And and and it enables those senior stage successfully over many years. Thank you. [applause] thanks to the cochairs for your remarks and if you could please join us on stage. I am hoping we will have time for question and answer but i wanted to ask a couple of questions on the minds of many of you watching so maybe we should jump right in the first talk about the cost implications of the recommendations and there are some items with respect to cost of Health Care System specs i am happy to say a few words but thank u. S. The leader of the task force of any other team of researchers and writers if we could take a moment to recognize those who are involved. [applause] a good part of the indigenous for this report is in fact, the fact that we are increasingly aware of the role of the cost curve of increasing Budget Expenditures costs related to Medicare MedicaidSocial Security are three of the most important drivers of deficits is a function dramatically as it is a mention 78 billion baby boomers that causes the number of people over 65 years of age to double in 85 triple with increasing medical cost and the most expensive years where they find themselves in lowes expensing housing ever have a nursing home in the medicare law dash medical care needs so anything we can do as a country by enabling people to stay home longer to have care and home peace of mind as rawl positive aspects it does cost some to extend Home Services to create the support system but the expectation is that those costs are less than what can be saved for the most expensive form of care. There are numerous studies done over the years this spoke about trying to create a plateau by what they call compression of the years of morbidity the standard expectations that there is a steady decline and a cost increase over a steady period. That if you can find ways there is a shorter period in which we all concede to the frailties of life and those concepts are all implicit in this report to mention the personal experience two summers ago mother lives in the home that she and my dad bought when they were married and raised five children 69 years and cannot be talked about leaving the house even after i bother died it would have taken dynamite she knew the birds and was her garden and her house. And she fell down of 2014 and it went downhill from there. In the lost her by november so there is a four month period that was very difficult the she had been at her home perfectly happy in functional at 90 until that moment so i lived through the implications of sustained in a place where they can be happy with an inevitable difficulty but if we could create those circumstances for more americans they would be better off in the country as a whole would be better off as well. Talk about the role of the private sector we know about the low Income Housing tax credit in leveraging the private sector investments and their other recommendations engaged in an Affordable Housing and modification had we get the private sector more involved . They strike a great balance with the potential of savings as well as in gauging the private sector of what would be considered of a low income tax credit i had the pleasure to work with senator mitchell he prides itself as being at the birth of the tax credit and one of the successes is there is a tremendous desire for investment for the benefit they received so some of these recommendations psycho modification if you make it more suitable for someone to live in the home and 90 but so often that is not the case because of the constraints and there is so many things to be a tremendous opportunity with the role of technology. Still looking at those areas of opportunity remember the notforprofit sector and the private sector will be engaged in a way that i think can create a much more sustainable program. When we have the experience of local government had to look to another program in a better and smarter way with that tax credit with the recommendation we made a couple of years ago has been picked up by senator hatch who is chairman of finance so its a bipartisan opportunity for something good to happen where over the years people say i would invest thousands or millions more if i could have the extension so we need to keep that in mind Going Forward as we try to think of solutions for the long haul to make it more sustainable and also realize that it will require all of the above not just notforprofit in order to get it done in a way that is sustainable with tremendous challenges. Focusing on health care the task force makes a number of recommendations from the medicare vantage plan nonprofit hospitals with the recommendations that you outlined as removed from volume to value and then realizes outcomes is this the time to become a top priority . There is a great deal of conversation about all the social and environmental and situational factors that relate to health care that people simply cannot get to the hospital they cant fill the prescription because they cannot make it there or as if they had cataract surgery be he knew he had space to take care of him when he got home and was afraid to get it done but the fact is that someone went to his home to talk to him to say we will help you with the eye drops to make sure you know, what is being done to make sure you have a successful outcome that can have been over and over also referring to a Community Partners who can provide these services as the invite the caretakers into their homes or for the families that may not be functioning but they also say this is a stress on the system to provide all this care so we have to think about Health Care Dollars being spent with critical visits in the home it is wonderfully successful with Nurse Practitioners and independent Health Care Providers and bringing health care and house calls back again and not requiring them to come to the hospital so its an interesting