tv Key Capitol Hill Hearings CSPAN July 16, 2016 6:00am-8:01am EDT
leftovers, it educates people about how to use and dispose of drugs. and the second one is paradox, educating parents in their role in talking with children about drugs and alcohol. so thank you for the opportunity to share some of our experiences in the opiate crisis and addiction in overdose in vermont. i'm optimistic we're seeing some light at the end of the tunnel, but we still have a long way to go. thank you. >> thank you very much, dr. chen. [applause] thank you, ms. flowers and dr. franklin as well. questions from the governors? yeah. >> thank you. from the members of the panel, i just wanted to the bring a little bit of a touchy subject but just not to, for the discussion, but to see there's any consideration to having even
from any of your states or dea. when our state senator just -- [inaudible] brings to me some articles is and studies that i, he thought that i should consider. i pay little attention to him until a couple of years later that i went to a conference he was giving to many people. and he explained x then i went back to those articles. i thank the nga staff and my taffe to be included one of those articles, and we all, all of us have it right now is an article by glenn greenwald, a yale professor on drug decriminalization in portugal. and this is a very touchy subject, i know.
but just to give you numbers, in 2001 people that died by heroin is and opiate in portugal where it was, 281. in 2006 it was 133. they decriminalized all drugs. just, i know it's a very touchy subject, but i think it's a good article to take a look at. on page 18 there's a table that shows how decline number of dead people by consumption of illegal drugs. it's something that i am, i haven't been able to put forward in pert rio. -- puerto rico. i wish. but i just want to be serious consideration. i just want to know from you,
you study these, or what's your opinion on these case studies that is happening with great success in portugal? >> that's a nice softball to start the conversation with. [laughter] fire away, dr. franklin. >> i didn't have time to go through kind of how all this started. but if you don't understand how it all started in the late '90s, you're not going to be able to reverse it. and one of of the things we recommended, you know, most health care delivery is regulated at the state level through boards of commissions. and the folks who wanted to make it more per permissive to use opioids, we had a language in our state that said no doctor shall be sanctioned for any amount of opioid written, and more than 20 states included language that was so permissive that even if you had an egregious provider or a pill
milker it's been very hard for our medical boards and commissions to take action against that sort of stuff. so it's important to realize that it's the oversupply and overprescribing that has led to this, and it was based on false teachings by some of our leaders and drug companies back in the late 1990s. >> i'm actually looking forward to reading this report too. and the main, the part i struggle with on this when people talk about decriminalizing this is we did. it is legal. i mean, the 240 prescriptions that secretary burwell was talking about, those were all legally-prescribed, for the most part, written in this country. and part of the authorized approach to pain management that grew out of the reforms of early 2000s. and, i mean, i'm one of these people who thinks we're dealing with that right now. so it's very hard to me, for me to understand how that sort of
fits with this. but i'm looking forward to reading it and seeing what it does. >> so the only thing i'd add to that is there's no question that this is a complex issue of addiction which is not all about pills, although we know that doctors overprescribed in the 1990s. and that, you know, hospitals encouraged them to do so because of satisfaction surveys and the joint commission created pain as the fifth vital sign. but at the same time, in essence, when we actually use m.a.t., to some extent you could say that's legalizing, right? we are giving people opioids to make them stable, to make them healthier and to allow them to become productive members of society so they don't have to steal to actually, to get drugs or to risk the overdose related to the illicit drugs. [inaudible conversations] >> a couple of different questions real quickly.
