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From YouTube: National Institute of Health Roundtable Discussion
Description
Mayor Walsh brings together members of the Massachusetts delegation, along with Presidents, CEOs, and Directors of Research from leading Boston hospitals, for a roundtable discussion at the Dana Farber Cancer Institute in Fenway. The panel discussed the possible impacts of the Trump Administration's proposed cuts to the National Institutes of Health budget.
A
We're
happy
because
the
meeting
here
and
incredibly
grateful
to
you
mayor
Walsh,
for
your
deep
commitment
to
ensuring
continued
growth
in
NIH
funding
at
home,
a
woman
aboard
100
garages,
NIH
funded
research
programs
in
this
city
and
this
state
we're
very
lucky
in
the
city
of
Boston's
and
have
your
strong
leadership.
Support
area
group
I
also
welcome
and
recognize
members
of
our
congressional
delegation
today,
including
senators
and
marking
congressman
Mike,
Capuano
Trinity
and
congressman
Katherine
Clark.
A
A
Our
shared
efforts
to
secure
the
clubbing,
that's
needed
to
develop
new
treatments
and
the
best
possible
care
for
every
person
within
this
country
who
need
them
and
also
happy
to
acknowledge
Richard
Murphy
with
a
patients
treated
here
in
Harbor
and
lay
ground
the
program
you
community
center
March
about
the
chair
of
human
seas
and
the
importance
of
major
advances
in
cancer
therapy
in
saving
lives.
I
think
we
all
know
that
money
invested
in
biomedical
research
is
money
that
is
extremely
well
spent.
A
It
has
a
tremendous
positive
impact
on
the
economy
and
I.
Don't
think
we
need
to
review
those
big
years
now,
create
jobs
directly
in
laboratories
and
hospitals
and
in
companies
that
develop
new
treatments
for
disease,
new
technologies,
new
breakthrough
to
serve
our
patients,
so
I
mean
every
dollar
that's
invested
at
NIH
at
the
NIH.
A
Invest
in
us
in
the
research
has
a
return
of
investment
of
seven
fold
that
in
economic
activity,
so
we
our
healthcare
industry,
the
second-largest
most
lucrative
industry
in
terms
of
creating
jobs
in
Massachusetts,
and
we
all
know
that
the
deep
cuts
that
have
been
proposed
in
the
history
year
2018
budget
would
be
a
tsunami
for
all
academic
medical
centers.
It
would
bring
us
back
to
the
role
of
funion.
We
had
over
a
decade
ago,
a
branch
down
to
25
billion
dollars.
A
We
are
currently
actually
under
this
bill
that
just
passed
at
34
billion
dollars
now
in
the
NIH
budget.
This
is
particularly
frustrating
because
the
last
couple
of
decades
environment
or
searching
and
absolutely
transformative
with
the
advent
of
human
genome
sequencing
the
ability
to
handle
massive
amounts
of
data
technology
such
as
immunotherapy
and
genome
editing,
more
efficient,
sequencing,
an
amazing
time,
alignment
of
research
for
its
ability
to
be
translated
as
measures
and
therapies
for
our
patients.
A
They
even
set
aside
a
light
that
could
be
saved
that
won't
be
saved.
If
we
see
this
dramatic
cut
in
the
NIH
budget.
The
foolishness
of
this
extreme-
because
it
just
in
terms
of
cost
etiquette,
but
you
take
out
climbers
of
these,
for
example,
we're
spending
currently
250
billion
dollars
in
there
just
treating
just
taking
care
of
patient
of
Alzheimer's
disease.
A
Think
we
all
appreciate
the
very
negative
consequences
that
the
President's
budget
proposal
on
medical
research
will
have
on
patient
care
and
they
will
be
deep
and
long-lasting.
You
cannot
reduce
by
medical
research
by
the
percentage
that
we're
talking
about
here
and
think
that
it's
just
going
to
spring
up
again.
If
the
budget
goes
down,
these
are
long-term
investments
and
Boston.
We
have
an
enormous
amount
to
lose.
A
Particular
there
are
other
countries
who
are
pouring
dollars
into
research
and
development
time
derivative
sample
there,
that's
what
somewhere
between
200
and
300
billion
in
Rd
over
the
next
five
years.
This
is
a
scorching
pace
and
the
first
time
they
filed
more
patents
than
we
did
in
in
the
last
couple
of
years.
So
you
know
we
worry
about
all
of
the
all
of
the
things
we
see
that
say
made
in
China,
but
just
imagine
how
much
worse
that
this
could
be
in
how
much
worse
we
would
feel
if
they
were
invented
in
China
and
I.
A
A
We're
very
proud
of
being
already
part
of
this
vibrant
community,
and
you
know,
want
to
work
with
all
of
you
to
make
sure
that
this
revolution
and
our
understanding
and
treatment
of
disease
retains
and
maintain
to
expand
its
momentum.
We
want
Austin
to
be
a
very
part
of
that
revolution,
so
let
me
stop
there
and
ask
John
Fernandez
to
come
to
the
podium
or
to
speak
from
your
seat
through
the
next
person
on
the
list
here.
Thank.