time and time for innovation. To make sure the financing model is extremely important and obviously with managedcare because it was just continue to grow with the dramatic impact on families with successful and Healthy Aging they can stay healthy longer and those who are newly 65 and happens every day hopes that is the case that they are relying on policy makers to talk about the Community Partnership to allow payment for services and look at what is happening in medicaid or a variety of states to look at the best practices. That is great. Were living in interesting political tide in the final six months of when congress and administration of a powerful president ial election. [laughter] so how feasible is it for the next congress to take on the recommendation called for today . We have of a couple of reasons people may be negative about that one is general dysfunction and the other is the inability of congress to come up with big ideas with budgetary problems because we cant talk about this for a long time that both of those will get better from our standpoint that may not be true for every policy area but some and you remember the famous economist. With the unsustainable trend is not unsustainable. There is a lot of truth to that. The truth is most members of congress will tell you they dont like the fact that if you talk to them individually or small groups there really want to accomplish things i dont know what exactly precipitates that that will be possible but to do what we talk about today was a basic fact politics drives policy making in the average age is going up that is the other side of the clean the political potency of senior lawyers and their kids to have to deal with these problems so there is a constituency and i really believe with the things that we talk about with the broader war arabia of policies the biggest problem as i mentioned it is not that we wont do anything but we will do a little later than may shed in the of thoughtful way and in the way of other expenditures adult think we will go one time responding to the problems to expand the constituency. We could do wrong and in a way that is too expensive that and said subordinating every of their priority so it is a great value of the task force to encourage thoughtful action before it becomes a tidal wave. Those that demand action is a bipartisan consensus so theres almost no words to describe of how potent this is for the country and even has nationalsecurity dimensions the very character of the country itself it she leaves them with not decent housing so that is truly a global problem we see japan european nations, and that will confront issues with the yen under manpower for Social Security help system so this is our whole peer group of the industrialized nations and besides that watching people who live their whole lives to for a variety of reasons have not ended up with enough money at the end of the day minorities or marginalized when theyre the most frail or most dependent it just isnt fair or right to plan so badly so this is truly a powerful need. So with experts of housing in the Health Care Policy so there will be discussion of medicare and medicaid would is interesting about those proposals Health Care System of self and of those factors around that individuals. But it does bring together zero word does about communities. They want to stay in their home or in their community. Of that Bipartisan Policy Center but those Older Americans with quite a bit of overlap so are there a whole variety of more affordable levels of housing . And that works for you to. And then in the communities as well and i appreciate that. With housing in the home and the place for seniors live. We do want to open that up. As a clinical psychologist in addition to medical care and shelter that is critical for a healthy life. I wonder when people stay in their own home there is that Village Movement so the home as the site of Clinical Care and with the fitness to walk to the park to the Senior Center for the ymca it isnt only about getting their or the exercise. And that is extremely helpful. And with that social interaction is difficult. In that is bring you that as well. That they need to assess the situation so with that beneficiary. Were not mandating that people have to stay in place that perhaps the social interaction and the other of walking distance as the Energy Policy those who have gone to the hill to come to washington to do nothing. A but other than that i should have left before i intervened sovietera is to find one way to make the country better because it thought his comments were so are appropriate but this is something that id think we can move forward. And there is a number of ideas and i am also an optimist. So now i will have to excuse myself. [applause] one or two more then we have to wrap up. End with age ended come in the existing resources with those single homes and that is the modification is hard. And that is very important but there are those in the middle income areas that have resources to make those middleclass deletions to make good use of dollars her troy and in several forms with the recognition of more appropriately scaled and excessive rise steep new units those who leave the mansion in the suburbs to find something more suitable size wives for the widow after husband has passed or engaging couple so that is one issue so now everybody is excess arising because they have too many stairs or reach up to the cabinets they cannot reach because they are too high and the need to handle to pull that. All those things we need to figure out how we provide assistance for people for homes that are appropriate for their age. With the weather is asian of homes with the loss of heat from houses so why wouldnt we tried to do a home for life conversion a life span on conversion . With assistance to make those changes . I work for secretary caster on this