louisville, says the cost of bad behavior by university staff was getting out of hand. >> the band-aids weren't working. the quick fixes weren't working. we can do mail order form pharmacy. we can do all those kinds of things to control costs. but our costs are going up. >> so the university instituted a so-called wellness program. if employees shape up, slim down, and fill out a questionnaire-- a kind of confessional of your health, eating and sexual habits, they get a $20 monthly credit on their health insurance premiums. you signed up. have you seen improvement? >> dramatic improvement. i've lost 30 pounds. i don't have to take blood pressure medicine. >> and says he's never felt better and is working out five times a week. >> i'm calling on behalf of the university's get healthy program. how are you? >> employees must also agree to be regularly nagged by nannies. >> do you know what your current weight is. >> this coach is checking in. >> what types of snacks are you gonna bring? >> part of the program are these coaches, who essentially nag you. >> what kind of dietary changes have

through this facility near louisville every day, they all wear the same uniform: white shirts, white socks, and black clip-on ties, a look stephens borrowed from nasa engineers. >> it looks a little weird walking down the street, 'cause people think we're gonna hand out bibles. but when you see, like, 20 of us walk into a bar and start, you know, ordering beers, it looks like an fbi raid. >> he says the biggest complaint about tech support people is rude, egotistical behavior; and the uniform is designed to impart a dose of humility as they work their wizardry. >> there's usually some frantic civilian at the door, pointing at some device in the corner that will not obey, and we've gotta make sense of it. and, you know, hygiene provides bonus points if i don't smell bad. i mean, literally, that was my business plan. just be nice and fix it. >> are people grateful? >> oh, of course. if you look at, like, the focus groups or whatever, people will say, "savior," and, "they saved me," and, "they saved my data." this stuff's irreplaceable. your master's thesis that you've been working on f

had found one with humana here in louisville, kentucky that is only about five miles from where live. and but for their bronze plan it was going to cost me out of the was going to cost me probably $500 more than the most expensive silver plan would in the marketplace. atany howe, the people healthcare ge.gov worked with me me to a point where i was signed up and submitted the which, byn to anthem, the way, was the only healthcare in the that was offered floyd county, indiana. they had 15 -- there was no competition in our state. basically or in our county. anthem basically had every offered.at was >> are you set to be covered on january 1? caller: this is a good story. on the 13 of december i was told receive the information and gave my credit card information. they said i would have a packet of information from the insurance company. packetyet to receive the of information. we are stating to get into a point here where i do need coverage january 1, but i'm still sitting here, you know, i covered but i'm not sure. i'm hoping that we will be. think you should call anthem. h.h.s. isat

you. that is extremely distinct, but it is a very good model of distinct -- succintness. louisville government one? -- who have we got from england? >> my main policy was a combat youth unemployment, and i think the young people voted for me because this is one of the biggest issues facing young people at present, you've heard it all said -- you've heard the facts and the figures, so i will not bore you with them again, but i believe this is the main problem because youth unemployment set to increase of becoming months and years, so that means it is a problem that will affect all of us, not just 16 to 18-year-olds but every single one of us in this room and young people across england and scotland and northern ireland. i think we should support this motion do everything we can to combat youth unemployment because that's before the problem becomes a crisis. thank you. [applause] >> thank you. the northeast of england. yes, your self? >> thank you. this is of course an important issue because young people needed a job, or people who just have one around and serving him because of it i

wifelan and i can be a part of, which i had found one in humana in louisville, kentucky. it is only about five miles from where we live, and their bronze plan will cost me, out of the marketplace, probably $500 more in the most expensive silver plan would in the marketplace. anyhow, the people at healthcare.gov worked with me and got me to a point where i was signed up. they submitted the information to and from, which, by the way, was the only health-care company that was offered in indiana. -- in foy county, indiana. there was no competition in our state. some -- anthem had the only policy. host: are you set to be covered on january 1? caller: on december 13 i was to give all the information. as said by christmas i would have a packet of information from the insurance company, but i have yet to receive that packet of information. we are starting to get to a point here where i do need coverage january 1, but i am still sitting here -- i think i am covered but i am not sure. i am hoping that we will be. guest: i think you should call anthem. tellingwhat the hhs is people. if you hav