B
You
I'll
be
very
brief:
welcome
everybody
as
the
chair,
the
conference
of
Austin
Teaching
Hospital
riddle
to
host
this
event
and
thank
the
mayor
for
organizing
it,
and
we
know
we
have
the
best
delegation
in
the
United
States
when
it
comes
to
biomedical
research.
So
I
hope
we
can
have
a
significant
discussion
about
how
we
influence
the
NIH
game
plans
in
the
future
to
help
our
patients
and
our
institutions
here
in
Boston,
so
I'm
going
to
turn
it
over
to
Mayor,
Walsh
and
I
can
take
it
out.
Thank.
C
You
John
and
I
want
to.
First
of
all,
thank
all
of
the
teaching
hospitals
are
being
at
200,
hospitals
are
being
in
not
just
teaching.
Thank
you
for
being
here
today.
I
want
to
thank
all
the
staff,
that's
here
from
the
different
hospitals
and
different
organizations.
I
want
to
thank
folks
from
the
city
of
City
Hall
as
well
a
policy
director
economic
development
operations,
health
departments
here
this
is
a
real
important
time
and
conversation
that
we're
having.
Most
importantly,
other
groups
of
people
I
want
to
thank
our
elected
officials.
C
C
The
first
pledges
that
went
in
by
the
president
wasn't
going
to
be
kind
of
pushed
aside
and
that
we're
going
to
do
some
other
things
and
move
forward,
and
that
would
be
OK
in
the
budget
and
happy
to
say
that
in
that
first
round
we
were
okay,
well,
Thomas,
analyzed
different
ways,
actually
spending
one
up
in
a
lot
of
places.
I
want
to
thank
both
of
them.
C
I
know
we're
going
to
be
joined
in
a
little
bit
by
by
congressman
Kennedy
and
congresswoman
Clark,
who,
on
their
way
here,
I
want
to
thank
the
press
for
being
here.
You
have
an
obligation,
as
we
all
do,
to
report
on
on
the
impacts
of
what
this
cut
means.
You're,
all
the
boston
media.
Just
just
so,
you
get
a
little
snapshot
of
this.
The
White
House
has
proposed
an
18
percent
cut
to
the
National
Institute
of
Health.
These
cuts
would
be
extremely
harmful
to
Boston,
and
no
hospitals
here
at
the
table.
C
Boston
and
Massachusetts
has
been
ranked
number
one
recipient
for
23
years
in
a
row
in
funding.
Think
about
that.
For
me,
the
impact
that
will
have
I
was
treated
in
this
very
building
43
years
ago
downstairs
in
the
first
floor.
What
I
had
then
the
treatment
and
the
survival
rate
was
a
lot
lower
than
it
is
today.
C
The
sovery
today
is
90
percent,
and
part
of
a
lot
of
that
is
because
of
the
research
that
went
on
here
between
Dana
Farber,
between
children's
between
Brigham
and
women
and
between
all
the
other
hospitals
are
here
at
this
table.
Mass
General
and
I
go
on
all
around
everybody,
so
it's
important
for
us
to
understand
that
we
received
1.85
billion
dollars
last
year
alone.
So
the
cuts
that
we're
talking
about
this
year
and
we're
going
to
get
into
a
little
deeper
later
on
will
be
could
be
over
300
million
dollars.
C
Those
cuts
are
very
deep
to
an
institution
when
you
think
about
what's
at
stake
here.
Medical
research
is
about
saving
lines,
nobody
does
it
better
than
Boston,
and
certainly
in
our
city,
when
we,
when
we
talk
about
the
companies
that
we're
attracting
to
our
city
and
John
Barnes,
is
here
with
us
today
we
could
talk
about
one
of
the
first
things
that
come
out
of
people's
mouths
when
they
talk
about
attracting
opening
their
business
in
Boston,
they
talk
about
the
hospitals
and
not
necessarily
for
the
care.
C
They
talk
about
the
hospital,
because
the
hospital
are
a
draw
for
the
brain
power
and
they
talk
about
the
universities
that
we
have
so
the
impacts
of
these
cuts
can
go
very
deep.
It
can
be
very
effective.
Very.
Have
a
big
impact
on
our
city
also
have
a
big
impact
on
our
economy.
The
healthcare
sector
is
our
biggest
employer
in
the
city
of
Boston,
so
you
think
about
when
I
think
about
this
people
so
wise,
the
mayor
of
Boston,
coordinating
this
meeting,
because
the
ramifications
go
much
deeper
than
than
just
being
in
City
Hall.
C
It's
also
at
the
foundation
of
our
international
competitiveness
when
you
think
about
the
hospital,
when
you
think
about
the
hospitals,
we
talked
about
made
in
China
think
about
what
we're
doing
hearing
that
states
America
when
it
comes
to
medicine
and
the
groundbreaking
advances
that
we're
making
in
our
country.
Most
of
those
advances
happen
right
here
in
this
stretch,
in
this
stretch
of
I'm,
going
to
throw
the
map
around
probably
four
miles
from
from
Danny
fava
to
the
front
door,
children's
to
the
front
door.
C
Faulkner's
Tufts
is
right
around
the
corner,
as
we
go
around
the
table
BMC
and
within
a
four
mile
mile
stretch.
We
have
many
great
hospitals
in
our
city.
So
today
is
about
a
conversation.
