Hi everybody, welcome back to Las Vegas. We're here in the Venetian Conference Center and this is theCUBE's continuous coverage of HPE Discover 2023. This is day three. This is our 13th year covering HP slash HPE Discover. John Fogarty last night was rocking the house. He was really, really good. Guys, what's he in his late 70s? He's 78 years old. The guy was amazing. Bad moon rising. He brought out all his old songs. He had his kids playing behind him. The saxophone player was unbelievable. The crowd was rocking. Unfortunately for Leonard, no trombone, but hey, he was really, really good. Put me in coach. Just fantastic. I'm here with Rob Stretche. John Hampton is also here as the senior director for worldwide customer field support at AMD and John Fry is back, chief technologist at HPE. Jen, it's good to see you. Yeah, great to be back. Thanks for having me gentlemen. Yeah, you bet. So John, let's start with you. John, I am from AMD. Give us the update on your business. I mean AMD has been rocking. Lisa has the company on the right track. We see the markets. The stock market loves AMD and it's been fantastic to watch you guys come back. Give us the update on the business. Yeah, I've actually been at AMD now about 20 years and really right now it's been one of the most rewarding times to see AMD and the climb and the stock price and just being able to bring this new technology and innovation to the market. And really that's what we're about at AMD. Innovation is in our blood. And that's what's really driven this success. Our mission at AMD is to use our technology, use our innovation in partnership with HPE to solve the world's most important challenges. One of those being here today, sustainable IT sustainability. Yeah, and the epic architecture has been epic essentially. And John, you guys know it well. It's one of your key vectors of your architecture. But we were talking earlier this week about sustainability. It's like all of a sudden this has become such a front and center issue. Why is that? Well, there's a couple of reasons. One is institutional investors are starting to ask CEOs and boards about the topic. So of course they want to make sure they have great answers for them. Increasingly customers are asking companies they do business with about their ESG and sustainability programs. And for a non-manufacturing company, the technology infrastructure is often the largest source of carbon emissions for the company. Three, I think that's a cost opportunity. We often think of sustainability as costing more. Actually, sustainable IT saves lots of money. And one other driver is geopolitical situations like the war in the Ukraine. All of a sudden EU data center operators saw their power bills double or triple in the span of a month. So they really had to react to that. And I guess the last thing I would mention is we've got some emerging regulatory drivers in the EU and here in the United States that are going to bring a lot more focus on carbon emissions and technology can be such an enable or reduce those. If for all those reasons, I think it's a hot topic. You know, when SVB had the bank run, a lot of critics came out, no surprise, a lot of finger pointing and they were criticizing, you know, their focus on ESG and that's why they, but the point is off the base because ESG has a business case associated with sustainability is good business. Can you explain why? That's absolutely the case. I like the way you said that. There was a recent report that came out that said, businesses that are putting sustainable IT metrics in place today and focused on sustainability transformation are two and a half times more likely to be successful businesses in the future, high performing businesses. So we absolutely agree with that. John said it very well. There's a very clear business impact and we're seeing a lot more of a connection now between those decisions in IT. Of course, we're here to improve our environment, take care of the next generation, improve sustainability, but now more than ever before, we're really able to connect us to the bottom line. And in fact, one thing we have talked about was some of these organizations, particularly in Europe, that have seen rising power and electricity costs. We talked to them about the cost of doing nothing. Their concerns are, I have to address these rising costs, so I can't invest in new technology, but we can sit down with them. That's why we're here to come and consult and say, by investing in new technology, the performance and performance per watt increases are so dramatic, we can actually increase your power, excuse me, increase your performance and dramatically reduce your power and improve your sustainability. And it's about efficiency, right?  Sustainability is not just about green power and everything else, it's about how do you take things out of that to really become more efficient in how you do things. How are you guys working together to really get at that? Yeah, so there's a lot of great ways, and in fact, if we go back a couple of years, when HPE said our 30X product performance improvement goal, AMD instantly reached out and said, we can help you along that trajectory, so how do we do that? So we've been collaborating for years on that. When we think about system architecture is, what do customers want? Higher core counts, smaller packages, but they want to be able to cool them effectively as well. So how do you balance all of those objectives? AMD has been a great partner on those. Customers saying, look, we want to have denser architecture, maybe even manage those workloads on a smaller number of pieces of equipment. So how do we do that? We come in with next generation architecture, higher core counts, and we can actually cut the size of the hardware infrastructure required for the same workloads, often by 50%. So we collaborate there. We also collaborate further. Supply chain assurance, HPE and AMD have worked together on that topic for years, because we don't solve that as one company. We solve it through collaboration. I sit on AMD's external stakeholder advisory committee, so we share roadmaps with one another and help each other get better. Probably a week doesn't go by that we're not talking back and forth to drive programs forward. So collaboration is everything. I love this topic. I was 15 years too early on this. In 2007, we had a partnership with PG&E, and we worked with them because they would give rebates to companies that would install energy efficient technologies. Virtualization was one, 3PAR was another one, where we could show them the virtualized storage, and we would go in with the engineers, we would do tests. We had an energy lab, like the ESG lab that the company used to work with, different ESG, the research company. But it was a heavy lift to get people to even pay attention, because the CIOs would be like, eh, I don't pay the power bill, but now it's completely changed, and the technology behind it. John, I know you have something to show us here. I'd love to take us through this sort of. Yeah, so I wanted to show our fourth generation epic chip, and what you're seeing here is under the hood, we've taken the lid off of this, and want to draw your attention to all these different, what we call chiplets on the CPU. It's really another level of innovation in how we design chips. These chiplets allow us to improve efficiency into the future. It's going to dramatically help us improve sustainability, and the reason for that is historically, it was just one big monolithic die. Now, A&B has all of this exciting technology, CPUs, GPUs, FPGAs, and an AI engine, for example. You can kind of swap in in a flexible, efficient way, exactly what our customers are looking for. So what took place on a motherboard in the past, a lot of that's now the innovation right at a chip level, all connected. So I wanted to just showcase that and talk about where we're going, because this is going to allow us to take another step function improvement in sustainability in the future. So explain the chiplets in a little more detail. So they're like mini workers that can do offloads for networking and storage and things like that. That's right. You may say, hey, I want to focus on high performance computing, and I want maximum cores. Each one of these chiplets will have eight high performing cores, but you may say, John, I'd love to actually bring in some AI as well. We can take an AI engine chiplet and drop that in in a very flexible way. And again, it's all integrated and so that reduces latency and performance until the efficiency is just going to go through the roof. Do you have a sense as to like what the opportunity is? I mean, we've just basically taken the same architecture for years as AI, we're running SAP and Microsoft, whatever, you know, SQL database. But the inefficiency sort of over the years grew. Is it 30% opportunity to do that kind of specialized offloading? Is it less, more, any sense of that? It's funny you mentioned 30%. We actually have an AMD corporate goal that we're going to improve energy efficiency 30 times by the year 2025. So you were right on point there. And I will add to that, together with HPE, we're quite proud of where we stand currently in the green 500. It's a great proof point. 