just a quick question of the dea. what, if anything, can be done to stop that flow from china to mexico, the one that you cited? is there, are there simple things that can be done to target like a laser on that channel for fentanyl in this instance? >> yeah. so it's a multilayered approach x we do have an office in beijing and in conjunction with the state department in our headquarters. and inner working groups in the d.c. area in diplomatic relations with china and how we can augment or assist or educate them on the problems here and what these substances, the havoc they're creating. i think that we've had a very successful relationship with the chinese government and their medical community in keeping that dialogue open. so i'm optimistic with their recent, you know, they've basically criminalized over a hundred chemical substances because those were fentanyl
analogs. i'm on optimistic in the point t the dialogue is open, and they are sharing information with us. and as we're seeing more and showing more examples of here's the chain of evidence that shows this came from this location in china, you know, what are you going to do about this, and i think that's something we're going to continue to do and push forward with. >> thank you. another couple quick questions. dr. franklin, i'm curious your thoughts on bupremorphine, your thoughts on the effectiveness of it, and do you know if anybody's ever done a study as to the percentage of it? you mentioned that dr. chen is one of the spokes. has anybody ever studied the percentage of it that's prescribed that's actually used by the individual to whom it was prescribed versus that was sold on the street? >> i'm sorry, i don't know the answer to that. dr. chen? >> but your thoughts on it as a drug. codo you feel it's an effective drug for treating opioid
addiction? >> i believe it is an effective drug to treat opioid addiction, but we also need to take an approach. this is a special population that started out with prescription opioids, and our state guideline and our worker's comp guideline are focusing on, first of all, trying to taper the drug in patients and having algorithms for primary care and pain clinics to taper along with the possibility of add youngtive medication by buy prenor teen. and if you can taper it 10% a week or something like that, we actually have no data a as to how often that could be done. so that'd be the first step. and if that fails either in primary care or in a specialty with addiction help, then we would probably allow medication-assisted treatment for opioid use disorder, because some people think that's a brain disorder that's going to be there the rest of your life.
but we really have no empirical data to say you could get half these people off. and we've had examples of injured workers who were on huge doses that got off within a fairly short time and did pretty well. so we just need more empirical data on that approach. >> if i could try to address your question, i think one point is we know from the evidence that methadone works very well. and we've been using it for decades. we also know that bupremnorphine does work in terms of criminal activity, in terms of health. your point about street uses is a good one. i think there are two issues to that. i actually spent a morning in a clinic prescribing it to people. i happened to have my -- as a pinch hitter. and i asked every one of them how they started. i asked every one of them what things they went through. and a lot of them started with
street medicine. some of them said, yeah, i got high a little bit in the beginning, but after that it was just about not withdrawing. and so if you have demand that's not meeting supply, then they're going to buy it on the street. and i think there are ways to be more mindful about how you regulate the prescriptions. you have to be very careful we're not just going to get into another set of pill mill situation. so i think strong regulation, strong best practices about how you prescribe anytime a system of care -- in a system of care is very important. >> and, governor, one final question/comment, and it's something i would challenge us as governors to think about. i don't know what the number is, but i would think a significant portion, percentage of the doctors that are, that are educated every year in the united states are educated in our public universities. certainly, some high percentage of them are. and i think one of the things as
i've looked at this, and i'm hardly an expert, but one that has has affected kentucky significantly, communication is critical. you've been calling people's attention to this for a decade plus. i've talked to doctors who have had no real education whatsoever in pain management prescription. they really haven't. it's not a part of the protocol for them to become doctors. it is starting to potentially become part of it now. but i wonder if we could not collectively in the nga in some way working, perhaps, with you, dr. mcginnis, with you and others who have looked at this for a long period of time, come up with a course, for lack of a better term, that would be standard that every single doctor -- start with our public universities that we have more control over. but, ultimately, that every doctor in america would have some basic level of training in
understanding pain management drugs more so than they now do. and i wonder if we did not be all put ourselves behind it and sort of demand it, at some fundamental level at least within our public university medical schools that we might not be able to turn this. but a i think we are -- because i think we are now reaping what was sewn many, many years ago -- sown many, many years ago. a lot of this prescription problem came out of a lack of understanding and a fundamental trust that was placed in information that has turned out to not be what we believed it to be. so i don't even know if that's a question, it's just a thought -- >> [inaudible] >> dr. mcginnis, if you have any thoughts as to whether that's even feasible. >> just so you know, one of the elements of the compact talks about educating prescribers. and i know in massachusetts, the medical schools -- all four of them -- the dental schools and the nursing schools have all
