Let me start, you know, there's a lot of things we'll say we have a very interesting and exciting panel here, lots of subjects to discuss. But, you know, one thing that I will say, Joe was very gracious in thanking others. And I think it's my turn to thank Joe, because Joe, you know, I know Joe quite well and I've known him for many years. And when Joe sort of decides he wants to do something, it gets done. And so that's, we need to thank him collectively for his leadership in this area. And I know the goal is never ending. You know, we can always get better.   And we'll talk a lot about data and interoperability and the use of data and artificial intelligence. But, you know, some things in healthcare remain the same. People who work in healthcare. Our collective desire to improve people's lives is why we're here, why we're in this industry, why we're in either a provider or some kind of participant in the healthcare delivery system, or a technology company of some sort trying to also make a difference in healthcare.  A goal that will never go away, even if you talk about this, you know, 100 years from now. And not only a goal and opportunity, that will never go away. And why is that? Well, the two things that I'll state is first, technology will continue to progress. I think you'll all agree that whatever we do now, 100 years ago, we couldn't have dreamt off. And next 100 years, you know, who knows what it'll be like. But I can tell you, technology will be different and more progressed than what it is today. The other thing that will never go away is our collective desire to improve people's lives, to live longer, to avoid issues, to make the healthcare experience completely safe. And when it goes beyond, when we are perfect in the hospital, if we are at any one time, we'll go beyond the hospital, to people's homes, to other places. So that desire will never go away. So you put these two together. The progression of technology, which is never ending. A quest to improve people's lives in the safest possible way that will also never go away. You have an enduring opportunity. There aren't many industries who can say that. Say that and then achieve a purpose. And so, this speech I can tell you every year. And remind everyone every year, because it'll never change. And I think I said some version of this last year, I'm sure. Maybe in different words, but that's how it is, and I'll probably repeat it. Because it is something that we should all be thankful for to be part of this whole movement. But what has changed, at least for me, in the last year, maybe it's more me than everyone else in that I've got more educated about this. But to me, the progression of the explosion of data in front of us, in a ubiquitous fashion, is something that is also an event, if you like, that'll happen and only increase over time. Now, that's used in many, many different ways, this explosion of data. Not just in healthcare, in our daily lives and in many ways. And other sort of institutions also continue to use them. But added to that is another thing that's happening. And that's another two things I'd say. One is our continuous learning of not only how to use the data, but use it intelligently. Use it in a way that a lot of data sometimes is very difficult to grapple with. But we're developing algorithms and methodologies through which that data can be used intelligently, largely using statistics and other new techniques, new computational techniques. But one, that'll happen. And we get better and better at using the data, at personalizing the data. And again, I'm sure there's a progression here that we cannot imagine what the answers will be 10, 20 years from now or longer. The third thing that's happening, which goes back to my original point about technology, is that the computational capabilities are also increasing and we're getting smarter. The use of processes to process data in an intelligent way five years ago was a starting point or 10 years ago was a starting point. Companies and technologists are figuring out how to customize processors to use data both locally as well as from the cloud in a much more intelligent way. And I'm saying all this because these things are really happening in front of us. And certainly to me, it's opened my eyes as to the opportunities that we all have to completely transform healthcare in a completely different way. The use of this computational power will lead us to different directions. It leads us to more data available locally, what they call edge computing, on site. It'll also allow us, through other technologies, to connect with the cloud and other sources and data centers to be able to access even more data. And both of these will increase exponentially or at least very rapidly over time. So the opportunities here are endless and it's something that we're all very, I'm sure the audience here and certainly the panelists are extremely excited about. It's something that I'm excited about, that our company is excited about. But at all times, let's make sure that we don't lose our central focus, why we're here. We're here to improve people's lives and to do it in as safe a manner as possible. And that's why we're here. Everything else follows, but that's why we're here. And this opportunity with data interoperability is a discussion we can have today but I wanted to give that context. So with that, let me ask our panelists to come on over. And as they're walking over, I'll kind of mention them one by one. It's Ed Kanfal, who's the, maybe this thing is going to change in a while. There you go. Ed Kanfal is the president and CEO of the Center for Medical Interoperability. Welcome, Ed. And then we have, let's see, who's next here. We have Kathy Kay, whose video we just saw. The patient who we'll enjoy talking to. Then we have Jan Kimpen, who's the chief medical officer at Philips. We have Dr. Don Rucker, who's the national coordinator for health information technology at HHS. And then finally, my good friend, Anders Wall, who's the president and chief executive officer for clear care solutions at GE Healthcare. So please, please take a seat and I'll join you here. And what I'll do here is start off with a series of questions and maybe you can kind of dive in. I've got some notes and stuff here, but we all agreed that we're free will to the degree that we can because it's a topic with all kinds of possibilities. I wanted to start with Kathy. From a patient perspective, the video demonstrated how you felt about it and the experience that you had. But as you reflect on it, specifically when you go home, when these alerts don't exist and you carry on your day-to-day living, how do you think about how these alerts in your own mind can progress in the next, you know, not two, three years, but 20 years? I hate to put you in the spot, but you can say what you want. I'm not sure. How do you think about it at home, for example? I'm sorry? How do you think about it when you're at home? And there's no alerts. About being home? Yeah. It was great. I honestly feel that I probably had it not been for the AA system. I probably would have been sent home sooner than I was because my temperature was not elevated enough from my experience of having been on RN, was not elevated enough to have kept me in the hospital. I could have gone home with pneumonia and who knows where that would have progressed. Pneumonia can be pretty dangerous. So that's what we're reflecting on. The fact that because of that condition you were in the hospital, in fact, you got treated. I had never been in the hospital other than to have my children back in the 60s and early 70s. However, as an RN, I was the caregiver for patients in the hospital. So when I was admitted to Kaiser, I was going to be the perfect patient. I wasn't going to complain. I wasn't going to use a call light any more than I had to because having been a caregiver, I understand how busy nurses can be. And it wasn't until this rapid response team came and quickly moved me to telemetry to monitor my heart rate and lung scan to check for possible pulmonary embolus. And that's when they, with the X-ray they found out. Pneumonia, everything just progressed. I can see having sat here yesterday and listening to the ideas of patient implementing ideas for patient safety between that and the technology of this AAM, I can see where the goal of zero preventable deaths can be achieved. I really do. I really see that as a great possibility. I think that's absolutely a worthy goal and one that we can get there. These are like Joe pointed out in the opening. It's a matter of people doing things that we know what to do. And we do it in other industries and so on. It's a matter of doing it in healthcare. It's not that simple because you've got more variables, but in the end it is an achievable goal. But let me turn now to Ed a little bit and talk about the liquidity of data on the same notion because I do think that, you know, it's tough enough actually to get to the zero goal of the hospital. It requires a lot of work and coordination and discipline and technology to be able to do this. But eventually, you know, the data liquidity is a critical factor and eventually this is going to go to the home. And any thoughts as a provider, and I know you've had some personal experience as well, but as a provider, what are your thoughts on data liquidity? Well, I think the average citizen that is in that hospital bed with that wonderful gown on assumes that all of the clinical modalities that are working to keep the patient alive has complete interoperability, which produces the term data liquidity if you've not heard of that term. It is the ability for data to go anywhere and everywhere. But the issue with healthcare is trust. Is there a platform that is designed that brings all of the wonderful clinical modalities and allows those modalities to interplay so that analytics and deep learning and machine learning can be applied, but in a trusted way, not only from the patient's point of view, but from the industry's point of view, from a litigation point of view and a liability point of view. So I think in many ways 2019 is going to be the year of trust. The CEOs on this panel, the CEOs on my board at the center have the ability to define what that means, what interoperability means, what data liquidity means, and more importantly, what trust means. You can get on a 747 for 17 hours and fly across the ocean. You trust the pilot, you trust the airplane, you trust the crew. So I think we've got to bring trust to the person. And what's nice about the person, the person's going to carry that trust with them, whether they're at home in their car, at work, or in the hospital. Thank you. You know, one of the things that enables that trust, which we all got to remind ourselves is why we're here. We're all here for a common purpose, and as long as we believe that, the trust will happen. I mean, it's easier said than done because you've got other things that get in the way sometimes, but as long as we keep focusing on that, that we're all here for a common purpose, that trust, I'm sure, eventually will occur. I agree. But let me now turn to Don a little bit. You know, you're in the government, okay? So you're in charge of regulation, okay? Amongst other things. And in many ways, a regulator has to trust but also verify and set policy. I have really two questions for you. One is your views on how do you make this sort of sense of togetherness that we can all have, but at the same time, you can have rules. Because even unintentionally, things can break down and what rules are there for are that people follow a certain discipline and a certain consistency and are held accountable for that. How do you, in your experience, how do you implement that in a way that that doesn't become only a stick as opposed to a carrot in some ways? So I'd love your thoughts on that. Yeah. So, you know, it's a great question. I think there's a fascinating interplay of technology and one piece of law that is coming together and I think in a good way here for patient safety. The law, let me start with that, is a 21st Century Cures Act passed almost unanimously December of 