from Korea to Germany, from Alaska to Puerto Rico. All over the world, the United States Army is on the alert to defend our country, you, the American people, against aggression. This is the big picture, an official television report to the nation from the United States Army. Now, to show you part of the big picture, here is Captain Carl Zimmerman. In the past, we have talked to you about the soldier and his weapons. Today, the big picture concerns itself with the research and development necessary to provide those weapons. The tools for a modern army, tools that help ensure our freedom. In World War II, the importance of technological warfare was fully recognized. The scientist and the engineer became as important as the military commander. Military research and development are working at a tremendous scale to perfect better tools for a modern army. In a world faced with the threat of global war capable of destroying entire cities with one lightning stroke, we want to make it clear to any potential aggressor that such a war would result in terrible retaliation. Thus, the purpose of our program of scientific study and experimentation is to ensure our unapproachable superiority in the techniques and weapons of war. The federal government has made research and development a national effort, with the armed forces, industry and universities all over the country pulling together for national defense. The job of research is to uncover the facts of nature regardless of their final application. Einstein's theory of relativity led to the creation of the atom bomb, while early discoveries by Hertz and Tesla of radio echoes led to the development of radar. It is the job of development to take the facts uncovered by research and convert them into devices that will assure us technological supremacy. I'm a soldier, mister. I couldn't tell you too much about Einstein's theories, but I could tell you what it's like to take part in an atom bomb test held at Camp Desert Rock in Nevada. Soldiers of my outfit, the 11th Airborne Division, were issued film badges which would show the amount of radiation received. One badge was for our own safety, even though we would be stationed at a safe distance from the blast. The other badges were placed on each weapon and piece of equipment left for testing purposes, close to the blast area. I guess everyone there, from the generals right on down to the privates, had a funny feeling in the pit of their stomach just before the explosion. Did we feel after the blast? Well, here's what one of the fellows had to say when interviewed by an army reporter. Can you tell us whether you think that the orientation you had for this weapon prepared you for what you saw out here? Yes, sir, it did. I'm not in the fear that you felt. Did they prepare you against that? Yes, sir, they did. They told us enough so that, well, our fear was cutting on so much more than it was before the orientation that we hardly had any fear at all. Would you have the confidence that you'd be able to go right in there now and carry out your tactical mission a few minutes after the blast? Yes, sir. How close do you think, now that you've seen it, you'd be willing to be? Well, sir, I'll tell you that after I see them positioned. Ah, well, you know you dug some fox holes about a few miles away and you're going to see just what things look like in there. Yes. What are you going to do after you look at your positions? Well, if we look at the positions, we'll pick up our weapons and we'll move in toward ground zero, see what the area looks like in more and towards... Did you feel, now after it's all over, that you've had a big let down at any disappointment in this weapon? No, sir, there's no disappointment. No disappointment? Certainly a powerful weapon. I can't understand anything, so beautiful can be so destructive. After the blast, the radiation inspection teams go to work. They give the all clear signal and we know it's okay to move into the target area. Weapons and equipment are checked for damage by specialists. A battered tree shows the approach to the ground zero area after a successful test in which we learned something about the possibilities of close atom bomb support to troops in the field. Today, the idea of global war is most important in the military thinking of the great nations. Global war means fighting in every kind of climate on every kind of terrain. Fighting carried on by highly trained forces, widely dispersed and swiftly maneuvered. An ability to bring overwhelming force immediately to bear on any portion of the globe has a warning to would be aggressors. Research and development, therefore, improves equipment that will enable scattered troops to operate with more firepower and mobility. As an ordinance officer, I'm proud of the part we played in the development of the 280 millimeter gun, which, unlike the atomic bomb, can deliver an atomic or conventional shell on target in all kinds of weather day or night. At this demonstration at Aberdeen Proving Ground, the public and military leaders got a good look at our 85 ton giant. The weapon can fire with accuracy at short range and is four times more accurate at long range than any mobile artillery piece developed prior to World War II. Despite its weight, the gun can travel on highways or cross country and can even fit into a landing ship designed for amphibious operations. This new weapon can give the kind of devastating close support to ground troops never before available in the history of warfare. The nation's scientists, both in and out of uniform, are constantly probing the skies above for valuable information. At White Sands in New Mexico, rockets loaded with instruments instead of explosives are sensoring miles above the Earth's surface to discover the secrets of the outer atmosphere. The flight path of these rockets are carefully checked by electronic and optical equipment. Specially designed telescopes and cameras place the rocket on its rapid trip through space. Electronic devices compute the final results and additional information becomes available for development of benefits for peace as well as weapons for war. The deadliness of many weapons has been increased by the use of the uncanny VT fuse which detonates its loaded explosive on the target or at a predetermined distance above it. Ordnance has perfected automatic fire to the point where it has graduated from small arms into the big leagues. Progressive engine design has created a much lighter power plant as in the new Army M-48 tank. The engine takes up even less space than the old model tank engines. That M-48 can turn on a dime and move quickly over flat terrain. Not only does the new tank possess greater firepower and speed, but it can also pass with flying colors the most tortuous of obstacles such as an 8-foot gap without losing traction or braking. It is a new iron fist for the Army that will pack a terrific wallop. Engineer pottons are being constructed of aluminum for easy portability. In addition, lightweight plastic assault boats have been developed which are as strong and seaworthy as any metal boat and yet may be mass produced at far less cost. Let me tell you a story of how civilian industry came through for national defense. The transportation corps wanted to develop a new amphibious cargo carrier somewhat like the World War II duck, but designed to transport heavy equipment such as tanks, trucks and even small locomotives from ships offshore to supply points well inland from the beach. Models were constructed and tested. Industry planners put their heads together and 13 months later the first of the 60 ton amphibious cargo carriers known as the Bark was ready for delivery to the Army. Behind that rapid delivery date were hundreds of industry man hours devoted to designing, building and testing of this new tool for our modern Army. The need was great. We took up the challenge and now we're mighty proud of a job well done. You know science is amazing. I work in the Army signal corps, research engineering labs where we're shrinking heavy communication equipment down to size. Now in this telephone exchange the largest component weighs 800 pounds. It's down to 200 in this new model. The bulky walkie-talkie no longer gives the soldier an aching back. The current model is lighter in weight, more compact and most important more efficient. The old style handy talkie has been redesigned for compactness in our signal corps engineering reducing cello making it much more powerful. Since the unit now contains 14 tubes instead of the original five. Yes the World War II workhorse has been equipped with new power and a new look which makes it more comfortable to use. The materials have led to a new technique of aerial laying of communication wires. This new method saves precious fighting time by hurtling terrain obstacles. The theory of global warfare means that the highways of the air will be used for tactical purposes. Forming the chief routes for attack and movement of troops and supplies. World War II saw the successful transfer of airborne troops with specialized equipment. Now with increased portability of arms and material, military science is aiming at the goal of transporting complete armies by air and army research and development is dedicated to this major goal. A medium tank formally was much too heavy to be moved by the ordinary cargo plane. Today this lighter tank stripped down can be shuttled by air to the place where it is needed to support troops. Big trucks and heavy artillery may now be air dropped by using the newly developed cluster type parachutes. Here a 9,000 pound platform is dropped by air with the help of this new type chute. Loads 60 times heavier than those in World War II may be dropped in this manner. I'd like to tell you something about my job as a pilot in Army Light Aviation. Here are some of the planes that the Army uses for the 101 assignments that come up where a bigger plane would be useless. But the most spectacular tool of the Army Light Aviation program is the helicopter. Now these gawky birds are capable of quickly moving troops and supplies in direct support of the infantrymen, helping him accomplish his mission of gaining and holding ground.  Helicopters may be used to bring in badly needed artillery pieces to isolated areas. Air rescue work is performed that could not be otherwise accomplished by conventional aircraft. A quick exit from a tight spot can be a welcome relief. Helicopters have also proven themselves to be angels of mercy, having helped evacuate over 10,000 wounded soldiers since the outbreak of the Korean campaign. Quick evacuation probably accounted for the fact that 98 out of every 100 of those wounded men lived to tell about it. Our country's military strategists foresee Arctic and sub-Arctic areas as future theaters of conflict. At Big Delta, Alaska, the Army maintains an indoctrination and testing center where troops are trained to live and fight in the Arctic cold. The question of resupply of isolated stations is one of the major problems of the far north. The Army vehicle, known as the Otter, travels cross-country, proving it's a better way to travel over windswept highways as well as snowy wastelands. The Otter rendezvous with a sled dog team and supplies are transferred. Like the pack mule and mountain terrain, dog teams are still useful where mechanized equipment cannot travel. This dog sled team, maintained by the Arctic indoctrination school, is carrying supplies to an isolated instructor station, and the mush of the old Klondike is still heard as the Army's far north canine core delivers the goods. In a test area, four different kinds of tanks are put through a performance test where they are checked for their ability to move swiftly over the snow. Plunging over the open snow fields, that tank driver views a notion of white as these modern fortresses of steel break a trail through the Arctic wilderness. At the training center, infantry squads move out for a hike on skis and snowshoes. Wind-whipped snow turns the cross-country march into a real struggle with the elements. At a designated position, infantrymen set up their weapons. Other soldiers prepare for an overnight bivouac. A new wrinkle is the plywood igloo, an experimental unit, larger and more comfortable than the conventional tent or snow igloo. The unit may be swiftly erected from prefabricated parts. The finishing touches, a pine needle floor made up of fur branches cut from nearby trees. Together with a snug sleeping bag, provide the soldier with almost all the comforts of home. However, the extreme cold of these far corners of the world magnifies the strain of physical exertion. For at present, 75 to 90 percent of the soldier's time is given over to survival, leaving little time for military operations. We in the quartermaster corps know that every additional ounce the soldier has to carry means loss in operating efficiency. So a soldier's clothes are constantly being improved. This is an experimental vapor barrier cold weather suit developed by the quartermaster corps. Mold plastic rubber-like