition, this collaborative will also work with the underinsured and the underserved. And now we will bring evidencebased 21st century care to cancer patience in Beverly Hills or South Central california and doctors can do what they do best, i. E. , provide the best care. [ applause ]. Let me just say and in theory, we should be able to bring it to any country in the world, right . Correct. If we have one of the things that our foundations involved in is this remarkable effort to the rwandaen government asked us to undertake. They want to be free of all foreign assistance in their Health Care Program by 2020. So, they we worked with them for years and dr. Paul farmer partners in health to design a program they can afford to run that will provide high outcomes for them. And its basically build a good hospital in every region of the country which we have now completed doing. Have one good Cancer Center in the country, which we have now completed doing. Lot of people think poor people dont get cancer. The rates are fairly consistent across the world. And then do a network of clinics and then train Community Health workers, which is why i had this nightmare experience i mentioned to you because its really the same in america, you know . But if you have the technology, it should work. I mean, weve got 19 american medical institutions working there training these people for 7 overhead. Im very proud of that. Lowest in history. And theyre going to be free of, i think, all foreign assistance. But they will only have really good care if they are hooked into a Global Information network that will enable people the thing that kills me, like in ethee yoep ya, so there are all these people in the world that you dont think about that are still dying unanimously. Nobody ever knows they lived. Nobody ever knows they died. That is nobody who keeps such records. And so, im very interested for the rest of my life, the stuff i dont do here, about how to apply these technological possibilities to places like in patrick is from Port Elizabeth in south africa. If you get sick in South African cities youll be find. But out in the bush, there are still people who are dying alone. Im working with in ethiopia and were doing these kinds of things for africa. But its true. So the point im trying to make if we did this in america, it would have incredible Ripple Effect across the world by just building the infrastructure for people to access. What were you going to say . I was just going to build on pats aspect, bringing it a little bit back to the states. 70 of our revenue is Medicare Advantage. And it has just transformed the organization over the last number of years from because of guaranteed issuance. We have to take everybody. Were not an insurance company. Were a Clinical Company because we are highly incentive to keep people healthy. I mentioned to you about the individual i visited in south florida. The reason why we have nurses going to their home, checking if they have nutrition, ensuring theyre not depressed is because were responsible for their health. We are paid an overall fee for their health and they stay with us for seven to ten years. And so, getting back to patrick, i think its the integration of the technology with a reimbursement system that motivates people to take responsibility for peoples health, not just the information side of that. To me, what is done for our organization is transformed our organization to be innovative about being responsible for peoples health. And i think if you change the reimbursement system, you will bring that innovation as what you were saying before. I want to comment just really quickly on one thing and that is in rest of the world. Some of the things youre talking about, patrick, and in terms of some of the african nations, could, in fact, happen faster because they dont have a legacy system like we have. We dont they dont have to defend the fifa Service System as we have here. A lot is self pay. In fact, the percentage of self pay thats what governs so much of the Health Care System over there. So, in fact, pilots that were trying to do a ge surround around some of these activities that youre talking about, we should be able to do those fairly quickly in some of those developing countries. You are. In bangladesh and ges, they have leapfrogged. Bangladesh doesnt have land lines, they have cell phones. Let me comment on that. For me it was pretty inspiring when i learned about what ge is doing. That is, we have a hand held ultrasound. For those of you who experienced ultrasound, you have to go into the hospital or go into a system and you essentially, you know, you have to book an appointment. Theres a lot of things about the system that just is. Ge came out with this hand held ultrasound and now has it connected. So now, you can just imagine as it relates to prenatal care and as it relates to decreasing themore bitty of infant death, its a remarkable tool. And were doing that in a lot of developing countries to be able to help this because in remote villages they all have phones and theyre all connected, but they dont have the tools. And we feel like this is something you can train people to utilize very, very easily. So, as it relates to possibilities of bringing technology into these developing countries, getting the connected world actually utilizing these in these remote, remote villages, its happening today. I have to agree with you with that. Here, we have the legacy systems. We have to breakthrough. And i know you say its happening already, but i have to agree with you, its going to take a little bit of time because the policies dont allow us to do what we like to do state by state. Were still breaking down those sort of barriers that we have to do, unless you fund it yourself. No. So the way were addressing, president , were