2016. You know, a lot of the underlying work by the Obama administration, I assure you that Trump administration is extremely interested in interoperability. I was over at the White House on Thursday with senior staff working on all of this and what we're trying to do is get the data that you talked about, Omar, get that out to patients on their smart phone. There is great technology. We all have smart phones. We all know. We want to get that, you know, restful Jason fire. Those are nerd terms. You can look them up. We want to get that modern technology stack to work on healthcare in the electronic medical record. So that's the center point is getting that modern technology stack out there. There's some rulemaking going on on prevention of information blocking so that clinicians have to share data and some of the APIs, application programming, interfaces and trust networks to do this. But I think it's an interesting combination and to make it not burdensome, what we're trying to do is use industry standards on computing to get this out to patients. We're also trying to get it out to researchers on a population level. So we're doing some things that we think will have a very light regulatory. I mean, it's never light. Let's not kid ourselves. But a manageable regulatory footprint and a lot of empowerment, that's the goal and we welcome people's comments on that and the rule will be out soon for formal comment as well. But one question that I do have, coming from an industry where we treat a lot of patients in an acute state, in a world like that, which I think will accelerate innovation in many ways because you've got more ideas working together, you'll have an end solution that is derived from different substitutions which are created by different entities or individuals for that matter. In a world like that, who reports an MDR? MDR is an issue that happens that causes a patient safety problem that gets reported, that industry is required to report. So who reports it? Well, obviously there's deep specifics in the FDA language on those things. I think in modern computing environment, we're asked that question a lot. It usually comes up as a security question as opposed to a security question as opposed to a litigation responsibility question. A lot of this is becoming increasingly auditable, which of course is also good from a patient safety point of view because we have a lot more data to understand, for example, how much it happened to Ms. Kay here computationally. So I think it's actually interesting going to be a lot clearer in the future, but I may just be an optimist. Yeah, it'll work itself out, I'm sure. Yeah. But it is one that is quite a change to the way in which regulations are structured. And I see Anders itching too. Yeah, I just want to make a couple of comments and for sure we will be battling with this for a long time going forward. I reflect on this based on the comment yesterday in the opening when we talked about physicians, nurses, healthcare givers who will be potentially be pilots in the future and think back to the aviation business where basically 99% is automated by now. So this is going to be a question about the black box when bad things happens or where are we with that? That's really the question because today the industry will be really very, very curious to know and careful obviously because it's all about the patient at the end of the day. Nobody wants to do anything wrong here. So anything you would like to say guide us a little bit on the industrial side. How can we do this better? Because I think we're thinking about bringing the right data and we're even thinking to the next level where we want to give you analytics and give the potential predictions but we won't make your decisions. So there is a step away from that part but there could be a lot of faults before we get there. Yeah, so the promise of analytics has been out there a long time as a grad student at Stanford and AI in the 80s. So the first heyday of AI and we know how that sort of turned out, I think right now it is still a challenge to do explanation on these algorithms and so I think we're going to have to have the things we rely on have to have multiple parallel approaches till we solve the explanation problem and that has not been solved in artificial intelligence or in machine learning. So until that happens in a robust way I think we're going to have to have very layered approaches. That's an unsatisfying answer but I think that's what it is. Let me bring Yan into this conversation. Yan, you know, Philips has a history, is focused on healthcare but also has a history with consumers. So compared to other sort of more, there's a starting point of pure medical technology company. You know, medical technology companies typically work with hospitals, providers, that's the stakeholder. And consumers are patients and as data becomes available to patients, like we just heard in this world, the stakeholders are different. Like to a physician, we provide New England Journal of Medicine paper with evidence and they read it and say this is a good thing and we're going to do it or certain processes. You know, a patient is going to read all that stuff yet they'll have the data. But you've got a history in consumer management and in your medical practitioner yourself so I'd love to get your unfiltered thoughts as to how does the world change as medical data becomes ubiquitous with patients who are not structured in the same way in which a physician or a hospital system is. Yes Omar, I think you are completely right that we are talking a lot about a hospital. Yeah. The hospital environment and that can be a dangerous place. Where mistakes can happen and everybody is talking about bringing the data to the patient at home, bringing the patient at home and leaving the patient at home and treating and monitoring the patient at home. And indeed we have learned from our deep consumer intimacy over the years how you can do that. And in our opinion, you need to go through three steps and the first step is really to engage with the patient to get by in. And I had a wonderful conversation with Kathy and her daughter the day before yesterday and there you see it. You need to convince the patient if you want to treat her at home to buy into your system and sometimes you have to bring in bystanders to help with that and sometimes you have to bring in family practitioners to do that. And we have learned that the hard way when we rolled out the home monitoring solution in one of our big IDNs here in the US that the take-up by patients was not big, not high until we asked the family practitioner to be part of the game and then it took off. So that's the first step. The second step is to make the experience very, very, very good. Give hardware, software and solutions that are attractive for the patient to use, easy to use. The patient experience should be seamless. Sleep solutions are a wonderful example of that where you create a closed loop that is enabled by artificial intelligence that gives patients who have to wear masks because they have sleep apnea or other sleep problems. They get immediately feedback in the morning back in the morning how they slept in the night. So that's the second one. Create an experience for the patient that is attractive to keep on using in a trustful and consistent way the tooling you deliver to them. And the third very important part is be transparent about the results, the outcomes both for the individual patient but also for the community at large so that we can slowly build the trust. I think these three steps will be necessary to go into more home treatment and home monitoring without the patient disengaging from this new tooling. Yeah, that's great. That's very appropriate thoughts, especially the closed loop one because that automates it to a degree and eventually over time personalizes it. So you can make it really very customized for an individual and it learns over time. I think that might have to happen in concurrence. Yeah, absolutely. Let me come back to you, Ed. You're in the center of medical, you're running the center for medical interoperability and I'm sure you've kind of at least in your mind wrestled with this notion of who takes accountability because in all these examples if you really want to optimize the system with the ubiquitousness of data you'll have different people coming up with solutions. In a closed loop system maybe that you're sensing from one company's device, you're using a cloud based algorithm from some other company and you're delivering treatment through another company's device. It can happen. You have three different companies or institutions involved in this and today that doesn't happen. First because the interoperability is not that clear. Second, I don't think data is moving that quickly yet but if you fast forward that's what we'll get to. So how are you thinking? Let's start with the hospital alone because at least you've got some sort of control mechanisms there but how are you thinking about that? If something goes wrong, who does what? One guy says it's his fault, the other guy says it's his fault, everyone's sympathetic but no one does anything. Then what happens? So almost within a month the Center for Medical Interoperability was created when Joe launched the first data pledge and we got the opportunity to study every other industry on how they went from analog to digital and how they made data, the currency of innovation and how the ultimate trust with the consumer was achieved. So I think in many ways healthcare is going through that same transition. We're going from analog to digital but because we were never designed to be a system, a national system, we have to untangle the spaghetti. Personally the Center was formed with the thought that the CEOs that represent the health systems which are similar to the CEOs of airlines have to step up and look at this as a system level problem. They have to do system level design where all aspects are considered before they operationalize the platform to think that we're going to not or be able to not come together as a platform I think is a fallacy and will stay as a low performing industry. So it's a bit of political leadership, it's a bit of technical leadership but it is leadership and the one thing that just amazed me when I studied the other industries is in the end it came down to between five and eight individuals that created most of the other industries where the consumer feels they're wrapped with technology and trust. So I think it's a design issue. What I'm excited about is we have the leaders that can sit in the room to do it. Sure. Anders, I had thought for you about technology. As technology progresses, there is another dimension which may be further ahead than what's appropriate right now but I'd love your thoughts on that. There's another dimension to this. I just give the example where there's data in the cloud to algorithms and go back and forth. The other progression that's happening is through the march of technology actually the computational capability and the data capability at the end point which they call this edge computing actually will increase and maybe what then happens is that this closed loop example that I gave resides within the same thing. So it's not interoperable it's all in one device that's put into somebody and it's all kind of closed there. And maybe there's another level of interoperability and another loop that might happen. But how are you thinking about the intelligence of the device on the patient and how's that going to change everything? Well, that's a great crystal ball question in a way but we certainly... You're right, crystal ball. We're working on a lot of these things at the moment. So let me just take one step back before you answer the question. And I'll relate to some of the other conversation here. Clearly, we think all the data is going to be there. It's going to be way too much data for anybody to interpret. So there has to be some analytics predictability around it. At the same time, there's one big missing point because we just look at pieces of the puzzle. So the whole precision health