garment is worn next to the skin and is impervious to water. Soldier volunteers jump into cold water to prove the insulation quality of the new vapor suit and to show its floatability, even with a 26-pound pack attached. The two-piece garment is a step toward developing a winter uniform which may make United States soldiers of the future non-freezable and unsinkable. Another development of the quartermaster corps is a body armor resembling boxer shorts. Weighing only four pounds, the body armor is designed to protect the soldier's hips, abdomen and groin from low-velocity missiles. The new shorts are scheduled soon to be tested by troops under fire in Korea. No research project is being studied more completely than that concerned with combat rations. Food packages are being jammed with greater nourishment than ever before and are being redesigned for more compactness and less weight. Research, too, is being conducted on the necessary nutrition requirements for operational rations. This study is but one of many being conducted by universities, technical schools and government agencies, in cooperation with over 500 industrial food organizations. At the Army's climatic field station in the desert near Yuma, Arizona, the quartermaster corps studies experimental uniforms and items of equipment in relation to the intense heat. During exercise scorcher, soldiers sweat it out to provide important information for uniform and equipment design. Recording instruments register body surface temperatures, as soldiers equipped with new items of quartermaster issue prepare for a test hike over the hot sands. A lookout keeps a close watch on the soldiers during the exhausting hike. Perspiration dries quickly and is only visible immediately after a man stops. But dehydration is constantly taking place. Therefore, the soldiers usually drink at least a gallon and a half of water during each test. The crawl test checks the performance of men and materials exposed to the arid wastes. At an area close by, a squad from an experimental company determines the ability of soldiers to maneuver over the sandy terrain. Today's ultramechanized Army demands exacting performance of machines. Machines operate on fuel, lubricants and fuels that must prove satisfactory at high temperatures and must also allow equipment to operate at extreme cold temperature ranges. This need calls for research into the basic nature of fuels and lubricants. We hope to learn how to keep liquids constantly fluid at all temperatures, even in the freezing cold of the Arctic. In projects such as this, the help of private industry is invaluable because of its tremendous resources and years of experience. The human machine is also under intense study to increase the stamina and resistance of the fighting man. Some of the greatest counterweapons military science help to develop were in the medical field. Sulfur drugs. Penicillin. While the many benefits of these germ killers are still being explored, military science has pursued studies and feels not ordinarily within the scope of civilian medicine. Carefully organized experiments were conducted as part of the N-O-E talk bomb tests to determine the effects of burns, concussion and radioactivity on living beings. Samples of military weapons and tools were placed at various distances from the tower containing the bomb. Delicate measuring instruments were put inside weapons in order to record valuable blast information. Buildings were constructed to determine the best type of structure able to resist the tremendous blast impact of an atomic bomb. The tower which housed the bomb stood on the zero island and was under armed guard day and night with rigid security measures in force. Radar scammed the skies. Military police got to the beaches. And finally, time for the detonation of the bomb arrived. Frontier of human knowledge left unexplored by the scouts of military research and development. From their trailblazing, there will emerge a more secure American. A nation as nearly invulnerable to aggression has a strong military establishment armed by technological superiority can make it. Only we must not rest on the accomplishments of the past. Time and money are needed to produce the best tools and equipment possible. The price of liberty, a great American once said, is eternal vigilance. We must be watchful. We must be alert. We must be stronger than any potential foe. And that is the story of the challenge of technological discovery that is being met daily in factories and laboratories all over this country. Enabling the United States to maintain a strong defense. We're proud of the men and women both in and out in uniform who in this way are helping preserve the peace. The Big Picture is a weekly television report to the nation on the activities of the Army at home and overseas. Produced by the Signal Corps Pictorial Center. Presented by the U.S. Army in cooperation with this station. You can be an important part of the Big Picture. You can proudly serve with the best equipped, the best trained, the best fighting team in the world today. The United States Army.


Aloha and welcome to Business in Hawai'i with Reg Baker. We broadcast live every Thursday from 2 to 2.30, broadcasting from the downtown studios of Think Tech Hawai'i and Pioneer Plaza in beautiful Halloween of Hawai'i. We're a show that focuses on success stories, generally in business or the individuals, the owners. There are challenges in Hawai'i, but there are a number of companies that have overcome those challenges and are successful. Today we're kind of breaking from our regular format a little bit. We do have a professional in the studio today that's going to be sharing some information that is very important to all businesses in Hawai'i and throughout the country for that matter. We're going to be talking about the American with Disabilities Act and then also about service dogs. And there's a lot of good, useful information that we're going to be sharing. And it's going to be done in a slide presentation format right around the break. We're going to be switching into that slide presentation that's going to, again, be very useful information for all businesses to know. But I'd like to introduce my guest today, Lucy Miller, who has a BA in Political Science, has a Master's in Special Education Administration and Supervision, and has a PhD in Educational Psychology. And she uses all of those degrees and all of her experience all the way up until just actually, I think, last week. So one of Lucy's passions, besides teaching and being a lifetime career as a counselor and a therapist, has been in a civil rights area, especially with the American with Disabilities Act. And the ADA was actually passed in 1990, is that right? So can you share a little bit more information about the ADA? Sure. The ADA was passed in 1990, but its roots really began in the 1960s with the civil rights, actually even before then. In 1954, there was a Supreme Court decision outlawing segregation in the schools in America. And we know how that keeps playing itself out over and over. But then in 1964, there was a Civil Rights Act, which also took quite a while. But then people with disabilities started saying, well, we need equal rights, too. And they were faced with discrimination a lot, and they wanted more protection under the law. So in the late 1970s, the deaf organizations began to join the rest of the organizations for various people with disabilities, including blind and mobility and others, and wanted equal opportunities to remove a few barriers and make accommodations. And there were a number of meetings that took place with legislators, and the key sponsors of the act in the legislature, all senators at that time, Tom Harkins, who was a senator from Iowa who had a deaf brother, Senator Bob Doyle, who actually ran the president one time, and Senator Dan Inouye from Hawaii, and Senator Ted Kennedy, who became the most important one, whose sister had a developmental disability. So it gets to be personal, and this really created it, and of course there was a lot of goings and, you know, a lot of discussion going on, a lot of debate going on. Yeah, and push backs and so on. But finally, the legislator passed the law, and the president, who at that time was a Republican president, even though most civil rights were associated with Democrats, but he signed it into law in 1990. Very good. I guess there's a lot of information available out in the public today, and one of the more common places to go is the ADA.gov. That's right. Right, and what would somebody find there if they went there to look around? They would find what, in 1990, the law took up about 20 pounds of paper in five different volumes, and now it's all on the ADA.gov website, and it's up to date. It has had to be, you know, completely renewed. And this actually is very broad. I mean, the ADA legislation actually has helped very many people throughout the country, the world for that matter. Right. And many other countries in the world have also joined in, and it provides employment, equal opportunities for employment, which was a huge problem for me when I was younger. And state and local government, but most important for the purpose of this show and this discussion is public accommodations to private businesses. Right. And so the access, and then there's telecommunication and there's transportation. And how many people, Dr. Miller, do you think are affected by the ADA? Directly about one out of five have a disability that we find under law, which then you, exactly, all of us have someone close to us in our family with a disability. Right. And that's, I think, everybody that has a large family has got probably more than one person that has some kind of a challenge that they have to deal with. That's right. And who are these people?  Yeah. They're defined by law as those who have a physical or mental impairment that substantially limits one or more major life activities, which includes work, going from one place to another. And, of course, the most obvious that people began to notice were curb cuts and signals for the blind and ramps. Right. And so this could be vision. This could be hearing. It can be mobility with the legs or even the arms. Right.  I mean, if they have a bad heart and they might have some other issues that they can't exert themselves. I mean, there's other things that may not be obvious, but just a little debilitating. That's correct. There are many, many that are not obvious at first. And my case being deaf is not obvious unless you try to get my attention and try to talk to me. And I don't even know it. That's, you know, I've, we can joke about some of the times where I've been deaf when my wife tries to talk to me, too. But, but no, I, you know, it's no joking matter. I mean, there are disabilities that need to be addressed. And I think it's important for businesses to have an understanding of what the rules and regulations are and what their responsibilities are. Right. And another group is civil policy, which is developmental. And oftentimes police have shocked people with disabilities, but because they thought they were drunk, because they walk funny. They misinterpreted. I've been at the wrong end of a gun more than once because somebody was calling it me to stop or whatever. Yes.  