70% of the top 10 is based on AMD CPUs, GPUs, with HPE. And just to add one other thing, it's really incredible about what we're going to do. Again, future looking here. Elcopyton has been announced now. It will become the number one supercomputer in the world. And for this discussion, the number one most efficient supercomputer in the world using our next generation MI 300A. That's where you take a CPU and a GPU, integrate them together in one chip. We call it an APU with high bandwidth memory, shared memory. So that's going to allow us to jump the efficiency. I'd say another 5X. What's the A stand for? The APU. So that's a single chip design. But what's the A stand for? Accelerated processing. That's right. Yeah, and I think that's totally key to how people are looking at this, because when you start to look at AI and training models, right now, one of even the more efficient models out of Meta would take 41 years worth of power to go and train that model for the average US house. So when you start to look at that amount, that has to be where you guys are aiming, is, hey, we know these workloads are happening. We know that they're coming along. People are going to do them in different ways. They have to not only train it, but they got to keep it going. Is that really the focus of what you're both... Yeah, it absolutely is. And one of the reasons is because so many customers are asking, for example, about AI, but they don't understand the environmental implications of using AI solutions. So part of what we help them do, one is run those training models and run the solutions as efficiently as possible, but to understand the environmental footprint of training those models, so can we optimize that, and running the AI solutions so we can do that. So one of the announcements that was made this week, as an example, was HPE GreenLake for large language models. We're making super computing technology available to a variety of users that might not ever buy a supercomputer themselves, but want to run AI models to take advantage of that. It's in a partnership and a data center in Canada, and on a high percentage, almost 100% renewable energy, which allows us to offset some of that carbon footprint of bringing those technologies to bear. We already mentioned some of the supercomputers, El Capitan, Lumi is another great example of that, of a partnership that sits in Finland, but what it enabled was the EU destination earth to actually build a digital twin of the globe to understand how ecosystems interact with one another, so we do better climate modeling and have better solutions. So yes, those technologies are going into play, we've got to do them efficiently and effectively, that's why we look at the green 500 as well, as the top 500, but we want to solve technological and societal problems with them. That's technology for sustainability, and that's really where we're going in the future as well. A couple of times this week, and it might have been on your earlier interview, John, I know Antonio brought it up, he said that we're really proud because our 20, 40 goals are science-based, they're not as a result of buying carbon offsets. Can you explain that a little bit more, what that's all about? Yeah, so there's a third party group called the Science-Based Target Initiative, it's scientists that work with businesses from all industries, and when you want to set a really rigid and gold standard target for carbon reduction, they actually look at your goal, so in our case it was a net zero goal by 2040, so they looked at that and said, one, is it in line with climate science to the one and a half degree scenario, the more rigid scenario? Number two, are you looking across all of your emissions, not just your own operations, because for us, that's only 3% or 4% of our total. So do you look across all emission sources, your supply chain when your customers use your products, and finally what they say is, the goal has got to involve significant reductions before you even think about neutralization, in our case, 90% reductions, and what's happening is around the world there's a variety of carbon claims being made, there's a lot of scrutiny from regulators and journalists, and as soon as we say we have a science-based net zero target, all of the scrutiny stops and people completely understand how that's the gold standard. Yeah, and I think that the science-based is the key in the fact that you have to work together with your supply chain, so I would assume that you're really doing the same thing together with- Oh yeah, that's no question. In fact, the theme for AMD right now that you'll see in our booth here is together we advance, and I love that because that really is what it's all about, it's the collaboration. In fact, with HPE we just sat down with a very large enterprise customer here at the event, and we took science and data and modeled for them how they could take their current data center, basically cut the number of servers in half, dramatically increased the performance, reduced the power, and then of course beyond the power they were able to reduce their hardware costs, their licensing costs, so the bottom line TCO, again the business impact is very well connected, but again, the beauty of all of this was the sustainable IT impact that we were able to make by doing that, so together we advance really does, I think, capture exactly what we're trying to do. Well, I'm thinking ahead of the impact of AI and what that's going to do in terms of driving your demand for compute, so could you talk a little bit about your roadmap there and what we can expect going forward? Yeah, in fact, we just made an announcement this past week here in June 23 on a new GPU that will really change the face of the industry. We recognize too, we need to bring more competition to this industry and I hear it every day, so the AMD Instinct MI300X especially is going to allow us to scale into the largest language models out there and just the capabilities are truly astounding what this chip will be able to do, so we're quite excited, we have a lot of fun conversations happening with HPE on this MI300 family, it's going to help us with super computing, high performance computing, but to your point, it's really going to change the game in AI, so we're going to encourage the viewers to reach out to AMD, find out more about what they want to do with AI, we'd love to have the conversations that explain how we can really help them solve all those challenges. It's a huge point, if we're going to democratize AI, we have to have more than one chip supplier. That's right. Keep up the good work, we really appreciate it. You got it. All right, John and John, thanks so much for coming on theCUBE, it's good to see you guys. Good to see you. Thanks so much, enjoy it. All right, in a minute, we're going to come back and talk about HPE GreenLake, it's the unifying force of the company and the company's cloud strategy for its customers. Dave Vellante and Rob Streche from HPE Discover 2023, you're watching theCUBE, we'll be right back.


Sir Drummond, I'm delighted to be working with you on the social capital markets conference this year and your leadership of some of our content and I thought I just asked you a couple of questions to begin with how you yourself have come to be involved more in this space from a for-profit capacity because my understanding is that you had spent many years working to support capacity building of not-for-profits. Right, although we crossed the lines and yes, I spent 35 years at Tides so that qualifies as a long time. Right, so tell me about your move to equilibrium capital now. Well, it's been interesting for me and very exciting. I think it's quite a different environment to be in in some ways and quite similar in others so the ways it's different is the social capital world is evolving in some ways where the nonprofit world was maybe 20, 30 years ago when innovation and new ideas are becoming, you know, are gaining currency and acceptance I think in the markets. My interest in making the move from the nonprofit world over really has to do with noticing patterns of interest on the part of donors and others who really began to look at the lines between nonprofit and for-profit activity as being artificial and while in the nonprofit sector there was kind of for many years this attitude that people who were interested in making money were driven solely by greed and avarice and people in the nonprofit sector were all good and I think it's a much less bright line. I think there are people in the for-profit sector who have every intent to have the kind of social and positive social impact, environmental impact as people in the nonprofit sector they just work in different ways and so I'm interested in sort of really learning about this new emerging social capital world as a way of adding to the impacts that the nonprofit and the advocacy world can have on these issues which are really pressing and anybody who cares about the society within which we live has to be concerned about both sides of that equation. It's interesting you talk about the blurring of the different sectors. One of the things I think Socap has tried to do for many years and has done for many years and one of the things we're committed to continuing with is this idea of breaking down some of the silos that I've seen in my work particularly in the institutional investment space for social capital markets. So for example we have banks doing community investment, pension funds doing economically targeted investment and we have high net worth individuals doing impact investment and mutual funds doing social investment. I mean there's a whole lot of ways that this activity is being described. Right and obviously there's a big spectrum of what's possible in the social capital world but what's interesting to me is that I don't think institutions have gone there necessarily willingly. I think that they are following the market in other words they're following the audiences that they have it's a large institutions pension funds they have to be responsive to the people who benefit from those or help create those kinds of concentrations of wealth and I think it's a wonderful thing that people are paying attention in that way rather than you know some decades ago people would look at I know certainly the people I worked with in the nonprofit sector particularly high net worth individuals would look at their money management as something that was completely divorced from any interest they had in the issues that they were concerned about philanthropically or in their communities and they would sort of seed control and the uses of those funds or the ways those funds were invested to experts and I think what's happening now is people are starting to look at those as useful assets in making an impact in the same way that