understanding needs to be adopted by the industry even though we operate in silos or pieces as we go. So that is one piece and that has to be personalized. At least the belief and what we see today where we have strategies in that direction but it has to follow with legislation, it has to follow with how we operate together, things like that. At the same time, to your question, there's going to be a huge win if we could improve things basically at the bedside or with the patient directly. And I think as we kind of dream of this big journey about precision health, we have to attack that in the meantime. So in our thinking, and I just take a very simple example, we all know that alarms is great in one way but if you look at the data, I think between 2010, 2015, FDA logged something like 500 deaths because people didn't react, understand malpractice alarms. That's something happening right at the patient, right there, the data was understood but not... So we can do something right there. Automated. Automated on the spot. That can happen. And we just have to be smarter about presenting it in the right way. I think the industry has a very simple way assuming that the operator knows everything, can deal with 100 different data points and make a decision. And we know that the operator variability, decision maker variance is really a big issue. So we can do a lot from the industrial point to do that. Yeah, I think that's a fair point. Did you want to comment? Yeah. I think you asked the question who is going to be responsible because we all bring parts of it to the hospital and also to the home. I think honestly that if you want to save lives, we can't afford it anymore to do it in silos. Nobody can do it alone so we will have to work together. Yeah. And we see it in our company and I'm convinced that you see it in yours and also Anders see it in GE. Our customers, our hospital C-suite, they don't want single products anymore, less or less. They want an end-to-end solution and somebody that's connecting all these building blocks for them. So whether we like it or not and we better like it because that's going to save lives in the end, we will have to work with building blocks from other companies being the integrator and each one of us will have these long-term strategic partnerships with the customers and it is our obligation to build in and tie in also the good stuff that other people are bringing to the market in order to make it an end-to-end solution. And I could talk on some of these partnerships that we have where we can prove that 40% of the building blocks we bring into the end-to-end solution for example in the imaging department comes from other vendors, from third vendors. And if we are not prepared to do that we will keep in the box-selling mode and we will keep losing patience on the go. I don't think if anyone is in this industry for any length of time it's clear that that's not a train you want to stop, you want to get on and use. I think you'll get general agreement there. I do think though your point about everyone being on board with a common purpose and trust and figure out together how the rules are I think we have to work together on this one. I just want to say one thing because the movement have done a fantastic job already but if I look at 89 companies signed off there are thousands out there and if you want to be successful with anything here we need to make that move much, much faster. That's the foundation for all we're talking about here. So if maybe a notch from legislation can help it in the right direction but I think we as an industry have an obligation here to drive that much faster to the adoption. I think we talk a little bit about the global view here. We have thousands of companies out there that need to find a standard otherwise it's not going to work. I think the other subject and I'll just a couple more questions and then we'll look at the questions from the audience here. The other subject at least that we've thought about a lot in this world of not only interoperability but also of data ubiquity is cybersecurity. There's people out there who can do things and that's happened in other spaces and we have to assume that it'll happen in healthcare. So, you know, I'll start with Anders and then actually ask Don a little bit. But how are you thinking about that? Oh, foundational. It's a very, very tough challenge as we've seen over the last few years. The one attack after the other and obviously our systems, they can't be a question on equipment. Just can't be a single question about how secure is the data, how accurate is the measurements, how accurate is the data in a single second. So we've taken this very, very serious and in fact in our company and I'm sure you all have the same, we have something like 4 million systems out there globally. And some of them are up to 20 years old. How do you protect that against data security today? So we have a monumental job just even to cover the existing install base of customers and take care of that. So that's the first line of action and obviously everything going forward, we have a huge team trying to protect against any malfunction basically. So this is the number one priority for the company before anything else we do. So that ties right back to patient safety. And Don, from a regulatory and a policy perspective, there are other groups in the government who are huge experts in this area dealing with all kinds of issues. So how are you thinking about this from a healthcare regulatory perspective, IT perspective? Love your thoughts. Yeah, I think there's it's obviously a vast daunting challenge everybody knows. I think we break it apart into a little bit of two areas. One is under the HIPAA privacy law. So there's a broad law that covers that. And those entities, there are a number of things with technology and with policy, right? Because most of the security breaches are really behavioral. They're not really brilliant exercises and hacking their behavioral things around passwords. I think there's one set of policies that are out there. And for that, certainly from our point of view, the thing that's most important is that we not put in any policies that prevent the best technology security from being used. We don't want healthcare. We don't want to anchor people to older technologies. We want to make sure the newest best security policies are used in our space and be very conscious of that. The second area that's very interesting, under cures, patients are going to have access to their own data electronically. Today, you can get your data on a portal, but realistically, it's still on somebody else's computer and somebody else's system. There's some ways to download it. In the future, when you get your data on your app, on your smart phone, HIPAA has stopped. That is your data. And I think we're going to have to have some national understanding of what shared. Just look at all the congressional discussions about Facebook and Google. All of that is ultimately data that we collectively have decided to put out there for whatever good or bad reasons. We're going to have a similar discussion I think around patient-controlled healthcare data and apps. We're from a regulatory point of view making sure those things have the state of the art security. I think it's still a work in progress for patients there. Those are the ways we look at it. It is, as everybody knows, very nuanced. And how do you bridge those gaps between patient empowerment and security when you have these highly distributed streams of data? Yeah, I think I'm looking around the questions here which has triggered another thought of that along those lines. The question here says, and I'll comment on it a little bit as well, how can we democratize patient data without compromising on patient privacy? Which sort of go against each other a little bit. But let me just throw out an example of a potential scenario and then let everyone comment on it. I'll take Kathy's example where she said that she was in fact lucky that she was in the hospital for an unrelated reason and then she had this issue where there were those things in place that took care of her. While if this happened at home it would be very difficult. Now, in today's world things that are highly controversial regarding individual privacy people can look at text messages and behaviors and where you are and what you're doing and actually predict a potential condition and save somebody's life. Someone is clinically depressed and maybe you diagnose that through the nature of their messages using AI and machine learning well before they actually go to see a doctor. In the holistic world of safety it's a good thing. But if I put a patient privacy or an individual privacy lens on that I can hear all kinds of discussions about you encroaching into my life and all this stuff and so how do we all collectively think about that? Well I think one area that we have to think about and I think this form is a great is to think about what consent means because ultimately do I choose to let my smart phone knowledge of whether I've moved or not moved or how fast I've moved or where I've moved we have accelerometers on ourselves 24-7 now almost not at night so I think collectively we have to think about what consent means we have not figured that out we haven't figured it out computationally and we haven't figured it out as a society and I think that's really the part of it and from a policy point of view we have to use very very primitive, very course consent mechanisms today that form you sign when you go to the ER let's say I agree to share everything right and of course you're sick you're not going to read this if you could read it it goes on for two pages so I don't know what the answer is but we're going to have to sort out consent Kathy I'd love your views on this because as a patient if someone, if you're at home and someone could have predicted what you're going to have without having to go to the hospital but to do that they'd have looked at where you are, what you eat what you do, what behaviours you have and who you're talking to all that stuff but to find out that you have a problem and if you get treated your life will be saved so as a patient how do you deal with that kind of dilemma of the trade off between privacy and actually upfront knowledge of your conditions so your life can be saved it's a tough question again you're just your free thoughts it's like being back in the hospital I really have to apologize because there seems to be a reverberation of the voice and I'm not sure what you had asked me okay so let me repeat that the conversation that we just had was the was the conflict in many ways between an individual's privacy and someone monitoring through your behaviour through electronic tools like your smartphone what you're up to and through that concluding that you actually have a condition for which you need to go to a hospital and without that monitoring you'd never know but it is an encroachment in your privacy so most people don't like their privacy encroached but in this situation your life could be saved so how do you think about that as a patient, as an individual I'm not sure to be honest none of us are don't worry about it if I would be your doctor if I would be your doctor and I would tell you listen Katie I can monitor you at home if you want then you have to give me access to your data maybe your Facebook data maybe where you live maybe on what you do all the day would you be comfortable with that I'm not sure to be honest with you I am not a technical technologically wise recently got rid of my flip phone but and don't know how to use the iPhone I've heard people talk about how the computer can be hacked and personal information can be taken from it that's a difficult question for me because I don't understand how it can be hacked I'm not sure that I have anything in my computer that I wouldn't want anybody to have as far as medical records they're available anybody in the hospital they really want to look at them you know what I mean it just I certainly know what you mean I think the answer to that is going to be big variance it depends it's going