But there's others, too. There's some revisions that happened in 2010, about 20 years after the original legislation. Yeah. And that was a major piece of legislation because when they first started, they really didn't know how it was going to end up. And they, first of all, for example, with the service dogs, they said, service animals so people could have birds and snakes and all sorts of things and say, this is my service animal. And it's now been, as of 2010, it has been clarified they have to be dogs. Okay. And I think that's an important point for people to remember and for businesses is it, you know, it is maybe originally started in a generic term of animals, but they realize that maybe that was not helpful and they needed to fix that. So they actually did actual legislation that made a very specific that it had to be a dog. Yeah. So much of it was clarification. That's good. And enforcement. There's quite a few things and they're now, of course, working hard on the next revision. And do you have any idea what that might be? I certainly do know some of it because I've been on committees working on it. Can you share some of what the newest revision might be? Well, one of, in terms of technology, captions for so many people who can't hear well enough and watch television. And then now people are using computers and YouTube and all of that. And they're working really hard trying to keep up with the technology because what keeps happening is they find loopholes. And then we have to keep plugging the loopholes. You know, I guess there's always going to be people out there that are trying to figure where there might be an opportunity or something that they might be able to take advantage of. Right. And much of it will be fine through courts having to, I'll have to say the most egregious cases have been mostly in the southern states based on the record in civil rights in general. I see. And you know what's interesting, and I know you're very modest, but you've actually been involved in this, not only within the state, but also you've been involved at the national level too, haven't you? Yeah. Yeah. So you're, and I remember many years ago, and I've known you for a while, but I remember you used to speak at some conventions and so you were on a speaking circuit for a while. Yeah. So you've got local and national experience at dealing with this. So I think your credentials are impeccable. You know, it's so fortunate to have you on the show. What I'd like to do now is, you know, we kind of laid the ground work, you know, for a service dog type presentation. What I'd like to do is go on a quick break for one minute, and then when we come back, we'll go into the slide presentation that's going to talk a little bit about, you know, service dogs in general and what a business can and cannot do and what they should be doing and that sort of thing. So please be patient. We're going to take a quick break. We're going to be back in about one minute. This is Business in Hawaii with Reg Baker. We'll see you in about a minute. Aloha, Kako. I'm Marcia Joyner, and I'm inviting you to navigate the journey. We are discussing the end of life options, and we would really love to have you every Wednesday morning at 11 a.m. Right here. My name is Mark Schlaufe, and I'm the host of Law Across the Sea. And Law Across the Sea is a program that brings attorneys who have traveled across the sea and live in Hawaii or are staying in Hawaii for a time to talk about their travels, where they're from, where they're going, and bring it all together because really we're all connected some way although we travel across the sea. So I hope that you'll tune in and watch our program. Thank you very much. Aloha, and welcome back to Business in Hawaii with Reg Baker. We're here today talking with Dr. Lucy Miller about the ADA and then also service dogs. And we're going to have a little slide presentation in the second half of the show today to just try and create a higher level of awareness for business owners that are dealing with service dogs and what to look for and what they can and cannot do. So I'd like to ask that the first slide be shown on the screen. And Dr. Miller, you had some opening comments. Yes. As you see, the subtitle is How You Can Snip Out the Baker. Think of parking, not yet. The parking, when the special parking sites were developed. Right, the handicapped parking. And handicapped parking, a lot of people go, oh, I'll just zip in here for my convenience. And they're depriving the person who needs it. Right. And the same now with service animals.   And we're going to learn more about how we deal with that. Well, and I know that from the service dogs that I've seen in the past, particularly with yours, they're very disciplined and very well behaved. And I've always been impressed with that. But we might want to just go to the ADA rules for just a second, which would be slide number two. Very good. Yes. This is about service dogs. There's two rules under the ADA. The most important one, the person must have a disability. And the dog must be trained for specific tasks that help the person with a disability. Right. And the disabilities, again, we have to be very careful. They may not be very obvious. But what are the questions that you are allowed to ask somebody if they tried to bring a service dog into the establishment? Yeah, this is really important because people have been not sure what they were allowed to ask. Is your dog a service dog? By law, they don't have to wear a best. But it's helpful if they do. But you can buy a best online without any need. There's a lot of scams with that. So is your dog a service dog? And what has the dog been trained to do for you? Right. And training is very important. And how does a person find a trained service dog? There are special programs for most service dogs, especially on the mainland. On Hawaii, there are two known goods agencies. One is called Fido and the other is called Assistant Dog. One is on Maui, one is on the north shore of Oahu. None on the island where I'm from, and none for hearing dogs. And even so, when I've been on panels in Hawaii, people with service dogs, many of them have been brought in from mainland service training programs. But they are allowed to be homeschooled, as I call it. And I was going to ask you, how was your dog trained? My dog was trained by me. I had some help. I had some consultation with Canine Program. And I also read about 25 books on the subject. And I also belonged to online training groups. And some of those groups have two or three hundred just for dogs for the deaf. Because there just aren't that many. One thing, they need to know sign language, and not every dog does, and not every program does. So that was something you taught your dog sign language. I don't want to refer to Muffin as a dog. Your dog's name is Muffin. And she's very intelligent, very bright. And so you taught Muffin how to do sign. Well, she can't sign, but she can understand sign. She has her own way of signing.  Well, other than to be able to understand you signing with her, what else have you trained her to do? Well, she has specifically been trained. And this, again, is where she is different from other types of disability. She has to make decisions on her own what I need to know and what I don't need to know. And if people are yelling at each other across the room, I don't need to know that. But if somebody is calling me, I need to know that. And so she has been trained to that. And Sirens, where there are Sirens, and she needs to be able to tell me and when somebody's knocking at the door or ringing a certain kind of bell, she lets me know. Well, like a phone. If the phone rings, she lets you know when that's ringing. Actually, she doesn't. She doesn't. Because I so often ignore the phone anyway. But she does with a certain type of sound on my cell phone for text messages. Oh, very good. And she also traffic noises. She's learned to get me out of the way when I didn't see or hear her. So she's always looking out for your best interests. Right. That's very good. And we were talking a little bit about that during lunch. Some of her abilities are almost inherent in her personality. I mean, some things that she does, you haven't really had to train her. She's always looking out for you and keeping you from being hurt. Right. And lavadoodles were originally meant to be service dogs. They combined two of the brightest dogs. Plus the poodle part of her, she is a hot knot. People don't have allergies to her. So they can't use that. She doesn't shed. So I was looking for somebody, a dog that would be friendly, not too friendly. Right. We're going to show a couple more slides here. The next slide is going to be... Oh, this one is important. The question you can ask, what's your disability? I already said is your dog a service dog. What's your disability can be very intrusive. We've already talked about some are not that obvious and some have stigma attached to them. Right. And the other one is, prove it to service dogs. And there's no way that one set of criteria can prove it. So you can buy fake certification papers. You can buy vests online, but they are not. Yeah, they're not real. But very good. You know, we have another service dog, I guess, discipline under control. Right. You know, that's an important part, because you can't take them into a restaurant, for example, or some other type of public place and have them become a nuisance. Right. And, you know, if they do, you can ask them to leave. Yes, you can. You know, and that's an important piece. And then, comfort dogs are not service dogs. And that is made very explicit under the ADA rules. Right. So comfort dogs are just little cute pets. Right.  That'll work too. And they cannot pose any kind of safety or health threat to others. And that's part of the public access. They are not. And then the next slide will show that they can't be barking at people and they can't be disrupted. Right. You know right away. In fact, if Muffin were to be barking, you could ask me to leave. Would you mind bringing Muffin into the picture so we can get a look at her? Muffin? Where is she? That's it. All right. Here's Muffin. All right. There she is. Hey, Muffin. Yeah. Good to see you. Yes. Ooh. So she's a, as you can tell, she was very well-behaved, sleeping under the table at Dr. Miller's feet. And you didn't even know she was there until we asked her to come up. And that's typical of what a service dog is supposed to do. That's right. And so if there is a service dog in the restaurant or the establishment, excuse me, that is being aggressive or being noisy or disruptive, they're certainly within their rights. The business owners are within their rights to ask them to leave. Right. And if a person says, oh, well, that's my service dog, you can't do that, you can be close to 100% sure that's a fake. And you don't put them in shopping carts. Right. And you don't let them sit at the table in restaurants. Yeah. Yeah, yeah. Even if they do have them, they'll be able to. And the correct position is discreetly under the table just as Muffin is doing. Right. And that seems to be natural for Muffin, that she's just always, she's just there. She was trained to be that way. That's, well, natural, meaning that she was trained and it seems to be so natural that she does it automatically. Yeah, that's true. You know, it's great. You know, and I guess the next slide. Yeah, obviously they don't do that. Although one time she got sick to her stomach and that happened at Costco. Right. But that's an anomaly that probably didn't happen. I got something to wipe it up with and they were fine with that. That can happen to any of us. Right. And then I guess we got two more important things here. A real service dog team must never be separated. You don't tell that person to leave the dog outside or one time at the airport, they separated us during the TSA and that is not okay. Right. You actually brought that to the attention of some people. Yes, I did. To Homeland Security Administration. Yes. And they responded. And they responded and they investigated and the tape showing it mysteriously disappeared. That must be the Russians. Yeah. And a service dog should never be distracted from doing its job. Right. And now that's, I think that's an important one to remember too. You know, service dogs are cute. You know, they're intelligent. They're smart. They're smart looking. But they need to be doing a job. Right. And they need to be taking care of the person that they've been assigned to or working with. But they're not there to make things. Exactly. And you shouldn't go up and pet them or play with them because they're on duty. Right. And the other part is that they, you know, you don't pay attention to it. It's just like if I'm using a cane or a crutches or a wheelchair, it's part of me. Mm-hmm. Now, and that's important because, you know, you need to let the dog do its job, do its duty. Yes. And you don't want to... And if somebody brings in a fake dog who rushes up to him up, and that's just very distracting. Well... And this is why those of us with real service dogs really want to get the fakers out of business. Right. And that's very interesting. And I guess this is our last slide. Yes, it is. And I put a...picked one with a halo because they're always well-behaved in public. They also are always well-groomed and clean and not smelly and don't drool. So there's a lot of reasons why some breeds do not make good service dogs. Now, we've got about 30 seconds left, so we're going to be closing. But, you know, you're... You know, in our opening, we talked a little bit about all of your experience. You've been doing this a long time. You've just officially retired, but you're not done working. You're still doing some stuff. Well, yeah. This is my post retirement. I'm still on board. I just no longer have a private practice that ended on the 35th of December, officially. So you've been kind of out of private practice for a whole four or five days now. That's right. And during those four or five days, I got several referrals. I had to turn down. Well, maybe life will get simpler for you now. You'll have to deal with some things. I mostly had jobs I really, really liked. You're very fortunate. Thank you very much, Dr. Miller, for being on the show today. I hope this was educational to our listeners. This is Business in Hawaii with Reg Baker. We broadcast live every Thursday from 2 to 2.30. We highlight successful stories in Hawaii about businesses and their owners. And occasionally, we have educational programs to talk a little bit about the topics that would be beneficial to businesses in Hawaii. Today, we were very fortunate to have Dr. Miller with us today to talk about the ADA at Service Dogs. Thank you again. And until next week, aloha.