committed to a opioid therapy curriculum which you can't graduate unless you take and pass. and we also now statutorily require if you're going to be a prescriber every two years as you go through your ceu process, you have to incorporate therapy into that. and i know that's happened in a number of states. and i certainly look forward to what dr. mcginnis and the team come up with for nga in this prescriber education piece. but i tell you, i can't tell you how many clinicians have said to me when we've got into pretty pointed conversations about this, you know, i really don't know as much about this as i probably should. and most of the docs who write most of the prescriptions are not otter pods -- orr no pods and oncologists. they're family practice, primary care. i mean, this is a really big and really important issue in this conversation. and i think the idea of getting everybody's state school if you've got a medical school or a
nursing school or a a dental school, i think that's a really good idea. do you want to -- [inaudible] >> well, just briefly, to underscore and endorse your observation, i would imagine that the piece that we'll be doing in partnership with the nga will not only identify the kinds of guidelines for providers on the front line, but also what's necessary in the educational process to improve the circumstances. >> jonah walker. >> thankses, governor baker. actually, man, on your point, governor bev vin's point, and i'm sure this is true. a lot of the states, both those that have panelists here and other governors that are represented, two things come to mind on your question. partnership and cooperation. and, charlie, you just alluded to this with your medical colleges. we found the same thing not only
with our medical schools, but going to speak with our state medical society realizing this is something we couldn't do to them. we needed them to be invested, and there still needs to be, because t not just changing their mind as the medical schools, it's changing their minds as patients. the example i often give you go to urgent care, and my kids are in their 20s, but i can remember spending about every other weekend in an emergency room or urgent care for some injury along the way. every time you go into urgent care, what's that sign you see up there? it's the sign with the different paces that tell you what level of pain that you have. well, that's instinctive. it's not they weren't trained, it's actually they were trained not just because of reimbursements and things of that nature, but just in general that patients said, doc, give me something, i'm in pain. and so the thing they were missing wasn't the lack of how to deal with that pain, it was how to deal with it effectively
without going down the path that we're on today. and so we've got to get people to buy boo that -- into that, and it's going to take a comprehensive approach. at least we found in our state, and we, you know, i love the things we heard from the panelists here today. we're going to take that back and match it with the things we're already doing. but it's certainly something that we can't either in state or at the federal level just dictate to people and expect it's going to work unless we get them to have some buy-in when it's medical schools, dental schools, our nurses and otherwise. it's got to be a partnership. >> governor? >> i just want to make the following point. our state, connecticut, has been dealing with this issue. i've been governor for six sessions, and we've passed comprehensive legislation on this issue five of those years and thought we got ahead of the problem. and i, and i'm going to say
this, and some people certainly can have the right to disagree. i think the discussion today is largely about where the problem was three years ago, and we're coming up for response for what we probably should have taken on three years ago at this rate. i think what i would say is the lasting effect of the introduction of some of these opioids and now with the addition of easily-accessible fentanyl is the cost of heroin or its alternative is now so low and will remain so low that we're seeing people becoming addicted not, first of all, to a prescription, but it's moved to a very rapid becoming a addicted to something you can buy in a dose in my state for as little as $3.50 to $10. and a product, if it's pure --
if it's heroin without fentanyl, is up to 71% purity as opposed to 15 or 30% purity when we were all, many of us were growing up in this room. so, yes, we have -- we do have a prescription drug transfer problem. i'm not denying this. but i think people have to understand how cheap this is, how quickly people become addicted to it. and then, of course, the added factor of fentanyl when introduced as a mixing agent or a replacement for heroin when the person runs out of heroin to put in the packets is causing death. as i've said, in a four-year period of time we've seen dependent knoll in our taxology reports go from 14 deaths to this year we're predicting 170 deaths. doesn't mean the person intentionally took fentanyl. they took heroin or thought they were taking heroin. it had a percentage of fentanyl, and they ended up dying of the
combination. final thought, in new haven just four weeks ago we had, someone was selling as heroin mixes that were largely fentanyl. three people died immediately, 15 people in total lost consciousness, and some of those folks this was a relatively new product more their ingestion. final, final point. i think we need to be talking to our high schoolers, our junior high schoolers. we can all worry about people our age having knee replacements or dental surgery, but this stuff is so accessible, it is ubiquitous in our communities, and you don't need to get hooked to something else before you get hooked to this. >> well said, governor. we're about to run out of time here, so i do want to take a minute to thank dr. mcginnis and dr. frank lin and agent flowers and dr. chen for your presentations and your
participation today. it was all very educational, and we look forward especially to working with dr. mcginnis and with you and your colleagues going forward. i do want to give vice chair hassan a chance to offer some final thoughts here. >> thank you. and i join governor baker and all of the governors here in thank our panelists. i guess i'll leave with this thought, because i think all of the comments have reflected where we are, what work we still have to do. but i was -- the saturday, just the day before easter, i was hosting our easter egg hunt on the front lawn of our capitol. and as happens, i would expect to most of us if not all of us, people throughout the day came up to talk to me and often would talk about in this very issue; a loved one they had lost, a child's friend who had just died of an overdose, another person, maybe a colleague they knew who
