Podcasts about hhs

Health Affairs' Marianne Amoss and Rob Lott explore the impact of Medicaid unwinding on children's health.Read Milkie Vu's article from the upcoming "Tackling Structural Racism in Health" issue.Related Link: We cut child poverty to historic lows, then let it rebound faster than ever before (Vox) Federal Health Policy Requires Child Health Investment Focus (Health Affairs Forefront) Medicaid (KFF) Racism and Health Resource Page (Health Affairs)

American Oversight v. HHS

  The Friday Five for September 29, 2023: Countdown to AEP 2024 2024 Medicare Advantage Premiums and Deductibles Medicare & Social Security Nuances to Remember Medicaid Redetermination Issues Meta Enters the AI Fray   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim Twitter, https://twitter.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Resources: 5 Pillars of Integrity ft. Jason Meyers: https://agentsurvivalguide.podbean.com/e/5-pillars-of-integrity-ft-jason-meyers/ 2024 CMS Compliance Regulation Updates for Agents ft. Alyson Seighman: https://agentsurvivalguide.podbean.com/e/2024-cms-compliance-regulation-updates-for-agents-ft-alyson-seighman/ Ask the Agent Survival Guide! https://agentsurvivalguide.podbean.com/e/ask-the-asg/ How AI Chat Bots Can Assist with Marketing & Social Media: https://agentsurvivalguide.podbean.com/e/agent-apps-how-ai-chat-bots-can-assist-with-marketing-social-media/ Medicare Switching & AEP 2024: https://agentsurvivalguide.podbean.com/e/medicare-switching-aep-2024/   References: 7 Social Security and Medicare Quirks That Trip Up Advisors: https://www.thinkadvisor.com/2023/09/22/7-social-security-and-medicare-quirks-that-trip-up-advisors/ Biden teases forthcoming executive order on AI: https://www.cnn.com/2023/09/27/tech/joe-biden-executive-order-artificial-intelligence/index.html CMS says 500K will regain Medicaid coverage as it takes aim at autorenewal issues: https://www.fiercehealthcare.com/regulatory/cms-says-500k-will-regain-medicaid-coverage-it-takes-aim-autorenewal-issues Coverage for Half a Million Children and Families Will Be Reinstated Thanks to HHS' Swift Action: https://www.cms.gov/newsroom/press-releases/coverage-half-million-children-and-families-will-be-reinstated-thanks-hhs-swift-action Everything Coming to Netflix, Disney+, MAX & Other Major Streaming Services in October 2023: https://comicbook.com/movies/news/october-2023-streaming-new-movies-tv-shows-netflix-disney-plus-max/#4 Facebook and Instagram will soon get a slew of AI-powered creator tools: https://www.theverge.com/2023/9/27/23892231/meta-generative-ai-image-editing-stickers-instagram-facebook-whatsapp     Hollywood Writers Strike Ends: Deal Finalized After 148 Days Of Work Stoppage: https://www.forbes.com/sites/anafaguy/2023/09/27/hollywood-writers-strike-ends-deal-finalized-after-148-day-work-stoppage/?sh=378d343e8cbf IRMAA 2023 For Medicare: What You Need To Know: https://www.forbes.com/health/medicare/irmaa-for-medicare/ Medicare Advantage and Medicare Prescription Drug Programs to Remain Stable in 2024: https://www.cms.gov/newsroom/press-releases/medicare-advantage-and-medicare-prescription-drug-programs-remain-stable-2024 Meta unleashes its own AI assistant for Instagram, WhatsApp, and Messenger: https://www.androidpolice.com/meta-ai-chatbot-coming-to-whatsapp-and-messenger/

The development of medical treatments often requires use of human subjects, as well as human cells and body parts as models of human systems, to investigate mechanisms of action and to test therapeutics. Biotechnology has provided many successful therapies for previously intractable conditions, but also increasingly complex techniques that can alter what it means to be human and blur ethical lines. When we consider stem cells, cloning, gene editing, human-animal chimeras, organoids, embryoids and so-called synthetic embryos, what is ethical and what crosses the line of human dignity? Is any scientific endeavor justifiable because of a potential for cures, or are there ethical limits to efforts to heal or eliminate certain diseases all together? Do ethical alternatives exist that would benefit humanity without losing our ethical integrity?The Charlotte Lozier Institute has developed the Handbook of Nascent Human Beings to explain the science and to stimulate discussion on the ethics and moral permissibility of modern medicine and biotechnology. The place of this research in policy will also be discussed.David A. Prentice, Ph.D. is Vice President for Scientific Affairs at the Charlotte Lozier Institute. He is also Advisory Board Chair and a Founding Member for the Midwest Stem Cell Therapy Center, a unique comprehensive stem cell center in Kansas that he was instrumental in creating. In 2020, he was appointed by the Secretary of HHS to the federal Human Fetal Tissue Ethics Advisory Board. Dr. Prentice has almost 50 years' experience as a scientific researcher and professor, including previous service as a staff member at Los Alamos National Laboratory, senior fellow at the Family Research Council, Professor of Life Sciences at Indiana State University, Adjunct Professor of Medical and Molecular Genetics, Indiana University School of Medicine, and Adjunct Professor of Molecular Genetics at the John Paul II Institute, The Catholic University of America. He has provided scientific lectures, policy briefings and testimonies in 40 states and 21 countries, including before the U.S. House and Senate and numerous state legislatures, the U.S. National Academy of Sciences, the President's Council on Bioethics, European Parliament, British Parliament, Canadian Parliament, Australian Parliament, German Bundestag, French Senate, Swedish Parliament, the United Nations, and the Vatican.Tara Sander Lee, Ph.D., is Vice President and Director of Life Sciences at the Charlotte Lozier Institute. A scientist with over 20 years' experience in academic and clinical medicine with an emphasis on the cause of pediatric disease, Dr. Sander Lee earned a Ph.D. in Biochemistry from the Medical College of Wisconsin followed by postdoctoral training at Harvard Medical School and Boston Children's Hospital in molecular and cell biology. Dr. Sander Lee was an appointed faculty member at the Medical College of Wisconsin, where she directed a research laboratory investigating congenital heart disease in children and served as Scientific Director of Molecular Diagnostics at Children's Hospital of Wisconsin. She has also served as a scientific consultant and is currently a member of the U.S. Secretary of Health and Human Services Advisory Committee on Infant and Maternal Mortality.Dr. Sander Lee is dedicated to promoting ethical advancements in healthcare that protect the sanctity of every human life. She has given expert legislative testimony, numerous national media interviews, and provided scientific advice for legislators, policymakers, and organizations. Dr. Sander Lee is published in various medical journals and textbooks, including her most recent contribution to the book, Choose Life: Answering Support the show

On this Salcedo Storm Podcast:Representative Tony Tinderholt is the conservative who represents District 94 in the Texas State House. He has announced a run for Speaker of the Texas House. AND Representative Brian Harrison represents the 10th district in the Texas State House. Prior to that he was President Trump's Chief of Staff at HHS.