their philanthropic assets have been in the past so it's a very exciting time. Yeah and it seems like there's been a tremendous amount of change just in the last 12 months I know with the creation of platforms like mission markets and impact assets and gate impact and the arrival on the scene of a whole new bunch of organizations I mean equilibrium capital was created just a few years ago. Right. One of the things that I've I've been working on is the role of government and policy and social capital markets and I mean Well how is that changing? Is that sort of going through a similar kind of transition? We're seeing you know phenomenal interest from policy makers that was there's not there previously and I think again it's a recognition that that there are ways of doing this that can be kind of institutionalized so for example there's been rapid growth in the United States just in community development financial institutions and there's CDFI's present a really fantastic vehicle for government to realize some of their social objectives through financial markets and you know as we turn towards job creation as a priority you know we're finding a bunch of programs that are that are coming from Washington directed towards CDFI's as as organizations that can channel capital to social impact but we've also seen a number of you know new innovations that have come on the scene in recent years like social impact bonds out of the UK that are now being looked at closely in the US you know the UK they're developing something called the big society bank which is essentially using the dormant bank accounts that have been sitting around for I think over 15 years for individual like you so that $5 you left in the bank account you know 30 years ago. I can use that. Well the government's using it to see the launch of a bank specifically created to fund social innovation which is really exciting you know and you know in the US we've also seen for example the proliferation of new corporate models for social entrepreneurs like B corporations and L3C's and in California there's a piece of legislation to create a flexible benefit corporation so I think the government's realizing that there are discrete opportunities to essentially support what's been going on for many years and to really lay down new rules of the game that make it easier for social entrepreneurs to effectively raise capital and do what they do best which is create social impact. And I think it also holds promise that the engine of the private sector you know the desire to sort of create your own enterprise and have some sense of ownership or you know explore new ideas you know in that way you know really does have broad social benefit and it's not just seen exclusively in that kind of private way and both sides are really trying to figure out how to harness that energy for the broad social impact that we all want and you know hopefully that's what we're going to get to. So Drummond one final question I mean as you embark on your new career with equilibrium and join us all on this journey in your mind what's the most important thing that you're looking forward to or that you think needs to happen to kind of realize the full potential of what we're trying to accomplish in social capital markets? Oh that's a nice easy question. You're going to have to answer this question too but I guess the thing that I would point to is the thing that would make me most excited about the next five years, ten years in social capital would be if it became less important to describe it as social capital and it just became about good businesses who cared about impacts succeeding in the marketplace and that the distinction that we keep having to draw to say this is this world of social capital and that's the world of really big capital became less of a distinction and that there was more interest on the part of more people in participating in this marketplace because I think it's about as exciting as it gets. Well that's an exciting vision and I'm going to take the easy way out and I'm going to leave our viewers to answer that question, what do they see as the most important thing that needs to happen to move social capital markets forward?


Hi everyone, Joe for jaspyscasebreaks.com coming at you with Panini Chronicles MBA Fat Pack Break number 757. This fills up Pick Your Team number 6 coming up in a separate video. So these are the teams that were given away here. But let's do the break first. Big thanks to this group of people for getting into the action. There are the teams right here. Let's roll it. Let's randomize it. Two and a four. Six times for names and teams. One, two, three, four, five, and sixth and final time. After six, we've got Sean down to Evan. Two and a four. Six times for the teams. One, two, three, four, five, and sixth and final time. Jazz down to the Mavericks. So here's the first half of the list right here, and there's the second half of the list right there. Tonight. We're going to do that tonight, Chuck. We do have a late night tonight. Nice Luka Dončić there. Hawaii, and we've got a Zion and a Cameron Johnson. Yeah, that's right. You're on these. Hopefully, Chuck, you'll be waking up and looking at our list of videos on YouTube and being like, hey, there's my break. So that Zion is going to go to Martin. And the second year Luka Dončić is going to go to, is going to go to Evan and Dallas Luka with another great game tonight. All right. There you go. Let's flip back here. Let's grab everyone from Monty down to Martin. And let's roll it. Let's randomize it. Hard 10, five and a five. It's going to be top six after 10. Good luck. One, two, three, five, six, seven, eight, and 10th and final time. After 10, there's 10 right there. So top six after 10. That means seven on down to 30 and everybody in between, especially David so close. Sad times, I apologize. We'll get them next time. Thanks for getting in. It's a risk. I'm glad you gave it a shot. Happy times for the top six because they're in the break. We got Joseph Matthews, Zachary, Bryce, Michael, Bryce, and Martin. So the top six of you are in. I don't know if I set up a giveaway tab yet, so let's put your names right there. So we're going, we're just randomizing your names, not the teams. So here are the teams that you're matched up with now. Boom, there it is. So Martin, you have the Sacramento Kings, Bryce with the Celtics, Michael with the Heat, Bryce with the Magic, and Zach with the Sons, and Joseph Matthews with the Toronto Raptors and pick your team number six. Coming up in a separate video, I'll see you for that next time. Bye-bye.


We're not going to report that. It's not about reporting. It's about what we're feeling in this moment. I keep on trying to remind you. I am Ann Williams-Eisam. I'm the Deputy Mayor for Health and Human Services. And before I begin today, this very exciting announcement about care, community, and action, and a comprehensive mental health plan for New York City, I'd like to recognize some of the folks behind me. Not all of them, but some of them. The Chancellor of New York City, David Banks, Commissioner Sadia Sherman from the Office of Equity, Social Service First Deputy Commissioner Jill Berry, Department of Youth and Community Development, Commissioner Keith Howard, Chief Medical Examiner, Dr. Jason Graham, Health and Hospitals President and CEO, Dr. Mitch Katz, Dr. Omar Fatal, also from Health and Hospitals, Executive Director of the Office of Community Mental Health, Eba Wong. And of course, the city's doctor, our Commissioner for Department of Health and Human Services, Dr. Ashwin Visan. I'd also like to give a shout out to Assemblyman Raj Kumar who's here and also to Council members Lynn Schulman and Linda Lee who I rely on so much and learn so much from. So thank you so much for being here. So, oh, I didn't see you. There are other people here. They did not give me your names. Councilman Brachna, Abrayu, who else am I forgetting? I'm so sorry. They'll give me your names as we go along. At this time, I'm thinking a lot about what has happened in this city as we think about this most important day and so many people who have helped to bring us to this moment. But when I think about this moment, I think about being a child advocate and my work at the Administration for Children Services so many years ago and as far as I'm concerned, that's what happens when we don't give children and families what they need. That then they end up at the door of the child welfare system. I was then so happy to be the President and CEO of the Harlem Children's Zone because that was an opportunity to work in a school, to work in a community, to give children and families what they needed. But I was often surprised by the amount of young people that needed mental health support. I used to have second graders that were drawing pictures that showed suicidal ideation. Second graders, I would have 10-year-olds that were so depressed that they couldn't do their schoolwork. Dr. Lindsey would talk to me about that because we see the suicide rates for African-American boys.  