had been rescued by narcan. but perhaps the most poignant thing for me was a woman who approached me holding a baby introduced herself, introduced her baby. i asked how old he was, and she told me, and i said he was very cute and glad she had brought him to the easter egg hunt. and she looked at me and said, you know, this is actually not my son. he's my grandson. we lost my daughter to an overdose last month. his mother. i admired the bravery of that grandmother in coming to the easter egg hunt the month after she lost her daughter to an overdose. it reminded me of the urgency of this issue, and we look at this life clock today. i think it's three more lives have been lost since we started this discussion this afternoon. i am reminded in that story of the bravery of all of the
because it occurs to me some of the governors in the room or staff could pilot programs for direct foreign investment starting with community college, and a set of students from alaska, texas or florida doing the same -- developing the same skills in their state even if there wasn't the panasonic facility there.
>> we work in and around panasonic facilities, in california, on the east coast in particular but practically speaking, they are open to anyone looking for an entry-level. the resource department takes the paperwork side, they follow up with people. it is a great operation. because of the aggressive skills, a television company or camera company or something like that, 15% of our business is in those arenas, under the hood of the car, the airplane, avionics systems, they are -- >> the factory for tesla in arizona. >> 7000 of those go in the tesla model-plaps. when that factory is up and running it will double the entire world output of lithium
ion batteries, going to tesla and growing happily. >> make sure they don't have headlines like last week. >> the workforce -- slightly different. the nature of the business, the industry, and they do not have knowledge to contribute to develop technologies. the expectation of the workforce is the transport from japan, and the no hall, and a copy, the workforce in the united states,
what is being expected. and absorbing the knowledge, designing and capabilities so it may take 5 or 10 years, it is up to the industry itself, the workforce heavily -- in the university, located -- the university, in washington state. in the area, the status operation and technologies, and to develop or design the
material. the kind of history, kind of the quality of the workforce -- >> you really are describing the inflection point, or transformative moment that exists in global trade and global investment, and fear of change that that moment can be squandered. how do you see the broadest possible potential in the united states beyond, people really good designing cars or car
possibilities -- >> entertainment in asia, nashville, memphis and california. >> you will enjoy this. raise your hand if you know descendents of the sun. raise your hand if you know descendents of the sun here on stage. part of the sci-fi soap opera, the biggest tv program going, produced in asia, has 1 billion viewers. and the entertainment business, is finding huge audiences, the
has a program. what is this moment? the kind of rhetoric we are hearing about. the kinds of numbers you were presenting not long ago. >> it is important to be specific in our language, rhetoric is quite general about foreign companies and ignore the good story of global companies with us subsidiaries in sourcing jobs and people are surprised to hear about these companies and who they really are, ben and jerry's, anheuser-busch, these are not foreign companies, my company being here 100 years, these are global companies that made the choice to do business in the us, and subsidiaries to
make investment, the most competitive marketplaces in the world so companies won't pool out of the us but where do we spend incremental investment dollar we are competing against asian subsidiaries, and where are they going to choose to move? the rhetoric doesn't help us in that argument, like tax policy, trade policy, regulatory certainty, workforce development, infrastructure which is something we talk about as well. all these issues come together, the constellation when choosing to invest additional dollars and that is why the rhetoric can be very damaging. the key would be to move the conversation to specific than talk about companies like ours
that have tens if not hundreds of thousands of workers in the us making a very good wage and contributing to the us economy. >> let's talk about the infrastructure, where and what needs to be improved and what do japanese investors think about deteriorating infrastructure in parts of the united states and answer the question about what needs to be removed, what is the low hanging fruit? >> two points on that point, to the governor's question, the state should be careful as should the fed, innovation includes cross-fertilization with other places overseas, companies like ours bring intelligence and share intelligence and help grow innovation in the us, states are focused on this, and there might not be much focus to help companies like ours and
american-based companies improve their efficiencies and operation and advanced to the next level. my company went through a bad patch losing $15 billion. if we did that one more year after 100 years we would have been out of the business as a $70 billion company. inconceivable. that completely reverses the thinking of our senior management and our focus now is on infrastructure development. we had a big business along these lines where things started before coming here but a great example is the city of denver, and in colorado, led the effort to create a smart city infrastructure and it was
announced a year and a half ago including everything from smart streetlights, security, data analytics more smartly, and energy infrastructure with excel energy, a new micro grid with high energy storage to store the energy when it is generated, a large solar energy company for medium and large size business and utilities. we created entire smart cities, and just outside tokyo. and in china, when india and
denver. and in retrofit, infrastructure improvement. both the hardware and software. >> how bad our infrastructure issues? we have seen op-ed pieces describing airports, i won't see the words that were described. president obama travels to asia in the united states and airports are just a mess. and there is a feeling of pride when infrastructure is working wonderfully.