W. J. v. HHS

Judgement On The U.S. (2)  (audio) David Eells - 9/24/23  Dodge The Viper  Isaac Payne 1/5/23 (David's notes in red)  In this dream, I was in a used car lot. Apparently, I was shopping for used cars. There was a used car salesman walking next to me, trying pique my interest in every car as I walked past. The used car salesman was wearing a brown blazer dress jacket. (I think the brown blazer represents faction. There is a faction in the government and corporations and is united in working together to divide the country.)   I was not impressed with the selection of cars in the lot. The salesman was noticing that I had no interest in these cars. He seemed to be a bit anxious trying to run ahead of me and pointing at individual cars and explaining how great this model is. I would walk past him again with no interest. The used car salesman gave his last effort and asked me if I like sportscars. I nodded and he pointed out to me a Dodge Viper sports car. (The Viper represents the vaccine.) (Snake venom was found in the vaccine. See Stew Peters interview with Dr. Ardis.) https://rumble.com/v10mnew-live-world-premiere-watch-the-water.html I was surprised that a used car lot would have this type of car.   As I looked at the car, I noticed externally that it seemed like it was in decent shape. The body seemed ok, and the paint was ok as well. I didn't think it was pristine, yet I knew it was an older sports car. The color of the car was white with two red racing stripes. (This color symbolizes the color of the medical industry icon. The red and white cross with the snake wrapped around the pole. (You can be sure they have already the vaccine for the plandemic they are about to release.) See picture below.       The salesman asked if I wanted to take the car out for a test drive. I obliged and jumped in the driver's seat and the used car salesman sat in the passenger seat. (The factious, whether in church or government will pretend to sit on the right while making merchandise of you.) 2 Pet 2:3 And in covetousness shall they with feigned words make merchandise of you: whose sentence now from of old lingereth not, and their destruction slumbereth not.   As I sat down, I noticed on the left-hand side of the car, the year this Dodge Viper was made, and it was 1999. (The 9's flipped upside down symbolize 666, which is the mark of the beast, the mind, works, and nature of the beast.) Rev 13:11 And I saw another beast coming up out of the earth; and he had two horns like unto lamb, and he spake as a dragon. (​This verse reminds me of Dodge brand of vehicles. Dodge has created the Dodge Ram which is a mature male sheep. Also, Dodge has created the Dodge Viper which is like a dragon.) Rev 13:17-18 And that no man should be able to buy or to sell, save he that hath the mark, even the name of the beast or the number of his name. Here is wisdom. He that hath understanding, let him count the number of the beast; for it is the number of a man: and his number is Six hundred and sixty and six.   I began to drive the Dodge Viper and I drove it to the main roads and to the highway, so I could test it out and listen for any abnormalities, misfires, gear shifting, response time, etc. Although I was on the main roads, they were winding. (The path of fear and submitting to the opinion of so-called health professionals to escape the curse through man's works is not the straight and narrow path. Man's diversion of the curse only leads into another curse.) Jer 17:5 Thus saith Jehovah: Cursed is the man that trusteth in man, and maketh flesh his arm, and whose heart departeth from Jehovah. Luk 7:14-15 For narrow is the gate, and straitened the way, that leadeth unto life, and few are they that find it. Beware of false prophets, who come unto you in sheep's clothing, but inwardly are ravening wolves.  As I was driving, it was almost like I had a vision and I could see the engine internally and was able to discern the Dodge Viper mechanically. I could tell that this car was dragged out and the engine was worn out and had only about 10,000 miles left on it. In the vision of the engine, I could see that it was rusty and not properly lubricated. (This symbolizes the effects of the vaccine internally. It may not be noticeable on the external yet, but the damage is being done internally. In my previous career, I was a Lubrication Technician at a steel mill, and we always said that lubrication is the life blood of the machine. I believe the medical establishment has poisoned the life blood of the masses. Luk 13:1 Now there were some present at that very season who told him of the Galileans, whose blood Pilate had mingled with their sacrifices. (History repeats.) Ecc 1:9 That which hath been is that which shall be; and that which hath been done is that which shall be done: and there is no new thing under the sun.   However, we know that life is in the blood and I'm not sure there has ever been a more critical and more physically evident scenario of this in history. Lev 17:11 For the life of the flesh is in the blood; and I have given it to you upon the altar to make atonement for your souls: for it is the blood that maketh atonement by reason of the life.   The solution is Jesus. 1Jn 1:7 but if we walk in the light, as he is in the light, we have fellowship one with another, and the blood of Jesus his Son cleanseth us from all sin. Father showed me that when Jesus spoke of the tribulation in Luke 21 that men would faint for fear. Luk 21:26 men fainting for fear, and for expectation of the things which are coming on the world: for the powers of the heavens shall be shaken. (We can certainly see a heightened level of fear out there of What's Next.) Jesus knew and it is obvious that fear has persuaded the masses into accepting this poison in their blood stream and literally causing men's hearts to fail for fear. (Most will not be fooled by the Covid scare again; something far worse will come this time and they already have a vaccine ready.) However, Life is in the blood and His blood is clean and His nature pure and, in these days, the poisoned that come out from amongst them will become clean, the lame walk, and the blind see. Physically and spiritually. Those who are spiritual lepers will become whole through Jesus. I can imagine the healings for the needy these days. What the enemy meant for evil, Father has orchestrated for good. Halleluiah!  (Yes they will gather around Christians for healing no one else offers, not even the med-beds.) (See this verse about a blood issue which reminds us of the threatened Marburg hemorrhagic fever, which we will share about.) Mat 9:20-22 And behold, a woman, who had an issue of blood twelve years, came behind him, and touched the border of his garment: 21 for she said within herself, If I do but touch his garment, I shall be made whole. 22 But Jesus turning and seeing her said, Daughter, be of good cheer; thy faith hath made thee whole. And the woman was made whole from that hour. (Father let the scattered come out and reach for His garments in Jesus name! Amen.)   As I was still driving, I noticed that this dodge viper was a T-top. (This represents the cross that many will bear for the decision to follow the Beast. Upon this Viper there is a cross and a heavy burden. Not the cross we should bear, but needful for some to reach out for true repentance.) I decided to drive the Dodge Viper back to the used car lot. As I arrived and parked the car, the used car salesman asked me what I thought. I didn't say anything to him, but in my mind, I was not impressed. I asked him, "How much is it?" He showed me the price and from my memory it was around $68,000.00. I said to him, "No! I am not willing to pay this price." At this point, I knew I was done with the used car lot. Then I woke up.     A New War Is Coming  Michael Boldea Jr. - 04/06/2007  Jeremiah 50:22, "A sound of battle is in the land, and of great destruction".  James 5:8, "You also be patient. Establish your hearts, for the coming of the Lord is at hand".   One of the most important lessons I learned as a young man traveling with my grandfather, as being his interpreter, is that one must always prepare for battle, before he is faced with it. Just as a soldier must know the weapons of his warfare, train with them, and be comfortable with them, so must a servant of God know his weapons, and prepare himself before he ventures out into enemy territory. It was so ingrained in me, that a servant of God must be prayed up, and fasted up before he goes out to minister, that before every tour I begin, I take a couple weeks to simply fast and pray, and draw close to God, and see what He would have me share at the upcoming meetings.   I was still in Romania the first few days of February, about halfway through a two week fast, when after having spent some time in prayer, I went to bed, and fell into a restful sleep. Sometime during the night, I began to dream. I dreamt I was hearing what were at first faint hoof beats, but the closer they got, the louder they grew, until it was a thundering roar of not one or two horses but what seemed like hundreds. I felt as though the ground beneath me was shaking from the onrushing horses, and the sound of them became so loud that I suddenly awoke in my bed. As I blinked a few times, adjusting to the darkness in my room, I noticed a shadow at the foot of my bed. I blinked again, and there stood the same man I have seen on previous occasions, dressed in battle armor, his hands resting atop each other before him, on the hilt of his sword.   "What is the meaning of what I just dreamt?" I asked, somehow knowing he had come to give me the interpretation.   "What you heard", he began, "were the chariots of war, and they are swiftly approaching. A new war is coming, but it will be unlike this present one. Speak as you have spoken, pray as you have prayed, and walk as you have walked for dark days will soon come upon the land to which you are returning. Even now their enemies plot, even now their enemies unite under one banner, and soon they will make their intentions known to the world. There is no refuge but, in the Father, and He will guide and protect those who know His voice".   I blinked again, and the man was gone, and I was left to ponder the words I had heard. I struggled with whether I should make this dream public, for I know the reaction that some will have to it, and the last thing I desire is to stir fear in the heart of any man. After much prayer I felt, I was supposed to publish the dream, and though some may receive it as a reason to fear, the true children of God will receive it for what it was, the forewarning of a loving Father, preparing His children for what is to come. God's desire for us is not ignorance, but rather knowledge, that we may prepare our hearts, in prayer and fasting, that we may draw closer to Him, that we make Him our place of refuge long before hardship forces us to seek one. The wise man prepares, while the foolhardy is caught unaware.   As always, my prayers continue to be with you and yours, and with a grateful heart I thank you for all that you do on behalf of those less fortunate.   Jeremiah 19:15, "Thus says the Lord of hosts, the God of Israel: 'Behold, I will bring on this city and on all her towns all the doom that I have pronounced against it, because they have stiffened their necks that they might not hear My words".     Knock Out Punch Prophecy  Dr. Patricia Green (David's notes in red)   https://www.youtube.com/watch?v=1A1TDyzRQLE   Today's video is called the Knockout Punch prophecy, which the Lord gave me on July 22, 2023. So, I just want to read what was given to me.    As I sat down to receive this message, the very first words that I heard was, “Knockout Punch.” And the Lord said, “I am delivering the knockout blow to the worldwide elites who have controlled the politics, the financial world and the pharmaceutical industry; and yes, I say industry because that is what it is. By no means does Big Pharma have the interest of making people well or healing them. Just the opposite. They create drugs to make people dependent on them so they can line their pockets with trillions of dollars.    The Lord said, “I have put my glove on and with one blow I will remove the global elites who hide in the shadows and control the people, says the Lord.” The Lord said, “I say enough. I have had enough of their wickedness. I have had enough of their deceit and control and manipulation. I have had enough of them controlling the wealth. For with My knockout punch, I will strip them of their wealth, which is built on a false system and layers of lies.”     Patricia says, now I find this part quite amusing. The Lord said, “The wealthy elites will, be like, the emperor who wore no clothes, in this children's storybook called, The Emperor's New Clothes. It was a shyster who convinced the emperor that he was weaving him a beautiful robe, but in fact there was no robe; it was imaginary. He further convinced the emperor to parade through the city in his glorious robe that did not exist. (This could represent the fake Biden presidency, who is only a puppet controlled by the two sides of this show making deals with one another and they will all be exposed and declassed.) This is the same fate as the global elites, says the Lord.” “It was the common people who revealed to the emperor that he was naked and without any royal apparel. It will be the common people who will strip the elites of their fine apparel, their riches and their properties; and the elites will be naked and exposed, says the Lord of host.” (The prayers of the righteous will bring down the DS globalist, satanist bunch. They are soon to throw their last desperate punches but they will be significant.)   “How, do you say, how can this happen?” “Because they are so powerful and so rich and so hidden.” But the Lord says, “But I say, nothing is impossible with Me, says the Lord of hosts.” “How could the entire army of Pharaoh and Pharaoh himself be swallowed up in the Red Sea, and yet I did that, says the Lord.” “No one in Israel could have imagined that their enemies against them could be here one minute and the next minute forever gone. Forever annihilated. I Am that same God. I created the earth and everything in it. It all belongs to Me, says the Lord.” “The heavens are My throne, and the earth is My footstool.”     “Who is man that I Am mindful of him, says the Lord.” “I say man is My creation and I will not tolerate the altering of men, women and children. For that is the work of the enemies to try and improve and alter and change My creation. No one knows My mind or My power except My Son. So, if you want a glimpse into My thoughts and a glimpse of My power, come to My Son and ask Him to reveal Me; to reveal Me, Your Heavenly Father. For I AM Almighty, all powerful, all knowing and ever-present. I AM the Great I AM, and I AM, has spoken.”   “Now go My children and declare My words in this earthly realm. Declare all that I have spoken and already given to My true prophets; for when you declare My words, you are taking your spiritual authority on this.” Luke 10:19 Behold, I give you authority to trample on serpents and scorpions, and over all the power on the enemy, and nothing shall by any means on you. The Lord said, “Use your voice, My children; lift up your voice in one accord for your voice has power, My power, says the Lord.”      Police Bots  Anonymous 2020 (David's notes in red)  I dreamt that I was walking around the streets talking to people about Jesus. Time went by very quickly, and suddenly it was evening. (The judgements come quickly, not knowing the hour, but to always be ready as they come unexpectedly.) In the dream there was a curfew that no one could be outside of their house past 5pm until the next morning. (This is likely Martial Law to control the anarchy and warfare from the left.)  I went to walk back home, and I turned down to the next street and I saw all these police people all lined up blocking that road so no one could get past without them being caught. They would get in trouble because the law was that we weren't allowed to be outside at this time.   I didn't want to go that way, so I turned into these set of buildings to my right, they were designed like a retirement home. I went to a two-story building, and the door was unlocked so I went inside. It turns out this was a communal house for the elderly, and they all had their own bedroom and shared everything else inside. A man was watching the television, and he didn't see or hear me. But the rest of the people were already in their beds asleep. So I went into a bedroom that had no one in it, and I looked out the window. (God always has a way out in all trials, we turn to Christ, on the Right Hand of God NENT 1Co 10:13 Only human temptation hath overtaken you: but God is faithful, who will not suffer you to be tempted above that ye are able; but will with the temptation make also the way out, that ye be able to endure it.)  I saw that the next building over was a police station and I saw all these police officers training, doing physical moves and actions kind of like the Russian army do. They were moving so quickly, and they were so powerful.   I then had the revelation that they were actually robots and not humans, however they looked so realistic. (dead and void of spirit) I asked the Lord if the other police I saw previously lined up were humans and I felt that they were not either. But they looked so human-like. (They appear convincing, but underneath are ravenous wolves. I have seen some of these and they are very realistic.  Of course they are controlled by the elite powers that be and are programed to control others.)  Then I woke up.  (The deep state has many human-like bots and clones that look human like. There have also been people testifying that these bots and clones are used in the military, news reporters and other TV personnel. The white hats are taking down this corruption, but the Lord also uses the corruption to judge the wicked.)    Dangerous Things To Come? These are possibilities EBS Test - FEMA  I was asked to share the following message with the world. Remember, I'm only the messenger. What you choose to do with this information is up to you and your own free will.   On October 4, 2023, at 2:22 PM EST, the Emergency Broadcast System will be activated across the entire United States under the leadership of FEMA, “disguised as a test.” However, this test will be used to send the specific high frequency signal through devices like smartphones, radios and TVs with the intention of activating graphene oxide and other nanoparticles that have been inserted into billions of human beings around the world through the obvious mediums. (5G, v@xin@ted) Everyone will be affected regardless of your status. The plan is to also do this in Israel at the same exact time.   There are certain organizations that are doing their best to stop this in both Israel and the United States. Hopefully they will be able to stop this and stopping this in Israel looks promising, but stopping this in the United States is still up in the air.   This will also include Puerto Rico, Hawaii and Alaska. If the October 4th date does not occur for any reason, the backup plan will be to do it on October 11th at the same time. In the case that this is not able to be stopped, I asked you all to shut off your phones and all other relevant devices at 2:00 PM EST for a period of two hours to be safe.   This type of wavelength and affects us physically, mentally and emotionally. I urge you all to protect yourself and I ask you all to share this video far and wide. Thank you very much.  Jeffrey Prather video (could not indicate a date) Number 1: Exploratory laboratory animals, they're just test beds and then number 2: If you got the shots, the odds are according to U.S. Law, that you are owned by the patent holders, you're a new species called, Onboard Genesis and you are owned. That's the nature of what our case says today.   That has resulted in the suspension of our Constitution; it's already happened. The next one is coming. In that statute, you will see that Marburg is already identified. You will note that the Prep Act has a Marburg provision that allows for additional spending when invoked. The Health and Human Services has already invoked the Marburg provision, meaning they've already parted ways with money and spent it under the HHS enabling statute to build quarantine camps, amongst other things, throughout the United States.   We interrupted two; one of which was in Cochise County, Arizona, where they were going to build a $1.9 million facility that houses the now merged 4 branches under the HHS. The judiciary, law enforcement, corrections and public health are now all one and the same, and they're all housed in the same facility. So, all of these quarantine centers are there.   We understand that there could have been a Marburg release that Doctor Chambers will get into. We think that one has already happened. We know that Marburg is not particularly contagious, but it has an extraordinarily high rate of fatality, and we know the mechanism by which this will be released. And that is, inside of these shots that people have already received, inside the lipid nanoparticle, the hydrogel, there exists pathogens inside of the particles that have not yet open. Those pathogens are chimeric; they include E.coli, Marburg, Ebola, Staphylococcus and Brewer's yeast, amongst others.   We know that upon the broadcast from the 5G system, it is now employed across the United States and the world for that matter, when they broadcast an 18 gigahertz signal for one minute, three different times as they pulse, it will cause those lipid nanoparticles to swell and release the pathogenic contents, thereby causing a Marburg epidemic that they've already spent the money on. They've already done it; it's already done. The Marburg epidemic, for purposes of the law has happened, and now we just need the actual disaster to happen. And there's actually worse parts to it than that, including the 1p36 gene deletion that effectively will turn those poor people into zombies. As odd as that sounds, our governments are preparing for that.    https://search.brave.com/search?q=1p36+gene+deletion+syndrome&source=web    Safety in Zion  Anonymous 12/14/22 (David's notes in red)  I dreamt that I was a woman that wasn't me. I had never seen her before, and she lived in northern Florida. (There are many prophesies of judgements coming to Florida.) I was in first person as this lady but wasn't as myself.  This lady was really upset and grieving, because her husband had recently died. She got an infection and became sick, which really humbled her. The sickness caused her to then turn to God, and to repent for wallowing in grief. (The many troubles to come will turn many to God)   She became close to Jesus and started to realize that He is her real husband. (Isa 54:5 For thy Maker is thy husband; Jehovah of hosts is his name: and the Holy One of Israel is thy Redeemer; the God of the whole earth shall he be called. God uses the judgements to bring people to repentance. But those already abiding in Christ are protected from the judgements and are a witness to them.)  Later, a deadly plague spread around the state, and there were so many people dying suddenly from it. The plague also caused many people to become crazy and irrational doing abnormal things. (This sounds like a result of the vaccine, having been activated by 5G, where many people “die suddenly.” A deadly plague released by the DS.)  