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Dec 17, 2018
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if va's appeals i.t. will not be ready in time, i want to hear what the va's contingency plan is. turning to regulations according to the november 2018 appeals report, va said it planned to send omb the final regulations for approval by november 13th, 2018. i would also like to know whether this has taken place. additionally, i'm looking forward to an update from va about how it intends to effectively balance appeals under the new system and the legacy inventory. right now va has almost 400,000 appeals pending. va anticipated that the rapid appeals modernization program or r.a.m.p., which allows veterans who have pending appeals to transfer to the new system would help reduce the backlog. r.a.m.p. has had only a 16% take rate from the legacy inventory. i'd like to hear today how long it will take va and the board to decide all remaining legacy appeals, whether it will be 1, 5 or 10 years. despite r.a.m.p.'s low opt-in rate, i'm curious about how the department has used the feedback to test assumptions and make adjustments to the new appeals system accordingly. i want to make sure
if va's appeals i.t. will not be ready in time, i want to hear what the va's contingency plan is. turning to regulations according to the november 2018 appeals report, va said it planned to send omb the final regulations for approval by november 13th, 2018. i would also like to know whether this has taken place. additionally, i'm looking forward to an update from va about how it intends to effectively balance appeals under the new system and the legacy inventory. right now va has almost 400,000...
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Dec 19, 2018
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outside the va as the mission act does, but to strengthen the va. va should be focused on recruiting and retaining the best health care professionals in our country, to care for those who have put the lives on the line to defend us. va should be focused on investing in its aging infrastructure so that veterans can have the best health care facility and va should be focused on figuring out the budget it needs to provide the demands of our veterans and our veteran patients. mr. secretary, let me start off by asking you a simple question and that is the veterans organizations in my mind do a very good job in understanding where the veterans are at and the problems that the veterans of our country see when they interface with the va. upon to my mind, what the law says that you are to consult with the vfos and that's what we have in law, but that does not simply mean a one-way discussion. it does not mean simply you telling them what's going on. it means you are listening to them. so let me ask you this, mr. secretary, can you tell me in precisely a way
outside the va as the mission act does, but to strengthen the va. va should be focused on recruiting and retaining the best health care professionals in our country, to care for those who have put the lives on the line to defend us. va should be focused on investing in its aging infrastructure so that veterans can have the best health care facility and va should be focused on figuring out the budget it needs to provide the demands of our veterans and our veteran patients. mr. secretary, let me...
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Dec 14, 2018
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statistically the va is pretty good, but we've heard the stories. we've heard where some hospitals are are pretty great and some hospitals they're waiting to die. we passed a bill to make it easier for veterans to get access to va health care. veterans can get appointments on their iphone, oh, there is an opening on thursday, would you like it, and you can select that. we also can make it easier for veterans to get cannabis. one out of four veterans suis using cannabis right now, but they don't feel safe even talking about it at the va with their provider. so we'll have three bills. one will make it clear that if you are using cannabis, you can start having repercussions. and the second is whether it's working, whether it's not, and the third is to educate va professionals on campus. i was supportive of the legalization mission in massachusetts. marijuana, whether we like it or not, let's make it legal and let's regulate it to make it safe. >> in the last campaign in the midterm campaigns, you found yourself, in ohio, with a huge health crisis. >> i
statistically the va is pretty good, but we've heard the stories. we've heard where some hospitals are are pretty great and some hospitals they're waiting to die. we passed a bill to make it easier for veterans to get access to va health care. veterans can get appointments on their iphone, oh, there is an opening on thursday, would you like it, and you can select that. we also can make it easier for veterans to get cannabis. one out of four veterans suis using cannabis right now, but they don't...
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Dec 22, 2018
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on this table we are shifting and looking at the va minis died from the war. and that side is a very complex situation, of course, we have our allies, it is healthy minis, the vietnamese government, republic of vietnam, and we have the which is the congressional record of the federal register of the republic his vietnam and that was a document sense that they kept throughout their entire year, the entirety of their existence, that as long as the republic of vietnam existed we have a near complete set of those documents, and it is one of the, it's a rare sight and that it wasn't, it may newsprint. so when you look at it you can see the edges of the paper, yellowing and it is very brittle because it wasn't made necessarily to be kept for a long period of time. fortunately, there was a gentleman who was working in the vietnamese embassy in paris, in france, and he collected everything he could, and he kept it, and at the end of the war, 1975, when saigon fell, and they close down the vietnamese embassy, he took all of these documents and put them in a garage and
on this table we are shifting and looking at the va minis died from the war. and that side is a very complex situation, of course, we have our allies, it is healthy minis, the vietnamese government, republic of vietnam, and we have the which is the congressional record of the federal register of the republic his vietnam and that was a document sense that they kept throughout their entire year, the entirety of their existence, that as long as the republic of vietnam existed we have a near...
