01:10addiction and mental illness affect Americans across every race class and political belief
01:16when my team and I took the helm at HHS we set out with clear goals first we aim to make America
01:24healthy again with a special focus on the chronic disease epidemic second we committed to delivering
01:30more efficient responsive and effective service to over a hundred million Americans who rely on Medicare
01:37Medicaid and other programs third we focus on achieving these goals while cutting costs for taxpayers
01:45and tend to do more a lot more with less the budget I'm presenting today supports these goals and reflects
01:52the witness will suspend the committee will come to order capital police are asked to remove the individuals from the
02:10hearing room members of the audience are reminded disruptions will not be tolerated
02:17disruptions will not be permitted while the committee conducts its business capital police are asked to remove the individuals from the hearing room
02:25that was a made for c-span moment the secretary will resume
02:32second mr. secretary the secretary let's let's get the the doors closed and the ruckus just to totally clear
02:39that was a made for c-span moment
02:46that was a made for c-span moment
02:50that was a made for c-span moment
02:52the secretary will resume
02:54second mr. secretary let's let's get the the doors closed and the ruckus just to totally clear
03:01got it
03:14okay and we thank the capital police for working with due diligence thank you very much
03:20mr. secretary please resume
03:22the budget i'm the secretary we reset the clock the clock's been running
03:29um
03:32whatever it would be
03:34okay please
03:36all right
03:37the budget i'm presenting today supports those goals and reflects two enduring american values
03:43compassion and responsibility
03:47i invite the committee to unite around these ideals with me
03:52the united states remains the sickest developed nation in the world and we spend 4.5 trillion dollars annually on health care
04:00two to three times more per capita than comparable nations
04:04clearly something is structurally and systemically wrong with this system
04:11furthermore health care costs are steadily increasing at a rate of two percent greater than the economy
04:17if we don't staunch this unsustainable hemorrhage
04:21we will ransom our children to bankruptcy servitude and disastrous health consequences
04:28yes an exploding debt is a social determinant of health
04:34we won't solve this problem by throwing more money at it
04:37we must spend smarter
04:39we will shift funding away from bureaucracy and toward direct impact
04:44some things at hhs will not change we will preserve legacy programs like medicare medicaid
04:50and head start as the foundation of the maha agenda
04:54vulnerable populations seniors and veterans deserve consistent access to care
04:59to care and i will ensure that they receive it
05:03today 83 million americans urban and rural lack adequate access to primary care physicians
05:09we will prioritize these families especially native american and alaskan communities
05:16we will protect ihs funding streamline its operations and give the tribes more autonomy in managing their resources
05:24let me be clear we intend to make the trump hhs not just the most effective but also the most compassionate in u.s history
05:33our official budget statement outlines many priorities but i want to highlight a few
05:39first we will consolidate programs to better tackle mental health and addiction
05:45these issues now rival chronic disease and their impact
05:49the hhs will aggressively combat the opioid crisis especially the spread of synthetic drugs like fentanyl
05:57we will empower state local and tribal leaders to create effective solutions
06:04second we will address nutrition physical activity and healthy lifestyles
06:09the president's budget requests 94 billion in discretionary funds to support these priorities
06:15including the administration for a healthy america
06:18we will emphasize healthy eating and head start
06:22and ensure the program continues to serve its 750 000 children and parents effectively
06:29third we will equip fda to expand its food safety efforts through research regulation inspection
06:37and education to remove harmful chemicals from food and packaging
06:42fourth we will find cutting-edge research at NIH while cutting risky or non-essential studies
06:49that includes ending gain-of-function experiments and research based upon radical gentler ideologies
06:56at the CDC we will return to core missions tracking disease investigating outbreaks and sustaining public health infrastructure while cutting waste
07:09fifth we will eliminate DEI funding and redirect resources toward real poverty reduction
07:15we will move beyond lip service to communities of color and take meaningful action to meet their needs
07:22sixth we will strengthen cyber security and health IT
07:28the AI revolution has arrived and we are already using new technology to manage health data more efficiently and securely
07:37finally we will rebuild public trust a trust that eroded through years of industry capture corruption
07:44waste and misplaced priorities we will launch a new era of transparency and public service
07:51creating an honest science driven HHS and answers to the president to Congress and to the American people
07:59I look forward to working with Congress to pursue this mission together as a bipartisan cause
08:05let's work side by side to make America healthy again