She knew a policeman, and he came to her and drove her away from the populated area on his motorbike. He drove her to an extremely tall tower. (The policeman represents the Man-child, the motorcycle represents the balance and power that he has. The woman represents one who is abiding in Christ and is ready for the next step. NENT Rev 12:6 And the woman fled into the wilderness, where she hath there a place prepared of God, that there they may nourish her a thousand two hundred threescore days. Pro 18:10 The name of Jehovah is a strong tower; The righteous runneth into it, and is safe.)  The width of the tower wasn't big, but the height was huge. (The tower here represents “Zion the Tower of the flock which the Man-child is populating. Mic 4:7-10 ASV  and I will make that which was lame a remnant, and that which was cast far off a strong nation: and Jehovah will reign over them in mount Zion from henceforth even forever.  8  And thou, O tower of the flock, the hill of the daughter of Zion, unto thee shall it come, yea, the former dominion shall come (A return to the power and authority of Jesus), the kingdom of the daughter of Jerusalem.  9  Now why dost thou cry out aloud? Is there no king in thee, is thy counsellor perished, that pangs have taken hold of thee as of a woman in travail?  10  Be in pain, and labor to bring forth, O daughter of Zion, like a woman in travail; (The Man-child is birthed of Zion the bride.) for now shalt thou go forth out of the city, and shalt dwell in the field, and shalt come even unto Babylon: there shalt thou be rescued; there will Jehovah redeem thee from the hand of thine enemies. The tower was difficult to get to, and you couldn't get in unless you had the keys. (Representing the key of knowledge to the house of David and the keys to the Kingdom. NENT Mat 16:18-19 And I also say unto thee, that thou art Peter, and upon this rock I will build my church and the gates of Hades shall not prevail against it. 19 I will give thee the keys of the kingdom of the heavens; and whatever thou shalt bind on the earth shall be bound in the heavens; and whatever thou shalt loose on the earth shall be loosed in the heavens.   Isa 22:22 And the key of the house of David will I lay upon his shoulder; and he shall open, and none shall shut; and he shall shut, and none shall open. Luk 11:52 Woe unto you lawyers! for ye took away the key of knowledge: ye entered not in yourselves, and them that were entering in ye hindered.)  The doors were heavily guarded. I, as this lady, was escorted to the top where there were another three people. The policeman told me to stay up here and that he had others to go get, and he left. (Jer 3:14-15 ASV  Return, O backsliding children, saith Jehovah; for I am a husband unto you: and I will take you one of a city, and two of a family, and I will bring you to Zion.  15  And I will give you shepherds according to my heart, who shall feed you with knowledge and understanding.) I looked out the window from the very top and we were up so high. (Representing “abiding in heavenly places in Christ.”)  The ground was flat so you could see an extremely long distance. (Representing extremely good discernment.) The ground below the tower was covered with trees and I could see all these zombie-like people running around. They appeared to be infected and were acting crazy. (From the article above: The 1p36 gene deletion that effectively turns people into zombies.) I was glad I was in the tower. (I felt maybe this woman represents people that are living their own life in their own way, apart from God, until they go through various trials (and judgements) which humbles them and causes them to repent and turn to God before it's too late).  In the dream I fell asleep in the tower, and I woke up as a completely different woman. (Another type to examine.) Now as this other woman, I'm in a fancy and rich house which had a male butler and a female assistant who would follow me around. This lady was moving to southern Florida from the Midwest.  I couldn't understand why she wanted to move but she did. The butler and assistant did every little thing for this lady. He would always go ahead to prepare the way for whatever was happening, and the assistant would always walk behind her except when opening the door for her each time.  This lady was extremely wealthy, and she didn't have to do anything herself. She was never alone and always had either her butler or assistant with her. The butler flew to southern Florida to buy a place next to the beach for her and prepare everything before she was to arrive. He bought the only available real estate, which was a large expensive penthouse in an extremely fancy building, right on the beach. Her assistant unpacked everything for her, and they stayed the night.  The very next day they returned home from shopping and were in front of the car park of their building. They looked towards the beach and saw a giant tsunami about 110 yards away. The lady told them to run to the elevator to go up to the top of the building.  The butler said that it would take too long, and they should run up the stairs. So, they went to run up the stairs and they had only taken a few steps when the wave crashed upon them and the last thing the lady said was, "Jesus!" and then it all went black. (NENT Mat 19:23-24 And Jesus said to his disciples, Amen I say unto you that a rich man shall hardly enter into the kingdom of the heavens. 24 And again I say unto you, It is easier for a camel to enter through a needle's eye, than for a rich man to enter into the kingdom of God. 25  And when the disciples heard it, they were astonished exceedingly, saying, Who then can be saved?  26  And Jesus looking upon them said to them, With men this is impossible; but with God all things are possible.)   (I felt maybe this lady represents those that live their own life and repent moments just before they die, or before it's too late, they call on Jesus.)  I then woke up as a completely different lady. I was in a master bedroom, which I had never seen. It had a huge walk-in closet, a giant bathroom and a very large bed. All the walls were a light warm yellow. It seemed that this lady was free to do anything she wanted, and I knew she was in America.   She began to plan in her mind to first go and check out Texas and live for a little while, and then go to Tennessee, and then move to Washington state. She wanted to decide which state would be the nicest to live in permanently. This made her so very excited!  The lady had so much freedom to be able to do anything she wanted without having to worry about time or money. She walked out of the bedroom excited with all these plans in mind, and she went downstairs and walked outside. I saw a man sitting on a picnic table with five children, an 8-year-old being the eldest child. (The number five is grace, and the number 8 represents the firstfuits Man-child.)  It was then made known to me that they were my children, and the man was my husband. He had brown curly hair and brown eyes and a little bit of brown facial hair. I went and sat with them as I have a heart for children, and I hugged them and treated them as my own. I was excited that there were five children. (Receiving grace.)  I realized that I was given a choice to stay here and be a mother and a wife to them, or to go do my own plans. I chose to stay, and I became their mother, treating them as my own and each day I had something to do with the children. The children wanted a backyard playground, so we all went to the shops to buy those things for them. There was complete unity between the seven of us. There was no fighting but complete peace. (Complete in Christ.) I was so very content and enjoyed being with the children.   (I felt maybe this lady represents those that choose to sacrifice their own life now in this world, for God. The man represents being married to Jesus and the children, bearing His Holy Fruit. Those who are in God's will are physically and spiritually protected but those who are in disobedience to God are tormented by the devil and receive many judgements.)     Spring Revival, Clean Air For Believers  Sandy Shaw - 03/19/2015 (David's notes in red)  This is the way the dream begins: I'm standing in front of a doorway, and I know it's a city and I'm looking at a wall (Babylon). This wall reminds me of an adobe-like substance. (Dirt represents flesh, which comes from it. Adobe is very fragile protection from the earthquakes below.) As I walked through the doorway, I immediately walked into a very chaotic scene. (Babyl means "confusion".) I could see the people, but they could not see me.   I saw a man dressed like they did back in the days of Moses, with Egyptian-like makeup on his face. Also, there were people there dressed in modern-day garb. (Moses spoke the curses upon the Egyptians before separating God's people and going into the wilderness.)   I looked to the left and saw male and female prostitutes and right next to them, I saw people shooting up drugs with needles and people popping pills. It was very crowded, and I heard foul language being shouted all around me. People were being pulled to and fro and things were being said like; "Come here! No, come over here!" (Babylon is full of invitations to sin.)  I began walking toward a set of stairs between the people and the stairs on the right-hand side were very narrow and high. (Right is for sheep and righteousness. Narrow stairs represent the narrow road upward. High is for heavenly.) When I got to the top where the door was, I turned over my right palm and there was a key in my hand. (Representing the key of David to the heavenly place of Zion.) I unlocked the door and opened it. When I investigated the room, I sensed a lot of peace within the room. (A heavenly place in the midst of a world of evil.) The walls were bright white and there were three vases full of colorful and beautiful flowers. I specifically noted that there were tulips and daffodils, which are early spring-type flowers, amongst the other flowers. (Early spring revival?)   Just as I walked through the doorway into the room, I looked directly in front of me to the back wall and there was a twin-sized bed centered on the back wall. (Symbolizing the rest and the unity between a man and woman. Representing the Man-child and Bride bodies.) It had a homemade quilt that matched the colors of the flowers in the vases. Then, over to the left of the room was an open door that led to the bathroom. On the right side of the room were three windows. The first window I observed to the left contained a dirty window air conditioner with a thick film all over it. (Unclean air conditioning: Uncleanness in the air, as we have now with the chemtrails.)   I took the knobs off the window unit and put them in a bowl with cleaner and fresh water. Then I took out the filter and put it into the bathtub with water and cleanser. (That which filters the uncleanness out of the air but only in this upper room for the remnant.) Suddenly, a new bright white towel appeared in my hand. I hesitated to clean the inside of the window unit with this bright new towel because all that filth would ruin the towel. But just then I heard the Lord say to me, "No. I want you to use this towel". So, I obeyed the Lord and used the towel He supplied me to thoroughly clean the inside of this air conditioning unit until it looked new. (Finally, clean air for the upper room people but not for Egypt. When the plagues came upon Egypt, there came a time when God separated Goshen and from then on they only fell on Egypt.)   Then I went back into the bathroom to get the filter that was soaking in the tub and when I picked it up it was clean. I put the filter back into the unit and I took the knobs and wiped them down and put them back onto the air conditioning unit. (Finally, clean control for those in authority and clean air.) There were two push buttons on the front of the unit, and they were loose. I tapped them both and then I said to the Lord, "Lord, You have to fix this". (Power on or off comes from God but He has given us authority to use His power against this chemtrail curse.) Then, I happened to look down at the towel and it was clean. (That which is clean in the spirit realm does not get dirty by cleaning the unclean.)   The full dream is found here and includes martial law, economic collapse and earthquakes.      Forgive or Fall Under Judgment  Winnie C. 11/17/20 (David's notes in red)  (In this dream Winnie represents the Christians who will escape because of their right relationship to God, men and scripture.). I had a pretty powerful dream last night. I was in a house that I suppose was mine. Several men came in holding rifles (I assume that's what they were, although I do not know much about guns. They were large, long, and black, military style maybe). (We have received dreams that the anarchists of different groups had been supplied military weapons to attack and hold hostage the country. The enemy is about to come against Christians as spirits or spirits inhabiting these human enemies). They were holding me, and whoever else was there, hostage. I knew they wanted to kill me, but I wasn't afraid. I thought there was a very strong possibility that I would die. (The factious in both the church and state are hateful, unforgiving people, who think they should control the lives of others but as we will see they are brain dead and controlled by demons. Their perpetual unforgiveness and faithlessness will make them victims of the coming judgments from Babylon/DS.)  I immediately began to forgive any offense I had against anyone that the Lord brought to my attention because I knew I could not enter the kingdom with a root of bitterness or offense of any kind in my heart. I even reached out to someone from my past that hurt me and she was glad to hear from me. (To me she represented my past and how I was let down as a collective. I do not believe it was just about her). (Approaching judgment demands that we forgive all from the heart to escape the tormentor demons power.)  I wasn't afraid to die. I was afraid to die without having fully surrendered all to God, through Jesus, including matters of the heart.  I do not remember what the men were holding us hostage for (a ransom that I don't recall), but as soon as I had forgiven everyone from the heart, the men let us go. They all left one by one and I was grateful to God for His mercy. There is an obvious correlation between forgiveness and being held hostage, even according to the Word (The tormentors. See verses below). (The tormenting demons whether independent or inhabiting an enemy have authority over us and our future unless we forgive from the heart. Mat 18:34-35 And his lord was wroth, and delivered him to the tormentors, till he should pay all that was due. 35 So shall also my heavenly Father do unto you, if ye forgive not everyone his brother from your hearts.)  By the strength of the Lord, by His Spirit, we are able to let go of everything and hold onto nothing. Our flesh loves to hold onto grudges because of pride and "not wanting to be a doormat," but that isn't the way of the Kingdom. His rebukes and corrections are His mercy and His encouragement to keep going. I thank God that this happened while it was still bright outside. The sun (Son) was shining through our windows and it made me think of. Joh 9:4 We must work the works of him who sent me while it is day; night is coming, when no one can work.   He says He will show us the right way to go, that leads to the way of everlasting! Praise God!  Mat 6:14-15. For if you forgive others their trespasses, your heavenly Father will also forgive you, but if you do not forgive others their trespasses, neither will your Father forgive your trespasses. (This unforgiveness of God is for those who do not forgive others; they have no protection from judgment.)  Mat 18:23-35 Therefore the kingdom of heaven may be compared to a king who wished to settle accounts with his servants.  When he began to settle, one was brought to him who owed him ten thousand talents. And since he could not pay, his master ordered him to be sold, with his wife and children and all that he had, and payment to be made. (Notice, for the unforgiven, the debt must be paid and his or her curse comes on the whole family.) So the servant fell on his knees, imploring him, ‘Have patience with me, and I will pay you everything.' And out of pity for him, the master of that servant released him and forgave him the debt. But when that same servant went out, he found one of his fellow servants who owed him a hundred denarii, and seizing him, he began to choke him, saying, ‘Pay what you owe.' So his fellow servant fell down and pleaded with him, ‘Have patience with me, and I will pay you.' He refused and went and put him in prison until he should pay the debt.   When his fellow servants saw what had taken place, they were greatly distressed, and they went and reported to their master all that had taken place. Then his master summoned him and said to him, ‘You wicked servant! I forgave you all that debt because you pleaded with me. And should not you have had mercy on your fellow servant, as I had mercy on you?' And in anger his master delivered him to the jailers, until he should pay all his debt. So also my heavenly Father will do to every one of you, if you do not forgive your brother from your heart.  (Notice the bitterness and unforgiveness of the factions in church and state will make them victims of the tormenting demons in the plagues and curses as we have been given many dreams to show.)    Fear Will Make You a Victim  Amber Bristol - 11/17/20 (David's notes in red)  I dreamed I was driving a car following other cars from UBM. We came to a house on a hill. Many people pulled to a high gravel parking spot near the house. (A type of God's house on the hill of Zion. Amber here is being used to warn the larger body of what will make them a victim of the judgments the DS will loose on the country.)  I didn't like this night, it was dark and windy. (An ominous atmosphere) I didn't want to be trapped behind the other cars. I wanted to be ready to leave easily. I wanted to park with the front of my car pointed toward the way out. (A fear of being trapped in things to come. Spiritual claustrophobia is a fear of not being able to escape close places.)  Angelica and other people were standing there and warning me where to not park (Angelica meaning an angel). I think I was told not to park on the grass ("All flesh is as grass” I.e. don't park or rest your human vehicle in the flesh) and avoid a few other spots for safety's sake (So you don't slide off the hill and lose your position. When we have meetings at my house on top of a small mountain, I warn people to not park on the grass when the ground is wet because people slide down the side. One man did this and slid down quite a ways before stopping. Later that man fell away from the Lord through unforgiveness and died in the faction.).  Eventually I got parked and walked around to the back of the house. Several people were seated in lawn chairs lined up toward the street that ran behind the house, other people were wandering around. This was a very straight street, almost like train tracks. (The straight street is not a crooked path, which is good. If a person walks or drives straight they can see what's ahead for a long ways. Getting "off track" is missing the narrow, straight road to take the crooked road.)  It was Halloween and I didn't want to be outside. (Amber doesn't have the fears spoken of here but she is acting out a warning for the body to not fear the judgments about to come.) It was dark and windy. (Halloween is supposed to be a scary night when demonic scary things are celebrated and it is a satanic holiday.) There were no lights on under the porch where we all were gathered. The only light was the dim light coming from the sky. (It is only walking in the light of God's word that we are safe. 1Jn 1:7-9 but if we walk in the light, as he is in the light, we have fellowship one with another (Not faction), and the blood of Jesus his Son cleanseth us from all sin. 8 If we say that we have no sin, we deceive ourselves, and the truth is not in us. 9 If we confess our sins, he is faithful and righteous to forgive us our sins, and to cleanse us from all unrighteousness. (Those with the factious spirit never confess their sins because their demon knows he would lose his house. They always blame others for what they did just like in the political realm.)  Scary figures (I guess in costumes) would travel very quickly down this straight road. The first was an Indian in full headdress. He barred his teeth and showed his knife. (The fierce Indian represents the first owners of this land who became antagonists to the white man. Notice the DS have always tried to turn the left against the white man. This is faction, divide and conquer tactics. This fits the DS faction in our personal experience. The full headdress was worn by great warriors and chiefs. The DS is at war with the American people and consider themselves our leaders or chiefs. The war paint and fierce look is to instill fear in their victims. Fear of them makes them and their judgments more powerful.)    The attacks from DS and their attempts to destroy the health, economy, and the food source will be scary. So this could very well be a warning for us to pray against this. Fear negates Faith because it is faith in reverse. Claustrophobia is a spirit of fear of tight places and not being able to escape. (Those who fall into faction, who had faith at one time, then have NO faith for themselves to save them from the coming plagues or other judgments. They cannot be justified by faith because they do not repent. Their own fear will destroy them. Job 3:25 For the thing which I fear cometh upon me, And that which I am afraid of cometh unto me. The second figure was a black bull. He was angry and acted like he was going to attack us. (I.e. meaning get off the straight road. This is going astray, which is why it is black for darkness. It is turning against us by getting on a crooked path. The Trump market was a bull market. In one dream Trump was a bull the left was trying to kill but was resurrected by God supernaturally to judge the matadors who speared him. In a bull market, stocks tend to go up in price over a period of time. It means people have hope for the future and are confident to invest in it. Bull markets are when the economy is growing, unemployment is low and inflation is at bay. When someone says he is "bullish" on a single stock, he simply means he expects it to rise in price. We do not want it to go astray as many liberals and DS are trying to do. People are fearful and lose confidence in the future and don't invest in it.)  I was going to hide behind some furniture that was stacked near the back wall, when all of a sudden a fierce wind and leaves blew up and scared the black bull back onto the road. We all laughed and boasted about how we were being protected by the wind. (Wind in scriptures is often the same word as Spirit. The Spirit put the bull back on the straight road to prosperity. Fear of the bull going astray will only help it to do so.)  I went into the house to get away from the parade of scary figures outside. (Fear of the future binds us up and makes us victims.)   (This dream seems to be saying that if we are fearful of the future this will hinder us from going forward and upward into heavenly places in Christ where all our benefits are.)   