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Dec 19, 2018
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and at 2 pm, the house and the senate veterans affairs committees hold a joint hearing on improving va healthcare
and at 2 pm, the house and the senate veterans affairs committees hold a joint hearing on improving va healthcare
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Dec 14, 2018
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in the va program, we can negotiate for lower drug prices. in the medicaid. practice, as you observed we can negotiate for lower drug prices. why can the government not negotiate for lower drug prices in the medicare program? >> a provision was included in the creation of medicare part d, the so-called non-interference clause, that prohibits medicare from negotiating part d drug prices. >> okay. what is your sense of the public policy rationale for that? >> there is no public policy rationale. it is just purely a gift, a giveaway to big pharma. as i mentioned, you cannot rationally justify the government granting monopolies to big pharma corporations then imposing upon itself an obligation to buy products from those money on lists and forb forbidding itself from negotiating price with the same money on lists whose monopoly was granted by the government in the first place. >> what's the fiscal impact on this restriction of the ability of the government to pursue a market principle and to negotiate for lower drug prices. >> we massively over pay. the we who ove
in the va program, we can negotiate for lower drug prices. in the medicaid. practice, as you observed we can negotiate for lower drug prices. why can the government not negotiate for lower drug prices in the medicare program? >> a provision was included in the creation of medicare part d, the so-called non-interference clause, that prohibits medicare from negotiating part d drug prices. >> okay. what is your sense of the public policy rationale for that? >> there is no public...
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Dec 19, 2018
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congress and it 2 pm the house and senate veterans affairs committee hold a joint hearing on improving va healthcare. >> good morning and welcome to the fourth morning of the workshop on immigration history. today we are going to talk about the immigration law that is been in place over half a century now and has had a transformative impact on am
congress and it 2 pm the house and senate veterans affairs committee hold a joint hearing on improving va healthcare. >> good morning and welcome to the fourth morning of the workshop on immigration history. today we are going to talk about the immigration law that is been in place over half a century now and has had a transformative impact on am
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doctor david shulkin, recently joined the medical advisory board was the secretary of the va and i'm sure a number of people know him. and he shared an anecdote where he basically was in the white house demonstrating to president trump, speaking to one of his patients and trump enjoyed interacting with the patient very much. and then, he basically wandered into trump's office and said mr. president you have a minute? he said sure, what? he said well, that patient was in a healthcare facility when you were interacting with him. and the importance of that is that currently, the justice department is blocking us from enabling our providers to interact with patients when they are at home. so, veterans are literally driving an hour or two to get to the health facility in order to have a virtual interaction. so the president was like that, is ridiculous and he was able to call up adjusted department and get that turned around. so the kind of law of where is the provider still exist so we believe the virtual care should not be provided by those kind of rules. we also believe it is time that
doctor david shulkin, recently joined the medical advisory board was the secretary of the va and i'm sure a number of people know him. and he shared an anecdote where he basically was in the white house demonstrating to president trump, speaking to one of his patients and trump enjoyed interacting with the patient very much. and then, he basically wandered into trump's office and said mr. president you have a minute? he said sure, what? he said well, that patient was in a healthcare facility...
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Dec 3, 2018
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but to have that continuing conversation, whether it's through va, whether it's through, you know, private physicians, or whatever platform you're getting medical care from, but to make sure that those groups are being included as well. >> i just want to make a comment as the senior adviser for policy at hhs. part of my job is to build bridges to other agencies. i can say that the interaction between doj, particularly dea, but doj, ondcp, and our office has grown tremendously, even in the past few months. everybody understands we cannot arrest our way out of addiction. addiction is a disease that needs to be treated as such. that being said, i can't have 120 pounds of fentanyl coming into our country on a regular basis that's enough to kill 30 million people. our job will be a whole lot easier if we could eliminate those supplies. on the second day of the acting director of dea, i was in husbahis office. just last week, i think it's sort of emblematic of what we're trying to do, we organized a panel at hhs. there may have been panels similar to this before, but certainly not within the cur
but to have that continuing conversation, whether it's through va, whether it's through, you know, private physicians, or whatever platform you're getting medical care from, but to make sure that those groups are being included as well. >> i just want to make a comment as the senior adviser for policy at hhs. part of my job is to build bridges to other agencies. i can say that the interaction between doj, particularly dea, but doj, ondcp, and our office has grown tremendously, even in the...