And so when we were together and I finally get them to connect, they would say, Ms. Ann, is there a black therapist that I could talk to? Is there a somebody that looks like me? And so I would run around in Harlem trying to find a black man to be able to talk to these young brothers that wanted to find some care. That's what I think about today when I think about standing here. I think about the statistic that 40% of Latino and black young people report experiencing anxiety, depression, or associated conditions, which are compared to 30% of their white people or white children. Nationally, we have witnessed these numbers climbing even higher. Another alarming statistic that I know that you all know, but I decided I wanted to say it today. There are 8,500 young people across the city that lost their parent to COVID. Think about that. We know much of that was felt in black and brown communities in areas from Elmhurst Queens to Brownsville and Brooklyn and so many places in between. Many of us are working with those families and know those families. I was talking to the first deputy mayor today and both of us were very emotional about today because we feel personally affected by these issues, but I bet you if I asked you all to raise your hands, we would all raise our hands because we've been affected by the issues of wellness and mental health during way before the pandemic and certainly more during the pandemic. These facts and figures, the pillars in this plan are touching on children and families or people who have severe mental illness and those experienced substance use issues due to opioids are all focused on New Yorkers and how can we get support to New Yorkers? Our family, our friends, our colleagues and our neighbors. We all know that mental health is just like our overall health. I said to somebody today as I am approaching 60, it's not like I could say I could stop working out and I don't need to eat. Well, it is a lifelong journey and just like my beloved late pastor, Calvin Butts would say we all need to check up from the neck up every once in a while. And so this is something that we have to do all the time and for a lifelong. It is why this plan centers on persons, centers on the family and centers on everyday New Yorkers with love. And yes, I'm gonna always start and lead with love with dignity, care, respect and supports and making sure that we have a long-term commitment to people's wellbeing. Over the past year, we've saved lives with our programs that serve folks with a history of overdose. We've connected people with severe mental illness to shelter and care they deserve and we have so much more to do. So thank you, Mayor Adams, for today and thank you for your focus on this issue. I'm excited today and I am energized and the reason I'm energized is because I know that despair is contagious. I also know that hope is contagious and for me today is about the hope and the promise of what we as a community, as an administration and as a city together can do for this very important issue. Now I'd like to turn it over to my friend and colleague, Dr. Ashwin Visan. I'm not sure I should be standing on a podium for this. We'll work with it. I am tall. This is a great day and I wanna recognize the deputy mayor for her, the way she leads with love and compassion every single day. It creates the space for folks like me, my team, all of the agencies involved in this plan to come together in that spirit to create something good. My name is Dr. Ashwin Visan. I'm the health commissioner of New York City and I'm very proud to be here as a part of the announcement of the Adams Administration Mental Health Plan. Here's the city's doctor, of course, but you don't have to be a doctor to recognize certain symptoms. I see what you're seeing. The crisis in mental health, after the worst public health crisis in a century. Historically, mental health has not been at the forefront of our approach to public health, but today that changes. The problems aren't new, but they are newly urgent. Data from the CDC show that starting in 2019, life expectancy across New York State has declined faster than anywhere in the country. And we know that declining mental health has a major contributor to that. If we are serious about stopping and reversing that drop, we have to be serious about mental health. We have to direct our resources to where they can make the greatest difference. And that means starting with our young people. We have suffered through this uniquely damaging few years. In New York City alone, more than 8,000 children have lost a parent to COVID-19. And according to the CDC, nearly one in three teenage girls say they've considered suicide, an increase in over 60% in the last decade. As a parent of three small children, including a young daughter who will soon be a teenager, these statistics hit home. At the same time, overdoses have risen to unacceptable levels. In 2021, overdoses claimed the lives of nearly 2,700 of our fellow New Yorkers, the highest ever total in the city of New York. And each year, when the data come in, we expect to set a new record. This is inextricably linked to mental health. And we have to stop this trend in its tracks, and we know how to do so. Too many of our friends and our family members and our neighbors suffer from serious mental health issues that have gone untreated or undertreated for too long.  This is the worst of inequities. But while we would never blame our kids for their mental health problems, we have no problem blaming adults, and this has to change. Let's consider many people's first experience with serious mental illness. Maybe 19 or 20 years old, a person has a crisis and ends up in the ER. Maybe they're in college or living alone for the first time. They're most vulnerable at the exact moment that we expect them to become independent. Right now, on average, the time between the first symptoms of serious mental illness and treatment is 11 years. 11 years. So it's no wonder that we see the consequences all around us in our homes, our streets, our shelters, our hospitals, and our jails. We can't just lurch from crisis to crisis. We need a strategy that centers recovery, stability, and hope. And that's what this plan offers. We have the focus and the strategies that this unique moment demands, as well as the people who can deliver. We're putting mental health at the forefront of our public health agenda, which starts with the people who need help the most. And we're committing more resources than ever to prevention and early intervention. Let me give you some examples. We're launching a new tele-mental health service for high school age teens, the largest of its kind in the country, with technology that they're used to, teens can connect with a specialist fast, right when they need it, not after the problem has spun out of control. In the coming months, we'll also field a first of its kind survey to provide an even more complete and detailed picture of the youth mental health challenges in our city and to guide further understanding and planning. And we will come together to address the effects of social media on our young people, exploring pathways to reduce their negative, exposure the same way the city has done for other toxins like tobacco or air pollution. When it comes to stopping overdoses, we're following the evidence and building on successes. Since launching the nation's first publicly recognized overdose prevention centers in 2021, hundreds of deaths have been averted. And I want to recognize Sam Rivera here from On Point, who's joining us here today. Their work has been life-saving, transforming. Yes, please give it up. For Sam, we will expand these centers and make them 24-7, while investing even more in harm reduction along with care and treatment. Too many New Yorkers living with serious mental illness lack health care, housing and neighborhood supports. The city's plan aims to double the number who are connected to community-based care over the next four years. And as a part of this effort, we will expand mobile treatment capacity over the next year to serve more than 800 additional people with high service needs. And we will also expand access to life-saving, rehabilitative, psychosocial clubhouses. And this plan is just the beginning. And I know we can do it because we have the right approach with the right people in place at the right time. The mayor's commitment to mental health is a major reason I agreed to serve. And his commitment to public health is clear every single day. This administration deeply understands how the mental health crisis has contributed to the unprecedented drop in life expectancy in our city, our state and this country. We have the strategies and the resources and above all, the will to do something about it. And as the mayor said, we have a better understanding than ever of how interconnected the brain and the body are. It's time our policies and our programs reflect that as well. This is something I have known for most of my life. I lost a beloved uncle to alcohol use and suicide when I was 10. Only as an adult did I begin to grapple with the impact of his death and his life on me. I also saw the emotional pain of parents in my mother's pediatric clinic, primarily immigrants of color who were scared of losing their premature babies. The toll this took on them and on my mother and immigrant herself felt, if not seen. So today, I'm also seeing this in my own children and in their entire generation, facing unprecedented barriers to learning and to relationships. I became a doctor to be a healer. And one of the best things we can do to help New Yorkers heal is to openly and unambiguously focus on mental health. This is what this plan does. It has the support of government colleagues, community leaders, scholars, health providers, activists, so many others have contributed in word, indeed, and in partnership. This is an all hands on deck effort because they know, as I do, that New Yorkers are healthier when they live in a city that's healthy. And this plan is just the start, but it's the start of something that will change the trajectory we're on. As a city, taking mental health seriously will make all of us healthier for years and for decades to come. Thank you. And I'll now turn it over to Eva Wong, the director of the mayor's office of community mental health. Thank you. Thank you, Commissioner Fassin. And good afternoon, mayor. Good afternoon, everybody. I think I have to adjust this because the doctor's very tall. Good afternoon again. And I am Eva Wong, director of the mayor's office of community mental health. Our city is committed to treating mental health with public health solutions that will bring care and support to New Yorkers in need, right in the communities they live in. And the Adams administration's mental health plan puts that commitment into motion. The three areas of action in this plan bring healing to communities by connecting care to our neighbors, our coworkers, our children, our families. That means all of us. We