The system for coordinating organ donations and transplants in the United States is broken, according to experts who have testified over the course of many years to Congress. In this episode, hear their testimony about what is wrong with the current system and then we'll examine the bill that aims to fix the problems. Please Support Congressional Dish – Quick Links Contribute monthly or a lump sum via Support Congressional Dish via (donations per episode) Send Zelle payments to: Donation@congressionaldish.com Send Venmo payments to: @Jennifer-Briney Send Cash App payments to: $CongressionalDish or Donation@congressionaldish.com Use your bank's online bill pay function to mail contributions to: Please make checks payable to Congressional Dish Thank you for supporting truly independent media! Background Sources August 3, 2022. Senate Finance Committee. Lenny Bernstein and Todd C. Frankel. August 3, 2022. The Washington Post. February 10, 2020. Senate Finance Committee. The Bill Audio Sources July 20, 2023 Senate Committee on Finance, Subcommittee on Health Care Witnesses: LaQuayia Goldring, Patient Molly J. McCarthy, Vice Chair & Region 6 Patient Affairs Committee Representative, Organ Procurement and Transplantation Network (OPTN) Matthew Wadsworth, President and CEO, Life Connection of Ohio Raymond J. Lynch, MD, MS, FACS, Professor of Surgery and Director of Transplantation Quality and Outcomes, Penn State Health Milton S. Hershey Medical Center Donna R. Cryer, JD, Founder and CEO, Global Liver Institute Clips 30:40 Sen. Ron Wyden (D-OR): HRSA, the Health Resources Agency, is on track to begin the contract process this fall and we're just going to be working here to complement their effort. 36:30 Sen. Chuck Grassley (R-IA): In 2005, I started the investigation of the deadly failures of UNOS, the monopoly tasked with managing the US organ donation system. Since then, more than 200,000 patients have needlessly died on the organ waiting list. There's a reason that I call UNOS the fox guarding the hen house. For nearly two decades, UNOS has concealed serious problems [at] the nation's organ procurement organizations, known as OPOs, instead of working to uncover and correct the corruption. This human tragedy is even more horrific because many of these deaths were preventable. They were the result of [a] corrupt, unaccountable monopoly that operates more like a cartel than a public servant. 44:45 LaQuayia Goldring: As a toddler, at the age of three, I was diagnosed with a rare kidney cancer that took the function of my left kidney. And when I was 17, I went back into complete renal failure and I received a first kidney transplant at that time. Unfortunately, in 2015, I went back into kidney failure. And at that time, I wasn't ready for another transplant, but I didn't have a choice but to go back on dialysis. I've been waiting nine agonizing years for a transplant, dependent upon a dialysis machine five days a week, just to be able to live. I was told that I would receive a kidney transplant within three to five years. But yet I am still waiting. I am undergoing monthly surgeries just to be able to get my dialysis access to work so that I can continue to live until I get a transplant. The UNOS waitlist is not like one to 100, where everybody thinks you get a number. I'm never notified on where I stand on the list or when I will get the call. I have to depend on an algorithm to make the decision of what my fate will be. 47:55 LaQuayia Goldring: Just a few weeks ago, a donor family reached out to me to be a directed kidney donor, meaning they chose me specifically for a kidney transplant. But unfortunately, due to the errors in the UNOS technology, I was listed as inactive and this was a clerical error. And all that they told me was this was a clerical error, and they could not figure out why I was inactive. But when it came down to it, I'm actually active on the transplant list. 51:45 Molly McCarthy: The Federal monopoly contractor managing the organ donation system, UNOS, is an unmitigated failure. And its leadership spends more time attacking critics than it does taking steps to fix the system. I've seen this firsthand in my five years as a patient volunteer with the OPTN and three years ago, I stepped into the role of Vice Chair of the Patient Affairs Committee, or PAC. 53:45 Molly McCarthy: Further, I have been called by a board member telling me to stop focusing on system outage and downtime of the UNOS tech system. He told me that having downtime wasn't a big deal at all, "the donors are dead anyway." That comment speaks volumes to me about the lack of empathy and respect UNOS has for donor families. 55:00 Molly McCarthy: Congress needs to break up the UNOS monopoly by passing 1668, ensuring that HHS uses its authority to replace UNOS as its contractor. 1:00:15 Matt Wadsworth: Break up the OPTN contract and allow for competition. 1:00:40 Matt Wadsworth: I commend this committee for introducing legislation to finally break up this monopoly and I stand ready to work with you in any way possible to ensure that this bill passes. It's the only way this industry will be able to save more patients' lives. 1:02:10 Dr. Raymond Lynch: I want to differentiate between organ donation, which is the altruistic decision of the donor patient and their family, and organ procurement, which is the clinical care provided by OPO staff. This is what turns the gift of donation into the usable organs for transplant. Organ procurement is a clinical specialty. It's the last medical care that many patients will ever receive. It's reimbursed by the federal government and it's administered by OPOs that are each the only provider in the territory to which they hold federal contracts. Right now patient care delivered by OPOs is some of the least visible in American healthcare. I can't tell you how many patients were evaluated by OPO workers in the US in 2022. I can't tell you how many patients were examined, or how many families were given information about donation, or how many times an OPO worker even showed up to a hospital to do this clinical duty. This lack of information about what OPO providers actually do for patients is a root cause of the variability in rates of organ procurement around the country. My research has shown that what we call OPO performance is a measurable restriction on the supply of organs that results in the unnecessary deaths of patients with organ failure. For example, if the lowest performing OPOs from around the country had just reached the national median over a recent seven year period, there would have been 4957 more organ donors, yielding an estimated 11,707 additional organs for transplant. Because many OPOs operate in a low quality data environment and without appropriate oversight, almost 5,000 patients did not get adequate organ procurement care, and nearly 12,000 other patients did not receive life saving transplants. 1:03:55 Dr. Raymond Lynch: OPO clinical work is currently not visible, it's not benchmarkable, and it's not able to be adequately evaluated, analyzed, or compared. However, much of the hidden data about how OPOs provide care to patients is known to one entity and that entity is UNOS. 1:05:20 Dr. Raymond Lynch: We need a new network of highly skilled specialist organizations, each attending to areas of expertise in the management of the OPTN contract. 1:21:15 Sen. Marsha Blackburn (R-TN): When we look at OPTN, and look at the Securing Organ Procurement Act, the bill would strip the nonprofit requirement for the manager of the Organ Procurement and Transplantation Network, which would open the door for profiting from organ procurement and donation. And to me, this is something that I think many people really fear, especially people that are on a waitlist. And so what I would like for you to do is to address that and address those concerns. And why or why not you think the Act has it right. Dr. Raymond Lynch: Thank you, Senator. I think it's unfortunate that people would be afraid of that and it needs to be changed. Many of the patients that you referenced are waitlisted at for-profit hospitals. For-profit is a part of American healthcare. And I can tell you that our not-for-profit entity doesn't work. And there are for-profit hospitals and for-profit transplant centers that do work. So patients don't need to be afraid of that. They do need to be afraid of the status quo. 1:28:30 Sen. Ben Cardin (D-MD): Ms. Cryer, do you have any views as to why it's much lower percentage chances for a racial minority to be able to have a transplant? Donna Cryer: Yes. And it really does come down to UNOS not doing its job of overseeing the organ procurement organizations. We know from many studies that black and brown communities donate organs in the same percentage they are the population. So it is not a problem of willingness to donate. It is a problem, as Miss Goldring was starting to discuss, about UNOS not ensuring that OPOs go out into the communities, develop relationships far before that horrible decision is needed to [be] made to donate the organs of a family member. 1:56:45 Sen. Elizabeth Warren (D-MA): And among the many reforms the legislation would support HRSA's proposal to break up the OPTN monopoly contract into multiple smaller contracts, which would allow some competition and allow the best vendors in the business to manage different parts of the transplant network operation. That means hiring IT experts to do the IT. It means hiring logistics experts to do logistics, and so on. 1:57:15 Sen. Elizabeth Warren (D-MA): UNOS does not want to lose control, so they're pushing to have the government limit eligibility only to nonprofit vendors that have worked in the past on organ donation, meaning, for instance, that the IT company that is hired to run OPTNs computers systems would have had to have worked on an organ transplant network in the past and be a nonprofit. So Ms. McCarthy, the requirement UNOS wants would seem to make it so that only one organization could apply for the new contract: UNOS. 1:58:35 Sen. Elizabeth Warren (D-MA): Right now, Congress has an opportunity to root out corruption in this system, but if we don't act before the current contract expires we won't have another shot for years. August 3, 2022 Senate Committee on Finance Witnesses: Brian Shepard, CEO, United Network for Organ Sharing (UNOS) Diane Brockmeier, RN, President and CEO, Mid-America Transplant Barry Friedman, RN, Executive Director, AdventHealth Transplant Institute Calvin Henry, Region 3 Patient Affairs Committee Representative, Organ Procurement and Transplantation Network (OPTN) Jayme Locke, M.D., MPH, Director, Division of Transplantation, Heersink School of Medicine, University of Alabama at Birmingham Clips 36:15 Sen. Ron Wyden (D-OR): A 1984 law created the first computerized system to match sick patients with the organs they need. It was named the Organ Procurement and Transplantation Network. Someone needed to manage that system for the whole country, so the government sought to contract an organization to run it. UNOS was the only bidder for that first contract in 1986. The contract has come up for bid seven other times, UNOS has won all seven. Today, the network UNOS overseas is made up of nearly 400 members, including 252 transplant centers, and 57 regional organizations known as Organ Procurement Organizations, or OPOs. Each OPO is a defined geographic service network. Families sitting in a hospital room thinking about donating a loved one's organs does not have a choice of OPOs. 37:40 Sen. Ron Wyden (D-OR): Between 2010 and 2020, more than 1,100 complaints were filed by patients and families, staff, transplant centers, and others. The nature of these complaints runs the gamut. For example, in a number of cases, OPOs had failed to complete critical mandatory tests for matters like blood types, diseases, and infection. Our investigation found one patient died after being transplanted with lungs that a South Carolina OPO marked with the wrong blood type. Similar blood type errors happened elsewhere and patients developed serious illness. Some had to have organs removed after transplant. Another patient was told he would likely die within three years after an OPO in Ohio supplied him with a heart from a donor who had died of a malignant brain tumor. UNOS did not pursue any disciplinary action. In a case from Florida, another patient contracted cancer from transplanted organs and the OPO sat on the evidence for months. In total, our investigation found that between 2008 and 2015, and 249 transplant recipients developed a disease from transplanted organs. More than a quarter of them died. 38:55 Sen. Ron Wyden (D-OR): Delivering organs has been another source of life threatening errors. We found 53 such complaints between 2010 and 2020, as well as evidence that this was just the tip of the iceberg. In some cases, couriers missed a flight. In others, the organs were abandoned at airports. Some organs were never picked up. Many of these failures resulted in organs being discarded. 39:20 Sen. Ron Wyden (D-OR): It's reasonable to assume that many more errors are going unreported. Why? Because filing official complaints with UNOS appears to accomplish zero productive oversight or reform. Organ transplant professionals repeatedly told the Finance Committee that the complaint process was, and I quote here, "a black hole." Complaints went in, UNOS went quiet. In interviews with the Committee UNOS leaders have dragged their feet, dodged tough questions, and shifted responsibility onto others. investigations and disciplinary measures rarely amount to much more than a slap on the wrist. Only one time -- just once -- has UNOS recommended that an OPO lose their certification. 55:05 Diane Brockmeier: We must update the archaic technology system at UNOS. As OPOs, we are required to work with UNOS technology DonorNet every day. DonorNet is outdated, difficult to us,e and often slow to function when every minute counts. Manual entry subjects it to error and OPO and Transplant Center staff are not empowered with the right information when time is critical. I did serve in leadership roles on the OPO Committee from 2017 to 2022. Committee members and industry leaders voiced repeated requests to improve DonorNet. The consistent response was UNOS IT did not have the bandwidth to address this work. The limitations of the UNOS technology are delaying and denying transplants to patients that are dying on the waitlist. Poor technology impacts the disturbingly high kidney discard rate in the United States, where one in four kidneys never make it to a patient for transplantation. Critical time is lost due to the inefficiency of DonorNet, wasting time on offers that will not be accepted. Of course an available organ should be offered to the patient in this sequence. However, far too much of the matching, particularly on older donors and organs that are difficult to place, are left to the individual OPOs and transplant centers to find each other despite, rather than facilitated by, UNOS technology. Mid-America Transplant intentionally identifies surgeons who accept kidneys that have been repeatedly turned down many times. These are life saving options for those patients. In May of 2022, one of these patients was number 18,193 on the list. Relying on DonorNet alone, that kidney would never had been placed and the chance to save a life would have been wasted. 55:20 Diane Brockmeier: UNOS lacks urgency and accountability around identifying and remediating this preventable loss of organs, and they are not required to publicly report adverse events when patients are harmed, organs are lost, or the quality of patient care is deemed unsafe. UNOS does not require clinical training, licensure, or certification standards for OPO staff delivering critical patient care. In this environment, who's looking out for the patient? Who's being held accountable for poor patient care? No OPO has ever actually been decertified, regardless of its performance or its safety record. 57:55 Diane Brockmeier: When an OPO goes out of sequence to place an organ that would otherwise be thrown away, UNOS requires an explanation; however, when organs are recovered and discarded, you must remain silent. 58:05 Diane Brockmeier: We must remove conflicts to ensure effective governance. From 2018 to 2020, I served as a board member for the OPTN. Serving on the board of the OPTN automatically assigns membership to the UNOS board. My board experience revealed that at times UNOS actions are not aligned with its fundamental vision of a life saving transplant for everyone in need. How can you fairly represent the country's interest and a contractor's interest at the same time? 58:35 Diane Brockmeier: Board members are often kept in the dark about critical matters and are marginalized, particularly if they express views that differ from UNOS leadership. Preparatory small group calls are conducted prior to board meetings to explore voting intentions, and if the board member was not aligned with the opinion of UNOS leadership, follow up calls are initiated. Fellow board members report feeling pressured to vote in accordance with UNOS leadership. 59:10 Diane Brockmeier: To protect patients, I urge Congress and the administration to separate the OPTN functions into different contracts so that patients can be served by best-in-class vendors, to immediately separate the boards of the OPTN and OPTN contractors, and to ensure that patients are safeguarded through open data from both the OPTN and OPOs. 1:00:45 Barry Friedman: Approximately 23% of kidneys procured from deceased donors are not used and discarded, resulting in preventable deaths 1:00:55 Barry Friedman: Organ transportation is a process left to federally designated Organ Procurement Organizations, OPOs. Currently, they develop their own relationships with couriers, rely on airlines, charter flights, ground transportation, and federal agencies to facilitate transportation. In many cases, organs must connect from one flight to another, leaving airline personnel responsible for transfers. While anyone can track their Amazon or FedEx package, there is currently no consistent way of tracking these life saving organs. 1:01:45 Barry Friedman: Currently there is no requirement for OPOs to use tracking systems. 1:02:20 Barry Friedman: I also believe there's a conflict of interest related to the management of IT functions by UNOS, as the IT tools they offer transplant centers come with additional costs, despite these being essential for the safety and management of organs. 1:02:35 Barry Friedman: UNOS is not effectively screening organ donors so that they can be quickly directed to transplant programs. UNOS asks centers to voluntarily opt out of certain organs via a filtering process. As a result, OPOs waste valuable time making organ offers to centers that will never accept them. Time wasted equates to prolonged cold ischemic time and organs not placed, resulting in lost organ transplant opportunities. 1:03:10 Barry Friedman: Due to the limited expertise that UNOS has in the placement of organs, it would be best if they were no longer responsible for the development of organ placement practices. The UNOS policy making [process] lacks transparency. Currently OPTN board members concurrently serve as the board members of UNOS, which creates a conflict of interest that contributes to this lack of transparency. UNOS committees are formed in a vacuum. There is no call for nominations and no data shared with the transplant community to explain the rationale behind decisions that create policy change. 1:11:35 Dr. Jayme Locke: The most powerful thing to know about this is that every organ represents a life. We can never forget that. Imagine having a medication you need to live being thrown away simply because someone took too long to get it to you. Your life quite literally in a trash can. Organs are no different. They too have shelf lives and they are measured in hours. Discarded organs and transportation errors may sound abstract, but let me make this negligence real for you. In 2014, I received a kidney that arrived frozen, it was an ice cube you could put in your drink. The intended recipient was sensitized, meaning difficult to match. The only thing we could do was tell the waiting patient that due to the lack of transportation safeguard, the kidney had to be thrown in the trash, the final generous act of a donor in Maryland. In 2017, I received a kidney that arrived in a box that appeared to have tire marks on it. The box was squished and the container inside had been ruptured. We were lucky and were able to salvage the kidney for transplant. But why should luck even play a role? 1:12:45 Dr. Jayme Locke: In one week, I received four kidneys from four different OPOs, each with basic errors that led to the need to throw away those life saving organs. One due to a botched kidney biopsy into the kidneys collecting system, another because of a lower pole artery that had been cut during procurement that could have been fixed if someone involved had assessed the kidney for damage and flushed it before packing, but that didn't happen. Two others arrived to me blue, meaning they hadn't been flushed either. 1:13:15 Dr. Jayme Locke: Opacity at UNOS means that we have no idea how often basic mistakes happen across the country, nor can we have any confidence that anything is being done to redress such errors so they don't keep happening. 1:13:40 Dr. Jayme Locke: Women who have been pregnant, especially multiple times, are harder to match, contributing to both gender and racial disparities in access to transplant. This is a very real example of how a constrained pool of organs and high discards disproportionately hurt women and women of color, who are more likely to have multiple pregnancies. 1:14:25 Dr. Jayme Locke: Number one, immediately separate the OPTN board from any of the boards of any contractors. Number two, bring in real experts to ensure our patients are served by the best of the best in each field, separating out key functions of the OPTN, including policy, technology, and logistics. And number three, ensure that patients are safer by holding all contractors accountable through public adverse event reporting and immediate redressing of problems. 1:22:00 Sen. Chuck Grassley (R-IA): The system doesn't seem to be fair to racial minorities or people living in rural communities. So what are your efforts underway to understand the root causes and help make the system fairer to patients on the waiting list to explain the factors that result in the disparity for minorities in rural populations in the process? And how can the federal government address a problem if we have to be involved in addressing it? Dr. Jayme Locke: One of the most important things that we don't currently do is we don't actually account for disease burden in terms of examining our waiting lists. So we have no way of knowing if we're actually serving the correct people, if the correct people are actually making it to the waiting list. Disease burden is super important because it not only identifies the individuals who are in need of transplantation, but it also speaks to supply. So areas with high rates of end stage kidney disease burden, like the southeastern United States are going to have much lower supply. And those waiting lists predominantly consist of African American or Black individuals. So if you want to make a truly equitable organ system, you have to essentially get more organs to those areas where there are higher disease burdens. I think the other thing is that we have to have more focus on how we approach donor families and make sure that we have cultural competence as a part of our OPOs, and how they approach families to ensure that we're not marginalizing minority families with regard to the organ donation process. 1:30:00 Brian Shepard: The OPTN IT system that UNOS operates has 99.99% uptime. It is a highly reliable system. We are audited annually by HRSA.... Sen. Ben Cardin (D-MD): My information shows it's had 17 days down since I think 1999. That's not correct? Brian Shepard: In 23 years, yes, sir. Sen. Ben Cardin (D-MD): Okay, well, every day there's a loss of life, isn't it? Brian Shepard: That's the total amount of time over the couse of -- Sen. Ben Cardin (D-MD): I hope our national event system isn't down 17 days a year. Brian Shepard: The system has never been down for a day. And to my knowledge, and I have not been at UNOS since 1999, there's been maybe one event that was longer than an hour, and that was three hours. But the total amount of time since 1999 -- Sen. Ben Cardin (D-MD): So you're satisfied with your technology? You think you have the right technology? You're satisfied with your tracking systems now? You think everything is okay? Brian Shepard: We constantly improve our technology. We're subjected to 3 million attempts a day to hack into the patient database and we successfully repelled them all. So we are never satisfied with our technology, but we do maintain 99.99% uptime. We disagree with the USDS analysis of our systems. 1:37:25 Brian Shepard: If you're asking whether UNOS can prevent an OPO from operating or for being an OPO -- Sen. Rob Portman (R-OH: Well not prevent them, but require them to do something .You don't have the ability to require them...? Brian Shepard: The peer review process has significant persuasive authority, but all the payment authority and all the certification and decertification authority live at CMS. 1:39:00 Sen. Rob Portman (R-OH: Do you think there should be tracking of organs in transit? Brian Shepard: I think that's a very beneficial thing. UNOS provides an optional service that a quarter of OPOs use. Many OPOs also use other commercially available trackers to do that. There is not a single requirement to use a particular system. 1:41:55 Sen. Elizabeth Warren (D-MA): Mr. Shepherd, you are the CEO of UNOS. We have documented these problems and you've received more than 1000 complaints in the last decade alone. So tell me, in the 36 years that UNOS has had the contract to run our national organ system, how many times has UNOS declared its OPO Members, any OPO members, not in good standing. Brian Shepard: Two times, Senator. 1:43:20 Sen. Elizabeth Warren (D-MA): How many times has UNOS put an OPO on probation? Brian Shepard: I don't know that number off the top of my head, but it's not a large number. Sen. Elizabeth Warren (D-MA): It's not large, in fact it's three. 1:45:20 Brian Shepard: Approximately 10% of the budget of this contract is taxpayer funded. The rest of that is paid by hospitals when they list patients. 1:49:30 Sen. Todd Young (R-IN): Once an OPO is designated not in good standing, Senator Warren referred to this as toothless. It does seem toothless to me. I'll give you an opportunity, Mr. Shepherd, to disabuse me of that notion and indicate for me what penalties or sanctions are actually placed on an OPO when they are designated not in good standing. Brian Shepard: The statute does not give UNOS any authority to offer sanctions like that. The certification, decertification, payment authorities belong entirely to CMS. UNOS's statute doesn't give us the ability -- Sen. Todd Young (R-IN): So it is toothless in that sense. Brian Shepard: It is designed to be, by regulation and contract, a quality improvement process, in contrast to the oversight process operated by a federal agency. 1:51:15 Sen. Todd Young (R-IN): To what extent is UNOS currently tracking the status of all the organs in transit at any given time? Brian Shepard: UNOS does not coordinate transportation or track organs in transit. We do provide a service that OPOs can use to use GPS trackers. Some of the OPOs use ours and some use other commercially available products. Sen. Todd Young (R-IN): So why is it, and how does UNOS plan to optimize organ delivery if you don't have 100% visibility into where they are at any given time? Brian Shepard: I think that the GPS products that we offer and that other people offer are valuable, they do help in the delivery of kidneys. Only kidneys travel unaccompanied, so this is a kidney issue. But I do think that GPS trackers are valuable and I think that's why you've seen more and more OPOs use them. 1:52:50 Sen. Ron Wyden (D-OR): Mr. Shepherd has said twice, with respect to this whole question of the power to decertify an OPO, that CMS has the power to do it. UNOS also has the power to refer an OPO for decertification under the OPTN final rule. That has been done exactly once. So I just wanted it understood with respect to making sure the committee has got what's really going on with respect to decertifying OPOs. 2:00:15 Dr. Jayme Locke: Obviously people have described that we have about a 25% kidney discard, so one in four. So if you look at numbers last year, these are rough numbers, but that'd be about 8000 kidneys. And really, I think, in some ways, these are kind of a victim of an entrenched and cumbersome allocation algorithms that are very ordinal, you have to go sort of in order, when data clearly have shown that introduction of multiple simultaneous expiring offers would result in more efficient placement of kidneys and this would decrease our cold ischemia time. 2:00:50 Dr. Jayme Locke: So if you take UNOS's organ center, they have a very rigid system, for example, for finding flights and lack either an ability or interest in thinking outside the box. So, for example, if there are no direct flights from California to Birmingham, Alabama, instead of looking for a flight from San Francisco to Atlanta, understanding that a courier could then pick it up in Atlanta and drive it the two hours, they'll instead put on a flight from SFO to Atlanta and allow it to go to cargo hold overnight, where it literally is rotting, if you will, and we're putting extra time on it. Sen. Ron Wyden (D-OR): Just to make sure everybody gets this. You're saying you've seen instances of something being put in cargo hold when it is very likely to rot? Dr. Jayme Locke: That is correct. So if the kidney arrives after 10pm at the Atlanta airport, it goes to cargo hold. We discovered that and made calls to the airlines ourselves and after several calls to the airlines, of course they were mortified, not understanding that that was what was happening and actually had their manager meet our courier and we were able to get the kidney out of cargo hold, but this went on before we figured out what was happening because essentially they fly it in, it sits in cargo hold, it comes out the next morning to catch the next flight. Instead of thinking outside the box: if we just get it to Atlanta, it's drivable to Birmingham. And those hours make a difference. Sen. Ron Wyden (D-OR): That sounds way too logical for what UNOS has been up to. 2:03:05 Sen. Ron Wyden (D-OR): Miss Brockmeier, UNOS has developed this organ tracking system. Do you all use it? I'm curious what you think of it. Diane Brockmeier: Thank you for the question, Senator. We did use and participate in the beta pilot through UNOS and made the decision to not move forward using their product, and have sought a commercial alternative. Sen. Ron Wyden (D-OR): And why was that? Diane Brockmeier: Part of the issues were some service related issues, the lack of the interconnectivity that we wanted to be able to facilitate a more expedited visual tracking of where the organ was. Sen. Ron Wyden (D-OR): Was the tracking technology low quality? Diane Brockmeier: Yes, sir. 2:11:25 Sen. Ron Wyden (D-OR): All right, let's talk for a moment about the boards that are supposed to be overseeing these, because it looks to me like there's a serious conflict of interest here and I'll send this to Ms. Brockmeier, and perhaps you'd like to get to it as well, Mr. Friedman. The Organ Procurement and Transplantation Network, which is the formal title of the organ network that operates under federal contract administered by HHS, and UNOS, which is the contractor that operates the network and controls information about the network, have the same boards of directors, despite efforts by the government to separate them. That means the people who look out for the best interests of UNOS, the multimillion dollar nonprofit, are the same people who look out for the interests of the entire organ transplant network. Sure sounds like a conflict to me. 2:12:55 Diane Brockmeier: I think there should be an independent board. I think the division of the responsibilities of the board and by the inherent way that they're structured, do pose conflicts. It would be like if you had an organization that was a supporting organization, you'd want to hold it accountable for its performance. And the current structure really limits that opportunity. 2:19:50 Dr. Jayme Locke: And if you think about IT, something as simple as having a system where we can more easily put in unacceptable antigens, this was a debate for many years. So for context, we list unacceptable antigens in the system that allows us to better match kidneys so that when someone comes up on the match run, we have a high probability that there'll be a good tissue match. Well, that took forever and we couldn't really get our unacceptable antigens in, so routinely people get offered kidneys that aren't going to be a match, and you have to get through all of those before you can get to the person that they really should go to. Those are simple examples. But if we could really have transparency and accountability around those kinds of things, we could save more lives. 2:23:10 Sen. Ron Wyden (D-OR): Mr. Shepherd told Senator Warren that only 10% of UNOS funds come from taxpayer money and the rest comes from fees paid by transplant centers who add patients to the list. But the fact is, Medicare is the largest payer of the fees, for example, for kidneys. So we're talking about inefficiency, inefficiency that puts patients at risk. And certainly, taxpayer dollars are used to cover some of these practices. May 4, 2021 House Committee on Oversight and Reform, Subcommittee on Economic and Consumer Policy Witnesses: Tonya Ingram, Patient Waiting for a Transplant Dr. Dara Kass, Living Donor and Mother of Transplant Recipient LaQuayia Goldring, Patient Waiting for a Transplant Steve Miller, CEO, Association for Organ Procurement Organizations Joe Ferreira, President, Association for Organ Procurement Organizations Matt Wadsworth, President and CEO, Life Connection of Ohio Dr. Seth Karp, Director, Vanderbilt Transplant Center Donna Cryer, President and CEO, Global Liver Institute Clips 5:15 Tonya Ingram: The Organ Procurement Organization that serves Los Angeles, where I live, is failing according to the federal government. In fact, it's one of the worst in the country. One analysis showed it only recovered 31% of potential organ donors. Audits in previous years found that LA's OPO has misspent taxpayer dollars on retreats to five star hotels and Rose Bowl tickets. The CEO makes more than $900,000. Even still, the LA OPO has not lost its government contract and it has five more years to go. 30:00 Rep. Raja Krishnamoorthi (D-IL): Unusual among Medicare programs, their costs are 100% reimbursed, even costs unrelated to care. So, extravagant executive compensation and luxury perks may be passed off onto the taxpayer. 46:55 Dr. Seth Karp: We have 10 hours to get a liver from the donor to the recipient, and about one hour to sew it in. For heart, we have about six hours. Time matters. 47:55 Dr. Seth Karp: Last year, I had the opportunity to co-write a viewpoint in one of the journals of the American Medical Association with TJ Patel, former Chief Data Scientist of the United States. In that article, we provided evidence that the metrics used to judge the performance of organ procurement organizations are basically useless. Until the recent OPO Final Rule, performance was self-reported, and OPO employees admitted to having gamed the system. When threatened with decertification, one of the OPOs themselves successfully argued that because the performance data were self reported and unaudited, they failed to meet a reasonable standard and the OPO should not be held accountable. In other words for decades, the metrics supposed to measure performance didn't measure performance, and the results have been disastrous, as you have heard. 49:45 Dr. Seth Karp: Whenever I, and quite frankly most everyone else in the field, gives a talk on transplantation, we usually make two points. The first is that organ transplantation is a miracle of modern medicine. The second is the tragedy that there are not enough organs for everyone who needs one. I no longer use the second point, because I don't believe it. Based on my work, I believe that there are enough organs for patients who require hearts, lungs, and probably livers, and we can make a huge improvement in the number of kidneys available. In addition to improving OPO performance, new technologies already exist to dramatically increase the organ supply. We need a structure to drive rapid improvement in our system. 54:00 Joe Ferreira: One common misconception is that OPOs are solely responsible for the entire donation and transplantation system, when, in fact, OPOs are the intermediary entity and their success is highly dependent on collaborations with hospitals and transplant programs. At the start of the donation process, hospitals are responsible for notifying any OPO in a timely manner when a patient is on a ventilator and meets medical criteria to be an organ donor. Additionally, transplant centers must make the decision whether to accept or decline the organs offered by OPOs. 57:55 Matt Wadsworth: As geographic monopolies, OPOs are not subject to any competitive pressure to provide high service. As the only major program in all of health care 100% reimbursed for all costs, we do not face financial pressures to allocate resources intelligently. 1:02:10 Rep. Raja Krishnamoorthi (D-IL): Mr. Ferreira, I'd like to turn to you. You run the OPO called the Nevada Donor Network. I have your OPO's 2019 financial statement filed with the CMS. It appears that your OPO spent roughly $6 million in 2019 on administrative and general expenses. Interestingly, in 2019, I see your OPO spent approximately $146,000 on travel meetings and seminars alone. And your itemization of Administrative and General has an interesting line item for $576,000 for "ANG". It took me a minute but that means you have an "Administrative and General" subcategory in your "Administrative and General" category. Very vague. Now Mr. Ferreira, I was informed by Mr. Wadsworth, a former executive of yours at the Nevada Donor Network, that your OPO has season tickets to the NHL's Las Vegas Golden Knights, isn't that correct? Joe Ferreira: That is correct, Mr. Chairman. Rep. Raja Krishnamoorthi (D-IL): And you also have season tickets to the Las Vegas Raiders too, right? Joe Ferreira: That is correct. Rep. Raja Krishnamoorthi (D-IL): And according to Mr. Wadsworth and others, your OPO took a board retreat to Napa Valley in 2018. Joe Ferreira: That is correct. Rep. Raja Krishnamoorthi (D-IL): And Sonoma in 2019, right? Joe Ferreira: That is correct. Rep. Raja Krishnamoorthi (D-IL): Mr. Ferreira, what you're spending on the Raiders, the Golden Knights, Napa Valley and Sonoma have one thing in common: they have nothing to do with recovering organs. 1:10:30 Dr. Seth Karp: In 2019, there were six heart transplants that were performed using donors after circulatory determination of death. And I don't want to get into the technical aspects of that. But in 2019, that number was six. In 2020, that number was 126. This is a new technology. This is a way that we can increase the number of heart transplants done in United States dramatically. And if we think that there were 500 patients in the United States waiting for a heart in 2020, 500 patients that either died or were delisted because they were too sick, and you think in one year, using a technology, we got another 100 transplants, if we could get another 500 transplants out of that technology, we could almost eliminate deaths on the on the heart transplant waiting list. That technology exists. It exists today. But we don't have a mechanism for getting it out to everybody that could use it and it's going to run itself through the system, it's going to take too much time. 1:24:05 Rep. Andrew Clyde (R-GA): You know, I'm a little disappointed that we're discussing race as a factor in organ transplant. We're all one race in my opinion; color makes no difference to me. We're the human race. And to me, the interjection of race into this discussion is very concerning. Discrimination based on race was outlawed almost 60 years ago through the Civil Rights Act of 1964. Now, I'm not a medical doctor, and I have very little knowledge of medicine. But last year, there was an article that came out in LifeSource and it says, "Does my race and ethnicity matter in organ donation?" And so my question here is for Dr. Karp. In your experience, would you agree that a donor's organs are more likely to be a clinical match for a recipient of the same ethnicity? Could you comment on that? Is that actually a factor, or not? I mean, we're all human beings, we all, you know, have similar bodies. Dr. Seth Karp: Yes. So there definitely are certain HLA types that are more common. That is race-based. So the answer to that question is yes. Rep. Andrew Clyde (R-GA): Okay. All right. And so if you have more of one particular race, more donations of one particular race, then naturally you would have more actual matches of that particular race. Is that correct? Dr. Seth Karp: That would tend to be the case. Rep. Andrew Clyde (R-GA): Okay. All right. All right. Okay, that's just a question that I wanted to clear up here. 1:34:20 Donna Cryer: We'd like to see investments in languages that are spoken by the community. Educational resources should be, as required by law, for those with limited English proficiency. They should be in the languages spoken by the community. They should be hiring diverse staff to have those most crucial conversations with families. The data shows, and certainly experience and common sense shows as well, that having people of color approaching families of color results in more donations. Executive Producer Recommended Sources Music by Editing Production Assistance