Today
is
about
a
dialogue.
What
I'd
like
to
do
I?
Guess
we
could
just
real
quick
I'll,
throw
the
first
question
out
to
our
to
the
senator
and
Congressman,
but
won't
we
just
take
a
second
to
go
around
the
table.
So
just
a
saying,
I
know
we
wanted
to
be
intact.
F
H
K
I
D
C
So
Thank
You
congressman,
we
just
gave
a
quick
brief
overview
of
where
we
are
so
I
guess
some
of
the
client,
some
of
the
some
of
the
dialogue
would
have
Richard
Murphy
will
speak
ill
in
a
while.
You
should
jump
into
this
conversation,
but
just
I
think
things
that
were
going
to
be
worrying
about
what
the
impacts
of
patience
potentially
could
be.
C
What
the
impacts
of
private
industry
potentially
could
be,
what
areas
of
pediatric
research
could
potentially
suffer
what
how
these
impacts
could
affect
us
on
both
a
national
and
an
international
stage,
and
how
the
fight
on
the
opioid
epidemic
that
we're
all
going
through
that
all
of
us
are
working
on.
I,
guess
that
my
first
question
or
my
first
comment
is:
there-
has
to
be
bipartisan
support
for
NIH
funding
in
Washington
and
I.
Guess
what
what
are
those
conversations
like
and
and
how
can
we?
M
M
The
extent
to
which
you
can
talk
to
those
mayor's
those
leaders,
I
think
your
voice
will
be
heard,
and
the
same
thing
is
true
for
people
who
are
here
at
the
table
for
all
the
next.
You
know
several
months.
A
higher
percentage
of
your
time
is
going
to
have
to
be
with
you
putting
down
your
microscopes
and
picking
up
the
microphones,
because
this
story
has
to
be
told
to
all
of
the
institutions
across
the
country
who
you
represent
here
in
Boston,
the
the
Cystic
Fibrosis
gene
was
found
buck
found
by
Francis
Collins
in
1989.
M
M
M
And
we
just
have
to
advocate
and
I
would
say
that
we
went
through
a
terrible
period
when
Bush
was
president
and
the
Republicans
control
the
house
and
the
Senate,
where
the
NIH
budget
was
cut
by
20%
between
2003
and
2008
six
years
in
a
row,
the
budget,
by
NIH,
one
time
and
in
December
of
2016.
When
the
qo
Zak
pass,
we
were
able
to
get
extra
money
for
NIH
when
we
just
did
the
omnibus
bill
the
finish
finishing
off
the
2017
budget.
M
We
got
another
two
billion
dollars,
rather
than
being
cut,
we
increased
it
so
increasingly,
Republicans
understand
many
of
them
that
there
is
no
dumber
a
Republican
way
of
looking
at
diabetes
or
cancer
Alzheimer's
or
any
of
the
exotic
diseases,
and
we
just
have
to
intensify
our
efforts.
Do
it
and
it
has
to
really
come
from
you.
You
have
the
most
respected
voices
in
the
medical
community
in
the
same
way
that
mayor
Walsh
is
the
most
respected
mayor.
D
M
The
concentrate
that
your
voice
is
resonate
with
by
greater
power
and
the
more
time
you
spend
on
the
phone
or
at
conferences
of
organizing
people
is
the
more
that
will
go
into
the
Republican,
a
host
and
Senate
members
who
are
going
to
need
to
break
off
from
the
Trump
budget.
So
that
would
be
my
message:
chicken,
that's
gonna,
I,.
L
Have
to
start
with
a
respectful
disagreement
from
my
friend
mr.
Markey
I
do
think.
There's
a
Democratic
and
Republican
way
to
look
at
it.
Democrats
accept
science
and
we
lean
forward
Republicans,
put
forth
this
budget.
That's
a
big
difference
to
me
and
I
want
to
be
real
clear.
It's
not
just
about
the
NIH.
If
we
save
every
penny
in
the
NIH
education
and
healthcare
still
get
hurt,
let's
not
forget
about
eight
hundred
million
dollars
that
our
proposed
cuts
in
the
health
care
bill.
L
Let's
not
kind
of
talk
about
cuts
about
in
the
NSF
and
by
the
way,
each
and
every
one
of
your
patients.
When
you
cure
them
go
home,
they
need
housing,
they
need
transportation,
they
need
education,
they
need
food
and
nutrition,
and
on
and
on
and
on
every
single
one
of
those
items
is
slashed
in
this
budget.
Now,
let
me
be
clear:
none
of
us
believes
this
budget
is
going
to
be
adopted
as
presented
I.
Don't
think
anybody
believes
that
that's
really
not
the
point.
L
The
point
is
this
is
the
vision
that
our
current
administration
has
for
this
country
and
if
they
succeed,
it's
horrendous,
but
even
if
they
don't
succeed.
The
fact
that
we
have
to
be
here
today
discussing
these
kinds
of
things
should
scale
and
you'd
perfectly
honest.
Many
of
you,
almost
all
of
you
heard
me,
say
this
before
I
love,
my
scientific
community,
my
academic
community,
but
you
drive
me
nuts,
because
you
think
that
you
can't
be
touched.
L
You
think
that,
because
you're
right
and
because
the
science
is
right,
that
of
course,
intelligence
and
brightness
and
light
will
win
out.