might not know it, but all of us know someone who has needed mental health support at some point in their lives. Sometimes the support doesn't come soon enough and it leads to a mental crisis. Through this plan, if anyone anywhere in the city experiences a mental health crisis, they can be confident that the city's response will bring the most appropriate form of help. Be heard where teams of mental professionals and EMTs respond together to mental 911 calls will now expand citywide. To help people with emergency mental health needs, quickly get appropriate help and health center assessments from trained medical and mental professionals. Mobile crisis teams, an important part of our city's crisis services will expand to include additional peers, those who've actually lived experiences to be part of the teams. The mental plan also focuses on bringing much needed care to our children and their families. This is especially close to heart for me as a single mother of two little ones and as a therapist who has supported numerous children and the full spectrum of adults who love and care for them. With my connections, relative privileges and resourcefulness, I still bump into many obstacles in navigating mental system, whether personally or professionally. I'm holding in mind the many families, the caregivers are incredible, despite their love and commitment and tireless efforts, still simply could not access resources. They're supposed to support their children's mental health needs. Too many were marginalized. The disparity in their experiences is a reminder that the equity that is in our world and the city still, it's still a major barrier to getting care. We need to do better. We will do better. The burden of finding and receiving mental support should not rest exclusively with already overwhelmed families. This plan increases access to telehealth services. So caregivers don't have to choose between going to work and supporting their children's mental wellbeing. To meet the significant needs of our communities, the mental system also requires a robust, diverse and culturally responsive workforce ready to meet us where we are. This plan includes the mayor's office of community mental health efforts in launching interagency collaborations to expand and support a mental workforce, develop career pathways and remove institutional barriers that prevent a workforce from operating efficiently and effectively. Action, community and care I'm gonna add love because DM said it so beautifully, are the DNA of our mission to promote mental health for all New Yorkers. This agenda brings us closer to realizing that mission. So everyone in all communities can get the care they deserve and that we can truly turn the tide for our children and generations to come. Thank you. I'm gonna pass the time back to the mayor to answer some questions. Before we open up to questions, credentials and professional abilities, one thing as I was leaning over talking to the chancellor, when this administration is over and people do a real analysis of it, you're going to notice the life experience that we brought. And we're not doing this work because we're trying to fill our job descriptions. Many of us have reached into our lives and we see that we have an opportunity now to fix the things that we've witnessed through our lives. And the issue of mental health is it's not something that we are embracing just because it's a popular terminology that people use today. I'll never forget the first time I met Dr. Fassan when I was doing my mayor classes during the time I was running. I just took a note and stated, I gotta get this guy on my team somehow, some way. He just understood. He understood the clubhouse model. We understood the depth of it. He understood every part of it. And when he stated that he was going to join me in pursuing this, it was a very significant part of our administration. And if you don't see why he's playing this important role, then you just will never get it. Because sometimes we become so jaded as human beings that even when someone authentically care, we find reason to find that they don't care. Well, you know what? Just get over it.  And he produced a real document. And can I thank you? And I thank all of you. Thank all of you. We were up in Harlem. You stopped me on the street. We started talking.  We went around to see your overdose prevention center. Sham to Baron. We were hanging out in the street together, sleeping out together. And so these are real people. And I know what it's like. 22 years, it was clearly my son and my love of my son that allowed me to stabilize after those 22 years of seeing the things that men did to men in this city.  As we saw today, my heart goes out to that young officer who appeared to have taken his life. His dad was a retired sergeant. The officer was involved in an officer involved shooting. And I spoke with him. Energetic, young, beautiful young man at the prime of his life, enjoy saving people. We don't know the impact of what happened, but it's just a real pain for our city to live to lose a young man of that nature. And we should think about that every day when these officers are placing themselves on the front line, protecting our city. And so this is a huge step. And we stated it then. Someone stopped me on the streets and said, you're not doing enough about mental health.  And I said, ma'am, this is January 3rd. Just got here of 2022, we just got here. And everybody was asking us, what are y'all gonna do is January 2nd of 2022? Why is it a crime down yet? Why in the subway clean? Why are you cleaned up all the homeless? But we show discipline. And we understood that we couldn't listen to the noise and we raised things in levels. And you're going to start to see the city, the subway system, crime, mental health issues. You're going to start to see the evolution of the city with a group of disciplined people that are not allowing people to have us just have a knee-jerk reaction to systemic problems. This is the second phase of what we stated we were going to roll out. That's why we're here. And there's more phases. Remember on the campaign trail, some of you covered me and some of you wrote the story. When I started talking about food and mental health, y'all demonized me and called me names even before looking to see the research. You didn't even bother seeing the research when I did that debate that day and saying food is connected to our mental health before even reading to see if everything was right. You just start writing stories. What is this kook? And now all of these researchers are coming out saying food is connected to mental health because you know why? Because our brain is connected to our body. Duh. Your brain is connected to your body. So if something harms your kidney, why wouldn't it harm your brain? And we're going to push us into areas of dealing with what food is doing. That is why you're seeing the bad food in economically challenging communities. How much does it have an impact on the behavior of our children? And we're going to exploit that. I started talking about social media and what is doing to our children, you know? We don't realize what social media is doing to our children. Talk to your children, ask them what they're doing. Ask your young girls how do they feel about themselves based on what they're seeing on social media. Talk to our young people who are still in key of cars because they've been told on TikTok that it's a competition. I must be the only one seeing what is happening in this country and what's happening across the globe to our young people. No, I'm not the only one. I got a bunch of people behind me. You know, so we will open up to the question but this is a significant moment in our administration because of this team and what we have brought. Thank you, Deputy Mayor, on what you're doing and our Chancellor, what you're doing in school and these electives. Yes. Thank you. Really, really, thank you, thank you, thank you. So I'm gonna take it too, and he doesn't give me and Kate, do your thing. Yes. Yes, on top of this, yes. Mayor, can you talk about your journey to really firmly connect addiction to mental health in your policy plan and talk about how much additional funding you might want in the Mayor's Office of Mental Health to really support that and many of those initiatives currently being funded for about 200 million a year go away to make room for this being more of a focus. Hang on, Dr. Fassan, you want to touch that. Yeah, thanks for the question. I think it's hard to look at our overdose crisis and the reasons why people turn to substance use without addressing underlying mental health needs. And Sam Rivera here and Joyce from St. Anne's will tell you that beneath all of the people they help in their harm reduction services is pain and they're often turning to substances to treat that pain. And at the Health Department, our Bureau of Substance Use, our alcohol drug use, care and treatment is within our division of mental hygiene. So this city and this administration has had that focus from day one. A lot of what we're building in the overdose space is things that we've committed to, things that we know work. We have a year of evidence that overdose prevention centers save lives. And what the Mayor expressed in his speech, what I expressed in my remarks is a commitment. And what's in this plan is a commitment to saving more lives if we're gonna bend that curve because it's moving in the wrong direction right now. A combination of some of the money's new needs, new dollars. When you look at the RFP that's going out for the telemedicine, which I think is brilliant, Dr. Fassan, our children own foams. We're going to use existing devices to connect with our children to telemedicine. The money we want to put in the overdose treatment centers. And some of the stuff is we're gonna need federal and state dollars. The governor has made it clear she wants to focus on mental health in her budget. So there's some dollars that we're putting in, the vending machines and others that we're