including transportation, water and electricity and load factors that affect members to stay and leave real estate costs and cost of living, it affected a lot for us. predictable regulatory environment is important for us. commitment to the area -- >> predictable regulatory environment would be no regulations, steady regulations with the political whims or regulations work according to you and nobody else, how do you work collaboratively with
intelligence regulations for consumers, but benefit you as well? >> the regulation -- at the same time for the business work, thinking of the long one -- >> chief legal officer for north america with legal regulatory and government affairs and stable regulatory environment anywhere in the united states. >> insurance is heavily regulated at the state level. i give a lot of credit to the economic developer and organization that work for the various governors and cities, they have been quite helpful. i understand your point on
predictable regulation but it is not lax regulation. i call it regulatory certainty. we want to know what it is going to be and we will adapt to it. it doesn't translate into lax regulation so we can make the right investments, we know products are appropriate and marketing and things are not going to change radically from jurisdiction to jurisdiction. to us it is important and one thing on infrastructure, when we did our study five years ago when we are going to locate our headquarters we did a transportation study and found our employees in illinois put 700 air miles in and out of o'hare but being next to or adjacent to a reliable airport, national flights, crucial to us and important for people to realize governors and edos, rail
transportation, not just personal transportation but freight supplies is crucial, take two days to get a freight train to the chicago area, a chunk point, it requires federal intervention because we need supplies at factories, that joke point is important, not roads or bridges, goes to airports, high-tech infrastructure. >> the need for licensed and unlicensed spectrum, and crucial to businesses, communications, and suppliers. >> the clock is really taking,
john chambers said something like it, in 5 years if you go to a community and there is no wi-fi people act -- that is not to disparage flint but there is a sense that things don't really work here. the terror about flint was partially dishonesty with which that was dealt with and we don't have to discuss that here but something didn't work and we are getting to the point where people trust and expect high-bandwidth infrastructure and communications and wi-fi and -- >> the gentleman from chesterfield the delivery of services would be like amazon. and expect your cell phone to work and industry, all the communications infrastructure you need to be flawless, always
on and flawless, it is crucial infrastructure. >> a lot of people say despite the rhetoric of the campaign, corporations are only interested in lax regulations, downward pressure on regulations and the japanese have a track record of honoring regulations, building a relationship within communities. can you describe what that is? >> we have a city conducted with feasibility study when we invest in the united states. and we have very good contact and support from authorities.