going state by state. Im working with the governors, so were going through unfortunately state by state. But let me just to make sure everybody understand, we had a little bit of a we got off on a little techno speak, the reason that Medicare Advantage works and the way theyre talking about is it was conceived as a way of paying people to take care of people on medicare and to get a premium for doing prevention, for keeping them well. So, the idea was theres a fixed price list here. Thats the medicare payment that lets say i would get at my age for me. Im enrolled in medicare. And if i sign up with you, you are going to get this to fix me when im sick. So, well give you this to keep me well. In the beginning, there was a lot of controversy about it because in the congress, there was almost 100 agreement that there should be more Preventive Care but there was the suspicion that it was being done to privatize medicare in a way that would allow the whole program ultimately to be drastically underfunded. But it was because immediately people began to see the benefits of the preventive work in keeping people healthy, it was obvious that it was costing the providers about 600 im making this up, but this is pretty close, about 600 a patient a year to do this and they were getting reimbursed at 1,100 and nearly everybody would do anything for an 80 markup that was legal that wouldnt send you to jail. Over time, the providers got better and better at keeping people swoel the reimbursement rate could get lower and closer to the cost of providing the preventive services. Eventually youre going to go into negative territory because youre not going to have people using the medicare on a per capita basis you had accepted. Thats why in a funny way what started off as this big ideologic fight and a big leap of faith has led to a broad widespread acceptance of funding prevention and paying people for wellness instead of paying by procedure, which were out of time and i want to get this brings me back to the conversation i had with tim when he asked me to try to cosponsor this bob hope Golf Tournament and we got human that involved. I said, i will do this if you let us have the conference at the beginning on health care because one of the things that i had to face up to when i had my heart bypass surgery is i love getting my heart fixed at columbia presbyterian. They saved my life. It was fabulous. Then they had to go fix me again. But i americans cannot see themselves as helpless, passive creatures on a conveyer belt waiting and so because i know what youre thinking. Youre thinking, oh my god, if i get cancer, i want this guy to do my g gnome in a hurry and find the one miracle cure that will make me healthy again and 20. Were all laughing, but im pretty close, arent i . Okay. I got it. I want that, too. But the job that tim and i have and the rest of us even the providers are telling you that thats what they want now, is we are not helpless inanimate blops on a Conveyor Belt. Our conversation in this whole deal is to minimize the number of times theyll have to help us. [ applause ]. So thats why ill go back to the pga. When he agreed to do this, there were an unusual number of golfers and their families who had devoted their foundations to health care. Right . But normally for perfectly understandable and wonderful reasons they were trying to help solve a particular problem that someone in their family had experienced. So, tim is a day or two younger or older. Look how healthy he is. I just want to point that out. The pga took a big risk in doing this. They were trying to save this tournament. We were trying to preserve the legacy of bob hope in having raise a lot of money year every year that goes into the foundations. But i think the main thing that golfers can do what tim said about walking 30 hours a week, weve all contributed to this idea that you cant ask all the rest of these people to just take care of us. We have a heavy responsibility here, personally and in our families and in our communities to take better care of ourselves. So, i want to thank tim for doing his part to send the getoff the Conveyor Belt message to america. [ applause ]. Anybody want to say anything snels. I just want to say thank you, president , for all youre doing. Thank you. Lets give him a hand. They were great. [ applause ]. On our next washington journal chris chicola talks about his organizations goal trying to elect physically conserve ifr candidates in congress. And then we move on to ben wikler. After that our Big Ten College tour continues at the university of maryland where president wallace lowe looks at Public Policy issues and higher education. Plus your phone calls, Facebook Comments and tweets. Washington journal is live each morning at 7 00 a. M. Eastern on cspan. With live coverage of the u. S. House on cspan and the senate on cspan 2, here on cspan 3, we compliment that coverage by showing you the most relevant hearing and public events. On weekends, its the home to American History it have with programs that tell our nations stories including six unique series. The civil wars visiting battlefields and key events. American art facts, touring museums and sites to discover what art facts reveal about americas past. History book shelf. The presidency, looking at the policies and legacies of our nations commanders in chief. Lectures in history, with top College Professors devilling into americas past. And our new series, real america featuring our government and films through the 30s through the 70s. Cspan 3 funded by your local cable or satellite provider. Watch us in hd, like us on facebook and follow us on twitter. Now a look at how genetically modified foods and pesticides are raising health concerns. A group of women film makers took part in this discussion hosted by the Commonwealth