to be a lot of different things people have every view of no completely open share everything and then we have legislation depending on what country are in so it's not clear but I think what we can do and sitting here at this moment we should have much more conversation about this so people understand what is at risk what you can gain and what the risk is and I don't think that's clear to a lot of people if somebody is really interested in getting your information they're going to find a way to get it it's the job to be done at this point in healthcare because we've watched Facebook and Instagram go to the other extreme and invade your privacy but why isn't there a personal longitudinal health record trust platform that allows your personal trust to engage with your health system I mean that's a wonderful idea for an app because I think the it's up to this industry whether we gain trust or lose trust at the personal level and if you gain trust think who has a personal longitudinal health record in this room that's divorced from the portal that they go to with their health system provider that's a market opportunity and the industry that does that correctly is going to win and that's why the threat from the non-healthcare digital powerhouse players you know is so daunting to our industry so you know we're running out of time here let me just ask you each to say a few closing words a response to one of these questions shall summarize which is essentially how do you create affordability in data liquidity but I'll expand the question by saying how do you monetize because in the end there has to be some kind of financial valuation of all of these and your own thoughts as you're dealing with this as to how we should approach that and then add in anything else that you want as an institution you know it's a great question and of course in an industry we can't only think about the patient although that comes first and we want to make a difference in people's lives and save them but I don't think it's very different from what we have today if we put not data as a focus not equipment as a focus but the outcome as a focus if we can tie that again and come back to could we operate and get much more focus on outcome and have all the data in the outcome it is partly the precision health part but we can do much more in that direction so it's data plus the action gives us the outcome and that will be kind of the way I hope we can go yep that's great yeah we think the real problem healthcare is affordability I think often interoperability is a proxy for affordability and we think APIs can absolutely lead to new business models new ways of taking care of patients we've seen this in our lifetimes in industry after industry many of us took Uber or Lyft to get here you look at banking, you look at brokerage you look at media you look at printing, you look at music APIs have changed all of those businesses healthcare is absolutely right for that and from our point of view we are consciously working that the things the rule making, the policies we do actually allow new business entrance and new business models I think that will happen actually I want to be very short we started with the consumer and I think when we are revolving this field let's stay very very very close to the patient and try to understand what the unmet needs are there and the challenges are there in order to move this forward great thank you Kathy, any final thoughts? I don't have anything more to add well it's great to have you here thank you, thank you for your participation and your thoughts and your engagement I just have to say I'm so grateful to leave thank you the programs, the things that are done just thanks for your leadership I think it is going to be a year of leadership to Joe, your leadership because you who leads is the leader great well we are out of time right now thank you very much, we could talk for another hour on a whole variety of subjects in this area but there has been a very engaging discussions, we enjoyed it, hope it was useful thank you, thank you all very much


This is stock number 20T98A. We are here at Summit Automotive in Fond du Lac, Wisconsin. You're new and used heavy-duty truck headquarters. Today we're checking out this 2015 Ram 3500 regular cab, dual rear wheel chassis cab with a nap hidey dump on it. It also has a Hinnaker snow plow on it with two folding sides there. This truck has a 6.4 liter V8 Hemi motor. It has been fully safety and inspected by our service shop. It has a fresh oil and filter change. All the fluids have been checked and topped off. This truck's 100% ready to go. Firestone Transforce HT tires. These are LT 23560 R17s and they have a good amount of tread left. I'd say probably 80-90% of the tread comes with the painted steel wheels and as you go down this side of the truck you can see just how clean the body is, how nice that paint is and this is the nap hidey dump box. So they got these boards on here but you can actually bring this side down. They're super heavy so I'm not going to do it with one hand but you can bring those sides down and to get easy access to the bed. On the back here we have Bridgestone Dervis M700 LT 235 80 R17 tires and they got a really good amount of tread left too. I'd say probably about 70-80% on the back there. The dump body is pretty good in a nice condition. Bed's got a little bit of use but that's what dump trucks are used for so they're not going to be perfect when they got miles on them. It does have a receiver hitch and seven pin wiring back here and I'm going to show you how this dump body works in just a second here. Notice the door is in nice condition, the cab is in nice shape, you have the light up there, the clearance lights, front fenders in nice shape, frame and underbody looks pretty good and I will put this dump body up for you. So we have two controls, one for the paw, one for the dump body. This is the dump body. Pretty simple instructions, up, down, press the button and that starts going up. It'll actually stop kind of when it gets to its max height and that would be its max height right there so you can see you know anything that's in there is going to definitely fall out when you dump it. Everything's in perfect work in order. Frame and underbody is pretty nice shape as well and we'll bring it back down. If you wanted to check out the model number on this nap heighty dump here, there's the sticker. Feel free to pause that if you want to do some research. Model number KDBDS912A is the model number on that dump. Inside the tradesman package gives you the gray vinyl interior. You get the heavy-duty rubber floors, auto headlamps. This has an aftermarket break controller, power windows, power locks, power mirrors and as we hop inside the truck here you can see that this one has 61815 miles. You get a digital speedometer as well as an outside temperature display. Instrument cluster is pretty nice and clean. Has the six-speed automatic transmission with the optional tap shift. Cruise controls on the right, information center controls on the left and while the steamer's got a little bit of wear on it, there's no rips or tears on it and it hasn't worn through. AM FM radio. You have your climate controls. This one has five upfitter switches, stability control and a tow haul. You get a 12 volt power point there and one right there. 4x4 shifter on the floor and those are your controls for the plow and I can show you that the plow is working as well and that works pretty good. Pass near side, floor and seat are in nice shape. No rips or tears there and the headliner is in pretty nice condition as well. We'll take a quick look under the hood and then we'll do one more final walk around on the truck here. Has the tow, the foldout tow mirrors. So they fold out like that. They're heated, have built-in directional signals. They also fold in like that and we'll take a look under the hood. I'd personally like thank you for checking out the video today and hopefully from this HD video you've been able to tell just how clean this truck is all the way around inside note. Under the hood we have the 6.4 liter V8 Hemi motor. Engine base very clean runs very smooth. This truck has been fully safety and inspected by our service shop has a fresh oil and filter change. All the fluids have been checked and topped off. The truck has been gone through mechanically 100%. Plow works, dump works. This thing's all ready to go. We'll do one more quick walk around here and to see more pictures of this truck or one of our other 450 new and used cars, trucks, SUVs, minivans, Wranglers, half-tons, three-quarter-tons, one-tons, dump trucks, trucks with plows. You name it we got it go to our website www.summitauto.com full pictures and descriptions of every single vehicle from two locations all at summitauto.com and if you'd like to check out more HD videos you can go to youtube.com slash summit auto. Remember to like subscribe and share on this video and all the videos that you see there. In fact in a second you will see links to subscribe to our YouTube channel on your left. A link to more Ram 3500 truck videos like this one on your right if you've not been on our website on the bottom link to this vehicle on our website click those check us out and we really look forward to helping with this super clean 2015 Ram 3500 regular cab chassis cab with a nap hidey dump and hinnaker plow on it thanks again


We are here to see an artist in the world today. This is actually a practice. She's a star in the practice, so... I don't know. I'm not sure if you guys are pleased. I know, but you're so little. You're sharing what you think you should share and how you do that.  I'm working all night, so you can come and see the talk. We're going to start to have a little thing. A light and day without the blue. Completely four pound. Theater for everybody. Yes, everybody. That's it. What should we do? And indeed, by understanding the white relationships that have already changed. Survival with Seagal as an art form depends on that. So thank you, everybody, for coming here to the Martini Seagal Theater Center at the Greater Center CUNY. I see many familiar faces, so I feel slightly guilty to show you our propaganda video, but there are some new guests in the room, and we are proud of what we do here. And someone once told me, if you don't praise yourself, no one ever will. So I think we put this out to communicate a little bit of what we are doing. My name is Frank Henschka. I'm the director of the Seagal Center, and we do bridge academia and professional theater international and American theater for over a decade here at the Greater Center CUNY. And tonight is a very special evening for us. It is the second evening with Hans-Tis Lehmann, who came all the way from Germany via South America and Yale to us. And it's also a special personal connection. I was a student of Hans-Tis Lehmann at the now legendary Giesen Institute, where people also say it was the most unlucky academy for the traditional German theater ever. It destroyed what used to be the good theater, and we are very...


This paper presents a new method for accurately modeling the structures of proteins and their complexes using artificial intelligence. The authors used experimental data to develop a candidate-based approach to systematically model novel protein assemblies. They then used a combination of in-cell cross-linking mass spectrometry and co-fractionation mass spectrometry, co-fract MS, to identify protein-protein interactions in the model gram-positive bacterium bacillus subtilis. By controlling for the false positive rate of the predictions, they proposed novel structural models of 153 dimeric and 14 trimeric protein assemblies. Cross-linking MS data independently validated the alpha-fold predictions and scoring. This study also revealed protein-protein interactions inside intact cells, provided structural insight into their interaction interfaces, and was applicable to genetically intractable organisms such as pathogenic bacteria. This article was authored by Francis J. O'Reilly, Andrea Graziardi, Christian Forbrigg, and others. We are article.tv, links in the description below.