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Dec 31, 2018
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in terms of the va, when i got to the senate in '07, the va backlog was 600,000 claims. when i left, it was 900,000 claims. and part of that was the increasing difficulty of the system with attorneys involved in a way they hadn't been before in the litigation. but a lot of it was just plain leadership inside the va. i worked very hard on that. and one of the other lessons from vietnam is that the g.i. bill for the people who served in vietnam was miniscule compared to the world war ii g.i. bill which enabled the futures of 8 million of our 16 million world war ii soldiers. and i wrote and passed when i was in the senate for 16 months, the post-9/11 g.i. bill which is the best g.i. bill in the history of the country. i'm very proud of that. >> david maraniss. >> i just want to say that everything that happened in the v.a. is a reminder in a wars doesn't end when the battle ends. they go on with the people who fought in them. >> good morning. >> caller: good morning, gentlemen. how are you doing today? the question about winning a war to me, the people who won the war are
in terms of the va, when i got to the senate in '07, the va backlog was 600,000 claims. when i left, it was 900,000 claims. and part of that was the increasing difficulty of the system with attorneys involved in a way they hadn't been before in the litigation. but a lot of it was just plain leadership inside the va. i worked very hard on that. and one of the other lessons from vietnam is that the g.i. bill for the people who served in vietnam was miniscule compared to the world war ii g.i. bill...
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that's great. [ applause ] >>> this week on "the communicators," javier va sersen monitoring the industry. >> mr. becerra, are the companies too big in your view? >> i think you can look at the companies that are becoming very large and wonder if they're getting to the point where we have to take a closer look. because the internet is a different animal, we used to deal in widgets, now we deal in digits. and so it's a very different thing. one you could always touch. the other is a bunch of zeros and ones. how you tackle that is, i think, what we have to get a grip on. but when we do, i think then we'll be able to answer that very clearly. is anyone being anti-competitive? is anyone become monopolistic to the point where our anti-trust laws take effect? and do we have to take a closer look at our anti-trust laws to make sure they've adapted to meet this new internet world. >> watch "the communicators" tonight at 8:00 p.m. eastern on cspan2. >>> the heritage foundation held a discussion last week on the first amendment and h
that's great. [ applause ] >>> this week on "the communicators," javier va sersen monitoring the industry. >> mr. becerra, are the companies too big in your view? >> i think you can look at the companies that are becoming very large and wonder if they're getting to the point where we have to take a closer look. because the internet is a different animal, we used to deal in widgets, now we deal in digits. and so it's a very different thing. one you could always...
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infantry people like myself can not get our claims at the va hospital when we go for our claims year after year. year after year they cannot make our claims. steve: thank you. that seems to be one of the legacies of those who served in vietnam. you dealt with that in the senate. jim: i dealt with it, the first vietnam veteran to serve in the congress. i worked on the veterans committee, issues, pro bono all my life. i would look to say to the gentleman who called, i appreciate very much your stepping forward and serving. there's been a great misunderstanding in this country about how proud the people who served in vietnam are. we did a survey, harris survey when i was on a committee surveys showing exhaustive attitudes. 91% of the people who served were glad they served. 74% said they enjoyed their time in the military and two out of three said knowing the end result, they would go back. goterms of the v.a., when i to the senate in 07, the backlog was 600,000 claims. when i left, it was 900,000 claims. and part of that was increasing difficulty of the system with attorneys involved i
infantry people like myself can not get our claims at the va hospital when we go for our claims year after year. year after year they cannot make our claims. steve: thank you. that seems to be one of the legacies of those who served in vietnam. you dealt with that in the senate. jim: i dealt with it, the first vietnam veteran to serve in the congress. i worked on the veterans committee, issues, pro bono all my life. i would look to say to the gentleman who called, i appreciate very much your...
