% >>
I'M
FREDERICA
FREYBERG.
% A
MILWAUKEE
DOCTOR
WHO HELPED
% PINPOINT
THE
THREAT.
% THE
POLITICS
OF
SCHOOL
TEST
% SCORES
CONNECTING
THE
DOTS % BETWEEN
INVESTMENT AND RESULTS.
% IT'S
"HERE
AND NOW"
FOR % SEPTEMBER 20.
% >>
FUNDING
FOR "HERE
AND
NOW"
% IS
PROVIDED
IN
PART BY
FRIENDS % OF
WISCONSIN PUBLIC TELEVISION.
% >>
THIS
WEEK
THE
U.S.
CENTERS
% FOR
DISEASE
CONTROL
ACTIVATED
% ITS
EMERGENCY
OPERATIONS
CENTER
% TO
ADDRESS
THE
OUTBREAK
OF
% SEVERE
AND
POTENTIALLY
DEADLY
% LUNG DISEASE
CAUSED
BY
VAPING.
% U.S.
SENATOR
TAMMY
BALDWIN
% CALLED
FOR
THE
ACTIVATION % SAYING MY HOME
STATE
HAS BEEN
% ON
THE
FRONT LINES
OF
THIS
% OUTBREAK.
% >>
ACCORDING
TO
LATEST
NUMBERS
% FROM
THE
WISCONSIN
DEPARTMENT
% OF
HEALTH
SERVICES,
OUR
STATE
% HAS
SEEN
48
CASES
OF
LUNG % DISEASE
IN
21
COUNTIES.
% ANOTHER 13
CASES
ARE
SUSPECTED.
% NO
DEATHS
HAVE BEEN
REPORTED
IN % WISCONSIN.
% PATIENTS IN
THE
MAJORITY
OF
% CASES
ACCORDING
TO
STATE
% OFFICIALS REPORTED
USING
% E-CIGARETTES
OR
VAPING
DEVICES
% TO
INHALE
THC
PRODUCTS LIKE
% WAXES
OR OILS.
% NATIONWIDE, THERE
HAVE
BEEN
AT
% LEAST
EIGHTH
DEATHS
CONFIRMED
% WITH
SOME
530 PEOPLE
SUFFERING
% DAMAGED LUNGS
AS A
RESULT
OF
% VAPING.%NOW
THE FOOD
AND
DRUG
% ADMINISTRATION
HAS
REPORTEDLY
% LAUNCHED A
CRIMINAL
% INVESTIGATION FOCUSING
ON
THE
% SUPPLY CHAIN
OF
VAPING
PRODUCTS.
% WITH MANY
PEOPLE
INJURED
SAYING
% THEY
HAVE USED
BLACK-MARKET
THC
% PRODUCTS.%MEANWHILE,
TWO
KENOSHA
BROTHERS
% WERE
CRIMINALLY
CHARGED WITH
% WEEK
IN
CONNECTION WITH
TCH
% VAPING
CARTRIDGES.% AUTHORITIES DESCRIBING
THE % OPERATION
AS
A VERY
LARGE % CRIMINAL ENTERPRISE.%
THE PROSECUTOR IN
THE
CASE SAYS
% THE
CARTRIDGES
FOUND IN
THE
% BROTHERS' HOME
ARE
BEING TESTED % TO
SEE
IF
THEY
CAN
BE
LINKED
TO
% ANY CASES
OF
LUNG
DISEASE.
% AGAINST
THIS
RAPIDLY DEVELOPING
% PUBLIC HEALTH
CRISIS
DOCTORS
AT
% CHILDREN'S
HOSPITAL
OF % WISCONSIN WERE
AMONG
THE
FIRST
% TO
CONNECT
THE
DEADLY LUNG
% DISEASE TO
VAPING.
% ACCORDING TO
THE
GOVERNOR,
PUT
% WISCONSIN ON THE
NATIONAL % FOREFRONT
OF THE INVESTIGATION.
% WE
LEARN MORE
NOW
ON
THIS FROM
% THE
MEDICAL
DIRECTOR
OF
THE
% PEDIATRIC
INTENSIVE
CARE
UNIT
% AS
CHILDREN'S
DR. MICHAEL MEYER
% WHO
JOINS
US.