What's going on everyone? Sam here with late sports cards ripping 23. You need your legacy football hobby. Six box break number nine random team style. So look again at your random results. As always you can find those on the website under the results tab as well as the link in chat. So good luck guys. Here we go. Legacy. This has been fun.  The RPAs look really good this year too. I'm very happy with the RPAs in pro uni. That's a Miles Murphy for the Bengals to 100. Quentin Johnson, JD, Tanmarino, Jamiro Gibbs, and Jordan Battle on your base. For the ages, Alex Smith, Zay Flowers, Dalton Contaid, Pickett, Redemption, Will Anderson, Future Patch, Autograph Silver, going to the Texans. Nice one there. Chad W. Good stuff. Chad, Will Anderson, Jr. First defensive player taken. Will Leviss, what third overall pick? Heisman, Irlocker, Leviss, and Clayton Tune. That's a yellow. Lawrence Taylor to 150. Richardson prize prospects. Vic and base. By the way, Vic is like a stealer in this. Yeah, he was a stealer at the end of his career. Zay Flowers to 50. Prize prospects for the Ravens. Oh yeah. Stafford, Decade of Dominance, Archie Manning is still weird to me. I don't like that. I don't like that one bit, Donnie. Not one bit. Herdy, there's Eric Dickerson, Cole Pepper, Ray Lewis, Gonzalez, and Tank Dell. That is a Trenton Simpson for the Ravens on the Legacy Silverado. Congrats on that, Baltimore. Trenton Simpson, T. Simp, K. Sean Butte under the lights. Tim Brown to 299, Legends for the Raiders, prize prospects, Josh Downes, and base. Okay, is this still breaking news four hours after it happened? I don't think so. I'd say Derwin James, Bijan Robinson under the lights, Silver for these Falcons. Jalen Hyatt, Decade of Dominance, Chef Saturday. Steve Young is a buccaneer. That's Marvin Mims. Nice one there. Blue, 235 for the Broncos. This is Ravens, right? Yes. Yes, he is. McG. Bijan, Rookie at Mini. I'm going to do a dice roll on these duels, one, two, three, top, four, five, six, bottom. We'll go for the rest unless it's majority. It's going to be a one. I'm going to go to the top, so I'm going to go to the top with the Texans and JJ Watt. Yeah, they have the same feel, too. They have the same stock as well, pretty much every year. Orange, Jay Jedis to 125. Krishna Koye, Blast from the past. Orange, Isaiah Pacheco to 199. Paul Kraus, Decade of Dominance. That's the Black and White under the lights. Oh, Saquon Barkley. Anthony Munoz. Let's see if the checklist is out yet. Yeah, that'd be nice. Again, guys, we've got just eight to go on dual case, mega dual case of 2020 NT and NT Collegiate. Eight to go. Any legacy football group break checklist? Nope, no checklist, yeah. That is a Zay Flowers. That's awesome. Rookie jersey auto for the Ravens. Congrats, Baltimore. That is going to be 200 out of 249. There is a little mark on the back, unfortunately. You can kind of see it right there. I'll sign that empty box and wrap it with Baltimore. That is still awesome. Very jealous of that card. We'll have to pick up some Zay Flowers. McKee. Okay. Yellow, Aaron Jones to 150. Andre Reed, Decade of Dominance and more base. I'd say under the lights, Michael Meyer, Crome. Warner, Bruce Smith, base and more base. And Robinson Jr., Marvin Mims under the lights, Warren Moon. That was the first auto, I think, in this box, right? Orange, Russ, Decade of Dominance 249. We're doing group breaks right now. Personals don't begin until after group breaks tonight, Nick, and they are full for tonight. That is a CJ Stroud. 22 of 25. I just won their Texans, Houston, Chad W. There you go, Chad. I just won there, buddy, on the Stroud. That is a Rakeem Jarrett for the Buccaneers. Silver, Rookie Auto. Congrats, Tampa. There you go, Buccaneers. Joshua Kay. Bijan, Prize Prospects. Kyle Pitts to 299. Bob Lilly, Decade or Blast in the Past. Andre Carter, Crome Rookie. Harris Johnson, Hedden Hooker. You can recap it, though. Clearly, it's like what's anything comparable, not really. Bryce Young, Prize Prospects. LT, Kincaid, Levis. There's there you go. Now, Washington, Rookie Auto for the Steelers under the lights. Pittsburgh, Peyton. There's a mini, put this on. Yeah, I mean, that's 10. Three days left, it's at 45 right now. Yeah. Orange, Paul Kraus, 249. Big Ben, Decade of Dominance. Or no, 40 ages, that's what that is. Ooh, I think it is a dare to dare. Aaron Rodgers, 8 of 65. Nice one there. Nolan Smith. I finally watched. I managed to catch when I was on TikTok last night, somebody opening a dare to dare. Oh yeah? And it was a Dick Buck, yes, to 65. And the guy pulled a Derwin James Mini to 25. Overnumbered. True. Yeah, and that was Green Bay is, is that you, Tredger? T-Huang? That is a Clayton Tune to 100 for the, ooh, that's nasty. Three colored RPA for the Cardinals. Nice one there, Arizona. Peter Skaronski, the Titans, Koye Manning, AR15 and Bass. Orange, John Metchie, 2nd year to 199. Decade of Dominance, Jerry Rice.  I got you, Tragic. That is a Jalen Carter under the lights, Silver for the Eagles. Yeah, the dare to dares are cool. A great idea from Panini. That is Dantebion Wicks to 125 on the Orange Mini. The ages, Kurt Warner. Strayhan, Rice, Bass, Bass. Yellow, Chris Godwin to 150. Under the lights, Danny Dimes. That is a Joey Porter Jr. Mini under the lights. A Marvin Mims Prize prospects. A Redneck Chubb to 299. Hennan Hoker Prize prospects for the Lions. Kurt Warner and Bass. Nice little second box there. Still very jealous of the Zay flowers, I'd say. Very jealous of that. Very jealous. Again, guys, eight to go. Mega Dual Case NT. Orange, Darnell Washington to 75. Might be a bronze, actually. Silver, Daniel Jones under the lights. Bijan Robinson to 299. A Russell Wilson. Zach Evans to 100. Nice one there on the bronze. And Bass. It's a Sean Tucker. Silver, Rookie Otto. Forget where he is, Donnie. Which one? Forget where he is. Sean Tucker. Yes, Sean Tucker. Buccaneers. Jim McKelley. And Bass. More spots coming in for tomorrow. Thank you guys. Zach Evans was Buccaneers. Oh, no, no, no. Zach Evans is, I don't know, you had them up. Zach Evans. Rams. Rams. And then Jarrett was. Wickey and Jarrett was boxed as well. Aaron Jones to 100. John Riggins, Decade of Domines. This is kind of second-guessing myself now, so. No, you're, I would just fall in confirmation. That's what I thought. Yeah. Yeah, Tampa Bay. Rams. Yeah, Rams. Mira Gibbs under the lights for the Lions. Clayton Tune, Trenton Simpson. Xavier Hutchinson, Minnie. Michael Irvin, Decade of Dominance. Red, TJ Hawkinson for the Vikings to 299. We already ripped them, Jack. They are uploaded to YouTube. If you want a link to them, you can go back and watch them. But yeah, we ripped them already. That's Jordan Addison. Yeah, ripped all three of them already. Face. That is a Aiden Hutchinson, Otto to 25. Nice one there for the Lions. Second-year Hutch. Blast and pass, Joe Montana. We already, we already ripped it. That's Joe. Miles Murphy to 199 for the Bengals. Garrett Wilson, Kishon. Yeah, we, all of them filled, all of them already, already ripped. That is Jaren Hall, Gorsette, and Vikings, I believe. Jaren Hall, I think he is. Yes, Vikings. No, we, we already, we already ripped a metro. Here, I'll drop you the link to the videos. I'll drop you the link to the videos. Here's Optic Choice. That's the video, the link to that video. You are in the first Chronicles. There's the link to that one. And then you are also in Select Asia T-Mall. There is the link to that one. Yeah, you did, actually. You did fairly well. I know you did well in the Chronicles. You may or may not have hit a one-of-one auto. Red, Lauren Taylor, 299. Prize, Prospects, Tanner McKee. UT. That's weird. The rookies are in front of the base this time. In front of the legends. Interesting, interesting. It was Kyle Anderson, one-of-one auto. That is CD-Lam. Yeah, both Chronicles ripped, yeah. I don't remember who you had. I know you had the Bucks and Timberwolves in the first case. I don't remember who you had in the second case. Dalton Kincaid, 220 for the Bills. Nice one there, Bills. Andre Reed, Orange. Dexter Lawrence, 199. Blast from the past, Bob Lilly. Another Dare to Tear. Derek Carr, as a saint. Wow, that's so weird, dude. They're already having Photoshopped in the Saints jersey. Oh, that's so uncomfortable. Matt C, nice one there, buddy. Rats on that. Matt, Dare to Tear. Krishan Gonzalez. Will you tear it? Maybe you will. Maybe you won't. Only time will tell. That is a Roquan Smith mini. That's going to go to the top with Travis. I know it's so weird, though, Knight Meister. See, that's so weird seeing that, dude. Yellow, Devontae Williams to 150 for the ages of Alan Page. Oh, did he hit one? Wow. For him. Marcus Allen, Blast from the past. Rishi Rice, Rookie Otto for the Chiefs. Nice one there, Kansas City. Bricehall. Mingo, base, base, and base. Green, Alec Pierce to 100. Orange, Zach Evans to 149. Yeah, Rams, he's got a Ram right there. Ram Logo. So that further confirms that he is a Ram, darling. We're good. We're good on that one. Kellen Winslow, Trenton Simpson, and base. I guess theoretically we could, Ryan. Jarron Hall to 100 for the Vikings on the Bronze Auto. I would probably... Needed an email. Yeah, Bijan Robinson. We need, I mean, we need an email. And we need an email with your order number, your name, address. We need an order number with all that. Again, guys, eight to go. Megadool case. Eight to go. All right, on to our last box here of legacy. Good luck, everybody. Saquon, Underlight CMC. Silver. Name it, Farr, Tankdale, and base. That is a green to 100. JJ Watt, that'll go to the top. Decative dominance, Joe Montana. AR-15, Dantebion Wicks. Will Anderson on the Underlights to 25. Wow, the Texans killed it. Two, they're two. What is it? The two and second and third overall draft pick. Yellow Aces to 25. Not bad. That'll work. Congrats on that one. There's Michael Wilson to 100 for the Cardinals, two-colored RPA. Yeah, these look really good. I'm very, very in on the RPAs. Grats on that. Arizona Cardinals to 100. Yellow, Jonathan Mingo. I believe he's a Panther to 150. Tankdale. Texans, Tankdale. I was getting him and Ringo mixed up. Oh, Mingo and Ringo. Zay Flowers for the Ravens.  Christian Watson to 75. Nice one there. We've got a Quentin Johnson prize prospects for the Chargers. Base, base, base, and base. Here's to see how he does in that offense. Oh, Quentin Johnson. Yeah, I agree, honestly. Will Anderson, blue to 25. Two Will Anderson to 25 now. Not bad. Congrats, Texans. Texans killed it. Hey, Sean, BT. Do we know size-wise what Johnson compares to like Mike Williams? I don't off the top of my head. Holmes and Montana. They're pretty similar. So I feel like Johnson is probably speedier. Yeah, true, true. Oh, two of 20. Justin Jefferson under the lights auto. Going to Ryan with the Vikings. Congrats, man. Nice Jay Jettas. That's awesome. Never a bad thing to pull some Justin Jefferson. Take it. I mean, arguably, I mean, I would say is the best wide receiver in the NFL. I would agree, though. I think there's a few arguments to be made, but I don't think there's super strong arguments. Joe Green to 299, Jerry Rice. I think last year solidifying Jay Jayza. Yeah, I agree. 100% agree on that. Last pack of the break. Good luck, guys. That is a Zach Evans, Chrome Rookie. Rainbow Cunningham. So Hawker is an eagle. God, that's so weird. Got a Will Anderson to 25. CJ Stroud to 25. Justin Jefferson auto. Michael Wilson, RPA. Jared Hall auto. Rishi Rice auto. Aiden Hutchinson. Sean Tucker. Clayton Toon auto. Our RPA. Rakeem Jarrett. Darnell Washington. Zay Flowers. Trenton Simpson. And Will Anderson Jr. I forgot there was Will Anderson auto, too. That'll do it for the break, guys. Thanks again for the film. Coming up next is number 10.


