WEBVTT 00:00.260 --> 00:04.358 well I hope you will help me and give it up or griffey I and 00:04.358 --> 00:07.500 her generation who were building the world we want to live in 00:07.769 --> 00:08.479 maine. You 00:25.764 --> 00:30.132 and rescue efforts being such incredible voices for change and 00:30.132 --> 00:34.070 later seven such great examples for all of us how we can use 00:34.070 --> 00:39.510 our voices um i'm so excited to announce and introduce the next 00:39.510 --> 00:42.530 group evil who are working in other vital aspects of women's 00:42.530 --> 00:47.620 health from elder care in our cities to improving maternal health 00:47.620 --> 00:52.310 across the world they're pursuing innovative strategies based 00:52.310 --> 00:57.700 on the belief that no matter who you are basic health matters 00:58.970 --> 01:03.130 please help me to welcome joe and rincon is the executive vice 01:03.130 --> 01:06.450 president and chief operating officer of the. Anarchy 01:09.370 --> 01:19.907 in. One 01:30.990 --> 01:34.851 good morning i'm honored to be here this morning to produce a 01:34.851 --> 01:40.940 baby in this historic summit on united stated women a or b was 01:40.940 --> 01:46.310 founded 58 years ago by a woman doctor ethel percy andrus the 01:46.310 --> 01:51.298 first female high school principal in california which is discovered 01:51.300 --> 01:55.840 a retired teacher live in an old chicken coop without any health 01:55.840 --> 02:00.712 benefits he was appalled and began a quest to make affordable 02:00.720 --> 02:04.809 health insurance available first to retired teachers and then 02:04.809 --> 02:11.230 to all retirees after being turned down 42 times she finally 02:11.230 --> 02:15.930 found a company willing to offer a plan a full decade before 02:15.930 --> 02:21.390 medicare was enacted I am proud to walk into her footsteps and 02:21.390 --> 02:25.200 to lead a european such an important time in our history and 02:25.200 --> 02:29.470 proud to say that airplane he has been fighting for better health 02:29.470 --> 02:32.230 care for all americans ever. Since 02:36.950 --> 02:41.440 as a nation we have made progress and this has had a significant 02:41.520 --> 02:47.350 impact on the health of women of all ages nowhere has this progress 02:47.350 --> 02:50.350 been more evident than with the affordable care act 02:51.560 --> 02:55.855 the acf has dramatically improved coverage especially for those 02:55.855 --> 03:02.340 50 to 64 years old prior to the implementation of the ac a this 03:02.340 --> 03:05.950 was one of the most difficult and expensive groups to ensure 03:06.670 --> 03:10.830 those without employer sponsored health care had few options 03:10.830 --> 03:15.447 for getting up for the coverage not yet eligible for medicare 03:15.680 --> 03:19.910 their out of pocket costs were rising and their access to health 03:19.910 --> 03:25.620 insurance was declining many were uninsured but since the affordable 03:25.620 --> 03:30.320 health care act was implemented the uninsured rate among 50 to 03:30.320 --> 03:35.873 64 year olds has dropped by 47% almost. Hand 03:38.582 --> 03:43.760 the ac is made more accessible affordable health care through 03:43.760 --> 03:48.409 the exchanges but to other aspects of the acf helped account 03:48.410 --> 03:53.614 for this as well first one of the reasons many people 50 to 64 03:53.614 --> 03:57.040 didn't have health insurance was that the insurance companies 03:57.127 --> 04:00.639 would cover them because they had a pre existing health condition 04:01.400 --> 04:06.190 the ac a putting into that practice which was provided for more 04:06.190 --> 04:11.630 people with access to coverage in our nation's history secondly 04:11.630 --> 04:16.830 a ca also prohibits insurance companies from charging older americans 04:16.990 --> 04:20.900 more than three times what they charge younger customers which 04:20.900 --> 04:25.226 has made cupboards for more affordable and in those states that 04:25.226 --> 04:30.009 had implemented the ac ace medicaid expansion the uninsured rate 04:30.350 --> 04:33.600 for the those with low incomes have dropped significantly 04:34.830 --> 04:39.630 for people 65 and older the a's ca has make coverage more affordable 04:39.630 --> 04:43.770 by gradually closing the medicare part d coverage gap known to 04:43.770 --> 04:47.910 many of us as the doughnut hole and it will be completely closed 04:47.910 --> 04:53.959 by 20 20 the asean is also slowing the growth rate of medicare 04:54.270 --> 04:57.930 over the last for years medicare spending per beam in a fishery 04:58.140 --> 05:03.253 has grown by less than 1% and as a result the party trust fund 05:03.257 --> 05:08.100 will be solvent 13 years longer than projected in. 2009 05:10.420 --> 05:15.122 all of this is good news for women though disparities still