Bart Scott and Alan Han and then that leads right into us and then Carl on after that and Bart Scott joins us now right here at the Cue What's up, man? This is my hood to I'm usually around at the W really get my massages no happy ending is included Not but you're right around the corner. They shut it down man.  What's because what you I wasn't I wasn't a great tipper. Really?  They go to a fancy hotel Why do you somebody that can get in there? Yeah, like orchid's of Asia? Yeah No, no, no, not that deep I won't get in that deep just surface level.  No, no, I didn't think oh, no, I'm sorry that the chiefs. That's my bad I'm sure listen. This is a pick-and-game. You can you can throw this game up And what I love is about the Super Bowl how intriguing the matchups are is you never really know who's gonna come out with that game Playing that first 15 script that's gonna kind of get their team going and it's about who can handle the emotions The moment and I just think that Kansas City has more room for error because they can win defensively Maybe I think their defense is underappreciated for what they've been able to do for the last 10 weeks And I just believe that my homes and Andy Reed is just their moment And I think maybe San Francisco is just early to the party But I thought that this I felt the same way about Seattle When Seattle win and they played the best offense of the year, which was paid manning here and You know in New York and they came out and improved me wrong So I just I'm conflicted I can you can you can flip a coin But if I had to be pressured to take a take an opponent, I mean or take a take a team I'm going to say that the Kansas City Chiefs could win it could win convincingly. I think The Super Bowls that had the defense putting pressure on the quarterback Yeah, the defense always did well as you mentioned Seattle against Peyton the Giants against Brady, but I think the big difference is that my homes could beat you with his legs Yes, as a former linebacker. What do you do to try to contain him as a possible to contain? Well, the thing about the 49ers is they rush for so when you rush for even in a just a traditional formation It's five gaps. So my homes is good at being able to identify those gaps in the same windows that he throw through He also runs through but now he's not as fast as some of the other mobile quarterbacks that San Francisco struggle with But if I'm San Francisco, I'm saying you know what? I'm going to dictate to you where you can escape and you think about you know these tackles They they got to be you know fearful of the fact that Ford and Bolsa can beat you around the edge So they're going to get off on the ball really fast and kick and kick slide really fast It's going to create opportunity for them to come underneath now What makes them different than what potentially what Tennessee was trying to do when my homes have the big run to Up the sideline is they have defensive tackles that aren't just your Casey Hampton Saragusa fat guys these are guys that can run my homes down So I would try and dictate that okay my homes I'm going to make you roll to your left which he does well because of the baseball He's able to square shoulders and throw across his body Which is usually a no-no for most quarterbacks But I'm going to say you know what I have a better chance of making you run and escape to your left And I'm going to set these traps and when I get you especially early It's important for the 49ers to make sure that they hit them and they hit them often What we used to try and do we face a quarterback that we feared we wanted to get body blows early In the game, but also you want you're usually when you're you know Going to make a tackle we were taught to kind of bring it from the hip and shoot from your hip like you're Old Western and you're in a gunfight against guys like my home Do you want to try and come really wide and tackle his arms? You're probably saying why would I want to tackle his arms well if you tackle his arms when he falls down He can't protect his face So what you try and do early on you tackle his arms make him hit his head a couple times Hope that you can pin his arms against him and hope you can put some damage on that shoulder Remember Saragusa against rich Ganon. I'm not saying hurt anybody, but it's about establishing blows You want to land some really good body shots early so that he can have hesitation about leaving that safety net that he has Because when he leaves the pocket, he then becomes a runner He doesn't have the same protections as a traditional quarterback in the pocket now just from a This a Super Bowl standpoint style of play Yeah, do you do you see this going the way all Super Bowls seem to go or the first quarters awkward and sometimes? We don't really get into what feels like a football game until 10 minutes left in the second quarter You know it depends on who gets the ball first and that'd be interesting if Kansas City Gets the ball would do they want to defer and Figure it out or do they want to say you know our offense is the strength of our team Andy Reed has a tremendous record when he has two weeks come off a bye week, which is pretty much what this Super Bowl is He probably has a great 15-play script that can get his team in a rhythm and against a team like San Francisco You don't want to be having to play from behind because of this tremendous run game is how they get their explosive plays So I mean I can see it moving fast depending on who gets the ball first trick plays are in You know, I think the key of this game is you know Can this defense contain my homes and can they can Jimmy G? If acts to drop back traditionally and and and serve you up and will it be death by a thousand paper cuts now Jimmy Johnson newly elections of all the fame did a guest column in the post that I was shocked He said that Patrick Mahomes is the greatest quarterback. He's ever seen now You faced a lot of great quarterbacks for this guy in that level. No prison of the moment, right? We say that about everybody just last year we're saying that about golf before that We said it about Russell Wilson. Remember the first golden golden child At least this era was Aaron Rogers He's been a back. He's been the Super Bowl once won a Super Bowl, but he hasn't been back then, right? I think this is the best team that Mahomes ever have especially if he take 40 million dollars Then we'll be able to evaluate if he's the best that we've seen because right now because he's cheap He probably arguably has the best weapons He has a he has a he has an Olympic sprinting team on his on his roster right now and when he takes that money He's definitely going to lose Sammy Walkins. They got to try and sign Chris Jones right now He can go out and get hired guns because they they picked right they got a quarterback that's young and cheap We see the two teams in this town trying to do the same thing and use that type of strategy But is he the best I've seen no not at all. I don't think he's the best that we've seen I don't even know if he's the best in the league right now. That's your shame I mean the best I've seen is to me is Tom Brady No, but no quarterback put more mental stress on me than Peyton Manning. It was different Going against Peyton Manning opposed to Tom Brady. Tom Brady is all about execution Peyton Manning Did all the little things right keep you in your stance for for two minutes You know going to the line create pressure on you you would try and steal some of his Omaha or yellow what that meant But he had his team so prepared that yellow meant something in the first quarter But meant something totally different or second quarter so he would use your football acumen against you So in that terms instead of just going on and trying to beat the man Cross from you like you did when you went against Brady Peyton had you thinking and when you think you move slow You can't react so things that you would normally see you don't see does it surprise you that like experts not not just non-football players Football players too or are going this far with the Mahomes because don't break don't get me wrong I'm excited to see him and I made this comparison on the air and I think a lot of people have done this Patrick Mahomes in football to me is Steph Curry in basketball He's not the greatest player of all time, but he plays the game in a different way than we've seen before So when you see it you're you marvel at it But I can't believe the level of experts that have already Coronated him the best in the game for prisoners of the moment, right? I mean because I think right now if you take the shine Watson and you put him on that same roster You get the same productivity, right? I think right now you just and go back to my Aaron Rogers analysis, right? Remember who Aaron Rogers had when he was the baddest man on the planet, right? He had Donald driver. He had Jordy Nelson. He had Jennings Yeah, Jones, and I think I forget the tight end that he had but he had like a Finley Michael Finley Michael Finley. I mean like you you take those guys right there He has pretty much the same thing that Mahomes had right and he was only able to get to one because you're gonna start to lose those Pieces right and what happens when you lose those pieces where people try and break down guys that are the it guys right now They start taking your coaching staff, which they've already started to do and then they start taking some of your free agents Which people are going to come back to Chris Jones Tyrone Matthews How long can he play and eventually Sammy Watkins is going to be gone and you know then he's going then we're going to see What he really is that's why I believe in Russell Wilson, right? Because Russell Wilson won with the Legion of Boom, but now he's not the team's reset and they're still Right there, so I mean I'm not ready to put Patrick Mahomes above Russell Wilson right now Let alone some of the other guys I think are dying well We can have a conversation five six years from now talking about that. He is clearly the we could we're still talking about a young kid Granted, he's got a ton of talent But most great quarterbacks outside of maybe Tom Brady have had great talent around him But he's on the fast track to be that people are rushing him that way Yeah You have to admit that he's on his way to being that he wins the Super Bowl on Sunday two three more years I'm a level yeah, he's gonna surpass everybody I mean can action Jackson take the next step next year when they get him more weapons Could you imagine if action Jackson had the same type of weapons he had to your imaginative to shine Watson had the offensive line and Bill O'Brien not being his culture general manager what that team would look like as well, but will they I mean There's been a lot of great players in this league that never became great because of the team They were stuck up I mean maybe Archie Manning would have been Terry Bradshaw, but he was stuck in New Orleans and couldn't be that But so we'll see but I'm telling you man I think I still don't think he's better than Russell Wilson right now I think we're pretty good as a moment what happens is if he wins this Super Bowl if he doesn't win the Super Bowl Defensive coordinators will break this system down and it's gonna be a lot harder next year to have this same productivity Perfect storm right now. This is your moment. That's why you have to capitalize on this moment We remember Dan Marino right Dan Marino had a message from my home when now because there's no guarantee that you're gonna get Back to this game. I mean, I'm sure Aaron Rodgers when he won the Super Bowl thought that he was gonna be You know be back over and over again That's what makes what Tom Brady and the Patriots did it so special because with the expectations with changing teams with guys Going to get paid somewhere else with you know failed free