Well,
that
may
be
true
in
your
world,
not
always
in
mind,
and
so
I
need
to
echo
what
the
senator
said.
You
really
need
to
reach
out
every
single
one
of
you
has
very
strong
connections
around
this
country.
L
Every
single
community
I
know
has
a
large
Hospital
every
one
of
those
hospitals
provide
the
best
paying
jobs
in
that
congressional
dish
and
I
don't
mean
just
the
researchers
or
the
administrators
of
the
doctors,
the
nurses,
that
janitors
are
paid
better
in
most
hospitals
than
they
are
paid
elsewhere.
The
blood
technicians,
the
people
that
provide
the
food
in
the
vending
machines
all
get
paid
and
all
get
hurt
if
our
hospitals
around
this
country
and
our
research
around
this
country
get
hurt
to
me,
it's
not
about
billions
of
dollars.
L
I
mean,
surely
that's
what
it
adds
up
to,
but
it's
about
the
impact
on
the
people
that
we
get
a
serve
and
the
society
we
want
to
see
and
I
know
that
you're
not
laying
back,
but
I
really
have
to
push
you
as
hard
as
I
can
to
reach
out,
because
the
truth
is
you
look
to
reach
very
far
in
Massachusetts,
you
get
three
of
us.
Another
love
the
way
you
know
the
entire
Massachusetts
delegation
is
with
you.
You
know
that.
How
do
you
impact,
especially
the
teaching
hospitals?
L
It
is
a
political
fight,
not
necessarily
a
scientific
one
and
that's
unfortunate,
but
it's
just
the
way
it
is.
We
love
science,
everybody
who
comes
to
any
of
your
hospitals,
love
science.
That's
why
they're
there
anybody
with
a
sick
child
or
a
sick
parent
love
science,
the
only
people
who
don't
are
the
right-wing
zealots,
who
believe
that
all
investment
of
public
money
is
bad
investment
and
by
the
way
I
want
to
be
real,
clear.
It's
not
just
about
the
absolute
dollars.
It
could
retake
it
from
the
NIH.
L
Oh,
they
could
double
it,
but
if
they
reach
in
and
get
rid
of
peer-review
if
they
reach
in
start
messing
around
with
scientific
decisions
that
are
made,
this
country
will
be
hurt
and
money
will
be
wasted.
So
this
is
not
just
a
simple
straightforward:
let's
get
more
money
for
NIH,
not
to
me
and
I
know
not
to
you.
This
is
a
complicated,
detailed
item
that
really
goes
to
the
basic
understanding
and
the
basic
desires.
L
I
think
this
whole
region
shares
and
where
we
want
this
country
to
go
and
what
kind
of
society
we
want
to
live
in,
and
you
really
need
to
step
up
I'm,
sorry
to
say:
that's
right,
I
hate
to
pull
you
out
of
your
daytime
jobs,
you're,
doing
great
work,
which
is
why
people
from
around
the
world
come,
but
unfortunately,
in
the
short
term,
it's
necessary
without
your
involvement.
In
your
commitment,
beyond
your
immediate,
we
stand
a
chance
of
losing
and
that's
unacceptable
to
all
of
us.
Thank
you.
H
Just
very
briefly,
first
I
want
to
thank
you
for
all
being
here
and
Marty
for
inviting
me
in
convening
us
about
the
topic.
The
good
news
is,
we
recently
had
an
appropriation
hearing
on
NIH
with
Rand
Collins
many
of
our
top
researchers
were
there
very
well-received
by
the
Republican
members
of
the
committee,
I
think
as
Senator
Markey
record.
H
But
we
need
your
help
in
getting
that
out
of
appropriations
into
an
actual
budget
with
dollars
that
can
can
come
back
to
the
great
work
that
you're
doing
and
it's
being
done
across
the
country
and
I.
Think
that
does
mean
working
out
as
I
looked
at
my
friends
from
touching
when
we
had
the
neonatal
abstinence
cell,
it
was
really
a
pediatrician
and
tough
getting
on
the
phone
calling
boosters.
They
knew
who
called
very
conservative
members
of
Congress
and
convinced
them
that
this
was
a
good
bill.
H
So
it
kind
of
be
more
critical.
We
are
very
proud
to
partner
review.
We
know
that
Boston
is
top
recipients
of
NIH
funding,
but
that
also
comes
with
from
gelatin,
and
we
have
to
call
on
were
your
partners
and
colleagues
around
the
country
to
put
that
pressure
and
make
the
tape
and
tell
the
compelling
story
to
their
members
and
I.
Think
that
you
know
now
is
the
time
to
nationalize
that
I.
C
Guess,
I'm
going
to
throw
out
a
question
to
all
into
the
hospitals.
Two
questions,
one
is
the:
what
will
the
impact
on
patients
be
and
if
funding
gets
cut
as
it
did
back
under
the
Bush
administration?
Is
it
realistic
to
expect
the
private
industry,
like
the
biotech
of
the
pharmaceutical
industry,
to
fill
the
gap
and
I
know
if
I
had
a
conversation
with
some
of
you
in
the
past?
That
will
concern
about
it's,
unlike
Silicon
Valley,
but
I
want
to
tell
that
out
for
dialogue
and.