putting in that's within our figures. And then there's other dollars we're going to need help from our state and federal lawmakers. We'll give you exact breakdown of the new dollars we're putting in and expansion of the herd and other items. We'll give you those exact dollars and then we'll show you what we're gonna need outside help. Good afternoon, Mr. Mayor. District Attorney McMahon has been a sole component to the overdose prevent. Where are you looking to place them and what would that type of community opposition be? You said the DA was in an opposition, not community opposition. The DA was. Staten Island is having a real overdose problem. And so we're gonna sit down with the DA. I think DA McMahon is an excellent district attorney. We're going to sit down. We're going to show them the numbers. We're gonna bring him to see what we're doing in Harlem and other locations. Because it automatically gives people an image that, oh, this is a bad place. I went up and visited of the centers and I saw the resources they're giving to people. When they come in in a safe space, you can now talk with them about other items and other issues and give them the holistic care. So we're gonna speak with the DA of the issue of overdose is a real issue on Staten Island. And he and I have a great relationship and I'm going to continue to show why we believe this is the best way to go. Report something of generational neglect. Yes. This has been brewing for an awfully long time. Yes. May 11th, the president is expected to issue a declaration that the pandemic presidency is over. There's gonna be consequences of that in terms of access to healthcare. Are we not given the fact that we are still in the need of a multi-year response to deal with the underlying issues? Because to hear from all the research I'm seeing and Dr. Katz might address this, there's a connection between the lack of access to healthcare and the terrible body count in our city. It is, and you're right. And I'm glad you stated that. This is generations of ignoring a problem. You know, Dr. Fossan stated something was 11 years before the initial cause to the proper diagnosis. And even when it's diagnosed, we just never really respected it. And in many communities, it was a cultural hidden silence. You know, you were not allowed to come out and say, I'm feeling depressed. I'm going through these feelings. And no one was there to give you that safe space. And I think Deputy Mayor Williams Isom says something that probably went over all of our heads that you're not racist because you say, I want to speak to a black psychiatrist. I want to speak to a psychiatrist from the AAPI community.  And you know, there's a tendency to believe that because people want to at least walk in a room and start feeling comfortable that people tend to say, well, okay, you're trying to be racist. No, it's not. And so we know this is a generational problem. And we know that the lifting up, the pandemic is going to shift costs. We've been hit right now with additional costs that's coming from the state level, but it is more costly to ignore this than to fix it. And that is what this administration, we are an upstream administration, not downstream. When I first said that, while running for office, people didn't know what it meant, but now they understand what it means. When it comes to these injection sites, have you partnered with the governor? I know right now there are kind of pilot programs here in the city. Have you partnered with the governor to make it more permanent and to expand locations? That's our goal. And you know, there's still some clarity that's needed in the legalities. We still need clarity, but our goal is, what we want to do, we have an entire year as Dr. Fasson stated of data, we want to now show it to our colleagues in Albany, particularly those from our New York city representatives. Some of them we have here, a 70 women, Raj Karmal has been a real partner in pushing these issues in Albany. So the goal is to have the governor, her team, her staff see what we're doing so that we can get the support that we need. But there's some clarity that we want them to clear up for us so we can move these forward. Yes. And a lot of therapists and psychiatrists, people who are trained in training in particular, have left for either practice or taking a lot more money under a much less stressful condition. So I'm just curious, how can we ensure that there are enough trained skilled therapists and doctors who can treat kids and it will happen at this week before today? Dr. Fasson, you want to talk to me? At the back of this report is a policy agenda that recognizes the fact that this is a system, our mental health system that's been neglected for far too long. We have more psychiatrists per capita and psychologists per capita in this city than any other city, any other jurisdiction in the country. But we have amongst the lowest percentage that takes Medicaid, that takes even commercial insurance as you're describing. And so the work for instance, and this administration really understands how this system works, how interdependent it is. So the work that the state is doing to increase Medicaid payment limits, to increase the upper limit of payment, for instance, for a child psychiatry and for mental health, will help us build more programs in schools, for instance. Will help us support our Article 28 and our 31 providers to provide more care. But make no mistake, we have to have some serious discussions around raising the wages for human service workers, for community-based organizations. I think the step that the governor took to raise the COLA was a good first step, but there's so much more that needs to be done. I ran a human service organization prior to becoming commissioner and I know how these salaries are driving people out of the workforce. So it's a priority. Regarding the injection sites, how many do you hope to open, where and by when? And secondly, regarding folks who have serious mental illness, is anything in here involuntary or by threat of involuntary hospitalization? The first question, the goal is to reduce overdose deaths by 15% by 2025. We must have more overdose prevention centers in order to reach that goal. And I think what's important for readers to understand and the public to understand is that overdose prevention centers are also built around all of the other supportive services that are input into those sites. When you go to on point, you will see a range and many of our other syringe service providers, you'll see a range of social supports, mental health care, medication assisted treatment, primary care, basic needs like food and clothing and laundry. The OPC doesn't work unless those things are supported. And so part of the goal here is to invest in our 14 syringe service providers to get them up to snuff, to even be able to consider opening an OPC. And we're already doing that today. And these syringe service providers are located already in neighborhoods of highest need, for instance, the South Bronx. The reason we built the two first OPCs in upper Manhattan was because these are the neighborhoods that have been hardest hit. On your other question around involuntary removal, the goal of this plan is to ensure that as few people as possible ever end up in the need for that kind of care. There are 250,000 people living with serious mental illness in our city. 40% of those people are not in treatment, 96,000 people. All of those people are at risk if we don't surround them with care of ending up in crisis. And the goal of this plan is for making that number as small as possible. But respectfully, the question wasn't answered. But respectfully, we gotta get to the rest of the colleagues. We'll get back to you. Okay, promise. Yeah, I wanted to ask specifically about the plan to expand the mobile treatment capacity, the 800 new spots over the next year. I reported last year for a craze that the wait list for those is over 1,000. So can you talk about how you reach that 800 number and how you're gonna pay for the new intensive mobile treatment and assertive community treatment slots when those programs are already not able to enroll in capacity because of staffing shortages and health salaries? And this, yeah, it's a great question. It speaks once again to the interdependence of our system. This is money that the state has already committed to those slots. And there's a breakdown between IMT and ACT. ACT, as you know, is paid for or is eligible for Medicaid payment. And there are rules around that in terms of the number of visits you can have, the amount of time those visits can be. IMT is free from those restrictions. And so it serves an even more severely impaired subset of people who have failed multiple rounds of people, I'm sorry, of care. And so that expansion is really driven by state resources coming into the city and out to providers already doing this work who are saying the same thing is that we can't keep up with demand. It's a great question. And I will say that this is an area of real innovation. There isn't a deep evidence base except that we know kids are engaging online more than ever and they want to receive care in this way, that's clear. That's very clear. And especially through texting, they've said very clearly through the research we prefer to text at least as a first step. However, with anything we're building for all New York City high school age students we have to create on-ramps into more sustained care or more intensive care either delivered through video or other forms of telehealth or site-based care through our article 28s, article 31s and school-based clinics which is why you see all of that recognized here and that's really braided funding coming from multiple sources. Yes, I know that fentanyl test strips are distributed in clubs and other private venues so when you talk about expanding that where and who would be distributing those? Dr. Fassam would do that, but are you doing it? Okay. Yeah, our fentanyl test strip program has been a real success in keeping people alive and really meeting people where they are. And so we'll happily get more details on how we'll roll that out, but we're gonna be leaning on the same sorts of sectors that are doing it today, syringe service providers, bars and clubs, party promoters, even restaurants and small businesses, all places where people have shown that they are at risk of using drugs or actively using drugs on premises. We need to engage everyone in this effort because the drug supply is changing rapidly, 80% of overdose fatalities in 2021 involve fentanyl and we need people to know what they're using is safe if they choose to use. Is that a free distribution program or is that something they would have to buy into or how would that work? Currently it's free to the consumer, but it is a pilot. And so what's in this plan is a goal to expand that into a program, but it's always free to the user. It's not eligible for reimbursement through Medicaid or other programs. Mr. Mayor, I wonder what the research into the role of diet and mental health, how that will inform city policy. Will it affect what we serve in schools and hospitals and senior centers? Will you do campaigns?  