agents. They still managed to get six I was talking with Bart Scott. Can you hang a little bit? I got no life Hey, Donald Greco Peter Rosenberg coming to you from the house of Q here in Hoboken our special guest Our colleague is former jet and Raven Bart Scott I was thinking about this because I heard you guys talking and joking around with Chris Canty Everybody thinks Everybody in sports wants to make money. Yeah, but just being around baseball players for over 30 some odd years I'll tell you what super seeding money is championship. I think everybody wants How much of a haul did that leave that you didn't play for one? It's tough It's like it's like I was good luck Chuck, right? I went to three consecutive AFG championships and I probably have more road wins probably than most people that even played in the League I got at least eight road wins because I was always the sixth seed and if I could do it all over again I wouldn't chase the money. I didn't chase the money because I gave up money But I would have chased a Franchise quarterback Yeah, I tell a lot of these young guys when you when you're able to add a Super Bowl on your resume that type of You know pelt on your belt, you know, it makes everything right with the world It's like I it's like I died the athletes deaf And it's like my spirit can't rest because I watch a lot of bums walking around with Super Bowl rings They couldn't play dead in the country Western And it's like one of those things is like I'm just as deserving and I put it on the line I paid the price just like everybody else but sometimes it's just about timing, you know My window was there for a while and we just wasn't able to close the deal And you know, that's that's one of the regrets because that's when you start going back and saying What could I have done better to get there? I mean, I'm sure Carl I'm not putting myself in the same vein as or the same lane as Carl Malone You know Gary paid Gary paid and all those other players that paid the price Barclay. Just sometimes it's just it's just right place Right time.  All right, so when you go to break I need you to lose 12 pounds. I need I need you to lose some weight He came back game 12 pounds Rex cut him. He went to Green Bay won a Super Bowl Right place right time. Yeah, you know and it's like one of those things So like my soul is like unrested and they can't it can't properly go because I didn't get the championship So, you know what I'm trying to do now.   Yeah, that's my design And then I'm sure it is and I you know, I was saying this on the show this week about Kobe I saw Kobe at the Staples Center a month ago and all I kept thinking was I know how he looked at the end of his career And it wasn't the same guy, right? But I'm watching him sitting here right now, and I'm like this guy She should go play in ice cubes league like he could dominate basketball right now It must be so hard to be so young in life. Yeah, and have this this this thing that you didn't get That was 32 and what happens is that transition man I had to go start doing a lot of therapy because your body still wants to play But you know, you can't compete but potentially at that level because that everybody's getting faster stronger and they're younger than you And also by the way your branch and you cost more than anybody else It's like you know what Frank Gore is doing. I wasn't willing to do I wasn't willing to be a hired gun to go from team to team to team Frank any regrets about that I do because It was one of those things that what are you willing to sacrifice? And I kind of mentioned like how I paid the price to be good not great, you know Because it's selfish.  Because for you to be great everybody has to try and cater to you so that you can live your dream in the caution that most players have to Ask themselves are you willing is it time for you to start supporting their dreams, right? Because we all get here because everybody, you know does things for us Well as your mom taking you to practice sacrificing her money so you can have personal trainers Rather, it's the dad like Alan who's driving all the way uptown to take to you on traveling Hockey and all those things and I just felt like that would be selfish of my self And I was comfortable with how my career had went and Seattle just happened to win a Super Bowl that year So yeah, great call by me But it's interesting because we were talking about it the other day the comment that you made about being good You know to great and the sacrifices you have had to make to be great Does it bother you that the narrative around sports and talk radio is well, you know Bart If you were a little bit more dedicated, maybe you would be in the Hall of Fame if you cared a little bit more Maybe you would have won that Super Bowl. I mean how unfair is that?  Because he made sacrifices that maybe you weren't willing to make and and that puts you in a poor light in that kind of Context well, that wasn't the case for me and I can live with that but because That just because I wasn't selfish doesn't mean I didn't put the work in I put the work in but I wasn't willing to go to Arizona to go train an altitude with other other great guys What I had to do is if I went somewhere and went on vacation I would have to pay my trainers to fly with me But I wasn't able to be at the best places that needs to be right It's like one of those things a hundred yards is a hundred yards and I had to you know make do with what I had You know what I had available to me where I was located because it was important for me to make sure that when my kids had a play Or my kids had a you know a field trip that their dad was there because well, yeah, I'm absolutely And I know you put in the work. I've worked with you. I've seen it But like to the coaching aspect we were at we're talking Adam Gates He's missing Thanksgiving with his family because he's preparing for the game. Yeah on Sunday But that's possible But you know the perception is the whole Jimmy Johnson you have to put football first above God above family if you're going to win Tony Dungey bucked that trend right but for the most part in the perception of the fans is is the guys that make the sacrifices But it's but it's the ones that should be exalted for pure greatness and I know what you're saying now That is unfair because it's all happenstance. Yeah, if Bart ends up on Seattle instead of the Jets He's a Super Bowl champion and it's a I mean I'm a runs a damn ball. I get to the Super Bowl take care of this.  I can't die. I don't at least you're over it though We're gonna break down this game We're gonna lead right into Rex Ryan So when we come back when asked Bart exactly some secrets about Rex that we could throw out of some of them We know this portion of the Michael K show on 1970 as being as much by the New Jersey lottery with 155 million mega millions jackpot win you could fly your entire family to a villa in the south of France and throw in a Separate chateau for the in-laws take a chance on mega millions after all anything can happen in Jersey Did Rex go to the hospital and you had your toe surgery You know what? No, he told me um two weeks later that he had to he had to let me go I'm just playing is it just one who fired me. I wanted to talk about listen I want to beat the hell out of John is it first of all he didn't bring me in Like the general manager coming after you played with a torn ligament for a whole year for 13 weeks I played with a torn ligament and the general manager that just got hired is the one who fired I want to smack the taste out as well. That's another one on the smack list All right, we got a smack. I love you you guys should really relate Michael's isn't a smack list I have a laminated. He is a laminated. I will get a few people that have done me wrong that I will get back Back list sounds well. We don't want you to hurt those brittle hands man If you need somebody to bring that smoke, I got you guys could combine your smack list and Glaminator. What's that? What's that movie? My name is Earl when he had to go back and write the wrong Yes, yeah, I got a hit list for all the people that roll me.  I don't think I'm too old to smack Well, give me a little band gun you on a hold the hold angle. I hit it with the Ric Flair chop Okay, LaGregg a Rosenberg Scott you right here on Bart Scott's been so great hanging with us. You could hear him every single day We're so happy with our new show. We're proud of the new show on our station Alamon Bart Scott from one to three and boom right into us And he's nice enough to join us here in Hoboken at the house of Q So you think the 49ers will lose and the chiefs will win if the 49ers win What happened Kansas City? Even though they shut down Derek Henry won't be able to handle this complex running game Me and Rex always just have this thing when we ever we went against teams that shift in motion like you think about San Francisco They shift their motion 79% of their snaps Okay, right all that is to do is to grab the eyes of the defenders as they run simple runs, right? All this ghost reverse motion shifts and all that stuff and we should have this thing that whenever teams did that to us We would just sit back say you so crazy, right because you know once you dress that down, right? And see what it really is. It's easy to stop now The caution is can specknola create a defense that's balanced on both sides We're because the running backs in this on this on San Francisco are average But it's the system just like when you think about Mike Shanahan his dad you think about Terrell Davis yet He's in the Hall of Fame, but you think about Mike Anderson you think about Gary some of the other guys that came behind that system They were able to put up a thousand yards So now when you see a guy like most dirt or somebody like breeder guys that have been cut six times There's a reason why they were cut six times because they can only play in certain type of system They weren't elite running backs So if if specknola is able to be able to set the edge have balance because when I think about most of their big plays Especially when you think about the trap later They were able to get on third and eight that went for 30 yards. They're all open side runs Why is it why am I talking about open side runs and open side defense? It's because they set the defense with the formation and they see the pre or post snap where they change the math It's all about math because what happens is they'll set the defense to one side you over shift You have a linebacker with bad eyes that see everybody go this way they go this way They don't see the guys pulling or the guy coming in the ghost reverse that oh in turn becomes the lead blocker So you don't have to be a big guy because they're going to cut whoever's there left You just run out of guys and you end up one short So if you go balanced and say, okay, we're balanced on both sides We may give up more rushing yards, but we're not going to give up the big explosive plays So if you get jimmy g and that offense behind the sticks Can jimmy g then pick up third and seven consecutively can he pick up Second and six. Do you look at a guy like speck know as a good defensive coordinator? Well, I thought he was until I talked to one of his former players and said he I talked to one of his former players and he said like some of his principles are just Not fundamentally sound. Okay. Now can Kyle Shanahan exploit that? I don't know But he he kind of gambles and hedges his bed on certain defenses Where it's voided zones where it's not even fundamentally sound But can jimmy g find it because if jimmy g can't come off a play action and get in a rhythm Is he able to throw people open?  We saw nick foals do that, right?  