A
You
know
I,
consider
the
relationship
between
academia
and
the
private
sector
to
really
be
a
marriage
made
in
heaven,
because
they
are
very
expert
in
arenas
that
we're
not
as
expert
in
the
idea
that
high
that
industry
could
pick
up.
The
slack
when
it
comes
to
basic
research
is
just
not
realistic.
It's
not
true.
It's
not
going
to
happen.
A
A
They
neither
do
it
themselves,
nor
do
they
fund
the
most
basic
of
research
and
I
like
to
say
that
you
know
we
talk
a
lot
about
translational
research,
but
there's
nothing
to
translate.
If
you
don't
make
those
key
very
basic
discoveries
of
new
genes
that
are
important
in
cancer,
and
that
needs
to
be
those
those
that
working
to
be
going
academia
and
we
funded
by
our
government.
A
Private
industry
is
not
going
to
pick
up
the
slack
there
where
they
come
in
is
when
you
get
to
the
translational
stage
and
you're.
Looking
at
first
in
human
clinical
trials,
you're
looking
at
stage
2
and
phase
3
clinical
trials,
there's
partnerships
there's
alliances
that
go
on
between
academia
and
the
private
sector,
and
they're
wonderful,
but
they're
not
going
to
reach
back
and
do
a
very
basic
work.
That
really
leads
to
the
transformative
met.
K
K
What
typically
happens
is,
as
many
of
you
know,
is
that
when
social
funding
comes
cut
back,
our
most
vulnerable
and
I
in
our
society
are
affected.
First
and
all
of
us
around
the
table
have
an
obligation
and
a
responsibility
to
take
care
of
and
protect
the
most
vulnerable
in
our
society,
not
just
here
in
Boston,
in
Massachusetts,
but
across
and
I.
Think.
K
What
frightens
me
the
most
is
that
the
thoughts
about
content
on
the
NIH
B&C,
the
FDA
meditate,
the
discretionary
component
of
being
a
chance
funding
is
it
hits,
are
the
most
vulnerable
amongst
cut
back
on
the
social
programs
as
well.
What
we
found
here
in
healthcare
and
I'm
sure
my
colleagues
can
add
to
this,
please
that
right
now,
health
care
is
the
social
safety
net
for
many,
the
moment
alone
for
many
of
our
Medicaid
patients
we
are
developing
through
uncertainty
could
be
green
to
them,
and
so
that
that
is
really.
K
The
funding
it's
our
philosophy
for
how
we
care
for
one
another
and
what
kind
of
I
would
agree
with
you.
This
is
clearly
political
da
hai
and
I
had
the
pleasure
of
serving
as
the
director
of
the
National
Heart
Lung
and
Blood
Institute
for
a
number
of
years
had
put
off
the
testifies
before
your
committee
prior
employment
and
left.
You
know
we
do
need
to
tell
a
story.
The
other
piece
that
really
helps
is
completely
wheeled
up
accomplishments.
K
K
Q
Q
Using
technology
to
make
gratification
in
our
genome
family,
clearly
forgave
me
questions
in
ways
never
done,
but
you
presence
is
a
strength,
endurance
and
strength
of
heaven.
We
compare
different
enemies,
in
other
words,
Peter
disciplinarian
they're,
almost
critical
mass
for
maybe
beat
them.
So
we
have
a
dedicated
medical
center,
Amina
tolerance.
Come
houses
haven't
discovered
you
that
has
implications
in
cancer,
but
also
brown
lines
that
something
as
we
are
uniquely
placed.
We
have
something
is
working
on
a
see
the
virus
vaccine.
It's
a
constant
maximum
range.
D
A
A
A
J
I
just
want
to
raise
another
issue
that
federal
you
committed
on,
and
that
is
the
international
competitive
acquisition.
You
look
historically
over
the
last
couple
of
centuries
at
various
times,
England
Germany
France
is
in
the
capital
of
July
sizes
of
the
world.
It's
only
really
been
dusted
for
less
than
a
century.
The
United
States
has
destroyed
that
position
and
we
shouldn't
assume
that
it's
ours
forever
and
there's
so
many
other
countries.
J
J
G
Because
piggybacking
on
that
very
same
thing,
one
of
the
reasons
that
we
States
relies
on
chuan
for
workers
in
their
town.
It's
cost.
So
many
of
our
own
citizens
have
seen
the
vulnerabilities
of
the
research
budgets
and
are
unwilling
to
go
into
a
career
that
takes
a
long-term
investment
of
the
basic
science
that
is
required
to
be
able
to
translate
content.
G
Q
G
E
Assisting
of
attacks
and
academia
working
together
has
such
a
cycle
because,
as
the
culture
has
mentioned,
we
have
different
to
seal
the
different
talents
and
I
think
the
success
of
Austin
as
Avaya
tech.
How
can
we
be
severely
impacted,
develop,
I,
think
the
NIH
grants
were
carried
out.
We
are
willing
to
take
risks.
We
are
willing
to
go
beyond
what
is
no.
Where
is
Interstate
looking
for
in
terms
of
their
nest
after
missiles
a
whole
different
philosophy,
so
we
need
to
work
together.
P
A
That
is
one
example.