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Dec 4, 2018
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and when it comes to the va case, your example of va cases of why they need to be sitting here. you know who's providing power to them right now? fema and mr. connolly . are they prepared to rebuild a power grid for the future that is more resilient, that helps all the infrastructure be strong, resilient, economically viable, whatever it is, that is who needs to be sitting here answering questions. because i have a very low confidence level that they are ready to rebuild the power grid so that people don't die a long time after the fact when the power is out. i don't know how many people died in puerto rico but one death is too many. >> i heard you, but i am going to get to you the information that i just talked about, because i didn't know that you were not aware about these mass graves. and i want you to, and i have some questions for you on that. >> we also have another email chain that shows that another two months after hurricane maria, individuals on the puerto rican island were still living in dire conditions. >> you just mentioned that. here's an email that is a cry for
and when it comes to the va case, your example of va cases of why they need to be sitting here. you know who's providing power to them right now? fema and mr. connolly . are they prepared to rebuild a power grid for the future that is more resilient, that helps all the infrastructure be strong, resilient, economically viable, whatever it is, that is who needs to be sitting here answering questions. because i have a very low confidence level that they are ready to rebuild the power grid so that...
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Dec 19, 2018
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a va with real accountable. and better care for our veterans. and after years of doubt, years of the cynics say iing it could not be done, we achieved the first major overhaul of our tax code in 31 years. [ applause ] we went from the worst tax code to one of the most competitive. it's something i worked on my entire adult life. and something that will help improve the lives of people for a long time to come. it's one of the illusive generational reforms. it's why we do this. certainly one congress cannot solve all that ails us. not every outcome has been perfect. but that's our great system at work. and i'm proud of what we can achieve together to make this a stronger and more prosperous country. jack kemp once said that it the central task of any political party is to offer people superior ideas of government. i see it as even more than a task or an only gigs. i see it as labor of love. yes, you can make a career out of criticism. many people do. i don't begrudge them that. but well done is always a better pursuit than well said. in this busin
a va with real accountable. and better care for our veterans. and after years of doubt, years of the cynics say iing it could not be done, we achieved the first major overhaul of our tax code in 31 years. [ applause ] we went from the worst tax code to one of the most competitive. it's something i worked on my entire adult life. and something that will help improve the lives of people for a long time to come. it's one of the illusive generational reforms. it's why we do this. certainly one...
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and at 2 pm, the house and the senate veterans affairs committees hold a joint hearing on improving va healthcare. >> we will talk about why so many came to the united states and they were and how it changed. under nativism we will talk about the reaction and how the reaction really culminated in a period from world war i until roughly the 1930s and then we end by asking an important question and that question is whether and to what extent the united states is a native this country, we look at the pros and cons and how immigration has changed and how it may have effect the debate. let's start with immigration itself, let me start with the some maps. this map shows you world migration patterns from the 1500s. the thing that really jumps out in this map is a big thick green arrow from europe to the americas, central america and south america but, the biggest single line goes from europe to what is now the united states and canada. there are other streams of migration, migration from africa to the united states and the caribbean and that had to do with slavery but, the main driver from th
and at 2 pm, the house and the senate veterans affairs committees hold a joint hearing on improving va healthcare. >> we will talk about why so many came to the united states and they were and how it changed. under nativism we will talk about the reaction and how the reaction really culminated in a period from world war i until roughly the 1930s and then we end by asking an important question and that question is whether and to what extent the united states is a native this country, we...
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., the veterans affairs committees hold a joint hearing on improving va health care. >>> here is historian catherine benton cohen talking about her book, it inventing the immigration problem. u.s. immigration commission, better known as the billingham commission was formed by congress in 1907. it was at a time when a large influx of immigrants was seen as a national crisis. the panel was named after his republican chairman, the senator from vermont. the house is an effort issued a 41 volume report on their findings in 1911. >>> all right, we will get started. welcome everyone. welcome to this installment of the washington history seminar. as many of you are aware, this is a joint venture of the national history center. i am delighted to cochair the session , as always with the professor
., the veterans affairs committees hold a joint hearing on improving va health care. >>> here is historian catherine benton cohen talking about her book, it inventing the immigration problem. u.s. immigration commission, better known as the billingham commission was formed by congress in 1907. it was at a time when a large influx of immigrants was seen as a national crisis. the panel was named after his republican chairman, the senator from vermont. the house is an effort issued a 41...