What will you do? No, it's a good question.  And it is amazing. We have been communicating with Naveen Jain, who's with an organization called Viome. And there's a body of research out there that when I first became aware of it, when I was running for office, that talks about the connectivity with the food we eat and how it impacts on several issues, behavior issues and mental health issues. We're going to lean into that. We're not going to move away from it. And as Dr. Fassan stated, we're going to follow the science. And so, governments should not feed crises. Governments should be preventing crises. And because we have been afraid to go with the science, we have actually been feeding some of the crises. And so it's not popular when we're doing with plant-powered Fridays. It's not popular when we do meatless Mondays of what we're doing in the hospital with default menus being plant-based of food. None of these are popular things. But the science is telling us that we can't continue to feed the healthcare crisis. So we're going to look at the science and do a real examination of the food we are supplying New Yorkers. How does it contribute to the mental health issues that they are facing and how does it contribute to brain health? Yes, it would. We're going to look at, again, we purchase food to feed people at their greatest level of need. If they're doing that, we should not be giving them food that is causing the healthcare crises on the other end.  You know, powdered milk, powdered eggs. Little did I know that years and years of eating that contribute to the healthcare crisis that we're facing. And so how do we tell New Yorkers when they have no other option but to get the food from government that we're going to feed you food that is going to cause your chronic diseases? That is the greatest level of betrayal. My mother was betrayed by what they gave her to feed her children. And we must be honest about that.  Suicide pilot prevention, suicide prevention pilot programs. Where will those be introduced? How many will be introduced? And what exactly will be new or different about the approach that they will take? Thanks for the question. You know, as I laid out in the speech and the mayor laid out, not only are girls displaying suicidal ideations at rates that we haven't seen in a decade, so are youth of color and LGBTQIA youth. And so our caring transitions program is focused on catching those young people at their moment of greatest vulnerability after a suicide attempt. So it's a hospital based interruption program where a peer counselor, a social worker can be with them in this immediately extraordinarily vulnerable period. The first 90 days after a suicide attempt is when children are at the highest risk of a repeat attempt and a completed attempt. And so we're piloting it in hospital based emergency rooms. Happy to get you more details on numbers and when it will start. We know that the system we have is incredibly path dependent. If you call 911 historically, your likelihood of being involved in the criminal legal system is significantly higher than getting a health response. Be Heard is the first step in repairing that. And operationally they've created teams to do that in parody zip codes, but let's not forget the culture change that has to come along with that. For 911 operators, it's a very difficult decision to make of when to, there can be a protocol on paper, but the nuance around those calls, I don't know if you've ever listened to a 911 call or been in a 911 dispatch center, it's an extraordinarily difficult job. And so there's training, there's education, there's follow-up, but this administration is committed to the expansion of Be Heard, city wide. Okay, and that's such a, so important what you said about the cultural change because our 911 operators, they feel millions of calls and we can't put them in a punitive setting when they're making the best decision based on information they have in front of them. If it goes a negative way, we become punitive towards them. And that's just unfair. Those 911 operators are dealing with the vicarious trauma. No one is calling 911 to say, hey, I wanna invite you to a birthday party. They calling them there when the party was shot up. And so when you hear that all day, every day, it's a lot of trauma. And so that cultural change of that understanding, the training and giving the support to our 911 operators is gonna make this transition easier. All right, Kate? Yep. Thank you. Yeah, yeah, yeah, yeah, yeah. Just kidding. Can you just give me, just wanted to say a silent prayer so God can give me the patience to answer these questions. I am going to reserve my personal opinion. The corporation council made a decision and I respect the corporation council judge, Sylvia Heinz-Raddix, and that's the decision they made. I'm going to respect the decision of the corporation council. His dad is a retired sergeant. I reached out to get his number and I'm going to call him immediately after this conference. I just know the moments after a tragedy like that, you just need some space. And you don't wanna be bombarded with people right away. So I wanted to give him an opportunity this morning when I was notified early this morning. And after the shooting, I reached out to the officers who were involved because I just know that after an encounter like that with people, what officers can go through. So I reached out to them, I communicated with them and I tried to just sort of ease their concern. Because these are young children, 21, 22 years old. And when I communicated with them, I just told them, you were protecting New Yorkers and I was hoping to ease the stress. And it just really broke my heart that we lived in a place where we were living and lost this young man. Reporter, on school prayer, do you think that teachers in city schools should be leading kids in prayer?  How do you think that should be configured if we're gonna do that more? No, I didn't talk about prayers in school. There are clear rules about prayers in school. I have nothing to do. I don't have the power to change that. I just gave you my belief, my belief. This is a country where on our dollar bill, bills we say in God we trust. The last thing I said when I was sworn in as the mayor, I stated, so help me God. Every event that I start, I start with prayer. Every event that we do when our congressional stay senators, they say, so help me God. Every president but three. At the end of their swearing in, they say, so help me God. They all touched a religious book. So I'm not a closet believer in God. I'm a public believer in God. I am who I am because of my belief in faith. And when I speak to my brothers and sisters in synagogues and Mars and Baptist temples and Buddhist temples and Sikh temples, they all say the same thing. And you've covered me a long time. I've never made it a secret that my spirituality guides the humanitarian response that I do. And so I think we need to find a way to introduce some form of spirituality in our children because they're not fighting against the scene. They're fighting against the unseen. And these poor children are grown up in an environment that is just so painful for them. And I just see them, I talk to them, I walk with them, I'm experiencing them. If I didn't have that when I was growing up and if I had to go through what they're going through right now, it's just very challenging. Oh, no, no, no, no, no, no, no, no, no, no, no. Let me, let me finish, okay. Please, like we need to find a way to introduce them more. Please, please, I mean, how do you think we could do that? There's a number way, you know, you could have clubs. We could have children visit other houses of Russia as we're doing with our break and break building barn.  Of we could introduce different groups outside to school setting to have our young people introduce to some form of spirituality. It's very healthy when I get up and do my prayers and do my breathing and do my meditation. And never dawn on y'all why I'm so patient with all of you. It's because I have a spiritual root and grounded and I would not be the mayor of the city of New York if it wasn't that God saw something in me. I am the most imperfect, most perfectly imperfect human being. I am here not because I'm the smartest, not because I'm the brightest. I'm here because and all my heart, I believe that it's an Esther 4 and 14th moment. God made me for such a time like this. Let them, let them, let them toy with this.  