Federal rescheduling of cannabis has been a big topic in recent news. A government analysis predicts the DEA is likely to reschedule cannabis. The analysis, conducted by the Congressional Research Service (CRS), is based on the DEA's past practices and the HHS's recent recommendation to reschedule marijuana. The CRS analysis states that the DEA has historically been reluctant to reschedule marijuana, but that it has also shown a willingness to do so when there is strong scientific evidence to support the change. In this case, the HHS's recommendation is based on a comprehensive review of the scientific literature, which found that there is sufficient evidence to support the medical use of marijuana. The CRS analysis also notes that the DEA is currently facing a number of challenges, including budget cuts and increasing public pressure to reform its drug scheduling system. These factors could make the DEA more likely to reschedule marijuana, as it would be a way to show that the agency is responsive to public concerns. However, it is important to note that the CRS analysis is just a prediction. The DEA is not required to follow the HHS's recommendation, and it could ultimately decide to keep marijuana in Schedule I. The DEA is expected to make a decision on the scheduling of marijuana in the coming months. If the DEA does decide to reschedule marijuana, it would be a major victory for advocates of cannabis reform. It would make it easier for researchers to study the potential medical benefits of marijuana, and it would make it easier for doctors to prescribe marijuana to patients with certain conditions. It would also make it possible for banks to offer services to marijuana businesses, which would help to legitimize the industry. Here are some of the specific implications of rescheduling marijuana to Schedule III: •It would make it easier for researchers to study the potential medical benefits of marijuana. •It would make it easier for doctors to prescribe marijuana to patients with certain conditions. •It would make it possible for banks to offer services to marijuana businesses. •It would make it easier for people who use marijuana to obtain housing and employment. •It would have limited implications for state recreational marijuana programs and those who use marijuana recreationally. The decision of whether or not to reschedule marijuana is a complex one, and there are a number of factors that the DEA will need to consider. However, the HHS's recommendation is a significant step forward and could pave the way for further reforms in the future. Get in touch with us:

Health Affairs' Ellen Bayer and Rob Lott break down CMS's new funding opportunity for states to create an all-payer model.Listen to the second Research and Justice For All episode, sponsored by CVS Health.Related Link: Three Outstanding Questions About CMS's Ambitious New AHEAD Model (Health Affairs Forefront) Maryland Hospital All-Payer Model: Can It Be Emulated? (Health Affairs Forefront) Maryland's All-Payer Model - Achievements, Challenges, and Next Steps (Health Affairs Forefront) Hospital Rate Setting: Successful in Maryland but Challenging to Replicate (Healthcare Value Hub)

Welcome to the Green Rush, a KCSA Strategic Communications Production, a weekly conversation at the intersection of cannabis, psychedelics, the capital markets and culture.  This week Nick Opich and Anne Donohoe are back for a new episode with special guest Kris Krane, Director of Cannabis Development for KCSA Strategic Communications. Kris joins us this week to discuss his recent Forbes column that dissected the HHS call to reschedule cannabis and why this is a big deal. In this conversation, Nick, Anne and Kris discuss the potential implications that rescheduling will have for business, culture and social equity within cannabis, as well as Kris' perspective on how this will continue to unfold, including how it may affect capital, banking and M&As. If you are interested in learning more about KCSA, Kris' perspective and insight on the latest in the cannabis industry or reading his Forbes column, check out the links in our show notes. Also, be sure to follow KCSA and Kris on LinkedIn, X (formerly Twitter), and other top social media platforms. So sit back and enjoy our conversation with Kris Krane, Director of Cannabis Development for KCSA Strategic Communications.  Links and mentions in the show Kris Krane's Forbes article, “HHS Call To Reschedule Marijuana Is A Big Deal: Here's Why” KCSA Strategic Communications: https://www.kcsa.com/ Links to the guest's company and social media accounts KCSA's LinkedIn: https://www.linkedin.com/company/kcsa-strategic-communications KCSA's X (formerly Twitter): https://twitter.com/kcsastrategic KCSA's Instagram: https://www.instagram.com/kcsastrategic/ Kris Krane's LinkedIn: https://www.linkedin.com/in/kriskrane/ Kris Krane's X (formerly Twitter): https://twitter.com/Kranewreck/ Show Credits: This episode was hosted by Nick Opich and Anne Donohoe of KCSA Strategic Communications.  Special thanks to our Program Director Shea Gunther. You can learn more about how KCSA can help your cannabis and psychedelic companies by visiting www.kcsa.com or emailing greenrush@kcsa.com. You can also connect with us via our social channels: X (formerly Twitter): @The_GreenRush Instagram: @thegreenrush_podcast LinkedIn: https://www.linkedin.com/company/thegreenrushpodcast/ Facebook: https://www.facebook.com/TheGreenRushPodcast/  YouTube: https://www.youtube.com/channel/UCuEQkvdjpUnPyhF59wxseqw?disable_polymer=true

Dr. Peter A. McCullough is an American cardiologist, former vice chief of internal medicine at Baylor University Medical Center and a professor at Texas A&M University. He became widely popular during the COVID-19 pandemic through his controversial views on vaccines, particularly the COVID-19 pandemic. In this episode, he talks about the algorithm working against him, shifting narratives in the medical community, and the true meaning of misinformation and being “anti-science”.00:00:00 00:02:00 Introducing Dr. Peter A. McCullough 00:03:27 Interview with Joe Rogan 00:08:13 Dr. McCullough VS Google 00:13:42 The Shifting Narrative 00:15:26 Vaccines with Jamie Foxx, Ice Cube, and Justin Bieber 00:19:15 Conscious Medical Consent and Being Pregnant in the Pandemic 00:36:04 History of Getting Vaccinated 00:40:08 Is There Such Thing as Misinformation and Anti-Science? 00:44:25 Vivek Ramaswamy, The FDA, and Politics in Healthcare 00:50:22 Where to Find Dr. Peter A. McCulloughThe Shifting NarrativeDr. Peter A. McCullough is one of the most published people in COVID-19 and can be easily found in the National Library of Medicine, but not in Google. He argues how agencies, health systems, the media, and big industries took money worth 13 billion dollars from HHS and the Biden administration and called it the “COVID Community Court”. These organizations that took the money feel obligated to push the vaccine, with some colleges in the US pushing their students, but not their faculty, to take the vaccine. Being pregnant during the pandemic, refusing to get vaccinated, and facing judgement from physicians was also one of the biggest frustrations that Candice went through. When you don't have medical freedom, you suffer the risks and consequences of institutions that refuse to respect personal decision.Is There Such Thing as Misinformation?For Dr. McCullough, data has multiple points of view. There's no such thing as information and misinformation, and science and anti-science. Those are weaponized terms and anybody that uses these terms should be accused of propaganda; creating injury, disparaging individuals, and attempting to gain some type of superiority of one over the other. Misinformation was extensively used in Nazi Germany, and large medical institutions use this to claim that they hold information and if people don't espouse their views, they're spreading misinformation. These terms are propaganda and is dangerous to society. Links and ResourcesOfficial website: https://www.petermcculloughmd.com/McCullough Foundation: https://mcculloughfnd.org/ Meta-DescriptionAmerican cardiologist and America's most controversial MD Dr. Peter A. McCullough shares his thoughts on the medical community, vaccines, and what “misinformation” and “anti-science” really mean.Support the show

It's a valid question: Is Joe Biden just incompetent, or is he deliberately trying to weaken the United States? 5) Biden cancels new oil leases in Alaska; 4) FBI and HHS ignore request from Congress for info on illegal Chinese COVID lab in California; 3) Scientist grow “entity” in lab like early human embryo without sperm, egg, or womb; 2) UK police want to use drones launched from roofs of public buildings; 1) Pool of Siloam soon to open to public for first time since the days of Jesus and the apostles. FOLLOW US! Twitter X: @SkyWatch_TV YouTube: @SkyWatchTVnow @SimplyHIS @FiveInTen Rumble: @SkyWatchTV Facebook: @SkyWatchTV @SimplyHIS @EdensEssentials Instagram: @SkyWatchTV @SimplyHisShow @EdensEssentialsUSA TikTok: @SkyWatchTV @SimplyHisShow @EdensEssentials SkyWatchTV.com | SkyWatchTVStore.com | EdensEssentials.com | WhisperingPoniesRanch.com

Hon. Pauline Newman Passes Medical Evaluation with Flying Colors, Forensic Psychiatrist Says NCLA has released a forensic psychiatrist's report detailing the clinical evaluation of the Hon. Pauline Newman, whose fellow judges are unlawfully attempting to oust her from aconstitutionally appointed lifetime position as a Federal Circuit Court of Appeals judge. Theresults of the evaluation clearly demonstrate Judge Newman's fitness to remain in active judicial service. A new video released by NCLA exposes the unjust treatment of Judge Newman and showcases her vibrant mind, vigor, and dignity for all to see. Vec, Mark and Senior Litigation Counsel Andrew Morris discuss the new video and JudgeNewman's examinations. Fifth Circuit Rules Against FDA in Quarrel over Ivermectin The U.S. Fifth Circuit court of appeals has ruled that three doctors who prescribed ivermectin for Covid-19 patients have valid claims that the Food and Drug Administration (FDA) overstepped its authority with a campaign warning people not to take the drug. John and Mark discuss the Fifth Circuit's FDA ruling on the practice of medicine in Apter v.HHS.See omnystudio.com/listener for privacy information.