but there are stringent factors to the regions. and regulations, the population is not so high, the same moment to think about these, a good benefit for the business. and everyone, the communication with people forcing a dialogue with the authority, decide which region is beneficial and from this point, the us authority,
extended ourselves, kind or precise to analyze from this area including 10 years of business or 20 years of business. >> once you choose a place that is ideal, your approach is to honor regulations, to be the best corporate citizen you can be in that community as a way of building a long-term relationship. >> it is good. and the business itself is changing, what we expect to do. with the authorities, to modify
-- adapt new regulations. these points are important. very stringent, it was impossible on that site. >> very important, crucial for the relationship in the environment. >> questions here. a big idea here, if you look at the charts we had a moment ago, the idea exports, japanese exports to the united states,
the attempted tax capital look wiggling itself across borders all over the place. are we seeing -- we are seeing this in politics and the concerns in europe, the movement of populations, are we seeing a challenge to the idea of national governments, there is tension between going in the direction of virtually no nationstates, we have gone too far and we have gone to 1910. >> big question and one being debated in politics as you said. it is down to education, knowledge, awareness of what globalization is likely to become. when it is right or wrong to
infer something about it that isn't happening. example, the inflow of capital you heard about, the growth of jobs, higher wages from direct investment, highly unlikely, most people concerned about globalization in principle, but it is also true that if a trade deal seen to undercut, personal stake in life, of course you will be upset. >> a trade pack is the user patient of government, you are not being -- being run by some
government conspiracy. >> if you have been involved in trade negotiations i assure you no one else is interfering, everybody having a tough time, that is what trade negotiators do in the us from other countries coming together in the transpacific partnership. they are reaching for themselves, those deals are negotiations and compromises. the tough part for any nationstate is staying on top of the changes that are occurring internally and externally, education and social services and outreach and basic government support needed for their societies to thrive. i said to my own company went through a bad patch, failed to see the changes but what we have been doing for 50 years was being taken over by others and we would not be able to compete.
with corporate growth sank low and had to completely confront every decision we made and what to grow and focus on, same is true of countries and the challenge going forward for those interacting with each other. to pay attention to all of those and act on them. >> what -- >> get your slide back up and messing up, skipping around so much. >> blame it all on me. it is not their fault.
>> it is very important for today's topic. 70% of the people that we still -- more than 90% of parts and materials, with local supplies and they average -- 75% in -- produced in north america and 98% were produced here. people don't know the facts, how they are sold or imported and what i would like to catch up on
actually benefits a business here. >> trade -- when we look to the age of 2000, set up the facilities, the next facilities, because of the security of the supply. the us implemented classified materials made by the us, lots of cities finally approved but rules are implemented, no way to apply the advanced materials, only us industry so it matters for the business of the united
states and for as much industry, he started all the facilities in the united states to secure the supplies to customers but making the product with technologies in japan, it seems those companies start designing the technologies with potential, local demand and nowadays do not affect the business, some companies standing on the same stage maybe is the same.
free trade is modeled to all the people, that is my opinion. >> this is a chance to give an elevator pitch that could fly in your states. questions right here. >> good afternoon. i'm from the chinese embassy and very much impressed by the investments in the united states. right now japan is number one investor in the us but china is catching up. china has surpassed canada and the us is number 2, chinese trading partner only after the eu.
we have 1600 enterprises doing business in the united states. the figure is $15 million. this year, double the figure. now we are negotiating with the united states with an investment treaty. there will be potential in terms of chinese investment in the united states in the next 5 years so a question for my japanese friends. what do you think of the future prospect of chinese investment in the united states? >> china is the largest economy and growing. as you mentioned china will be -- not programmed although some
people argue the transpacific partnership is an attempt by east asian nations to equal playing field with china's advantages and that is a fair assessment that tpp is containing china's growth. do you believe that? >> i don't think so. >> it is equal across the board in asia. >> welcome the competition and -- economic exchange. >> what do you think of chinese investment in the united states? is it a competitive threat? >> playing field, should be fair and no need to worry about that.