Normally I get, I get disturbed when what I do is just distorted. Nothing gave me more joy than seeing on the front page of the daily news our words being attacked for protecting my belief in God. I, to me, that is, this is all I live for, to say to God, thank you, thank you. And so if I'm demonized for that, then I take that every day. You know, I am so happy that there are a small number of people who are saying that, you know, every belief in God, you should not be talking about it as the mayor. No, as the mayor, I should be talking about my belief in God. Go ahead. This rise, this rise, this rise my team crazy. Yes, just a quick thing. So there's a new council bill that would require works to abide by the right shelter laws. We're going to, you know, we like to work, work with all of our electives and we're going to look over with, with this bill is about and then we're going to make the determination based on that. With respect to the mental health crisis in the city, you addressed a lot of issues, you posed a lot of remedies, solutions to address that. One thing that struck me as missing from that was this notion of involuntarily committing dangerously mentally ill people. Is that because that's no longer part of the strategy? No, no, because we rolled it out. This was, this was phase two. We rolled it out already of what we're doing. We very, we were very clear on it. People who are dangerous to the extent that they cannot take care of themselves and they are showing an imminent threat to themselves or others. We already have a plan and what we wanted to do was to leave people with a clear understanding that was not our only plan. And there's a small number of people that fit that. Dr. Fassad laid out that the overwhelming number of people don't fit that criteria. And we wanted to introduce today, this is how we're going after that large volume of people that don't reach that small number of people. We want to go after them and prevent them from ever getting to that level. You wanted to add something to Dr. Fassad? No, I think you got it right.  Thank you. Yes. Uh-huh. What I was trying to say is that we need to stop pretending that this is not a country that believes in faith. When you swear in to become a citizen of this country, you say, so help me God. As I stated, I'll dial a bill and God we trust. We put our hands on religious books when we swear in. So what I'm saying to New Yorkers and Americans, let's stop being afraid that we are people of faith. And people don't have to agree with me. But if you don't agree with me, that's fine. You want to be an atheist? That's fine. But those who believe in faith, because I'm calling for all of us to do something I believe we need to do, it's time to pray. And I'm hoping that we start embracing each other, diversity and faith. That's why we're doing a break and break building bonds. That is why I go to synagogues. That's why I go to mosques. That's why I go to churches. And so I don't know how one walks away because everybody in that room understood what I said. I don't know how one walks away that I'm trying to force people who don't believe in God to believe in God. I'm telling you what I believe. Mr. Mayor, if you said mindfulness, would anyone have argued with you? No, no, no, they wouldn't. See why I drive my staff crazy? Right, right. If I would have said mindfulness, everyone would have been all right. For God forbid, I say God. And so, could I just say a silent prayer for all of you? Thank you.


to do with Vermonters but it does create attention and a difficulty and setting up some whole new reform process sort of sends the message of yeah we're not really we're not really invested in what you're doing over here we're going to do this new thing over here with universal primary care so again it would just be helpful to have those things aligned and the other thing that came up earlier I believe by Dr. Deb Richter was the potential to use excess hospital revenue for the funding mechanism for going further down the road on universal primary care I do see a couple issues with that that I spoke about in senate health and welfare one is that you're essentially betting against health care reform so you're saying either hospitals don't come in on budget so you can fund something or you say they come in budget or and universal primary care is not getting funded so it creates this weird sort of incentives when it comes to funding health care reform through a health care reform process there are legal issues with it as well in terms of the way it was set up in senate health and welfare was that the green mountain care board could decide the amount that would be that could be seen as a tax which raises non-delegation issues because the legislature would be leaving it to the green mountain care board to essentially impose a tax on a hospital there's an issue around it being a provider tax so your taxing hospitals it would look like a provider tax we already have this sort of 6% presented cap that that would go on top of and then in addition there's an issue because provider tax must be done uniformly and so if you're taking different amounts of money from different hospitals that's not a uniform tax literally any other funding source would be eligible for potentially eligible for a Medicaid match but not if you tax hospitals differently or necessarily do it this way and you know again I would just say we've made a lot of progress in the current health care reform efforts that we're doing and I think hospitals would really appreciate the support of their public partners in going through this effort even if you know you took $5 from the hospital budgeting process it would send a message of okay we set up this regulatory for hospitals to be under we set up this health care reform effort that we want you to do but now we're going to come in a couple years down the road and change things a little bit and be unpredictable and I think it would really demoralize hospitals when they are really stepping up at this time to try to implement health care reform. So it would be more resilient and not so demoralized by such an event and I think we can count on that and I look forward to it but I hear your concern expressed in the committee in your question. Yes so something you said thinking so if we were to assume and presumptively assume that the evidence is that one of the best return on investment in terms of primary care leading to savings and access being a fundamental piece of access which for as you pointed out might be a subset of folks who have very high co-pays through the coverage they have for but getting affordable access to primary care for those folks you were saying as opposed to a big system so what if for example we said okay you invested 14 million in primary care last year maybe that 14 million should be going directly to subsidizing co-pays for the people who cannot currently access primary care rather than the investments that are targeted under the way the ADCO model was functioning if it was a redirection is that a potential way of getting it the same thing that we're all trying to get at well then because the 14 million didn't work or I mean would you want to do that when it sued if the analysis is that would work better at achieving the goal that it might be a better investment if we say right now we can't come up with other money we don't want to take more money from the hospitals to do other stuff but what if we took the same money that's being invested that said would this might be a better investment in terms of you know cost containment because getting these folks who aren't getting access to primary care and primary care would be the best short term specific way of cost containment yeah I mean I think that would create a tension between the primary care providers and the patients and I would certainly leave that up to Todd Moore to answer that question but yeah I guess I would worry about that tension but just thinking out of the box sorry back in your box and I just want to be I need to respond to what you said Representative Looper about hospitals and the demoralization I'm not saying they couldn't afford a $5 thing I'm just saying that the message it sends is you know this is all a voluntary thing that sort of works against their best interest sending a message of we don't necessarily just support would be appreciated I appreciate it with the hospital system what the hospitals of Vermont are doing and participating in this don't mean to suggest anything otherwise it just seems a little I'll just dial back my comment I just think that the hospitals would be so easily demoralized was more than I would anticipate the hospital I think we should so let's stop there we've heard a lot of testimony this morning and appreciate your participating and others and the committee as everyone knows has a short timeframe to make a series of important decisions and we have other bills that we're going to turn to later this afternoon tomorrow but we will just so people know part of our significant focus that we're going to next week which will probably be very close to the end of what we're going to be able to do as a committee so thank you thank you dad


Hey everyone, welcome back to figure fantasy today. We're going over apocalypse war. So there was alarm clearing normal But before we go to the lineup, I'm going to show you guys what equipment do I have and badges for the figures on my team Okay, so for the gear first for the lineup So I'm gonna as you can see here for Zerola ultimate gear defense gear, of course She is at three diamonds already. Then you have Zephyr here with all HP set and Next we have Who did we bring? So we have Rin, Rin is in her full ultimate set as well And this is going to be your skill set for basic attack power Then you have a Zuki Liang with attack set, then this is going to be your crit rate set Next we have Mako at all HP set Then the last one is going to be Harriet at an attack set plus HP set to boot. So let's move on to the battle for these figures Okay, guys, so I'm using this lineup for Clearing snooze alarm. So let's check this out. So we have Rin, then Mako, Zephyr, Harriet, Zerola, and Zuki Liang, Zerola and Zuki Liang Both covering special zone. So let's check this out if they can clear this one Okay, guys, so we have a perfect clear for snooze alarm and Clearing normal stage. So I'll see you in the next one guys. Take care. Stay safe This is The Warden and I'm out of here