A
good
example
of
the
primacy
and
essential
nature
of
basic
research
can
be
seen
in
cancer,
immunotherapy,
which
researchers
worked
on
for
20
30
40
years,
with
persistence,
even
when
it
wasn't
working,
and
that
has
resulted
thanks
in
part
actually
to
a
faculty
member
here
at
Bank
barber
who
discovered
the
key
gene
that
is
being
targeted
now
campus
in
new
immunotherapies.
A
That
actually
can
take
a
patient
to
a
stage
4
metastatic
melanoma,
who
is
on
death's
door
and
return
that
person
to
what
appears
to
be
a
state
of
no
detectable
disease
thanks
immunotherapy
and
that
took
an
investment
over
many
years
in
basic
research
lab
for
that
discovery
in
May
and
then
transmitted
and
Iranian
therapy.
The
patient's
like
computer
and
off
vivo
and
those
drugs
that
actually
activate
your
own
innate
about
all-campus.
K
Comment
up
there
we
prefer
to
hide
advocacy
within
Congress
I
think
we
also
need
to
engage
in
abdomen
between
the
Department
of
Health
Act,
our
director
Li
ni,
trance
analysis.
As
you
all
know,
the
superb
scientist
and
wonderful
active
with
grilled
that
he
came
highly
focused
based
on.
If
you
look
at
our
current
Secretary
of
Health
and
Human
Services
I
do
think
we
can
help.
We
have
a
lot
of
work
to
do
that.
Honor,
dr.
prices
are
very
respectful
orthopedic,
but
he's
never
lived
in
a
teaching
hospital
world
I.
K
K
Probably
around
the
room
here,
on
average
across
our
institutions,
we
probably
received
fifteen.
Seventy
percent
of
the
direct
funding
at
indirect
support
for
the
research
infrastructure.
Taking
that
down
to
ten
percent
would
be
absolutely
devastating.
We
would
not
have
other
mechanisms
for
building
enforcement,
releasing
resources
for
paying
for
the
electricity
for
paying
the
nice
waited
for
the
janitors
or
whatever,
and
and
that
did
reflect
I.
Think
the
fundamental
misunderstanding
of
how
research
works
so
I
think.
E
Many
hairs
bonus
tagging
system
we
had
yet
that
I
could
take
very
cold
area
time
to
store,
and
this
is
a
potential
crisis
refinery
attention
being
made
that
we
white
recruit
same
clay
needs
here
in
this
table
who
go
to
other
sites
life
away
after
my
card,
and
now
we
often
plays
as
the
future
magical
formative
Baker's
which,
having
the
tires
of
his
own
baby,
bears.
So
they
devised
injuries,
medical
disorders.
E
O
D
O
O
Them
that
say,
we
is
a
returning
certain.
The
best
example
I
can
give
you
what
the
cause
I
had
recently
from
a
colleague
about
Diana
Bianchi,
who
is
now
director
of
ni
CHD,
and
she
said
that
NIH
saves
more
lives
every
year
than
Department
of
Defense,
and
that
was
the
message
that
I
think
can
resonate
on
both
sides.
If
you
are
given
the
investment
country
in
defense
at
NIH,
a
key
is
that's
a
better
investment.
If
you
like.
N
Another
dimension,
I
think
worth
talking
about
what
effect
might
ecosystems
is
that
Boston
and
all
of
our
institutions
play
major
roles
and
recipients
of
large
multi-site
awards.
For
example,
we
have
an
award
for
a
40
million
dollar
vitamin
D
and
diabetes
study.
30
million
of
that
is
actually
parsed
out
to
states
around
the
country.
Nineteen
states,
many
of
them
more
on
the
red
side
of
this
of
the
ledger.
I
think
they
would
be
the
concept
of
the
amount
of
dollars
coming
to
Boston.
C
N
L
Just
want
to
jump
in
for
a
second
to
follow
up
on
that.
This
is
a
point
of
education.
A
lot
of
people
in
like
my
district,
asks
all
the
questions.
Why
do
we
spend
money
on
naval
ships,
big
huge
multibillion-dollar
ships,
but
the
Navy
doesn't
want
here's
your
answer,
because
the
hull
was
built
in
the
state
of
Washington.
The
propeller
is
built
in
the
state
of
Virginia.
L
The
engines
are
built
in
the
state
of
Ohio.
The
radar
systems
are
built
in
Massachusetts
on
and
on,
and
on
just
to
follow
up
on
you,
every
single
one
of
the
people
touching
those
grants
should
have
a
vested
interest
and
they
need
to
be
enlightened
about
that
investment
interest
and
again
I.
Go
back
to
what
I
said
the
beginning.
I
love
my
science
at
the
connected
community,
but
you
do
tend
to
live
inside
that
wonderful
bubble
of
intelligence.
I
live
in
Washington.
C
Guess
is
there
a
way
that
you
can
help
the
hospital's
identify
certain
senators
and
congressional
delegations
or
individuals
that
they
could
focus
on
I
mean
focusing
on
some
of
them
is
a
waste
of
time.
I
know
that
myself
and
as
US
Conference
of
Mayors
I
mean
we
took
on
three
issues.
Last
year,
oh
this
year,
beginning
this
year
we
took
on
the
Affordable
Care
Act.