issue were convinced there will not be a partisan solution so we feel like this is a crisis to see so clearly before it strikes and that is so rarely end within those public discussions need to maximize the agreement. And aging is a universal aspiration and as such has the ability with a broad base consensus to have the consideration on the solutions for Middle America andrea very concerned about the amount of mortgage debt and the other piece that they think about are the modifications to those that are not modifiable and what does that mean . And as they are building our rebuilding Senior Housing . Are those other also affordable to seniors . She knows more than i do. [laughter] there are those blowing prototype homes and then you put in a grab bar in the restroom to be a deterrent for younger people you dont put that in now just build a wall Strong Enough so when the time comes. To be suitable for very fit many families it is not harmful to the interest of those later on. So those of working on the floor plans to do that as a city of all ages but also has workout equipment and they are doing that. Chattanooga. And places that these are happening and how do you build the city for all ages. How do you build housing if it is in walkable distance and then not put in the pediments. Em with the telephone poll right in the middle. End intention maliki and that is non costly the awful way to make the communities better. Ended is not exactly easy to get in and out of philadelphia. And those factors are very difficult for older adults. And can be quite problematic but maybe a are better off if there were no sidewalks to drive 3 miles or 5 miles to get to the supermarket. Very Different Reasons better very isolating and problematic so the most vulnerable usually speak concerned and we recognize that but even those who have resources is extremely expensive if you have resources well beyond your means if you go into a Retirement Community it is not affordable for so Many Americans and that is a real stress but just dont wait until that moment to figure out how theyre in the suburban areas where there is a town center and a main street that doesnt have to be planned for but is available and then you can make up half down to the park to watch the kids so we all need to think about publicly financed and assisting the communities because there will be a lot of seniors out there looking for places to live and hopefully. I think hud could play a major role i know youre talking about some venues and i see mike in the audience who is formerly assistant secretary of policy development but looking read other departments to take the lead to make a difference like the program that goes to localities why can a portion of that the designated to deal with transformation . You did in silly almost touch a thousand communities across the country with that. May be controversial and with congressional consultation but some of that money already exist it just needs to be pressed to a national need. Nicki will help us close. My job is not to keep you in your seats too much longer. Want to give a few more credits to folks. When you have a yearlong effort there are a lot of people to thank, and weve been hard at it. A number of people have been thanked to special thank you to bill hogeland, Vice President here and a leader in our effort and hound ground the task force throughout its process to be fiscally sound and aware of all the impacts or recommendations bill we having, putting them out and being responsible in that. Also, we tried to practice what we preach in breaking down silos internally at the Bipartisan Policy Center stocker work coastally with our Health Policy team, katherine hayes, trying to make sure our policy efforts are coordinated, as well as bill mentioned in the production, our Economic Security team, this kind of response to the last two questions that were talking about, how to get raid get ahead of the challenge and what to do about middle income households. On june 9th our commission for Retirement Security and personal savings will be issuing their report, so please tune in for that. Well address homeec witness issues as home equity issues as well. Really relevant to the topic we excused here today. And thanks to our staff, dennis, helped our process, andy winkler, senior policy analyst, and jake, our project assistant. One other thing i want to say, the effort does not stop here. So, my other job is to say that we, as bpc, are committed to this report and the recommendations we released, and many of you have been a part of our process to get us here, but the effort continues, and we always say when a report comes out here halfway done so likely months more of actual advocacy and education work around the recommendations here. So, please reach out to us, dr. Park and i, to figure out ways to Work Together to advance what is in here and the work youre doing using our bipartisan platform. Thank you all for coming and for your patience staying overtime. [applause] [inaudible conversations] two muslim members of Congress Keith Ellison and andre carson spoke about antimuslim rhetoric in politics. We moderate this hourlong discussion. Good morning, everyone. Im thomas bird, the washington correspondent for the salt lake tribute and the National Press club. Today we have two members of congress here to take about the rhetoric aimed at the followers of islam. Last week two other members appeared in this room to talk about ending the dialing for dollars fundraising effort. Gop house policy chair luke messer was here to discuss the 2016 race. And house transportation and infrastructure chairman will shuster appeared before us to talk about his faa bill and the press club has several members of colleagues here for the sp l spelling bee. I will not ask you to spell anything today but i thank you for being here to discuss this relevant and important topic. I