director of the national institutes of health public health in mexico, mayor greg fisher of louisville, kentucky, and i am delighted, he was not on our program before, but we were able to get deputy mayor of public health and human services in the city of new york , and sadly dr. tom friedman, the director of agile, cannot be here because of the government shutdown. the very fact that i've to say something like that is prickly so shocking. our topic is slimmer cities, promising strategies for fighting obesity. obesity is perhaps the leading public health threat today. the city and countryside alike and is spreading globally. is huge. obesity does not kill as directly and as insidiously as it does tobacco, but it does lead to many forms of cancer, arthritis, pulmonary diseases, and tell us other costly and debilitating problems. and it greatly diminishes the quality of life of those who suffer it. astonishingly high percentage of people who are obese or overweight, including populations, cultures, and cities where until recently obesity was not a serious problem. we have many people her

problems. counties d, 20 rural in my state have the same problem as well. and louisville. what i'm saying this, everything other ying will apply to parts of the country that are struggling. here's a time when big cities wore this great engine now that they're a drag. theeed to get back to where big cities are an engine for improvement. >> the next question, how do you lan on getting african-americans to embrace the gop in plan and the general. you sign my ld pocket constitution. 33.t's table [ applause ] 5% of the got african-american vote. it used to be better. in 1920, we got 99% of the african-american vote. in 1928, we were up above 2/3 of the vote. from s a dramatic switch 28 to 32. after that, it slips us.ressively away from not necessarily the issues. we have to change the opinions and attitudes on issues. i think it is true that if you don't have money or you don't have a business, you aren't that concerned about regulation and taxings. if i talk to people who are trying to get ahead in life and aren't yet successful, it could be young people. ethnic groups on occasion. about re n

from louisville. seeing as i'm a single male, 31, policy being canceled, by the way, with no kids or dependents, and i'm paying for pediatric dental care and maternity care, it doesn't make a whole lot of sense to me as a single male age 31 having to pay for pediatric, dental care and maternity care; doesn't make a whole lot of sense to me. he makes more than $100,000 a year and doesn't qualify for a subsidy on the obama exchange. this 13-year-old's -- this 31 -year-old's policy is being canceled. his higher costs aren't subsidizing lower-income policyholders. his subsidy has already been paid by the government. but he's providing a subsidy in another way. the new act requires him to buy a policy with features he doesn't need. here's what he says. seeing as i'm a single male with no kids or dependents and i'm paying for pediatric dental care and maternity care, it doesn't make a lot of sense to me. what obamacare is doing is moving mclemore out of the individual market where people are covered by age and history to a group policy in which young and older workers get the same coverage

bruce kleinschmidt, a lawyer who lives in louisville, kentucky. bruce had insurance through his employer till he stopped working full-time. bruce is 61, not yet eligible for medicare. using kentucky's new marketplace, bruce found a generous plan that saves him $300 a month in premiums. bruce calls it -- quote -- "a godsend." there are hundreds of similar stories in newspapers all across the nation. the "san jose mercury news, "hartford courier, "l.a. times," many more. not only do we read these kinds of personal stories in newspapers, we receive letters from them every day. here are a few examples i've heard -- letters i've received from montanans. john wrote in to my office with his family's story. what did he say? john's daughter recently beat cancer. she's under 26 so thanks to the affordable care act, she is still covered under her parents' insurance. there's more. when she does turn 26, she will have guaranteed right to coverage. no insurance company can turn her away because she had cancer. john said they're counting on the affordable care act to help them find an affordab

with two guys who were in, who are millennials themselves, a small company out of louisville, kentucky, and they are great thought leaders at the intersection of social and finance. and kind of the genesis of the problem that we gave them was, how do we get in front of these young kids and teach them to think carefully about the stock market? how do we get them less concerned about the risk of the stock market and get them to cultivate a genuine interest? what you're looking at here on the screen is a graphic that we found on "huffington post" which is kind of the genesis for their idea. you can see that 10 publicly traded companies in the middle of the screen are the top 10 companies in this diversified food sector. most people know that nestlÉ crunch exactly nestlÉ but they might not know the other brands that are with nestlÉ. but young people today have an amazing sense of brand's and labels. they are genuinely interested in brands and know a lot about them. so we thought what if we could get young people today to think about the product they interact with? not just fro