and different technologies. and it is very fair. >> the emergence of china as investor. >> if you look at the membership, and the level playing field of all the companies and countries to compete. and wanting to fight to get into the markets. providing what you talk about of the level playing field and regulatory certainty and it comes down, adapt to the eddies and currents of the global economy foreign investment, we
need homegrown businesses, the investment from multiple sources to write out the global recession. >> we are promoting the oversee -- at the same time, japan. >> in china, 5 or 6, welcome china. and in japan. >> investment, asian investment, a crazy conspiracy theory, in 20 years apple will be a chinese
company and samsung an american company. what do you think? >> and trade corporations, the united states, china and japan, all the companies emerging for the better benefit. >> chinese company in 20 years. >> of those labels will apply. >> these are global companies in the marketplace and companies change their headquarters from time to time. we started -- indicted in switzerland, we pride ourselves on being a global company, and labels will fall away, global
companies competing in a global marketplace. >> a fascinating question. >> my name is david hammond and i serve as president and ceo of the arab chamber of commerce serving as a bridge between the united states in 22 countries. i want to thank the nga for putting together this important panel and thank our japanese consulate for being here, most privileged that you made this long trip to the united states. the end the panel discussion, fdi generates exports. ice suggest exports generate fdi. once you get critical mass of exports going out of the united states there is a likelihood that you will create more capacity, build more factories to attract the fbi. so this doesn't sound like just
an asian discussion, us exports to the middle east and north africa have been doubling every four years, very few places in the world to which exports are doubling every four years so despite a lot of the bad news we are hearing out of the middle east and north africa there is a lot of good news as well. on the other side of the coin if you look at the fbi coming into the united states from the middle east we are looking at unprecedented levels of investment which is a reflection of growing and excellent relationship between that part of the world and the united states but also a recognition that the us economy is an engine of growth and a good place to put money. to the point made by japanese colleagues and the rule of law is very strong. our distinguished moderator started out by saying
cooperation rather than isolation is a very important antidote to terrorism. i agree with that 100% and economic development, and the jobs economic development creates are extremely important because people have jobs they become invested in the economy, less likely to be up to no good. former secretary of state colin powell once said hope begins with a paycheck. that is the focus of the discussion today, important to keep that in mind. >> how much investment in the united states is fear of declining investment opportunities elsewhere, you would want to invest but there is also talk about cash liquidity from the middle east being invested in real estate
and an parked as quickly as it is parked versus the kind of long-term investments the gentlemen here were talking about? >> what we have historically seen from the arab world is long-term investment in the united states, typically the arab world looks for long-term partnerships, not a quick fix. if you look at the types of investments that are made very often they are made by sovereign wealth funds that don't do things quickly or haphazardly and by direct commercial business including the great state of iowa so it is a reflection of challenges in the reason, the drop in oil prices is true but it is also a reflection of the relationship with the united states and who you want your partner to be for the long-term. the united states is a pretty good partner. >> other questions?
>> is korea doing something right in its aggressive approach to business development in the united states particularly marketing? samsung is an example of a company invested, also marketed itself very aggressively as a global brand. what is the meaning of that? >> when it comes to the industry they are just starting to produce -- following the japanese automakers. i believe they are going together with the community and long-term commitment. >> you see them following the exact same path. >> i believe and i hope so. as they go about company and
business. >> how long have you been coming to the united states? >> one year. >> when you're? >> two years. >> two years. >> you governors had some educational experience in the united states so it is many years you have been coming to the united states and how many years you have been going to japan? >> 30. >> take me to japan as much as i like, i am in europe 6, 10 times a year. >> all those 30 years you had a chance to see japan like very few americans get to. is there anything you still won't eat? >> honestly it has nothing to do
with broccoli but if i had to honestly say something it would be sea cucumber. >> is there anything you won't eat in the united states? >> everything is okay. >> barbecue, no problem. >> breakfast cereals? no problem. let's see how that is cooperating. that is cooperation right there. other questions? what time do you have? we are ready. we will wrap it up. >> i want to make another comment. one area we should be thinking about widening assessments in trade, small or medium companies
including startups. basically huge global companies, i think there are many chances among small and medium companies in japan and the us and other parts of the world including china. all those are other challenges with regard to small and medium companies. actually increasing foreign investments and trade. one is a matching issue matching with partners in the other country. matching the place where you
invest, in this respect there are a lot of things the government including local governments can do. coming from those small and medium startups. >> if the state proposed one of these economic field trips where they hop on a plane and the governor is there and staff, usually representatives of the biggest companies in the state you would be enthusiastic about the same kind of trip with middle sized companies, specifically devoted to middle sized financing, something you're interested in entertaining for many states
and the leadership came because there is a great facility, this should be the most beautifully constructed -- japanese company to bring up the main target and concern, please remember that. the united states has a great education system and great people here. we have to bring up resources. >> the quality of this conversation and engagement you have all shown is an example of how much can be demonstrated in even a short time with people
getting together to share practices and enthusiasm about business development and the kind of fun we can have from different cultures as well as using various talents we have as americans and japanese to create a more powerful economic entity. it is competition but the kind of competition where everyone wins. we should continue this conversation somehow. let's talk afterwards. i love these kinds of conversations. they make great radio shows but that is my selfish interest. i think the governor's here, thank you, it is really such a gesture of respect. we are thrilled and the
>> we will have more from the national governors association summer meeting today with an appearance by house minority leader nancy pelosi. watermark live at 2:00 eastern on c-span. c-span makes it easy to keep up with the latest developments with c-span radio apps available for free download from the apple apps store or google play. get audio coverage of every minute of the convention with schedule information about important events. get c-span on the go with c-span radio apps. >> c-span voices from the road.