Mark Twain once said, “Never put off till tomorrow, what you can do the day after tomorrow.” As an antidote to that Ralph welcomes Professor Piers Steel, author of “The Procrastination Equation: How to Stop Putting Things Off and Start Getting Stuff Done.” Plus, Ralph urges listeners to sign up for The Capitol Hill Citizen Association, another way to organize citizens to put pressure on the branch of our government where things must get done, the United States Congress.  Dr. Piers Steel is one of the world's leading researchers and speakers on the science of motivation and procrastination. Dr. Steel is a professor in the Organizational Behaviour and Human Resources area at the University of Calgary, and is the Brookfield Research Chair at the Haskayne School of Business. He is the author of The Procrastination Equation: How to Stop Putting Things Off and Start Getting Stuff Done.The root of procrastination is impulsiveness. Impulsiveness is valuing the now more than the later… We're designed to value the now. And this was really adaptive for a long time. It's not a bad trait. It's just that we've designed a world to take advantage of every little flaw that we have in our decision-making system.Dr. Piers SteelYou have to deal with yourself as an imperfect, flawed creature and deal with the reality of that. We're not robotic angels of perfection. We have limitations. And when I actually act within my limitations, I get stuff done.Dr. Piers SteelWe're superstars of self-control in the animal kingdom. We're able to hunt and kill most anything because we're willing to actually put in the delay of gratification. That's really what makes us great. But we're still not ready for things that are happening even a year off, much less five or ten.Dr. Piers SteelMore people will listen to what we just said about becoming part of the Capitol Hill Citizen Association and say to themselves, “I'm going to get around to doing that,” than the actual number of people who do it in a prompt period of time. So it would be very good to listen to Professor Steel's suggestions and read his book, because we cannot afford procrastinatory citizens. We have a procrastinatory Congress, and the citizens have got to get them to anticipate, to foresee, to forestall so many of the omnicidal urgencies that are coming at our country and other countries around the world.Ralph NaderTo become a member of the Capitol Hill Citizen Association, click here.In Case You Haven't Heard with Francesco DeSantis1. On August 28th, 20 groups – ranging from Left-wing anti-war organizations like Veterans for Peace to Right-leaning government transparency groups like R Street Institute – sent a letter to the Chairs and Ranking Members of the House and Senate Armed Services Committees demanding they maintain Rep. Jamaal Bowman's Cost of War amendment in the final National Defense Authorization Act. This provision “requires public disclosure about the cost of the U.S.' overseas military footprint and gives the American people greater transparency on military spending.” Hopefully, the left-right consensus on this issue is enough to maintain this amendment.2. In other Pentagon news, the Intercept reports that Rep. Matt Gaetz, Republican of Florida, has introduced an amendment demanding the Pentagon “collect information on trainees who overthrow their governments,” following the recent spate of coups in Africa. Gaetz told the Intercept “The Department of Defense, up until this point, has not kept data regarding the people they train who participate in coups to overthrow democratically elected — or any — governments.” This could become a flashpoint as Congress prepares to consider the 2024 NDAA when it returns from recess in September.3. As expected, tensions are running high in Guatemala following the upset victory of anti-corruption crusader Bernardo Arevalo. Opponents of Arevalo had urged the country's electoral tribunal to suspend his Semilla party on dubious legal grounds, which the tribunal resisted hewing to the letter of the law which dictated such actions could not be taken during the electoral process. After the election however, the party was officially suspended. Now, Reuters reports that suspension has been revoked, following a mass mobilization of Arevalo supporters in Guatemala City. It seems unlikely however that Arevalo's political opponents will accept his victory without a fight.4. In a dangerous, anti-free speech move, the Attorney General of Georgia has filed RICO indictments against 42 individuals involved with the Stop Cop City protest movement, the Atlanta Community Press Collective reports. This is the latest in a long line of attempts to quash opposition to the project, which has so far included trumped up domestic terrorism charges and arrests for handing out flyers.  5. Bloomberg reports that President Biden and Brazilian President Lula will jointly call for new worker protections at the upcoming General Assembly of the United Nations. While the article notes the two leaders have been “at odds” over China and Russia, they align on the topic of labor unionization. The two presidents have found common ground before, such as on the issue of climate change.6. Visual Effects workers at Disney have filed for unionization, per the Hollywood Reporter. Approximately 80% of VFX staff have already signed union cards, demanding an NLRB election and representation by the International Alliance of Theatrical Stage Employees or IATSE. This comes on the heels of a similar announcement by VFX workers at Marvel, a Disney subsidiary. In recent years. studios have increasingly relied on VFX workers in a rather blatant attempt to cut costs, as VFX workers have generally been non-union.7. At long last, the Department of Health and Human Services has announced the first ten drugs that will be subject to Mecicare negotiations to bring down prices. These are: Eliquis, Jardiance, Xarelto, Januvia Farxiga, Entresto, Enbrel, Imbruvica, Stelara and – crucially – several brands of insulin. HHS noted that “These selected drugs accounted for $50.5 billion in total [Medicare] Part D gross covered prescription drug costs, or about 20%, of total Part D gross between June 1, 2022 and May 31, 2023.”8. The Washington Post reports Acting Labor Secretary Julie Su has proposed new overtime rules intended to “extend overtime pay to an additional 3.6 million salaried white-collar workers in the United States.” According to current rules, workers are exempt from overtime if they make over $35,568 per year; the new rules would extend to workers making under $55,000 annually. If implemented, this would mean a whole new class of workers would be eligible for time-and-a-half pay if they work more than 40 hours per week.9. Per Republic Report: “The U.S. Department of Education announced…that it is cancelling $72 million in student loan obligations for more than 2,300 former students who attended for-profit Ashford University between 2009 and 2020.” Yet, even now the shady operators behind Ashford may still be able to squeeze money out of the taxpayers via a convoluted buyout by the University of Arizona Global Campus. Still, this marks a significant victory in a legal battle that has raged for over a decade, with Senator Tom Harkin of Iowa calling Ashford a “complete scam” all the way back in 2011.10. Finally, in more debt related news, the Philadelphia Inquirer has published a piece detailing how the nonprofit RIP Medical Debt was able to purchase – and forgive – over $1.6 million in medical debt. As the piece explains “When hospitals or physician groups have delinquent debts they have little chance of collecting on, they'll typically go to what's called the secondary market and sell their portfolios for pennies on the dollar.” It was on this secondary market that RIP Medical Debt was able to buy $1.6 million worth of debt for just $17,000. In celebration, “30 proud, self-described gutter-pagan, mostly queer dirtbags in their early 30s,” gathered for a ritual burning of an oversized medical bill. Someone chanted “debt is hell” and the crowd responded “let it burn.” Get full access to Ralph Nader Radio Hour at www.ralphnaderradiohour.com/subscribe

A federal judge greenlights doctors to move forward with their lawsuit against the FDA and HHS for endangering patient lives by overstepping their lawful place to essentially ban Ivermectin. Plus, excess deaths are still abnormally high in this country, and COVID isn't to blame - so what is? And finally, the 'MAGA Hulk' is here with reaction to a far left Democrat party leader in Minneapolis calling for stricter measures against criminals after being carjacked, despite all her talk of defunding the police.Guests:Jared Kelson | Counsel, Boyden Gray PLLCEdward Ring | Senior Fellow, California Policy CenterStephen Davis | 'MAGA Hulk'Jim Nelles | Author & Supply Chain Consultant

Health Affairs' Michael Gerber and Chris Fleming discuss the Biden administration's proposal to increase minimum staffing levels at nursing homes.Listen to the first Research and Justice For All episode, sponsored by CVS Health.Related Link: HHS Proposes Minimum Staffing Standards to Enhance Safety and Quality in Nursing Homes (CMS) High Nursing Staff Turnover In Nursing Homes Offers Important Quality Information (Health Affairs) President Biden: Nursing homes are putting residents at risk. We're ending the abuse today. (USA Today) Federal Officials Propose New Nursing Home Standards To Increase Staffing (New York Times)

NABIP submitted a comment letter earlier this week in response to a proposed rule by the Treasury Department, DOL, and HHS on short-term plans, fixed indemnity plans and excepted benefits coverage. The proposed rule also included a request for information on level-funded plans, broadly. On this week's episode of the Healthcare Happy Hour, your favorite NABIP staff members John Greene and Michael Andel review the proposed rule and our comments. Read this comment letter, and all of our regulatory comments and written testimony, on NABIP.org - specifically under "Advocacy," under "Policy Documents."

This week we chatted about the formulation of the 2025 Dietary Guidelines for Americans (DGA) and how the U.S. potato industry is working to ensure that the positive facts about potato nutrition are heard by those creating the guidelines.We were joined by NPC CEO Kam Quarles who submitted testimony to the Dietary Guidelines Advisory Committee, which is charged with reviewing the current body of nutrition science and developing a scientific report for HHS and USDA to consider as it writes the 2025 DGAs. We were also joined by Beth Johnson, who has spent over 25 years as a food policy expert, both inside and outside of government, including at the Food and Drug Administration, U.S. Department of Agriculture, Senate Agriculture Committee, and the National Restaurant Association. While at USDA, she helped lead the department's work in creating the 2005 Dietary Guidelines for Americans. She's the Founder and Principal of Food Directions, which helps organizations and companies operating in a global food policy environment. She and her team at Food Directions have been working closely with NPC to tell the positive potato story. This podcast is possible thanks to our presenting sponsor, Syngenta. Delivering solutions to help producers face the potato industry's complex challenges, Syngenta provides growers with unmatched field expertise along with an array of effective products. Explore syngenta-us.com/spud-doctor to discover solutions for your potato-growing obstacles. 

Substack: https://substack.com/@rwmalonemdDr. Robert Malone is an internationally recognized scientist/physician and the original inventor of mRNA vaccination as a technology, DNA vaccination, and multiple non-viral DNA and RNA/mRNA platform delivery technologies. He has approximately 100 scientific publications with over 13,000 citations of his work and has served as chairperson on HHS and DoD committees. During the COVID-19 pandemic,  he served as a non-voting member on the NIH ACTIV TX-Clinical working group committee which was tasked with managing clinical research for a variety of drug and antibody treatments for COVID-19.

In this episode of Cannabis Unlocked, Mara Sheldon (Principal at Squire Patton Boggs) sits down with Tiby Erdely (Founding Partner at KEY Investment Partners) to discuss the recent U.S. Department of Health and Human Services (HHS) recommendation to the Department of Justice to reschedule cannabis from a Schedule 1 drug to Schedule 3. The conversation begins with Mara's thoughts on HHS' recommendation and what rescheduling could mean for the cannabis industry.  From there, the conversation shifts to the positive and negative implications of a schedule 3 reclassification and the political pressure this recommendation creates. Please enjoy!

AlabamaCongressman  Moore says DHS secretary lied under oath about securing borderSenator Tuberville has new name for Biden, says he's tired of "Pinocchio Joe"AG Marshall to appeal the 3 judge decision on congressional  map to SCOTUS Prattville city council votes down resolution re: inappropriate books in libraryCity of Mobile and Carnival Cruise lines about to enter into 5 year contractHarvard University is smoked out by Auburn University re: free speechNationalJoe  Biden ditches MOH ceremony, WH Press secretary says it was "covid"GOP members in House say HHS is stonewalling on appointments to NIHMore talk from 2 House committee chairmen on impeachment of BidenLawsuit ruling to bring changes to AZ ballot signature verification process1,600 scientists sign declaration stating there is NO climate emergency

Executing the mission, abstracting complexity, driving for speed The Biden administration didn't just release Executive Order 14-058 to make federal websites look good, the practical aspect of user experience is making sure citizens can access information in a speedy, and safe manner.  Conrad Bovell from HHS makes a strong statement when he states the reason for cybersecurity is to secure the mission of the agency.  For his agency, it is quite a large mission. During the interview, he casually mentions that HHS has a #1.68 trillion annual budget.  The obvious method is to lock everything down, however, the functioning of the agency means that he and his team must assess risk to when funding research.  The challenge is to get both: good experience and speed. The HHS complex in suburban Maryland is quite extensive and complex, but nothing compared to the geographically remote and secure networks the military must operate in.  Randy Young gives the perspective of a trusted partner who assists in making the network easy to use and secure.  He maintains the way to support the warfighter drives better technology outcomes on the user's terms, not the terms of whatever new technology is available.  Putting yourself in the end user's boots can make security experts understand how to manage risk and deliver the speed needed all the way to the feds at the edge. Twitter:  @FedInsider LinkedIn:    https://www.linkedin.com/company/fedinsider/ Facebook:   https://www.facebook.com/FedInsiderNews  

https://vimeo.com/860494726?share=copy https://www.currentfederaltaxdevelopments.com/podcasts/2023/9/2/2023-09-05-electronic-filing-of-information-return-mandate-issues   This week we look at: HHS sends letter to DEA recommending that marijuana be reclassified as a Schedule III drug General guidance issued determining tax status of 2023 state payments - and IRS asks for comments prior to giving additional guidance IRS clarifies limits of 2007 CCA on ESBTs and NOLs News release on electronic filing of Form 8300

IDSA President Carlos del Rio, MD, FIDSA discusses what we can expect for the upcoming respiratory virus season with Meghan Pennini, PhD, the Chief Vaccines and Therapeutics Officer for H-CORE (the HHS Coordination Operations and Response Element) and the Office of the Assistant Secretary for Preparedness and Response (ASPR) at HHS.