I don't know. I haven't seen him do it. I saw him against minnesota and he looks suspect and I don't I don't have the exact stat But I heard somebody on on this on radio say that he's like third or fourth most turnovers behind Winston and other guys that's five dollars. Is that me? No, I don't have my phone. Okay Now I have a question for you. Sure at what point being a football player two questions One how many of your colleagues Can legitimately talk football the way you do like have this level of an understanding of it And at what point does it go from you're playing the game you listen to coaches to this ridiculous I mean honestly, it's like listening to a mix of art and math Listening to you talk about plays. When does it become that?  I can't think of him right now. Blame to cte um Chuck oh chuck chuck bagano chuck bagano You're also around somebody Dennis thurman and what happens the the strength was our complexity, right? Because we understood what offenses were being taught. So we knew where the ball was going So we're able to play a certain way when I talk to most guys and even in this business When I talk to most former athletes, they're dumb as a box of rocks Like they like they can't articulate this because they don't see the game this way Right, so was there one what's better to be is it is it better to be super unbelievably athletic talented or really smart The game is 80 mental right because we we're all big and fast See so what happens is and I always use this quote all the time is from bernard hopkins And he says what what is built last longer than was born So at some point we all hit the apex of how great we're going to be athletically right So then what you can lean on is your fundamentals. That's why I got like philip rivers Felt right off the cliff Right because you always have bad mechanics and what happens is when you don't have that super strong arm Can you can you fundamentally figure out ways to still have a fastball even though physically you can't throw it? So you I see that same thing with brady That's why brady's been able to stay at the top for so long because you hear about The work that he does as far as being fundamentally sound making sure that he's not wasting motion and things of that sort Right, so like, you know, it's a it's a lot of guys out there That just don't have the discipline to be disciplined right because as you get older it gets harder You know what I mean so and the homework I mean, it's it's real sounds like real homework. You don't figure this out I'm guessing you didn't show up to college and understand the game the way you do now Not at all that requires sitting and learning and and also being around great players, right? Mike singletary is my linebacker coach. I played with ray louis. Was he good? But what was he really good at linebacker? He's really good at motivate. He might be the dumbest football players Singletary mic singletary only understood. Oh man. Michael's man. Michael's tough man It was it. Mike was tough man. I mean, if we were teaching a bear's defense, he's he's a genius You teach anything else just something similar like cover two It's hard man. It's hard to listen to Mike man, Mike But to your point about About the smart really what team is one of championship inside shot to that overcame bad coaching Said again, I said what team is one of championship that overcame bad coaching Like they could be physically talented and just were so much better than the opposition They were able to survive having a coach that didn't know what they were doing that that rarely happened So it has to be game planning and the mental aspect of it more because Right now, especially with a salary cap, you can't be that much more talented than everybody else Well, sometimes sometimes you got to overcome your coaching, but that's why you know, but they don't win You have a switcher. How many dudcoats it was already made for him But it was smart not to touch jimmy johnson if barry switzer came before jimmy I think he would have gotten exposed how many dud coaches have won the super bowl when you look at the list of winning They're a couple Yeah, but for the most part those are all guys who had great careers and that's what you have in this matchup You have guys, you know solid as a guy that's up and coming he asked these guys doing something very well Um, and he it wasn't broke. So he didn't try and fix it, right? He brought the seattle type of rex to tell you that that's just our sting package that they probably stole from him You know, I think rex doesn't get enough credit for what he's you know given to this game You know because for years I remember watching him and dick labo Steal stuff from each other, right and something works there in the next week You look up and pittsburgh is running it and I think he's responsible for a lot of these great defensive concepts That people you know using the league and it's unfortunate to me that he's not out there You know coaching are you surprised that it's two years and he's not coaching and he pretty much said on the air Last week you said, I know I'm never going to get another job Well, he would have to do what what peak curl did he would have to go back to college reinvent himself So that he can reconnect with the modern day athlete rex's problem has always been that he loves too hard And he trusts people too much Right, he trusts people to have the same passion for the game and have his back like he had them And sometimes he hired some guys that I felt like really didn't Have his back and he trusts them too much, but he's an excellent coach And I think some of the false narratives out there is that we didn't have discipline You don't run the type of defense every ran You don't have the type of success that we've had in an organization that hasn't had success If you don't have a guy that holds his guys accountable I mean if I gave you okay, I feel like this right I'm working on an app and I don't tell you what the app is but I'm working on a football thing and rex sent me All of our all of his uh all of his intellectual property so to speak right 300 thousand files Wow That's what we would have to learn and I think I can tell you you can get 80 percent or probably 40 I pray you can probably get 70 percent of his players and they can be able to digest it and they can teach it No, it's not surprising to me that anthony weaver's a new defensive coordinator for the hueson texans rex ryan taught So he's a legitimate defensive genius. That wasn't overblown. No, he is like he's like rain man, dude Really him dick libo wade phillips You know like they're like the cream of the cream man And steve young has come on the show many times and said the problem with rex is he just He was so much on the defensive side That it eight quarterbacks up that quarterbacks couldn't grow with rex as the head coach It was the same thing with his dad great defensive coordinator, but in a quarterbacks league He just wasn't the right head coach to grow out I would push back on that because rex really wasn't over there because at that point He had Dennis thermi He had mike petten god said he trusts with it with with his system I think what he did is he trusted them too much right? He allowed them to do instead of saying hey man run the ball throw the ball He said I hired you to do a job. I'm going to let you do your job And I'm not gonna micromanage when I feel like he should have stepped in and probably held guys more accountable because at the end of the day They didn't have his best interest at heart When he got shottenheimer shottenheimer was somebody that was held over because he was a young coach rex was the first time coach So he had to you know, he was giving some of his assistants He didn't go out and be able to pick the people that he would want It's crazy to think about it now though to even act as if rex wasn't a success Think about what the team was under rex ryan. Think about where they've been since He's the most successful head coach in two decades. Should you have won either of those two championship games? We really should have we really should have You know, I think about the pissberg when we came out flat. We fell into a big hole Not how can you come out flat today or see championship game? We were beat up, man We had just played two tough games.  I mean we're on a roll traveling airplane You know and mostly spent and and and we we just we just came out and we and they had more juice than us And they had the crowd and what happened is remember that third and 18 You know, we have put in a and that's kind of when we outsmarted ourselves because we had jason taylor playing middle linebacker We had this special package and we had everybody covered just like we wanted and being scrambled for 18 You know the reason you scrambled for 18 because you have no linebackers on the field You had jason taylor like a great player hall of fame player But fish out of water when you stand them up in the middle and say hey read these concepts And and and it kind of went downhill from there and it took us a while to kind of scramble back I was at that game. The atmosphere was just unbelievable in pittsburgh I really believed if you could have stopped them on that third down and they threw they threw to brown And he pat pat pat right and if he drops the ball throws it incomplete You're they got a they got a punt Yeah, we had him on their heels and I really believed in my heart that you would have scored had you gotten the ball back Did you feel the same way? I did and and and we had a blitz That was a safe blitz but ben ben ben right and that's what's so scary about my homes because you can do you can dial It's the right stuff But because he can fade away fade away and still have the arm strength to be accurate You know, that's what ben did he just bought time bought time bought time And eventually the great players are able to find holes in zones And there's one of those things where it's like what a shoulda coulda We're talking with barn scott here on the michael casio Do you believe that the 49ers have stopped throwing because their running game is so great? Or because they got spooked by the interception that jimmy g threw against minnesota No, no, I think they state if it's not broke don't fix it right because it's candy throw though I think he can but he's he's like kurt cousins. He's like matt shaw He's a guy that has to throw off rhythm and he's a guy that can make throws But I don't trust him consistently throwing outside the numbers I think he's a guy that you know when I whenever we went against like a kubi act team or we went against a Mike shannon hand team We understood that we can set edges from our inside tackles and you say well, what does that mean set edges? Because they're running sideways you can push them back from the inside But that that stops them from being able to get outside So it's not about the guy on the outside all the time Sometimes it's about the guys on the inside just firing off and getting up the field Which makes makes the runner either have to bounce out or cut it up And he does that that gives your linebackers an opportunity to scrape and be free hitters now now does Now the problem is does kansas city have the linebackers that can that can really punish some of these running backs Because yeah, I know they got three of them, but you can knock three running backs out Trust me. I've seen it done before when when you're watching a football game Can you watch it as a fan or are you analyzing it as an expert in your head? I'm watching it like a chess match. You are so i'm saying to move so you're different than what we're watching Yeah, yeah, because i'm watching i'm watching i'm seeing exactly what cowell is saying So when cowell does the ghost motion and you don't respond to it I know later on he's going to come to that right? So I know that I see I see the setup Coming and i'm just trying to see if the other defense coordinator sees the setup and understands that okay First time he's just going to run it's not going to be anything