C
We
took
on
immigration,
which
of
our
climate
change
and
we're
losing
on
all
three
right
now,
but
but
we
do
have
a
meeting
in
June
that
was
going
to
be
coming
back
and
it's
a
bipartisan
group,
and
you
know
it
was
told
to
us
that
the
Senators
of
zone
are
concerned
about
cutbacks
in
a
cup
active
medical
money
because
of
the
small
Hospital.
So
it's
really
looking
kind
of
give
the
hospital's
a
roadmap
to
who
who
could
they
target
trusted?
Congressman.
C
R
My
first
term
flying
up
from
Washington
very
early
one
morning
and
then
dragging
out
a
ton
for
about
8:00
a.m.
or
8:30
a.m.
I'll
walk
her
Alzheimer's
and
I
rain
cold
October
day
in
Massachusetts
or
700
folks.
There
those
words:
it's
been
a
couple
of
bucks
to
try
to
raise
money,
called
houses
and
what
I
think
was
the
most
powerful
about
that.
Is
your
local
working
class
community?
That's
willing
to
make
that
investment.
R
R
D
R
As
a
why,
for
some
reason,
your
representative
isn't
willing
to
invest
the
federal
titles
that
are
necessary
to
actually
cure
Alzheimer's
or
ALS,
or
one
of
the
other
Mary's
disease,
that
your
your
researchers
here
are
going
to
find
a
cheerful,
but
that
infrastructure
already
exists.
All
we
have
to
do
is
tap
into
it,
not
about
of
a
message
of
a
way
of
saying:
hey,
we're
going
to
find
a
cure.
R
F
M
M
Nothing
existed,
who
is
no
advocacy,
nothing
and
in
2001,
I
convinced
the
Hillary
and
simple
columns
to
be
the
sign
of
chairs.
We
now
have
150
members
in
the
house.
We
have
35
in
the
Senate
and
you
know
what
happens
and
will
you
organize
more,
you
personalize
when
we
find,
as
general
saying
those
people
who
are
individually
affected
and,
as
Mike
said,
they're
in
all
of
your
hospitals
here,
but
there
are
hospitals
all
across
the
country.
M
Well,
when
we
just
increased
the
the
NIH
budget
by
two
billion
dollars,
four
million
400
million
was
just
am
I
qualified.
That
was
a
pause
at
me
until
I
can
tell
you,
it
was
a
long
slog
to
get
to
this
corner.
Okay,
but
that
again
gives
you
one
more
cake
that
makes
it
harder
for
them
to
cut
it
right
to
cut
the
whole
budget,
because
now
you
have
a
whole
other
group
of
people,
many
of
them
with
parents
who
had
all
sorts,
but
then
it
gets
personal.
M
So
you
have
to
kind
of
work
to
try
to
make
this
more
personal.
You
know
who
these
people
are
on
your
boards.
They
come
to.
Your
hospitals.
Are
eternally
grateful
to
you,
but
so
don't
say:
doesn't
every
other
institution
in
the
country
like
you
and
the
more
that
you
make
it
personal
is
the
more
it
gets
very
hard
for
them,
and
opioids
is
a
good
example.
We
had
dr.
Sarah
Waichman
in
my
office
yesterday.
M
She
runs
the
addiction
program
at
Mass
General,
and
she
told
me
she's
afraid
that
the
basic
research
budget
at
NIH
could
get
cut.
That
would
deal
with
finding
a
non-opioid
of
dealing
with
addiction,
and
that
would
be
tragic
if
we
didn't
have
all
the
basic
research
that
was
going
to
be
done
now.
That's
an
issue
that
affects
senators
and
congressmen
in
West
Virginia
in
Ohio
in
Pennsylvania.
You
know
those
people,
you
know
those
who
like
to
represent.
M
M
We
get
a
half
a
billion
dollars
a
year
from
the
National
Science
Foundation
from
the
boss,
half
a
billion
every
year
we
get
a
hundred
million
in
CDC
money
every
year
and
they
were
doing
Zika.
Last
year
we
had
Tony,
Bochy
and
dr.
Frieden
come
in
and
thought
she
says,
I'm
taking
money
from
malaria,
research
to
put
it
into
Zika
research.
All
I
can
tell
you
is
when
doctors
talk
to
Senators
that
way.
M
It's
like
we're
not
going
to
research,
malaria,
we're
not
going
to
research
taking
in
all
of
Ebola,
you
know,
and
so
it's
a
wake
up
call.
So
you
you
know
like
EF
Hutton
when
you
speak,
people
listen,
but
you
just
have
to
again
put
down
your
microscopes
and
pick
up
your
microphones
and
it
will
resonate
out
of
here
and
I.
Think
give
you
a
much
better
protective
shield
Collins
all
these
programs.
S
S
Take
off
the
glasses
I
can
see,
only
people
are
I
appreciate.
You
know,
given
a
very
interesting
prophecy.
It's
going
through
Carson
to
me,
research
and
reality
is
very
first
I
was
diagnosed
with
me,
cousin,
11
2008.
At
that
time,
my
long-term
survival
rates,
please
Charles
Dickens,
say
his
line
still
resonates
really
bad
who's.
The
best
of
times.