the cities tour unit stops in cleveland, ohio 4 issues the next president needs to address. >> the eternity issues we have going on with employers, staying home with their babies, black lives and justice. >> the biggest issue, kind of holding it up but as military fall downs are coming a significant portion of the workforce, jobs are going to be lost, still losing jobs overseas. every free-trade agreement or bilateral agreement we have, shipping more products over here than we ship to them and we need to stop that. everyone wants more white-collar jobs and there are not enough.
the blue collar workforce is where we are bleeding jobs the most and what we need to bring back to the country because most of the middle class is like that. >> my vote is for donald trump because i believe in foreign policies keeping america safe, repealing obamacare because obamacare is a joke, it is unaffordable. if you are too sick you are not allowed to have obamacare. it will be affordable, everyone will have healthcare. i think he has proven he can create jobs and put america back to work again. >> voices from the road on c-span. >> we are outside the quicken loans arena where the 2016 republican national convention is going to take place. we are standing on level 4 of
the quicken loans arena and we are in one of the suites, normally a hospitality suite which is being converted for c-span. on this level there are some hospitality suites, about 30 broadband media suites and we were involved in the early -- to get these suites to the media, get that share which was about normal what we normally do. while we get the total number, they are assigned individually to process, c-span did very well in this location. facing the stage which we call the podium complex and that chart, it is a kind of fan
shake, they face in word, we have isles, a center aisle so that people can move. and what not. we will see that next week when the plan comes out and seats go down and where seats are, that is where it will be and all the color will coming and take place. there are a number of stand up broadcast decisions. some are at floor level on end zones. there are two network anchors at the far end, and those positions cost more to build than others. three others and cbs are in a level up, what they built on
them and handicapped seating elsewhere. the broadcasters up here, non-network, they are affiliates of some of those and the same groupings in stand up positions on the floor and some on the level of handicapped broadcasting areas too so they are everywhere. there are two major sides, and photographers on other tears. the center cameras if you see it from here facing the podium will have approved television cameras on the frontier, and the upper tears are photographers.
they are fixed positions, they are all built in, got really fine. it reflected a trend started in 1996 in san diego with steps in the front and those steps were put into a podium we call the stage, lowered somewhat, a feeling of openness, a 10 foot high battleship approach where you look at the delegates. that has endured, we see steps in every design and then. this was brought by the executive producer and his company and the design of joe stewart from los angeles in new york. they have done this before. you can see it has large
screens, and this look, not just on the steps but everything, throughout the stage. and enter from one side and make the speech at the point and exit from the other side. and there could be some other things. and the lighting truss itself is 140 pounds but going into the houston building in 1992, very rapid, no records to show, and 50,000 pounds, and major studies
to see if they hold their weight. and an acoustical design, it wasn't built for spoken word at a lower level and an echo in their, it echoed throughout the place in some capacity for 17 seconds. sound would go in crevices and come out, and that brings us to the fact -- this is more modern and had some acoustical improvements to make for our particular sound on the core level, this is our fifth straight convention in the sports arena of this size. the superdome in new orleans,
the astrodome in houston in 1992 but this has become the standard of what you see. we are in what is known as media row, an extension and variation of what traditionally has been known as radio talkshow row. this was the idea of the communications director to bury it and enhance it and make it more than radio talk shows and it will have broadcast positions and digital media. the new digital age, that will be in here and there will be defined spaces of different variations. we have quite a design here to spruce this place up. you can see a few of the additional panels and they just started on the scenic design at the beginning of that. it will be a very popular hub of activity during the convention.