second time Is he may not run the third time he's going to check and it's going to be a big play And what he's going to go to in a big moment is going to be something that you haven't seen But it's going to be off the same exact look How did Richard Sherman keep up with that speed that the uh the chiefs have he can't But the thing is he's going to press bell right? He's going to set up and act like he's press bell and the whole argument between him and rivas Is the fact that rivas is saying no matter what i'm playing every route when you play on top cover three Man pretty much what you're saying is i'm playing a deep route because the guy runs 15 yards and runs a press out Then that's your that's your curl flat guy that's supposed to undercut that So if i know that i only have to not give up the big route i stay on top That's why you see sherman getting these these Interceptions where the receiver is behind him and the in the quarterback just throws it up And it looks like he's the intended receiver because he's only playing one route and what he's doing is because he knows He's playing deep He's reading the the steps of the quarterback right because if quarterback drops back three steps That's a short pass because you have to get in rhythm and your drop has a time up with the route If he drops back five then you have an intermediate so we know that those are like Bang gates or digs if you drop back seven you're dropping back seven a time up to throw a deep route So when he sees that he's looking at the receiver and looking at the quarterback at the same time because he can see it In his peripheral and then he's just playing one route But what why did rivas have to get involved with that because this goes back to 2012 right? So he's been waiting for opportunity when sherman came in sherman. I don't know. I keep calling sherman sherman came in Rivas was the top dog and sherman wanted to be recognized. So he said that he was the best So he called rivas out. So this goes back to 2012 So rivas has been saying bro.  You're not a guy that can say it's listen It's a whole different category for guys that can say listen.  He's trying to hide his receivers in the backfield to bring rivas in the box So he can get his guys away from rivas, right? So they were running their deep routes with their digs from the backfield That's how dominant rivas was you can say the same about patrick peterson You can say the same thing about d.i sanders You can say the same thing about champ belly when I see richard sherman I see ronde barber Right. I see maybe nondi. I see a guy that's great at playing a technique But I don't see a guy that's a guy that says listen I don't care. You got you got five eight routes that you can run in the route tree I'm stopping them off and listen. I don't want no help. I don't care about no safety. I don't care about no leverage Wherever you go, that's the hardest thing to do and you pay more for that And it's a different section in the hall of fame for players that were able to do that The male blunts the d.i sanders the daryl greens the nears williams It's a different category from that. I give us something for rex rex What do you want to know? What do you want to know about rex? No, you we want to ask him something that we want to seem smart. He's going to be on right after you Something about rex sometimes you can seem smart Oh, yeah, yeah, like a like a super bowl question. Maybe that makes him go. Wow These guys really only a football mind would ask what asked this question Well, he'll love if you say hey, man, I heard that uh That the uh the league stole your sting package and that's what we're going to see We're going to see your sting package featured by the san francisco 49ers Love it. Write that down, michael. I got it. That's very good. And they're plagiarizing and they're not they're not quoting their sources Oh, so it's a plagiarizing question that we plagiarized. Yeah. Absolutely. I like that Michael case on 1970 is p.m. Brightly by geico the real value and car insurance isn't how much you save It's also the kind of service you get good thing geico has been perfecting both for over 75 years We cannot thank you enough for this. You've been unbelievable. It's like going to a master's class And everybody should listen to him and alan one to three every single monday through friday. My pleasure Thank you so much. I see your son. I still I'm still invited. Oh, yeah, you got the address, right? I'll bring the kool aid. All right, cool


In cooperative learning the teacher puts students in small groups to do an activity together. The students take lead in doing the activity. The teacher only provides guidance as needed. The teacher does not put the same students together for each activity but changes the groupings. That way students can learn from a variety of partners. So in cooperative learning the teacher puts students in groups, lets them take the lead in doing the activities and changes the groupings for different activities. This method helps students learn about sharing, getting along with others and working together.


d phrase around it i think it could be beefed up to be a Scottish FFs ff i ffs looking at regional problems and addressing them solutions and you touch on academia and i'm going to stretch data to a different slightly different area it's interesting when you look at palo alto and california and how innovation is exemplary there it's because they have universities like stanford and caltech sitting there and business comes straight in on the back because the talent they are and the innovation is doing and they're sharing data they're sharing what they're doing the same happens in cambridge cambridge could be a city of two million people because it's the head of biotech astrazeneca moved there why because that's where the data i use the word data but that's where the information is coming from i'm not sure we have that to the degree we should hear but it's essential for growth that we tie up what's happening universities with the private sector and with the government there was a suggestion on the panel last week that the reason that academics in Scotland didn't spend as much time looking at the the Scottish data was that it wasn't good for their careers i don't know if anybody would comment on that no maybe i should declare an interest in my wife is an academic but um but um i wouldn't know too closely whether that's the case in terms of the incentives and disincentives within the system i do know that we i think it's certainly into the hundreds of millions of pounds put out the door through the sfc for academic research so that's Scottish money rather than the research council's money that's across uk and i think it is worth looking at whether we would like to take any different priorities to the uk wide priorities with that funding and again bringing it near a term bringing it into some of the the public policy issues that you hear and other colleagues in here are wrestling with i think could be quite an interesting thing for academics to do or for organizations uh that you've heard here today to put on their career prospects i think just to clarify i think it was because it it's not a national you know a national set of data and that obviously if you're publishing you know um uk wide you know has it's a bit more interesting in that in that way so i'm just wondering if scotland's losing out you know because of that i think we could probably agree we are anyone wish to uh quick just working for a think tank i'm making quite a good career out of analyzing data i couldn't speak for academia i'm afraid nisa for example a good friend of mine is the director at nisa and he spends his time rain making and he brings money they fund largely from the private sector in fact almost exclusive from the private sector but because of the kind of work they are doing on governmental spend and analysis like the rfs the private sector is very interested in that because it's superb quality data again we don't have that up here we don't attract the private funding because we're not producing the degree of work that would attract them yet is that partly to do with the the size of scotland in terms of population as compared to for example england well i think there's a degree to which that's true but when you look at the economic challenges ahead of scotland but the economic advantages of particularly in the area of someone like finance i don't see why we can't be enticing investment from private companies across the world into an analysis of the Scottish financial opportunities that exist an analysis scale some of it and other countries have a similar scale again if it's not quite an accurate term but i've seen market failure in this and therefore stepped in but it's not just that i think there's a cultural issue here too in terms of catching up with the powers that are already devolved and may well come in the future to this parliament i don't think the culture is quite caught up with that so often UK wide organizations with the resources to do this type of thing are much more focused on UK wide issues than scotland only ones thank you i'm just wondering if each of our guests might wish to sum up what they've taken from today's session as the the key point that they would like to make to the committee when it's where i started i suppose and in a way the the final question it leads on from that in the sense that we absolutely need to get a Rolls Royce or whatever term you wish to use level of collection of data we absolutely need to make sure we can share that data and link that data together we need to be collecting the right things around our priorities and at the right level around scotland regional or more local than that but unless we have people that can analyse that data and use it to work up solutions for you we'll be spending a lot of money or somebody will be without the impact that we can necessarily get so all of those issues are real but i think again i'd emphasise the analysis of data and the development of solutions on the back of that analysis is a key issue for us around data yeah and just to say that scotland does have a great opportunity here to to go above and beyond what what is already being done i think we've over the course of this inquiry i think that a lot of the flaws have been identified and quite a few of solutions have been offered so it'll be very interesting to just track how things progress from here as we as we move forward scotland has a very high reputation around the world in a number of areas already for policy development climate energy social inclusiveness and you know i think scotland has an opportunity to remain at the heart of of a european union in many ways but which is much more things along the same lines of scotland on these issues and i think you have an interesting opportunity here when you're thinking about collecting data and what you measure to to set a standard to to be the the the standard bearer for inclusive social development but what i would say again what i said before is why ask your question the question why before you ask the question what why do you want to measure it what are you trying to achieve and then ask what and how and i suggest that we look through the other end of the telescope and we have purpose targets and we have an economic strategy with our four eyes and the data must serve those objectives but those data those objectives are not quantifiable to a sufficient level once they were quantifiable then go and search for that data analyze that data wherever you may find it in the best sources rather than let the data dictate where we go because it won't ultimately all the data will enable people to do is take positions and then progress will not take place all right well thank you very much to all of our guests thank you very much i'll suspend the meeting and we'll move to private session