I welcome the Audit Scotland's recommendations that were set out in their recent annual overview of the NHS. Indeed, we have already been taking decisive action to deliver them. They highlight the challenges that are faced by our health service, similar to the challenges that are faced by health services across the UK and beyond. Importantly, the report acknowledges that our committed workforce has continued to deliver high-quality care, and I pay tribute today to all our health and social care staff who deliver outstanding services day in and day out. As the Auditor General recognised last week, demands on the service from Scotland's ageing population are growing. Since 2013, for example, we have seen 13 per cent more cancer patients receiving treatment under the 62-day referral standard, an increase of 26 per cent in CT scans, an increase of 34 per cent in MRI scans and an increase of over 15 per cent in CAMHS patients. A small snapshot of the additional demand that our health service is coping with. In addition to demographic change, we also face price pressures and rising expectations. However, as the First Minister said last week, the task for us is not just to describe the challenge, it is to put the solutions in place, and that is exactly what the Scottish Government is doing. On 4 October, I published the medium-term health and social care financial framework to give more detail on how the potential approach required to deliver a financially balanced and sustainable health and social care system now and for the years ahead. Last week, I published our waiting times improvement plan. That will see more than £850 million of investment through phased, focused and decisive action to secure substantial and sustainable improvements to performance. Solutions will be different in different areas of the country and in different specialties, but the drive for improvement is national in scope, requiring a focused, intense programme of work that accelerates action that is already under way. From my statement of 4 October, members will be aware of my commitment to facilitate a new planning and performance cycle for all NHS boards. Audit Scotland has recommended that this is supported by a robust and transparent financial management system, and that is exactly what we intend. Further detail on the new approach will be provided as part of the 2019-20 budget. The new arrangements will require boards to deliver a break-even position over a three-year period, rather than annually, as is the case currently. In each year, boards will have 1 per cent flexibility on their annual resource budget to allow them scope to marginally underspend or overspend in that year. Audit Scotland recognised in the report that there was a range of work under way to strengthen governance arrangements, including piloting a standardised review of corporate governance across all boards. The review of NHS corporate governance carried out by John Brown and Susan Walsh will enable us to pursue the adoption of good practice across all boards. Yesterday, I met our NHS board chairs and tasked them with implementing those recommendations by the end of this financial year. Our review of progress with integration will report in the new year and will consider areas where integration is working well, along with any where governance and accountability can be improved. We are also committed to ensuring that all non-executive members of boards have the necessary training, skills and expertise to fulfil their roles effectively. In terms of addressing leadership positions, project lift is a new approach to recruit, retain, develop and manage talent within the NHS in Scotland to ensure the very best and most able leaders reach boardrooms. In terms of capital investment, Audit Scotland's report recommends the development of a national capital investment strategy. I agree. Members will again be aware from my statement on 4 October of my commitment to bring a capital investment strategy to Parliament by the end of this financial year. This new strategy will create a framework considering necessary investment over the longer term and will accompany the medium-term health and social care financial framework to create an integrated overview of the funding needed across Scotland's health and care system. That will include important investment in primary and community care projects, which will be key in delivering the emerging health and social care integration agenda and in shifting the balance of care from hospitals to local facilities and people's homes. Audit Scotland recommended that a clear understanding of demand and capacity should inform workforce planning. Again, I agree with them. Our fully integrated health and social care workforce plan, which we will publish by the end of this year, will encourage all health and social care providers to adopt a comprehensive approach to workforce planning in order to ensure that workforce resources are deployed as efficiently as possible. Lastly, I welcome Audit Scotland's recommendation about publishing clear and easy-to-understand information on how the health funding system works, including information about levels of spending. The Parliament knows that we are committed to ensuring transparency on health funding and that we have recently introduced regular reporting of the financial position of NHS boards and integration authorities. That is essential in providing the clarity necessary for the important discussion that we will need to have about the future shape of our NHS and social care services. Our financial framework was predicated on what I described in an earlier statement as the perhaps bold assumption that the UK Government will honour its commitment delivering the consequentials as a true net benefit. I regret to tell the Parliament that the UK Government has failed to keep that commitment. I am very disappointed that yesterday's UK autumn budget confirmed that the UK Government would shortchange Scotland's NHS by a total of £54.5 million next year and by more than £270 million over the period to 2023-24. That the UK Government has shortchanged our health service by £54.5 million compared to the claimed level of consequentials in the summer is an insult to our NHS and the people who depend on it. In addition, the UK Government has not set out the consequential funding that will be delivered beyond next year, leaving open the possibility of the NHS funding commitment being further eroded. Not least, as the Chancellor has more than hinted at the potential of a totally revised budget from the UK Government as a result of them crashing us out of Europe with a no-deal Brexit. Notwithstanding that disappointing but regrettably not surprising step by the UK Government, the Scottish Government remains committed to channel every penny of health consequentials into Scotland's health service. I can assure members today that, despite the actions of the UK Government, we remain committed to our programme for government promises and our recently announced waiting times plan. Returning to the Audit Scotland overview report, it is understandable that, due to the timing of the report, Audit Scotland was not able to fully reflect that the framework sets out additional funding for the health portfolio of £3.3 billion by 2023-24. That expected increase would mean an annual growth for the health portfolio of 2.9 per cent in real terms. As Audit Scotland's report says, the Fraser of Allander Institute predicts that the health resource budget is likely to have to increase by around 2 per cent per year to stand still. That is a vitally important point about funding and sustainability, which is not again understandably but is not reflected by Audit Scotland in its report. In conclusion, I welcome this annual contribution from Audit Scotland. I accept the recommendations in full. As I have set out in this statement, I am taking the steps that are necessary to ensure that the challenges are addressed. We have a record number of staff, record funding in excess of £13 billion this year and even more investment planned by this Scottish Government. Although essential, that will not be enough and we must continue to follow our twin approach of investment and reform. I now look forward to working together across this chamber in a responsible and mature manner to deliver this and to ensure a balanced and sustainable health and social care system for the years ahead. I commend this statement. We move now to questions starting with Brian Whittle to be followed by Monica Lennon. I thank the cabinet secretary for advance notice of her statement. Another week, another ministerial statement on health, perhaps the cabinet secretary and the Scottish Government are waking up to the fact that I have been failing the NHS over the 11-year tenure. The Scottish Government had been paying attention to the day job, the cabinet secretary's statement, that we have an ageing population that would hardly have come as a surprise. However, we have a shop hall in the GPs of some 850 across Scotland. Last week, the cabinet secretary announced an extra 400 training places, training that takes seven years to complete. My third cabinet secretary, that still remains a shop hall, hardly prudent workforce planning and it does not even take into account any future trends. In fact, such a high proportion of our nursing staff are approaching retirement age, which is hardly difficult to work out and plan for, yet in 2012, the then health cabinet secretary, Nicola Sturgeon, cut training places for our nurses and midwifes, short-sighted and we are seeing the consequences on the work today. The cabinet secretary used to say that there is a record investment in our Scottish NHS. What he conveniently failed to mention is that it is a direct result of Barnett consequentials. Yesterday, the Scottish Government was handed nearly £1 billion extra, which can have complete autonomy to spend as they see fit. We know that the Scottish NHS will get £214 million extra this year, with a further £720 million next year. Therefore, following the damning Audit Scotland report on the state of the NHS finances, which stated that, after 11 years of SNP Government, meeting key targets on a downward spiral because its current model is not financially sustainable, will ensure that the funding boost from the UK Government will go directly to the NHS or will continue to follow the Scottish Government's usual pattern of finding a grievance for every solution. I thank Mr Whittle for his comments and questions. I am always happy to come to this Parliament and talk about our health service. It is indeed a successful service and an excellent track record on the part of this Government. I am disappointed, however, that Mr Whittle is surprised that we have an ageing population. We have been talking about that for some time and have taken the steps. I outlined them. It really is a pity that people do not listen and read and pay attention. I have taken steps already on the back of the Government's track record to further address the challenges that the ageing population and other challenges place on this health service and on health services across the UK. What is different is that it is this Government that has plans in place and action already under way to address those challenges. Mr Whittle and I have said—my colleague Mr Mackay said it—that every single penny of the consequentials for health will be invested in health by this Government. That increased investment of our health service over the track record of this Government over many years is about political choice. It is not thanks to the UK Government continuing to cut the overall budget that is delivered to this Parliament and to this Government. It is about the political choices that this Government makes, which are so much more in tune with what the people of this country need than a Tory Government ever will be. Monica Lennon, to be followed by Alison Johnson. Audit Scotland has delivered a damning report on 11 years of SNP mismanagements of our NHS. It should shame this Government. Under the SNP, the future of our NHS is not financially sustainable. The SNP cut the health budget in real terms last year, despite rising waiting times and rising staff stress levels. Audit Scotland's Cabinet Secretary for Finance read the report. The serious challenges facing our NHS requires action, not more of the same broken promises from this SNP. Jeane Freeman's grand plan to improve waiting times will continue to break the law for years to come. It hardly inspires confidence. Today's statement does not reveal a plan for the future of our NHS. It is damage control. Jeane Freeman herself said last week that her predecessors Nicola Sturgeon and Shona Robison failed to keep their promises on the NHS. Why should the people of Scotland believe that this Cabinet Secretary is any different? I am grateful to Ms Lennon for her questions. Can I start by clarifying that Audit Scotland did not say that this Government had cut NHS investment? It really is important. I am genuine when I have said since the day and hour that I was appointed as Cabinet Secretary for Health that I look for a mature and responsible discussion. The starting point for that has to be accuracy in what we are saying. I am disappointed too that the medium-term financial framework appears not to have been read. It came, as I made the point, as Audit Scotland itself recognises after the time that Audit Scotland could take full account of it. That medium-term financial framework shows clearly the intention to invest in the NHS in Scotland beyond the anticipated amount from Fraser of Allander that is required simply to stand still. The medium-term financial framework also makes clear that what we need is investment and reform. We already have reforms under way, we have significant investment under way, we have undoubtedly challenges, and I have been very honest in recognising those and setting out to deal with them. The big difference, Presiding Officer, be between those of us who sit on those benches and those who sit elsewhere in this chamber, is that we face up to those challenges and have a plan in place. What we do not have are manifesto commitments that would cut our budget for the NHS, reduce the number of nurses and a current non-commitment from the Labour Party at UK level not to reverse the tax cuts for the rich that the Tories want to impose. If we are looking to see who will, I believe that they will put their trust in us as they currently do as a Government that delivers because we understand the reality of the situation that we need to deal with and we have the plans in place to deal with them, not the slogans that we get from either side of this chamber. Alison Johnstone, before by Willie Rennie. The increase in agency staff costs over the past five years has been staggering an unsustainable 38 per cent increase, with almost £166 million spent last year alone. That is not a new problem and we cannot wait until 2020, spring 2020, for the Government's framework for recruitment. I would like to understand what the Government is doing now. What does it intend to do in the immediate future? My thanks to Ms Johnstone. She is, of course, correct that agency costs to take up too great a proportion of our budget. That is why the workforce recruitment exercises that we have begun are so important. Why, for the sixth successive year, we have increased the numbers of student nurses and midwives in training. Why we have only recently announced a significant increase to the non-means-tested bursary for student nurses and midwives, unique here in Scotland compared to the NHS in England. And why we have, for example, undertaken and supported other initiatives in terms of nursing, the return to practice, which we would intend to increase, the transfer course with universities of the Highlands and Islands, the increase in the number of radiographers in training and the new ScotGem course with the University of St Andrews and Dundee. That is a postgraduate course of a shorter duration, clinically approved and safe, but particularly focused on GPs in remote and rural areas. All of those and more are actions that we are currently taking in order to address the particular pockets of recruitment difficulty that we have in our workforce, notwithstanding the fact, as Audit Scotland recognises, that the workforce numbers in the NHS in Scotland are higher than they have ever been. Willie Rennie to be followed by Willie Coffey. Why is it that when it has been two weeks since the worst NHS report by Audit Scotland, there is very little new in the Government response today? Workforce planning has been a major long-standing weakness for the Government, so why do we have to wait still longer before we see this workforce plan published? We have already published three workforce plans. The workforce plan that I am talking about is the one in which we integrate all those so that we make absolutely certain that we are taking a whole-system approach. I do not understand why Mr Rennie does not recognise that. We appreciate that workforce planning is a critical element of what we have to do. It is one of the pillars on which our work carries forward. The medium-term financial framework is one, the waiting times improvement is the other, and the fourth is, of course, the move towards integrated health and social care. By the end of this Parliament, over £0.5 billion annually will be invested from the front-line NHS budget into that integrated health and social care. I would never underestimate the challenges that we face and I would never say that there is not more that we have to do, but the starting point that we have to all go from is an accurate reflection of exactly where we are, and we already have three workforce plans on the socks. There are nine more questionnaires if we get a chance to get through them all. Willie Coffey, followed by Edward Mountain. I ask the cabinet secretary given that the Tory UK Government has short-changed the health service in Scotland by almost £55 million next year. Has the UK Government given any indication as to when it will confirm all the health consequentials that they have previously claimed through to 2023-24? Thank you to Mr Coffey for his question. No, the UK Government has not confirmed when the rest of those consequentials will be announced. I understand that that may happen in a spring budget, but the uncertainty around the spring statement or budget, however the UK Chancellor wants to frame it, is whether or not we are crashing out of Brexit with no deal or crashing out of the European Union with a deal that none of us understand and is totally unclear. At the moment, a few short months away from that, that level of uncertainty for our health service and particularly for our workforce in health and social care is of a matter of considerable concern, but at this point we have no confirmation at all on the rest of the consequentials. Thank you, Presiding Officer. I am pleased that the cabinet secretary has mentioned governance and leadership, two areas where your advisers, John Brown and Susan Walsh, have already documented the failures of NHS Ireland. I welcome the meetings that you and I have had, cabinet secretary, to discuss this. Perhaps you could explain to me how will the Scottish Government ensure that the new chief executive of NHS Ireland, the chair of the board and the similar appointments across Scotland provide the charismatic and positive leadership that our excellent doctors and nurses deserve? I am grateful to Mr Mountain for his question and also for those productive discussions that we have so far had on NHS Ireland, and I am sure that we will continue to have those. There are two particular ways by which we have changed how we undertake recruitment, not only in terms of non-executive members of our health boards but also for those key leadership positions. That is what is described as a value-based recruitment exercise, which looks to have more than, if you like, more than one dimension of an applicant before the decision-making panel. It is an approach that has been successfully undertaken in the Golden Jubilee national board over many years and is being picked up in other boards. It ensures that those who apply for posts that consideration is given not only to their previous experience and what they say in the CV and how they answer questions in an interview but also to how they perform in other situations so that you have a better and more rounded, if you like, perception of the applicant and therefore can make more informed choices. That alongside the governance work that, as you rightly said, John Brown and Susan Walsh undertook and my requirement of NHS board chairs that they have implemented that by the end of this financial year, together with the ministerial reviews of