Club of california. Its a little over an hour. Its actually organic wine tonight. Hello and welcome to tonights program the Commonwealth Club of california. My name is kevin omalley. Im chairman here at the club and your host for tonight. Our program tonight food fights for the 21st century, womens voices driving change. Our panelists are Deborah Coons garcia. Zen honeycut. Judy shields. And our host and moderator tonight is christiedames. Thank you very much, kevin. Thank you to the Commonwealth Club really appreciate being here tonight. Im very excited to have these three powerful women, some moms, some arent. Powerful women all the same. And so tonight we have a very Exciting Program about food and whats happening with our food. Im going to ask my first question of Deborah Coons garcia. You have two major awardwinning films. Youve been a film maker since 1970. You are quite the vocal activist and speaker. You have a famous husband, jerry garcia. How did you come to make films about food . Youve been a film maker for a long time. How did you arrive at food . Yeah. Well n 1970 when i was in college i started making films and also because of that era, back to the land and going natural and all that i became vegetarian, stopped eating junk food and soda pop and became an organic fanatic and felt better and became committed to that. I knew at some point i wanted to make films. I didnt start off making documentaries. I didnt make documentaries for many years after making films. But i also wanted to make a film about the food system. I had been informing myself about food and social justice and food and health for many years. So, that first film i made was the future of food, which came out ten years ago. When i started filming it about 14, 15 years ago, no one was really talking about the food system. They were talking about the perfect pear and the lovely bread and thats important. But i wanted to make it broader and make people understand the changes that were happening in the food system, especially genetic engineering, buying up the seed supply, pattening and all that stuff was really under the radar. I didnt know that and i was an extremely informed consumer. That film, i did a lot of outreach. Netflix bought 50,000 copies, all the whole foods carried it. We had this Great Program where people could buy bulk copies of the film. So after four years of that i decided to go more deeply into that same realm and so i made the film sim fany of the soil which is about soil. The first part is soil. The middle part is our relationship to soil which is primarily agriculture and big ideas. It looks at agriculture from soils point of view. You dont want to poison it. You dont want to kill it. You want to give back to it. And its really promoting this idea of healthy soil, healthy plants, healthy people, healthy planet, which i think we need to demand. And we deserve and we should get it. So beautiful. Thank you. Next, we have zen honeycut is up here from southern california. Zen is a mother and executive director. Theres a moms across america and moms across the globe thats taken off. Every year theres 172 parades that happen as part of the fourth of july celebration. She is a major voice on roundup. She was just invited to the epa a few weeks ago because she had such a major storm that happened around the country and they asked her to come to washington. So, zen, how did you arrive at food activism . Well, i got involved because i love my kids and like millions of moms across america today, they had food allergies. And still have food allergies. And dairy, wheat, gluten, nuts and even karen genen. The dairy wheat gluten and nuts allergies, i had about those. The karen genen, its like a karen whatin . Its a seaweed food thickener that is in everything that kids like. When i found out about this that karen genen can cause stomach ulcers and cancer, i realized that what we dont see is extremely important as well. Because the inflammation on the outside is actually a warning light for whats going on in the inside. So i started to research about food. I watched food ink. That was the first movie i watched about food. I watched robin obrien on ted talk and found out that gmos are foreign proteins. I got involved. With prop 37. We went gmo free as possible. Within four months, my sons allergies, a red line around his mouth that swelled up for weeks, within four months it was almost completely gone. And so when i saw my Childrens Health improve, i got very active in prop 37. And thanks to pam larry. When prop 37, it was Election Night and i was sitting in the back of the room, much like this room, and the leader up at the front of room, she had done landmark, which is personal training and development and leadership and all that. She had done it and i had done it. Why is she up there as the leader and im back here . You know, what had my role been in this campaign and this cause . And i realized that i had been just conveniently, you know, involved. I was helping out. And i asked myself, what if i took on im the one to transform the food industry. Not me by myself, but my actions, myself, im taking it on. And i knew in that moment that the results would be completely different than being somebody who helps out. So i asked myself, how can i let as many people know about gmos in the short amount of time as possible. And i came up with the idea of fourth of july parades because not many moms are going to go to washington and march on the National Mall but we will go tour local fourth of july parades the permits the port potties are set up, theyre waiting for you and the media cannot ignore you, lot of them are televised. We will bring your kids and hold a big banner that says moms across america. What is a gmo and why are these moms marching about it. A moms only special int