so dr. miller, welcome. as i read your report, your testimony, and also the executive summary, i was just struck by the thoroughness of the work you do. a lot of the issues are controversial. i remember when we first talked about controlling payments to physicians and the heck that we received and how much controversy there was. and you thought the sky was falling and it would never work out. and i mention that because i really think your report, and it has areas where there are difference of opinion, your report shows how successful this has been, this program, that is, in some respects a public but not only public, but public and private partnership. and with a lot of back and forth from the private sector as reflected in your report. and i just want to comment for each of us on this committee and this subcommittee, when we go home, we have lots of meetings with the various providers, the various groups, and they have differences of opinion. and they have some urgent pleadings. but i really think your repo

and to you, dr. miller, thanks for joining us today. and for the important role that med pac plays in informing medicare policy, we've had a chance to look at your report. maybe not read each page the long one, but an excellent executive summary. and unfortunately, as mr. tiberi and i you -- discussed, this is the first hearing of this subcommittee. and i regret that we did not have an earlier hearing on the consequential health legislation that the republicans introduced and passed. that bill as we know would have taken away coverage from 24 million americans. while handing out nearly $1 trillion in tax cuts for the wealthy. indeed, the very wealthy and corporations. it would cut medicare by cutting more than $800 billion from the program and shifting costs to patients. it would allow states to eliminate or weaken crucial market reforms, including essential health benefits, community rating, and protections for older workers. it was opposed by doctors, hospitals, patients, aarp, almost everybody who is a participant in the work that yo

jennifer miller of dartmouth college, no relation. dr. miller will discuss the u.s.-japan relationship. and clinton of washington will discuss the u.s.-south korea relationship. that goes without saying thanks to the organizers and sponsors that have been tremendous. i will just dive into it. among the numerous battles an waged,ag afghanistan should be understood as a central front. you cannot claim this distinction because it received the most attention, i think sustained deliberations only happened during the second term. nor on the basis of the resources expended on it. was extensivene and unprecedented. it should be understood in terms of the expectations and hopes that reagan and other policymakers affixed to victories there. no other battlefield held the globally symbolic ramifications attached to afghanistan, nor was any other anti-communist cause outside of eastern europe nearly as popular across the american political spectrum. the pursuit of victory limited tot diplomacy could achieve the detriment of soviets, americans, and afghanistan al ike. it appears w

and also something dr. miller had said, everything works out differently. this unilateral and definitive closure did not work out. it left too many questions, too much uncertainties, and people wanted to know what happened to their loved ones. i had read countless letters of people expressing their frustration, their anger, their rage. can you tell us anything more to my familyppened member? saying no, i'm sorry, there is nothing we can do. via gnome changes all of that. that is why displayed as graphic of walking to some iterations. essentially the counting process -- the accounting process never ended. there is a transition from the units, those dealing with the dead, to what david has mentioned, the central identification laboratory. that laboratory from the 70's and 80's and 90's primarily focus on dealing with the vietnam casualties. they began focusing on the korean war. that was in large part due to the state department efforts to rekindle associations between the united states and north korea and use this mission as the weigh-in. from the mid-90's t

to really understand that, i know dr. miller has an aggressive program to expand this and looking at social media to quantify this. if phenomenon of you have specific familiarity i'd be happy to hear comments. >> this study was funded out of the stem activation parts. we're really excited about it. both the coverage we managed to get all together, right, not just one source, what i wanted to point out a lot of studies are still olympian going. i'm really glad you're looking at this initial report but want to make sure we draw your attention to the final report once it's been completed. we feel it's absolutely crucial to social sciences to make sure your research active and up to date. >> good. always nice to see government doing its job well. to get to scientific things here, how much overlap is there in emp events caused by nuclear events? is this a separate set of litigation even though there are similarities and the time frame. obviously the skiptture i is way different. >> i can say a few things i learned about this f

i want to thank dr. miller for your hospitality. thank you for joining us. we are honored to have you in our presence. thank you for testifying and for all that you are doing to help us combat opioids and save lives. a year and a half ago in our committee's first hearing on the issue, i warned that so many people were dying in communities across america and that we could no longer ignore this emergency. today the centers for disease control estimates that more than 64,000 americans died from drug overdoses in 2016 and that's an increase of more than 20% over the year before. to put it into perspective, the death toll from the overdoses last year alone was higher than allus military casualties in iran and iraq wars combined. every 20 minutes, every 20 minutes someone dies from an overdose. if it lasts for two hours, a half dozen families will have lost a parent, a sibling or a child to opioids. we have the reports and you had years of talk. now it's time for action. the american people are looking for us to take action. they are looking to the president and t

we have recently appointed, seven weeks ago, dr. matt miller to head up your veterans crisis line. this is the first time we've had a clinical psychologist in charge of the veterans crisis line. because this is clinical work and this is not just a call center. we have expanded telemental health. we have 11 telemental health regional hubs throughout the country. and in 2006 alone we had 427,000 telemental health encounters. that's more than ever before. we have taken from our research enterprises a big data analytics program that we call reach vet that now predicts who may be at the greatest risk for suicide, up to 80 times the risk of suicide of a regular person over the next year. now we call them. this is being done around the country to outreach and see what we can do to proactively help, so not waiting until there is a suicide attempt. on september 15th of this month we released state suicide data. many of you have been referencing that data. but we think that's going to help people design more effective interventions. we have continued to develop public/private partnerships be

we have recently appointed seven weeks ago, dr. matt miller to head up our veteran's crisis line, this is the first time we have had a clinical psychologist in charge of the veteran's crisis line, because this is clinical work and this is not just a call center. we have expanded telemental health, we have 11 telemental health regional hubs throughout the country. and in 2006 alone, we had 427,000 telemental health encounters, that's more than ever before. we have taken from our research interpri enterpris enterprises, a big data analytical -- up -- over the next year. and now we call them, and this is being done around the country, to outreach and see what we can do to proactively help, and not waiting until there's a suicide attempt. on september 15 of this month, we have -- we have continued to develop public-private partnerships, because va can't do it alone. this morning i was talking to the cohen network, but many of our vsos and other groups are here in the room today, are those partners that we're working with. we continue t

mark miller, say a couple words. >> great. i'm dr. mark mirror. i wanted to thank dr. owens, president who have done a wonderful job organizing this event and several others that we've done here and also lindsay markel. we do events on history that have relevance to today's issues. we've been hosting an average about one event per week since we were formed nine months ago and we particularly like to bring in people who haven't necessarily been heard inside the beltway. there's a tendency as i'm sure a lot of you know to recycle the same speakers and so we were able to bring in our speaker from california and she's -- though she's well-known has not actually spoken publicly in d.c. before. this is the first event we've done on this subject, certainly one i think that is very relevant to military affairs because it's not just a cultural issue but one of military capabilities and readiyness and people on both sides of the debate contend that their policy is better in terms of maximizing u.s. military capabilities and we do see a lot of history involved in this discussion.