boards, which are about to begin, where all territorial boards will have a ministerial review where we will look directly at their governance issues and where we expect to see them improve at their performance and at the challenges that they may face and how we might further assist those. All of those taken in the round, I believe, will see us reach the level of leadership that we require across our NHS, in our chief executives and in our boards, who have the critical and vitally important role of scrutiny and challenge. Charisma, I am not sure that I can promise you, but I can certainly commit to all those others. Emma Harper will be followed by Kezia Dugdale. Presiding Officer, in her statement, the cabinet secretary recognised the increased demands on the health service. For example, in my South Scotland region, we have a particularly high-agent population with increasingly complex health and care needs. Can she outline what action is being taken to meet the demand on those needs? In terms of an ageing population, there are two things that I want to say. First of all, in terms of that population, as it presents to us, that is obviously picked up in terms of the additional capacity that the waiting times improvement plan with that £850 million investment brings into the service and the system in order to cope with those additional demands in terms of particularly elective healthcare needs but also diagnostics, that the ageing population largely but also others bring to our health service. However, the other point that I want to make is also in terms of our public health programme and the need that we have to try and do more in the field of working with mothers before they give birth, hence an element of the mental health plan that Ms Hockey is taking forward around perinatal mental health, our understanding of the impact of ACE, our work with mothers and babies and children, our work in schools in order to try and ensure that the generations coming behind us have more healthier lifestyles than we currently have and therefore the demands will change on our health service as we go into the future. That is part of what we talk about as a whole system approach and is part of that investment and reform that I touched on earlier. Audit Scotland reported that NHS Lothian missed all eight performance targets and that six of them were not even close. Given that the cabinet secretary has quietly sent in a rescue team led by the head of NHS Northumbria, can she advise when that task force will report back to Government and when staff and patients can expect to see some significant improvement? I am grateful to Ms Dogdale for her question. The task force is a continuous piece of work. I received regular reports from it on the progress that it is making. I am pleased to say that, albeit that it is only a short time and that I would not overclaim this, but what we have seen is a small improvement in NHS Lothian's performance in terms of accident and emergency. I am very happy to update Ms Dogdale on the work of the task force and other MSPs with a particular local interest in the work of NHS Lothian as the task force continues its work, but there is no particular go-in, look-at-things report and go-away again. It is working with healthcare staff in NHS Lothian and with the management team there to make improvements on the ground, which is where I think is the right place for them to be. On Sunday, the chancellor said that in the event of a no-deal Brexit, his quote was, frankly, we would need to have a new budget that sets out the different strategy for the future. He then promptly forgot about Brexit yesterday, but for the record and for the sake of all those who are working in our national health service, has the Scottish Government given any assurances by the UK Government that, in the event of a no-deal Brexit, their commitment to the NHS spend will be kept and not just thrown away in any new budget? No such assurances have been given, Presiding Officer, and, as I said earlier, all of that simply adds to the significant uncertainty that our staff in the NHS are facing, adding to the uncertainty of those very valuable members of our healthcare workforce who are EU nationals. Along with everyone else, I have little hope that it would be heard, but I urge not only the UK Government but our colleagues here in the Conservative benches to join with us and press very hard for some of this resolution to be given, and they could start by giving us assurances in terms of the consequentials going forward. Bill Bowman, to be followed by Lewis MacDonald. While health boards were able to make savings last year of around £500 million, the Audit Scotland report has said that this was largely thanks to one-off measures like building sales. Further savings will obviously have to be made in the future, and since they cannot come from building sales or creative accounting, as we saw in NHS Tayside, how will the cabinet secretary ensure—how will she ensure—that they do not come from areas that will compromise patient safety and patient care? My thanks to Mr Bowman for his question. I need to make one point about savings that are required from our NHS boards. Where they save money, they keep the money that they save, and they are expected to use that money precisely for patient services and patient care. I have been very clear with all our boards that, as they look at how they make best use of their resources, patient-centred care and quality care have to be the number one priority. As we monitor their use of resources and their spending plans and their own budgets going forward, we will be paying very careful attention to where they are looking to make reductions in costs in order to apply those funds elsewhere. The core answer to Mr Bowman's question is that he focused on quality, quality produces reform, reform produces financial prudence and good use of resources. That is absolutely my experience in the health service and that is the way we will do it going forward. Lewis Macdonald is followed by Colin Beattie. Thank you very much. The cabinet secretary rightly said that this is an annual report, but she will also know that the Auditor General's warnings of the need for change have grown more urgent year on year. Given the importance of public engagement in meeting those challenges, does she agree with the Auditor General that better information is needed on how the NHS uses funding to support change and that reporting on progress towards vision 2020 needs to be made public? If she does agree with those views in this report, how will she deliver those changes? I am grateful to Mr Macdonald for those important questions. Yes, I agree. I have accepted all the recommendations in the Audit Scotland report. I am hopeful that I will shortly have the opportunity to meet the Auditor General in order to discuss what is in that report and take her mind on some of the other areas where she thinks that we might make improvements over the coming year. We are clearly committed to transparency of information. We make information public, but that does not mean that there is not more that we can do. I would be very happy to hear of any propositions from across this chamber about what more we can do. It is not just about making information public, it is about making information accessible and understood. I think that we have a way to go in that regard in terms of individual health boards and our Government. I am keen to look at how we might do that. Can the cabinet secretary outline what Audit Scotland observed in its report on the long-term increase in health spending in Scotland? In terms of the long-term health spending in Scotland, the Audit Scotland report said that the Fraser Allander Institute estimates that the health resource budget is likely to have to increase by around 2 per cent per year to stand still. What I have said in my statement and otherwise is that the commitment that is made in the financial framework, our medium-term financial framework, sets out additional funding for the health portfolio of £3.3 billion by 2023-24, which represents a 2.9 per cent increase in real terms. That is, as I said at the time, when I made that statement and when I made the waiting times improvement plan, when I published that and made that statement. That is predicated on the UK Government making good its commitment from June for consequentials. They have already failed in the first year of that. I hope that they will not fail in future years, but what we absolutely need from them is how they are going to make good the shortfall in this first year and what they are going to do in future years so that we can have a realistic forward look and understand whether or not we can make our political choices and our political commitment good or whether the UK Government is going to let us down yet again. Weekend, we saw NHS Lothian exposed, taking in private patients for millions of pounds worth of procedures and diagnostic tests, while private procedures and diagnostic tests, while NHS patients wait up to 60 weeks and beyond on waiting lists. Does the cabinet secretary understand just how angry patients are who are waiting with worry and pain? How angry are they at that unacceptable situation and what are you going to do about it? In terms of the situation that Mr Finlay refers to, I am not best pleased myself, I have to say. From my point of view, our NHS boards should deal with private patients only in circumstances in which life is at risk. My understanding is that it is something like £2.2 million, so it is not an enormous amount of money. That does not, however, lessen my concern about what NHS Lothian has done here. What I have already done is asked for detail on the circumstances in which it has dealt with that private sector in terms of treating patients from the private sector and whether they can justify that they were able to do that because they had capacity in terms of their services for NHS patients. Once I have seen what they wished to tell me on that, then I will make a decision about what I do, not only in terms of NHS Lothian but in terms of any other boards, so that there is real clarity that NHS resources are focused on NHS patients and that that is the right direction for us to go on. The treatment of private sector patients should be, of course, possible when there is a matter of life or death at risk, but otherwise I do not expect to see it in our NHS in Scotland. Thank you very much, cabinet secretary and ministers, for their co-operation. That concludes that statement. We are now going to move on to the next item of business, which is a debate on motion 14509, in the name of Kate Forbes, on a digital society for all working together to maximise the benefits of digital inclusion. Again, I would encourage all members who wish to take part in this debate to press their request to speak buttons.