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Dec 10, 2018
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understand the relationship around opiods, i've been operating how do we better integrate with the va. so they have the tools to go after those things. how do we not have a drop so that, you know, one of our members' health history isn't lost so they can get as much care and timely care as possible. what you bring up is very important. >> i'm getting the hook here. thank you very much, everyone. >> before you run off. these things have to get reviewed. i won't be able to keep this for like -- you know how this works. >> about 6 months from now i'll say this, right. >> thank you very much, mr. shanahan. before we let you run off, i wanted to let you -- you can choose between to stay or go versions of the mre coffee mug. >> you're a man on the go, everybody. >> thank you very much. >> before everybody runs off. it's 10:05, and our next speaker is coming at 10:30. so we want to thank you colonel. we want to take a break, but i wanted to make a little presentation here. what i'm about to do is give out our first ever journalism service award. >> and at this time i would like to ask louie
understand the relationship around opiods, i've been operating how do we better integrate with the va. so they have the tools to go after those things. how do we not have a drop so that, you know, one of our members' health history isn't lost so they can get as much care and timely care as possible. what you bring up is very important. >> i'm getting the hook here. thank you very much, everyone. >> before you run off. these things have to get reviewed. i won't be able to keep this...
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Dec 28, 2018
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they think of their work as esy vas evangelizing to troops. women are there to distract the men from going to paris, right? so how do you recruit that woman? you want her to be mama and you want her to be cute enough to keep the boys from going to paris. wink, wink, right? how do you do that? how do you recruit both of those influences at the same time in one human being? you want her to be old enough that she's not swayed by khaki fever, that she can live in a world surrounded by thousands of men and not be bothered by that, but she still needs to be young enough that those men want to go to the hut to be near her, right? so -- anybody who is in marketing, try and imagine how you make that advertisement, how do you bring all those things together. but more importantly to me, anyway, is what does this do for women who were called on to do that work? how does a woman like emma young dixon balance all of that? and so i want to use emma's experiences to kind of talk about that work for a little bit, kind of what she did in the war, how she manage
they think of their work as esy vas evangelizing to troops. women are there to distract the men from going to paris, right? so how do you recruit that woman? you want her to be mama and you want her to be cute enough to keep the boys from going to paris. wink, wink, right? how do you do that? how do you recruit both of those influences at the same time in one human being? you want her to be old enough that she's not swayed by khaki fever, that she can live in a world surrounded by thousands of...
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that technologyin va innovates rapidly. we're going to create exactly the problem we saw after 9/11 and exactly the problems we're dealing with trying to fix the challenges in 702, whether you think that the reauthorization was the right way to do it or not. it's borne out of the way we wrote that statute back in 1979. so i think that's the really hard part and the enduring challenge that on a bipartisan basis and across both chambers we have to figure out if we're going to do this thing and do it for well. >> jan, do you concur with the previous speaker? or do you have a different perspective about what the best way is to respond to glenn? >> i concur to the extent that i think all of this is challenging. so in that respect i absolutely concur. but i want to just emphasize how exciting and important i think it is that glenn gerstel spent his talk talking about privacy. it's a conversation we all need to be having. i'm going to end up reiterating some of what i think he said because i think it's so important it bears repeat
that technologyin va innovates rapidly. we're going to create exactly the problem we saw after 9/11 and exactly the problems we're dealing with trying to fix the challenges in 702, whether you think that the reauthorization was the right way to do it or not. it's borne out of the way we wrote that statute back in 1979. so i think that's the really hard part and the enduring challenge that on a bipartisan basis and across both chambers we have to figure out if we're going to do this thing and do...
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Dec 17, 2018
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the va is under congressional mandate to complete reforms and i.t. upgrades by
the va is under congressional mandate to complete reforms and i.t. upgrades by
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Dec 19, 2018
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congress and it 2 pm the house and senate veterans affairs committee hold a joint hearing on improving va healthcare. >> good morning and welcome to the fourth morning of the workshop on immigration history. today we are going to talk about the immigration law that is been in place over half a century now and has had a transformative impact on american society. the basic principle laid out in these laws are the ones that are still with us today. now, to remind you, the last major set of immigration rules prior to the 1965 acts were legislated in 1952, we recall the act that retains the national quota system and as you can see from the summary of the national quota allocated all countries in the world got in immigration quota you can see these were greatly favored. as you can see this as a preference for relatives of u.s. citizens, so these are becoming identified as priorities and as alternative ways to think about how we admit people apart from their race and national origin. so the system goes into operation, it is immediately subject to protest in the karen walter act was vetoed by tru
congress and it 2 pm the house and senate veterans affairs committee hold a joint hearing on improving va healthcare. >> good morning and welcome to the fourth morning of the workshop on immigration history. today we are going to talk about the immigration law that is been in place over half a century now and has had a transformative impact on american society. the basic principle laid out in these laws are the ones that are still with us today. now, to remind you, the last major set of...