S
When
dr.
holy
yeah
talkative
no
conventional
medicine,
that
can
help
me
I
can't
tell
you
the
deal
Scott.
The
homie
also
assured
me
the
thing
you're
changing
day
by
day
propensity
India
therapy
efficient
I
was
a
bit
skeptical,
but
I
believe.
Is
it
that
day
I
find
it
very
difficult
to
tell
a
story
in
five
minutes.
S
S
But
there
was
a
time
not
that
long
ago,
that
the
dishes
record
multiple
surgeries
week.
Two
lots
of
radiation
was
fine
when
we
had
shots,
chemo
pills,
diet,
programs,
illnesses
bathing,
the
holy
water
swimming
biking
and
running
walking.
Sin
to
work
at
that
time
is
only
23.
Chisel
is
just
hitting
the
sweet
spot
in
life.
S
Richard
being
treated
with
proper
trial,
drug
called
epic
excuse
me
I
still
can't
say
the
real
word.
This
is
the
first
organ
13
ways
to
get
patients
is
the
pacifies
melanoma
chance
of
long-term
survival,
instead
of
always
being
afraid
afraid
of
the
stands,
a
theory
of
being
treated
or
worse,
not
being
treated
credit
side
effects.
Afraid
of
the
future,
I
chose
to
believe
when
we
do
believe
that
it
is
only
a
test
to
the
wire
if
he
provided
the
forest
Corral.
C
S
I,
let
myself
dream
further
and
further
out
I
was
told
to
be
patient,
that
things
are
changing
by
the
death
by
the
hour.
But
you
question
everything
the
question
to
fake
yours:
octaves
excuse,
Emily,
you're,
hoping
the
strength
you
ask
yourself.
Why
not
me
I
can't
undo
door
and
then
we
believe
in
the
things
the
doctor
is
trained
to
the
samsung
amoled
Wensley
I
was
given
a
drug
classified
as
a
meeting
of
families.
Apd
work
I
take
three
four:
seven:
five.
D
S
P
I
Okay,
a
final
word
but
I
have
a
word
I'm,
a
primary
care
physician
as
the
commencement
position
to
addition,
research,
including
May,
for
that
research,
and
we
heard
about
cancer,
really
incredible
story
about
someone
getting
free
from
their
cancer
and
I.
Think,
and
we
talk
about
how
do
we
make
good
advocacy
and,
and
what
affects
everybody?
Not
just
for
Boston
and
I.
I
Think
this
addiction
is
the
critical
paradigm
of
disease
for
the
old
country,
preservation,
Park,
Virginia,
Convention,
Center
marquee,
but
it's
really
every
state-
and
you
know
in
my
own
town,
a
boy
they
grew
up
in
my
oldest
son
died
of
an
overdose.
Earlier
this
year,
two
houses
down
I
sell
grow
up,
so
it
spares
no
one.
When
you
see
these
things
happen,
it's
not
just
the
okay,
so
you'll
be
a
bit
different,
actually
mazmanian
or.
I
M
D
N
A
A
A
C
I
think
it
I
think
what's
important
here.
Is
that
we're
all
in
this
fight
together?
Clearly,
the
impact
are
very
deep
in
a
whole
bunch
of
different
levels
for
all
of
us
and
I
think
that
we
heard
a
little
bit
from
the
from
the
congressional
delegation
today
about
some
of
the
things
that
we,
you
have
the
power
to
do
and
I
think
as
us
as
elected
officials,
we
have
the
the
job
to
reach
out
and
build
relationships
and
bonds,
and
we
all
have
friends
on
the
other
side
of
the
aisle.
C
Certainly
we
have
a
governor
in
Massachusetts
that
that
supports
us.
Here
we
have
a
delegation
in
Massachusetts
from
talking
to
the
State
House
that
supports
the
NIH
funding,
because
they're
not
can't
feel
back
to
it.
So
I
think
it
is
important
for
us.
The
next
step
is
that
we
don't
just
go
back
to
our
offices
and
not
to
do
anything.
I
mean
I
have
a
Conference
of
Mayors.
In
two
weeks
I
mean
we
will
be
talking
about
this
issue,
the
congressman
in
the
senators
from
a
country
the
mayors
can
impact
small
hospitals
in
rural
America.
C
We
voted
for
the
president
as
an
English
country.
Capilano
said
you
know
those
those
are
the
best
paying
jobs
in
that
town
and
what
will
happen
is
with
it,
with
the
reduction
potentially
and
universal
health
insurance,
the
affordable
care
act,
and
then,
on
top
of
this
NIH
funding,
I
mean
those
are
detrimental
blows
to
those
small
hospitals.
C
Just
what
they're
going
to
do
to
our
big
hospitals
here
in
Boston,
so
I
think
the
next
step
is
to
continue
that
the
dialogue
continue
to
move
forward
and
don't
take
anything
for
granted
in
this
White
House
I
mean
it's.
You
know
we
just
don't
know
on
a
day-to-day
basis.
What's
going
to
happen,
this
doesn't
make
any
sense,
this
cutback
of
funding.
Does
it
make
any
sense
to
anyone,
who's,
rational
but,
unfortunately,
they're
not
dealing
with
rational,
rational
thoughts
down
right
now,.