remain 05:15.890 --> 05:20.516 women individuals with family incomes at or below the hundred 05:20.516 --> 05:24.900 near 38% of the federal poverty level which disproportionately 05:24.900 --> 05:29.520 include single mothers and those in fair oak for health are still 05:29.520 --> 05:33.459 no more likely than others to have an unmet need for care due 05:33.459 --> 05:38.540 to costs though the gap is closing we have to keep fighting until 05:38.540 --> 05:44.380 all these disparities disappear our call to action is to continue 05:44.380 --> 05:49.222 to educate people about the affordable care act and to improve 05:49.300 --> 05:54.600 medicare and expand medicaid are called to action is to create 05:54.600 --> 05:59.580 an america where all people regardless of their age have access 05:59.580 --> 06:04.160 to the care of the information the services they need to lead 06:04.160 --> 06:08.240 healthier lives with independence and dignity thank. You 06:13.123 --> 06:20.000 and thank you joann our next ideas for action comes from carolyn 06:20.000 --> 06:24.170 myles theo of save the children and global maternal and child 06:24.170 --> 06:25.178 have. Caroline 06:29.977 --> 06:35.630 here with all of you all 5000 of you this amazing i'm carolyn 06:35.630 --> 06:39.290 myles and the seo and president of save the children and save 06:39.290 --> 06:43.080 the children is actually about something really basic we were 06:43.080 --> 06:47.070 started a hundred years ago almost a hundred years ago by a woman 06:48.070 --> 06:53.240 and she had this idea the children actually had rights they had 06:53.240 --> 06:58.310 the right to survive they had the right to learn and they had 06:58.310 --> 07:02.386 the right to be protected from harm and today that's still what 07:02.386 --> 07:05.150 save the children does in a hundred and 20 countries around the 07:05.150 --> 07:14.870 world I wanted to talk for a minute about that first piece about 07:14.870 --> 07:20.960 survival we have made enormous progress on survival we many of 07:20.960 --> 07:24.340 us in this room have worked on this issue for a very long time 07:24.810 --> 07:30.140 and in the last 25 years the world has cut the number of children 07:30.140 --> 07:33.950 that die under the age of five a preventable bats in half 07:36.250 --> 07:37.680 with an amazing. Accomplishment 07:39.860 --> 07:44.930 we've also reduced maternal mortality by 44% in that same period 07:44.930 --> 07:45.430 of time 07:47.410 --> 07:51.170 and we know that a mother a dedicated mother is what every child 07:51.170 --> 07:55.780 needs of this is really really important to us but we haven't 07:55.780 --> 07:59.700 done everything we need to do we now have to go that last mile 08:00.180 --> 08:07.430 and while you and I are here today in 24 hours 16000 kids will 08:07.430 --> 08:12.170 die under the age of five of things we can prevent and 800 mothers 08:12.170 --> 08:17.299 will die in childbirth in 24 hours we have to do better we gotta 08:17.310 --> 08:21.140 reach the hardest to reach mothers and children begin to tell 08:21.140 --> 08:25.030 you a very quick story when I was in india couple of years ago 08:25.240 --> 08:29.670 I went there because it is the place in the world where the most 08:29.870 --> 08:36.470 babies died on the day they're born 300 thousand children die 08:37.070 --> 08:41.840 on their first birthday the day they're born and I met vera woman 08:41.840 --> 08:47.180 named irina and I sat in her little house on a wooden bed and 08:47.180 --> 08:51.461 she told me how her daughter her baby daughter had died on that 08:51.461 --> 08:57.040 bed she died because the reason when rendering gave birth she 08:57.040 --> 09:00.450 was in that little house by herself she called her neighbor the 09:00.450 --> 09:02.750 baby wasn't breathing and the baby died 09:04.190 --> 09:07.310 and that made me mad because that's something that we can prevent 09:07.880 --> 09:11.940 but what made me madder was when I walked out the door of her 09:11.940 --> 09:17.850 little house I looked up it was a giant mosquito right down the 09:17.850 --> 09:21.750 street and I said you were widened to go to the hospital when 09:21.750 --> 09:23.560 you are giving birth and she said i'm too poor 09:25.260 --> 09:30.550 i'm too poor to go to the hospital no mother and no child should 09:30.550 --> 09:32.630 ever die because of. Poverty 09:39.290 --> 09:43.050 and right now millions and millions of women and girls are discriminated 09:43.050 --> 09:47.920 against because of poverty because of ethnicity because of geography 09:48.550 --> 09:53.330 and a lot of times because they're girls one of the things that 09:53.330 --> 09:57.800 save the children does is work on girls' education and are fantastic 09:57.800 --> 10:01.674 first lady is that I talk about this I think later today but 