this seattle and louisville a school district case involving race, i think he has very clear picture in mind as to how he views the use of race, reso -- racial classifications in the signal that in his very worst race related case. a redistricting case when he did not join with justice kennedy and finding that a certain district had been redrawn to discriminate against this -- hispanic voters. he had this famous line in his opinion. it's a sordid business divvied up by race. i thought why, that's a flag as to what's coming. and then he surprised us a little bit in 2009 when he took up the voting rights -- the court took up a voting rights case. everyone thought that section 5 of the voting rights act which is really a key provision that requires certain jurisdictions with a history of voting discrimination to get any changes in their voting policies precleared by either the justice department or federal court in washington d.c.. he wrote an opinion in that case. the court did not strike down section 5 but he shot an arrow across the bow of congress saying there is a real problem here

think he has views of certain i areas of the law when i deal the seattle and louisville, kentucky cases involving race he has a clear picture in his mind on dealing with racial interaction. he signaled that in a texas redistricting case when he didn't join kennedy to agree a dict was redrawn to get out hispanic voters. but he said a line this is a sort of business dividing us up by race. and i thought that was a flag. he surprised us in 2009 with the voting rights case. everyone thought section five of the voting rights act, which is a key provision that requires concern jurisdiction with a history of voting discrimination to get changes in their policy pre-cleared by the justice department or a federal court in washington, and he wrote in an opinion in that case where the court didn't strike down section five but he shot an arrow saying the country changed and we will see what happens with the voting right act again. i would not be surprised if he writes that case. so i think race is one area where he has a clear idea. i don't know if it is an agenda. an agenda is something you t

term they took up the seattle louisville school district case. >> very did different term. >> very different. very devicive and many 5-4 rulings. they were issues i think he had rather firm views on. so they're not always consistent. they approach the law in different ways and they have different views.this is about a. >> thank you. congratulations. .. to begin with you would read just one page from the book, page four and i will preview this and let thomas explained that this is actually not thomas is writing. it's somebody else's, just as holmes and i think it helps us capture very well the issues that he was struggling with and what's so great about this look so i will give you my copy. >> thank you, thank you. this was some -- from whom' dissenting opinion in the abrams v. united states. this is the first case in which homes defense the importance of free speech and thus is a real turning point in our history of the first amendment. it's an incredibly powerful dissent especially the last paragraph in which holmes tries to explain in a philosophical way why it's important that w

june in louisville, kentucky. and claims related to radiation in mobile, alabama. can you explain to the committee why this is? >> those claims actually fall under the title of this hearing. they are complex claims. they are highly complex claims. but we don't want to do is have a veteran because they went to regional office ones get one decision an equivalent case in a different rating decision. in order to do that in order to concentrate efforts in the way we do claims in a paper world we concentrated them in single places. we provide special training for the processors and raters to work the claim at the same time we worked with dha and provided training to the individual cmp examiners that work these conditioners and send a factory single jointly trained rating board so they get a consistent accurate output. >> so those two areas are specialized in this particular -- >> yeah. >> for the oig ms. mccauley, your inspections on this difficult medical conditions, how often is training and a lack of knowledge regarding policies and procedures a problem? how often is that? >> it cert

is specialized, such as camp will june, in louisville, kentucky to deal with the issues. they can get an accurate decision in a timely manner. as i understand some of the concerns some of the vso have it's not done in a regional office. it's not done anyway when you look at the cases being broke toard other areas. they are not performing adequately. i would like to just, you know, see whether or not you would really consider looking at, you know, centers of excellence for those very complex cases since you can move it electronically once the system is up and completely running fully. >> we would consider the centers of excellence concept. in fact, my staff is going through now pulling numbers in terms of accuracy, rating capacity, et. cetera. on regional offices right now to identify are there some clear outliers that say this should be a ceo for ptsd, this should be for military sexual trauma. we are going through the process now. we're beginning the process. it's not quick. it's going to take some time to do to make sure we get it right. it there are some centers of excellence t