Dr. Paul Alexander Liberty Hour – Why lockdown lunatic and COVID failed surgical & cloth mask madness talk again for EG.5, BA.2.86, FL COVID variants? NOTHING that the CDC, NIH, FDA, HHS, Health Canada, PHAC, SAGE, etc., did worked! They KILLED people with their COVID lunatic policies! All our governments and medical doctors did was KILL us and kill people! CRIMINALS IMO. This deadly mRNA technology gene-based shot...

The Left's Humiliation Ritual For Americans and how to respondTHE SHOW: The Left's Humiliation Ritual For AmericansTHE THESIS: The Left, and to some degree all of The Party, is putting Americans through a series of humiliation rituals. We are being told we must pretend Rachel Levine, the deeply ill and deranged man (he is obsessed with “transing” homeless kids) who helps run HHS is a woman. Sam Brinton, the deeply ill head of our nuclear waste protection efforts, who believes he is neither man nor woman, teaches classes on how to get sexual pleasure out of humiliating others and who apparently steals the ~$2,500 purses of women, is paraded about as someone we should consider healthy and well enough to protect our nation's stores of nuclear waste. We must realize what this is--humiliation rituals--and respond by remembering who we are: people created by God who will not be mocked. Let us be GRATEFUL for that so we will face this trial as a testimony to the greatness of God. THE SCRIPTURE & SCRIPTURAL RESOURCES: Galatians 6:77 Do not be deceived: God cannot be mocked. A man reaps what he sows.THE NEWS & COMMENT:Humiliation ritual: you will allow yourself to be held captive in your car by rageful people beating on your doors and windows. NYC mother-of-three refuses to take plea deal and now faces seven years in prison after slamming into group of BLM protesters in 2020 - sending 50 flying across Third Ave - when they attacked her BMWKathleen Casillo, 54, rejected a plea deal for a second time on TuesdayShe appeared in Manhattan Criminal Court where she was offered six days of community service and one-year license suspension, but still opted for a trial Casillo, of Queens, plowed her BMW into a group of BLM protesters in 2020 She previously claimed the demonstrators came up to her car and called her 'a white privilege b**ch' before banging on the vehicle, which caused her to panicHumiliation ritual: These are your rulersJanet Yellen blames Americans' 'splurging' for record-high inflation; Stephen Colbert notes Biden administration dismissed inflation as 'small risk' last yearEXCLUSIVE: Biden's” married”, “non-binary” nuclear waste bureaucrat who stole woman's $2,325 bag from airport hosted SPANKING seminar at kink conference just weeks later - under 'NuclearNerd' nickname that's still in use on fetish hookup websiteDOE Refuses to Say if “Nonbinary” Nuclear Waste “Bureaucrat” Sam Brinton is Still Getting Paid While on LeaveHumiliation ritual: Limiting your access to food is good for you. Netherlands to close up to 3,000 farms to comply with EU rules; Government tries to cut down on nitrogen pollution in a move set to reignite tensions with farmers who say the industry is unfairly targetedHumiliation ritual: Friends of The Party get to steal from youHumiliation ritual: This “healthy” “woman” has solid mental health and can help others[AUDIO] - Caitlyn Jenner on Kanye: "All I can say on that subject...I've known obviously Kanye for a long time...He's always been very very good to me...I just wish him the best...He's got challenges."Humiliation ritual: This is reasoned and valuable discourse[AUDIO] - CNN Host Laments HIV Patients Not Allowed to Donate BloodHumiliation ritual: This is wholesome entertainment for your children[AUDIO] - Mama has a mustache--sponsored by AbbVie, the pharmaceutical company that sells the chemical castration drug Lupron to convicted pedophiles and "transgender children."Humiliation ritual: These are your truth-tellersTIME argues that “election denier” only refers to Republicans, therefore Hakeem Jeffries can't be an election denier. Yes, reallyIf Donald Trump went out to Mar-a-Lago with family and friends for a weekend getaway and FIVE Secret Service rental cars mysteriously self-immolated on a tarmac near a jet fuel depot, you can sure as hell bet there'd be mainstream media journos trying to get to the bottom of it[AUDIO] - The Mockingbirds--starring NBC--deny the Hunter Biden laptop and emailsHumiliation ritual: These are your Republicans[AUDIO] - WATCH: Jonah Goldberg meltdown of babbling when trying to explain why Hunter's laptop behind censored had no effect on the electionHumiliation ritual: These are your fellow, freedom-loving AmericansHow many Democrats were so terrified by The Party that they wanted to slam us all in prison for not being similarly terrified? 4Patriots https://4patriots.com Protect your family with Food kits, solar generators and more at 4Patriots. Use code TODD for 10% off your first purchase. 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GreenHaven Interactive https://greenhaveninteractive.com Digital Marketing including search engine optimization and website design.

The U.S. Department of Health and Human Services (HHS) recently recommended that cannabis be rescheduled from Schedule I to Schedule III under the federal Controlled Substances Act (CSA). Schedule I controlled substances are considered to have no currently accepted medical use and a high potential for abuse. Schedule III controlled substances are considered to have a moderate to low potential for abuse and a currently accepted medical use. The HHS recommendation is based on a scientific and medical review of cannabis that was conducted by the Food and Drug Administration (FDA). The FDA review found that there is "substantial evidence" that cannabis and cannabis-derived products are effective in treating certain medical conditions, such as chronic pain, nausea and vomiting associated with chemotherapy, and spasticity associated with multiple sclerosis. The HHS recommendation is non-binding, and the final decision on whether to reschedule cannabis will be made by the Drug Enforcement Administration (DEA). The DEA is expected to take several months to review the HHS recommendation and make a decision. If the DEA does reschedule cannabis to Schedule III, it would be a significant step forward for the cannabis industry. It would make it easier for researchers to study cannabis and for doctors to prescribe it to patients. It would also make it easier for businesses to sell and distribute cannabis products. However, even if the DEA reschedules cannabis to Schedule III, it would still be illegal to possess, distribute, or manufacture cannabis under federal law. The only way to make cannabis legal under federal law would be for Congress to pass a law specifically legalizing it. The HHS recommendation is a positive development for the cannabis industry, but it is important to remember that it is just a recommendation. The DEA has the final say on whether to reschedule cannabis, and it is possible that the DEA will decide to keep cannabis in Schedule I. Only time will tell what the DEA will decide. However, the HHS recommendation is a significant step forward, and it is a sign that the federal government is slowly starting to come to terms with the reality of cannabis. Here are some of the potential benefits of rescheduling cannabis to Schedule III: It would make it easier for researchers to study cannabis and for doctors to prescribe it to patients. It would make it easier for businesses to sell and distribute cannabis products. It could reduce the number of people who are incarcerated for cannabis-related offenses. It could generate tax revenue for the government.

This week we look at: HHS sends letter to DEA recommending that marijuana be reclassified as a Schedule III drug General guidance issued determining tax status of 2023 state payments - and IRS asks for comments prior to giving additional guidance IRS clarifies limits of 2007 CCA on ESBTs and NOLs News release on electronic filing of Form 8300 The slides and this week's article links can be downloaded below:2023-09-05 Current Federal Tax Developments

This week we look at: HHS sends letter to DEA recommending that marijuana be reclassified as a Schedule III drug General guidance issued determining tax status of 2023 state payments - and IRS asks for comments prior to giving additional guidance IRS clarifies limits of 2007 CCA on ESBTs and NOLs News release on electronic filing of Form 8300  

As news comes out that the Biden administration wants to loosen federal restrictions on marijuana and lower its drug classification, Michael takes an olfactory trip down memory lane. Plus, a check-in with Bloomberg Health Reporter Riley Ray Griffin on what the administration is trying to do. Original air date 1 September 2023.

Fundstrat's Tom Lee joins Dan Nathan, Guy Adami and Danny Moses for the first half of the pod to discuss the stock market not making sense actually makes sense (4:00), the bond market (16:00), why it's too early to have a 2024 outlook (18:00), Bitcoin (25:00) and sentiment among Fundstrat clients (27:00). After the break, the guys speak with Brady Cobb, CEO/Founder of Sunburn Cannabis, to discuss HHS calling for an easing of restrictions on marijuana (44:30). Use this link to get one month of free access to Tom Lee's research at FS Insight: https://bit.ly/3PjnBdV About the Show: On The Tape is a weekly podcast with CNBC Fast Money's Guy Adami, Dan Nathan and Danny Moses. They're offering takes on the biggest market-moving headlines of the week, trade ideas, in-depth analysis, tips and advice. Each episode, they are joined by prominent Wall Street participants to help viewers make smarter investment decisions. Bear market, bull market, recession, inflation or deflation… we're here to help guide your portfolio into the green. Risk Reversal brings you years of experience from former Wall Street insiders trading stocks to experts in the commodity market. Check out our show notes here Learn more about Ro body: ro.co/tape See what adding futures can do for you at cmegroup.com/onthetape. Shoot us an email at OnTheTape@riskreversal.com with any feedback, suggestions, or questions for us to answer on the pod and follow us @OnTheTapePod. We're on social: Follow Dan Nathan @RiskReversal on Twitter Follow @GuyAdami on Twitter Follow Danny Moses @DMoses34 on Twitter Follow Liz Young @LizYoungStrat on Twitter Follow us on Instagram @RiskReversalMedia Subscribe to our YouTube page

Learn more about the RWJF Health Policy Fellows program.Applications are now open through November 1.Health Affairs' Rob Lott and Chris Fleming discuss Biden administration's announcement regarding the first 10 drugs selected for Medicare price negotiation.Listen to the Research and Justice For All trailer.Related Link: Biden-Harris Administration Announces First Ten Drugs Selected for Medicare Price Negotiation A Deep Dive Into Takings Clause Challenges to the Medicare Drug Price Negotiation Program (Health Affairs Forefront) Medicare Drug Price Negotiations: A Principles-Based Guide for CMS (Health Affairs Forefront)

Thursday, August 31st, 2023Today, in the Hot Notes: Sidney and The Cheese both file motions to sever in the Fulton County election interference case; Judge Beryl Howell awards Ruby Freeman and Shaye Moss a default judgment pursuant to sanctions in their defamation suit against Rudy Giuliani; the Proud Boys' sentencing is delayed because Judge Kelly is sick; a judge has denied Pete Navarro's motion to dismiss his criminal contempt charge; an Alabama republican has been arrested for voter fraud; the Department of Health and Human Services recommends the DEA remove cannabis from schedule one; Biden also lists the first ten drugs he intends to negotiate medicare prices for and he has proposed a rule that would extend overtime pay to over 3.6M workers; a Maryland man has pled guilty to issuing threats of violence to an LGBTQ+ advocacy group; NYAG Tish James says Donald overvalued his net worth by as much as 2.2B; how Vivek Ramaswamy made his millions; a six figure Donald Trump donor is now a No Labels adviser; plus Allison and Dana read your Good News.Want some sweet Daily Beans Merchhttps://shop.dailybeanspod.com/Check out other MSW Media podcastshttps://mswmedia.com/shows/Follow AG and Dana on Social MediaDr. Allison Gill Follow Mueller, She Wrote on Posthttps://twitter.com/allisongillhttps://twitter.com/MuellerSheWrotehttps://twitter.com/dailybeanspodhttps://www.tiktok.com/@muellershewrotehttps://instagram.com/muellershewroteDana Goldberghttps://twitter.com/DGComedyhttps://www.instagram.com/dgcomedyhttps://www.facebook.com/dgcomedyGoogle Doc of current legislation threatening trans people and their families:https://docs.google.com/spreadsheets/d/1fTxHLjBa86GA7WCT-V6AbEMGRFPMJndnaVGoZZX4PMw/edit?usp=sharingHave some good news; a confession; or a correction?https://www.dailybeanspod.com/confessional/From the Good Newshttps://www.theodoresbooks.comhttps://www.etsy.com/shop/wildpeccarieshttps://www.dailybeanspod.com/patrons-sponsoring-patronsListener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:https://apple.co/3XNx7ckWant to support the show and get it ad-free and early?https://dailybeans.supercast.techOrhttps://patreon.com/thedailybeansOr subscribe on Apple Podcastshttps://apple.co/3UKzKt0

【焦點一分鐘】20230831 颶風Idalia轉弱為3級/約翰尼斯堡市大火/少數黨領袖麥康奈爾凍結30秒/無人機襲擊莫斯科/HHS研擬新規定 --- Send in a voice message: https://podcasters.spotify.com/pod/show/ettvamerica/message

Dr. Roger Klein is formerly served as an advisor to the HHS, FDA, CMS and CDC. He is a faculty fellow at the Center for Law, Science and Innovation at Arizona State University's Sandra Day O'Connor College of Law, and a policy adviser to the Heartland Institute. Biden's Drug Price Negotiation Announcement

Hurricane Idalia makes history along Florida's Big Bend.Sen. Mitch McConnell freezes again.USA TODAY Congress and Campaigns Reporter Ken Tran looks at questions of whether former President Donald Trump should be allowed on the 2024 ballot.The HHS calls for classifying weed as less dangerous.USA TODAY Investigative Reporter Chris Quintana explains how a professor skirted background checks after harassing students with a 'clown fetish.'Listen to our special episode on warming waters.Episode Transcript available hereAlso available at art19.com/shows/5-ThingsSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

President Biden & Gov. DeSantis (R-FL) on Hurricane Idalia recovery, Gov. Kemp (R-GA) on calls to impeach DA Willis, two-year anniversary of U.S. withdrawal from Afghanistan, interview with Politico's Natlie Fertig on HHS recommendation to reclassify marijuana as lower-risk drug (28), interview with Tennessean's Melissa Brown on Tennessee special legislative session ending without votes on major anti-gun violence legislation (37). Learn more about your ad choices. Visit megaphone.fm/adchoices

The Department of Health and Human Services is recommending a major change in the way the federal government treats marijuana, but stops short of saying it should be decriminalized under federal law. HHS says marijuana should no longer be classified as Schedule One, which the law defines as having no accepted medical use and a high potential for abuse. John Yang discussed more with Natalie Fertig. PBS NewsHour is supported by - https://www.pbs.org/newshour/about/funders