10:01.674 --> 10:05.560 keeping a girl in school is really important to break the cycle 10:05.590 --> 10:09.246 and to make sure the kids are healthy for every year we can keep 10:09.246 --> 10:13.490 a girl in school we can ensure that that girl gets married later 10:14.048 --> 10:18.530 that that merle has a sleeper berth that that girl is probably 10:18.530 --> 10:21.960 protected from sexual abuse more so than a girl all the drops 10:21.960 --> 10:26.091 out of school and that her role will have a healthier babies 10:26.800 --> 10:31.520 keeping girls in school is a key key issue in terms of breaking 10:31.520 --> 10:36.070 the cycle of poverty and making sure that every girl has a chance 10:36.070 --> 10:36.820 to. Survive 10:42.670 --> 10:47.840 we're at this critical moment in time we have that really aggressive 10:47.840 --> 10:51.180 goals over the next 15 years with many of you in the room we 10:51.180 --> 10:54.810 won an event at the deaths of children under five get to zero 10:55.180 --> 10:59.780 we want every child to get basic high quality the education and 10:59.780 --> 11:03.940 we wanna protect kids from harm and the us the american people 11:04.160 --> 11:08.860 and the u s government are huge leaders in this area right now 11:08.860 --> 11:12.320 there's something called the reach act that is in front of congress 11:12.760 --> 11:17.010 we have great bipartisan support in a time when it is really 11:17.010 --> 11:21.970 hard to yet republicans democrats too green I need on anything 11:22.490 --> 11:26.170 they are putting forward this bill and over the next 10 years 11:26.450 --> 11:31.890 it will save the lives of 15 million children and 600 thousand 11:31.940 --> 11:40.740 women so i'd like you to get behind that but really what i'd 11:40.740 --> 11:45.700 like you to do today is I want you to raise your voices I want 11:45.700 --> 11:50.340 you to speak out for women like noreen and her baby daughter 11:50.970 --> 11:55.850 who died when she didn't have to do I want you to find some cause 11:55.850 --> 12:01.840 in this room to get involved in because we need your voices we 12:01.840 --> 12:06.788 need you to raise your voices for mothers and kids that can't 12:07.340 --> 12:08.230 thank you very. Much 12:11.975 --> 12:19.450 doc now hear from dr carol brown was the physician at the memorial 12:19.450 --> 12:23.010 sloan kettering cancer center and one of the vice president's 12:23.010 --> 12:25.155 passions the cancer moon. Shots 12:32.880 --> 12:33.580 good morning 12:35.080 --> 12:40.090 look around you about one out of every three women in this room 12:40.370 --> 12:44.700 will get some type of cancer in her lifetime we have made great 12:44.700 --> 12:48.530 progress in the war on cancer but that progress has come fast 12:48.530 --> 12:52.600 enough since cancer is still the second leading cause of death 12:52.640 --> 12:57.210 for women in the united states how can we change this frightening 12:57.210 --> 13:02.500 statistic by shooting for the moon the national cancer moonshine 13:02.790 --> 13:06.010 announced by president obama in his state of the union address 13:06.310 --> 13:10.520 and led by vice president biden on behalf of the nation will 13:10.520 --> 13:14.570 focus on achieving a decade's worth of progress in just five 13:14.570 --> 13:20.710 years ultimately striving to end cancer as we know it I was privileged 13:20.710 --> 13:24.730 to meet vice president biden last month when he convened a cancer 13:24.731 --> 13:28.840 moonshot roundtable at memorial sloan kettering cancer center 13:29.100 --> 13:35.400 to discuss a problem and I care deeply about disparities in cancer 13:35.400 --> 13:40.670 care air and inequalities in health care access while disparities 13:40.710 --> 13:45.330 are seen in many types of cancer some of the most upsetting examples 13:45.360 --> 13:50.070 are found in cancers that affect women for breast and cervical 13:50.070 --> 13:54.900 cancer african american women have the lower survival rates than 13:54.900 --> 14:00.160 women from any other group hispanic latina women have the highest 14:00.160 --> 14:04.090 rate of getting cervical cancer while african american women 14:04.090 --> 14:08.783 have the highest death rates for a cancer that we can now prevents 14:08.950 --> 14:13.930 with the h peavey vaccine as a surgeon caring for women with 14:13.930 --> 14:19.080 cancer at a leading centre for over two decades I have learned 14:19.080 --> 14:22.800 that one way to eliminate cancer disparities is to get more people 14:22.800 --> 14:27.290 with cancer to participate in clinical trials by joining a clinical 14:27.290 --> 14:31.600 trial minority and underserved patients can get innovative tree 14:31.621 --> 14:35.650 when they wouldn't otherwise have access to it's just as important 14:35.650 --> 14:38.840 for cancer researchers to