for me to be here even if it's a double challenge because all my team not my team all the team is now in India and I just began in this project one month ago and so I learned a lot for doing this presentation I will say and the PI as you say just went in India two weeks ago so you can imagine that I am here since one month and since two weeks she's not here so that's not a lot of time to speak with her so I will try to do my best and so I am working in this Mouya project this multimedia Yassna project which just began one year ago and as as it's focused the Yassna the core ritual of the Zoroastrian religion the groundbreaking nature of this project lies in the fact that it combines two different approaches on one side with the act of the ritual performance and on the other one the manuscript which contains a text of this ceremony and we have to deal with these two kind of data as we will see in this approach the Yassna will be studied both as an event in the form of the ritual performance and as a text in the form of a literary documents this project is by Anne Moutince with just not here today and there is two post-doctor and for the moment the third one will arrive in one year and that's the same for the PhD so the the team just increase this year and so we have to deal with many peoples so at the beginning there were not so many people so problem arise more we are more it's difficult to deal with the fights and how we exchange fights of course after this small introduction I will now explain as much as I can the data management my speech will contain two parts one of the ritual performance and the other one on the manuscript the first objective of the of this project is to produce a film of the fully as now ritual that's mean more or less two hour and half recording this ceremony is also important in order to preserve this in the in danger red heritage I would is now in India doing this movie with other people in a first part we will make a movie more an anthropological type film because it will be the entire CELM ceremony and we will make no cuts and no intermission and this film will contain subtitles in Afghanistan that means transcription of the recitation text into roman letters because if it's in a western script it will be difficult to read for most of the people and in order to make this the words which the priest utter available to the observer in both oral and visual form because it's not always easy to understand what the priest is saying at the moment is speaking for transcription and annotation we will use bold which means basic oral language documentation in which the priest will repeat their oral performance in a slower and more highly articulated way so that we can make the transcription because we know the text but of course there is so small variation so we have to be very aware of all this variation and subsequently the film of the ritual will be segmented into clauses and word and each segment will be translated and annotated with a lot a multimedia tool developed at the Max Plant Institute for psycholinguistics and this tool is for the creation of complex annotation on video resources so the textual context content of annotation is always in any code of course and the transcription is stored in an XML format on the other side a short-term we will be editing with 360 degrees camera and we will make some close-up at some part of the ceremony to show a specified aspect and so it will be a movie focusing on certain part and in this aspect it will be an editing edited movie the subtitles with will appear of course and furthermore we will add hotspots so that means you can click on some word and there will be a link like an encyclopedia link and you will have information and here that's a project she has made and so you see this priest and he just cutting some plants before the ritual and you can see that he's pouring water and if you can click on this word you will have some definition of what he's doing now and just here at the end you have what is recenting just now so you can listen you can put pause stop and have some other information and so that will be the edited movie so we have two parts the film recording will be in mp4 for the streaming on the web but the originals are going to be MTS there is two professional Remy and Anna who are involved in this project for all the technical aspect of the movie and the recording of it all this material video audio and annotation we'll go into LR about which Montana just spoke this morning furthermore we will a photography too because of course there will be photography of the ceremony but there is also an aspect of this project about the ritual training of the priest we which are a little bit not well understand or well studied for the moment and so all this photography which will be deposit into the source so big database and so that's for the first part the ritual performance the other aspect of the project deals with manuscript and the treatment and the information they contain so for this project we will provide an addition of the Yasna ceremony and for this we are combining the latest digital technology with traditional theological techniques so first thing is of course the manuscript as you know collecting manuscript is a big word a big work in itself but we have on this aspect a collaboration with the Avestan Digital Archive and that's an archive with a lot of manuscript on it during the last year Alberto Cantera and his team have collected manuscript and more than an hundred manuscripts are now available online and we will also have access at the manuscript not already online it's it takes time to put the manuscript online because each page of each manuscript is indexed with the Photoshop and after we have to put the picture on the website and with this we can just make some research and I can just say I want this part of the text this sentence and which manuscript contains in sentence so that's very useful to exactly checked at one passage and so this manuscript are all on a server and the picture in different format so we have on the server a PSD format with high quality but as you say it's difficult after to upload on the website and so we have a deep egg format with a quality 100 for the web so we have two different formats one for us and one for the website but the one of the website is fine but of course it's good to have the other format to it not all the manuscript are available off on Abistan digital archive as you can easily imagine and we will also make photographies of manuscript in collection in India during November so right now and these images with also go into the so as so big database and that's the first step having the manuscript with the text the second step already running is the transcription of manuscript we are using a customized online transcription editor OTE which automatically encodes the text in XML and we are using of course a new unique code police font it was developed and implemented by Martin Severs of the Center for Digital Immunities at the University of Trier and we are currently adapting it for Abistan because it was made at the beginning for quick for the new testament and so each person of the project make transcription of some section of the Yasna so just here we have this OTE software and we are writing on it and we are following the line of the manuscript so like this we can have the image of the manuscript and the transliteration who fits perfectly and we can we can add a lot of commentary for example if it's a Prima or Segunda Manu if the text is in the margin if there is in certain later and if there is an uncertain later why because the page has a problem or there is a hole or I cannot read it clearly and so on or if there is a ritual direction and in with language and the indication of punctuation so there is a lot of possibilities and we are typing that on this OTE software and after when we saved everything is put on our computer on the NixML format and also it's stored on the Trier server in a near future that I will be stored on your own server at the source so that's a big job of course to make this translation and now okay we have all this translation but what next so the next step will be to use this XML format you have on the computer and to put them in this software named Collate XT and this software will make automatically comparing and collating readings of manuscript and will produce XIM in a variety of format so we will have with that the indication about the family with the genealogy of the manuscript and all the possibilities and the results will be taken to make the addition for producing a critical apparatus this software was already employed but for the Greek and so we will we will have to deal with Avestan and for the moment we just have example with the Greek version and the final collection with this apparatus critical apparatus so we will use that and it will be the opening for the edition part but we will not stop at this point because we will made in a more ancient way if I can say also an in-depth philological studies for selected part of the Yasna so we will make this critical edition with the base of this software but we will also provide a translation with commentaries and a glossary of the vocabulary in a book so each collaborator will publish a part of the Yasna and so that's the data we which we are dealing with and so I hope I answer to the most of this question here and for being honest for the last one for posterity for me it's a big problem to answer to this type of question because we have already seen that the project that just a five years duration but what after and not only that 20 years ago when I use my computer I was sure I will open my data very easily 10 years after and that's not the truth so I am speaking here with this XML format and so but will that be used in 20 years I have no idea at all so I think it's not only the website on which you are putting your database but how the technology will be evolved in the next year so for the moment I don't have an answer to this question and for the rest I think I have finished on time one question it sounded like you said that people photoshop the pictures of manuscripts yeah for the on the other side of the jacquard digital archive yes well no no in fact we are taking the photography and we are just taking one page we add blank in all parts and on this blank part we are putting here the name of the folio and I just we are putting the name of the library here we are putting the name of the library and the name of the management and here we are just putting at which line begins the sentence so it just a way to to church very easily and on the photography we are not really doing something it's just that we are cutting in for not having all the I don't know sometimes when you have a photograph here you are a finger it's not very useful so we are just cutting and just keeping the photography up as she do and the file is being edited as no at this point we are on Photoshop and so the first is saved as a PSD so I think it's a format for Photoshop and the second one is saved for the web archive you have a special clothes in Photoshop it's written saved as web archive or something like that and this one is in deep egg and you can just choose at this moment the quality and we choose the higher one I think 100 and this photo is download on the website but on the server we have this PSD version and the deep egg version but so you're using the PSD version as the high quality only on the server but not on internet because it's more or less impossible to upload photography very big yeah so and there is we have 100 they are for the moment 100 manuscripts and you have I don't know 600 pages for each manuscript so and it's only the beginning so it's not possible to make that with another higher quality but this quality is good and on the website you have this page which just appear and after you can click on the page and it just comes bigger and you can bigger the size again and you can see very clearly and when you crop do you ensure that you retain the edge when you crop the image yeah so do you ensure that you retain the edges of the manuscript I written what do you occasionally slice the edge of the manuscript yeah that's true that it's not perfect and you know it begins in 2010 so it was the beginning and there is a lot of calibrator not so many but some some calibrator and so we have some instruction and now they just decided to make a facsimile version of one manuscript and they have seen the problem because each picture has a different size because we are cutting but of course it's here for the next page and so we can read the text for so for reading the text it's not a problem but if you want to make after an edition and seeking that it's exactly the same no but we also have the original picture on the server not for everyone but we are keeping this original picture so if we want to see really something we can just go as the first version and see so then the other question especially for the field which is being done now in India is when you take a picture do you take the picture with an object of known size and color so that in the image you have embedded the information about the manuscript size and you can make any color adjustments normally for the manuscript we have a scale just next to the manuscript and with this color for having an ID after I will be honest I was not here each time the manuscript was digital and so perhaps it's not the case for all the manuscript because sometimes we have a lot of time we can do it sometimes you are just in a quick time and you are just doing what you can because you don't know if next time you will have the occasion to take again the photography question how do you ensure that you get a flat image that you're perpendicular to surface of the image how do you ensure that your camera is exactly out so now they are in India and they have they have something very big like that and there is some light and so you just put the manuscript on and the camera is fixed and there is some light just going on the manuscript for avoiding the shadow and so on and so like this the manuscript is either light the camera normally it's it's quite like that then I'll just make a comment actually both you and the loop it's our understanding of ERC regulations that even well with certain caveats that you really should be putting things in the no-do because that's the ERC approved yeah for being the next I just learned about the no-do today I don't know if it's something really British if it's anywhere your brand but that's the first time I heard this word so I will check a little bit more on that all right well thank you very much and thank you everyone for coming today