include minority patients in their 14:38.840 --> 14:42.890 studies so they can find out of these novel therapies work for 14:42.890 --> 14:48.360 the patients who need the most for example african american women 14:48.460 --> 14:52.610 have the second highest chance of getting you in cancer and the 14:52.610 --> 14:57.090 lowest chance of surviving five years after they're diagnosed 14:57.670 --> 15:01.980 yet less than one in 10 of women who rolled in clinical trials 15:01.980 --> 15:07.520 for uterine cancer are african american we could save the lives 15:07.550 --> 15:11.370 of thousands of african american women with uterine cancer each 15:11.370 --> 15:14.010 year by enrolling them in clinical trials 15:15.330 --> 15:19.260 when vice president biden asked me how we can disseminate the 15:19.260 --> 15:22.430 latest discoveries made in our cancer center to the patients 15:22.430 --> 15:26.151 and doctors we need them I told him about a program I lead a 15:26.151 --> 15:29.700 memorial sloan kettering were we partner with hospitals that 15:29.700 --> 15:34.130 serve mostly poor and minority patients to bring them clinical 15:34.130 --> 15:37.739 trials close to high where they get here from the community and 15:37.739 --> 15:43.200 colleges and miss k research staff search our extensive online 15:43.200 --> 15:48.080 database of available trials then work side by side with community 15:48.081 --> 15:51.920 oncologists to find the right studies to meet the particular 15:51.920 --> 15:57.030 needs of their patients working together we identified a need 15:57.060 --> 16:01.410 for better treatments for triple negative breast cancer and will 16:01.410 --> 16:05.660 soon have a trial opened at our partner hospitals for women with 16:05.660 --> 16:09.180 this aggressive disease that disproportionately affects young 16:09.180 --> 16:14.710 women of african descent our program to build cutting edge clinical 16:14.710 --> 16:18.610 trials to underserved cancer patients in the communities where 16:18.610 --> 16:23.360 they live could be expanded to women nationally through collaboration 16:23.560 --> 16:29.220 among cancer center's industry the national cancer to and women's 16:29.220 --> 16:33.600 cancer provider groups like the society of gynecologic oncology 16:34.800 --> 16:39.000 by giving diverse and underserved women access to clinical trials 16:39.260 --> 16:43.530 weekend in disparities in cancer care the experience and thus 16:43.530 --> 16:47.930 speed up our progress in women's cancers critically important 16:47.930 --> 16:51.310 to the cancer moonshot is giving women the tools they need to 16:51.310 --> 16:55.930 navigate a complex system of cancer care delivery the cancer 16:55.930 --> 16:59.720 moonshot is working to make it easier for patients to access 16:59.720 --> 17:03.690 their own health records improving the user experience so they 17:03.690 --> 17:08.600 can find cancer information and clinical trials on line and enhancing 17:08.600 --> 17:12.914 the resources and to reach a community oncologists who provide 17:12.914 --> 17:15.320 70%% of cancer care 17:16.660 --> 17:20.420 but the cancer moon shot even with its informed and passionate 17:20.420 --> 17:24.870 leader in vice president biden cannot achieve its goals without 17:24.870 --> 17:29.647 your help later this month on june 20 ninth the cancer moonshot 17:29.770 --> 17:34.240 will hold a summit here in dc to catalyze action around its goal 17:34.390 --> 17:38.880 to double the rate of cancer progressed this is a room full of 17:38.880 --> 17:44.090 movers and shakers disruptive thinkers and collaborators of the 17:44.090 --> 17:48.840 cancer moon shot once you once you to participate in their summit 17:49.360 --> 17:53.700 to bring together members of your community to educate one another 17:54.010 --> 17:58.390 and help us change the way we think about in deal with cancer 17:59.270 --> 18:04.085 as women one out of every three of us in this room will face 18:04.085 --> 18:08.920 a cancer diagnosis in our lifetime but as women we can improve 18:08.920 --> 18:13.253 these odds and prevent the cancer's we are at most risk for by 18:13.253 --> 18:18.530 not smoking in gauging in regular physical activity getting to 18:18.530 --> 18:23.240 and staying at a healthy weight and making sure our sons and 18:23.240 --> 18:26.270 daughters get vaccinated against h p. V 18:29.040 --> 18:35.170 knowledge is power be empowered and empower each other know the 18:35.170 --> 18:40.040 symptoms of women's cancers no your risk and get your regular 18:40.040 --> 18:44.960 checkups and screenings with your actions and those to be taken 18:44.960 --> 18:50.210 by the national cancer moonshot we can end cancer disparities 18:50.550 --> 18:55.490 and anti cancer as we know it for women in united states and 18:55.490 --> 18:57.850 around the world and you.