% THANK YOU FOR BEING
HERE.
% >>
THANK YOU
FOR ALLOWING ME TO
% BE HERE.
% >>
HAVE
YOU
EVER
SEEN
ANYTHING
% LIKE
THE
DAMAGE
YOU'RE
SEEING
% IN
PEOPLE'S
LUNGS LINKED
TO % VAPING
THAT
YOU'RE SEEING?
% >>
AS
PART
OF
BEING
A
PEDIATRIC
% INTENSIVE CARE
PHYSICIAN
WE
SEE
% MANY
CASES OF
SEVERELY
DAMAGED
% LUNGS.
% WHAT
WAS
INTERESTING
ABOUT
% THIS,
IT WAS
IN
TEENAGERS, THE % TIME OF
YEAR AND
THE
FACT
THAT
% WE
HAD
A
CLUSTER
OF
TEENAGERS
% THAT ALL CAME TOGETHER IN
OUR
% HOSPITAL.%>>
WHAT
DID THE
TIME
OF
YEAR
% HAVE TO
DO
WITH
IT?
% >>
NORMALLY WHEN
WE
SEE
WHAT
WE
% CALL A
PNEUMONIA
LIKE THIS
WE % THINK WINTERTIME.
% WHEN WE SEE IT
OUT OF
THE
% SEASON
AND
SEE
IT
IN
TEENAGERS,
% WE
START
THINKING
BAD
DISEASES
% AND
IT
INVOLVES
A
VERY % EXTENSIVE
WORK-UP OF
THESE
% CHILDREN THAT
INVOLVES
A
VERY
% LARGE TEAM OF
HEALTHCARE
% PROVIDERS IN ORDER TO SORT
% THROUGH ALL
OF THE
QUESTIONS
% AND
COME
UP
WITH
A
DIAGNOSIS.
% >>
AND
SO
HOW
KIND OF
% FRIGHTENING WAS
IT
FOR
THE
TEAM
% OF
PHYSICIANS TO
SEE
THIS
% CLUSTER OF
THIS
LUNG
DAMAGE?
% >>
YOU
KNOW,
FRIGHTENING
I
% DON'T THINK
IS THE
BEST WORD
TO
% DESCRIBE IT.
% I
THINK
THAT AS
A
GROUP
AND
AS
% A
TEAM,
IT
BECAME VERY
% INTRIGUING AND INTERESTING.
% EVERY
DAY
THAT WE'RE
HERE
AT % CHILDREN'S, WE'RE HERE
TRYING
% TO
DO WHAT
IS
RIGHT
AND WHAT
IS % BEST FOR THE
HEALTHCARE
OF
THE
% CHILDREN IN OUR
COMMUNITY
AND
% YOU
SEE
A
CLUSTER
AND
YOU
GO
% INTO
YOUR
MINDSET
THIS
IS
MY
% ONE
PATIENT
AND
HOW
I'LL
TAKE % CARE
OF
OUR PATIENT.
% THROUGHOUT OUR
TRAINING
WE'RE
% TAUGHT ABOUT
PUBLIC
HEALTH
AND
% TRYING
TO
ASSOCIATE
CLUSTERS
OF % DISEASE PRESENTATIONS
AND
THINK % ABOUT
THE
BIGGER
PICTURE.% THAT'S REALLY WHAT
HAPPENED
% HERE.
% >>
HAVE
YOU
ISOLATED
WHAT IS
% CAUSING
THE
DAMAGE?
% >> NO,
HERE
WE HAVEN'T.
% OUR
FOCUS
REALLY
HAS
BEEN ON
% THE
CLINICAL CARE
OF
THE
% CHILDREN
THAT
HAVE
BEEN
HERE
AT
% CHILDREN'S
AND
THEN
UTILIZING % OUR RESOURCES
WITH
WISCONSIN
% DEPARTMENT
OF
HEALTH
TO REALLY
% SORT OUT WHAT
COULD
BE
THIS.
% I
VIEW
US AS
A
CANARY
AND
WE % WERE THE FIRST
CANARY
IN
ORDER
% TO
PUT
THE
PIECES
TOGETHER % BECAUSE
HERE
AT
CHILDREN'S % WE'RE
THE REFERRAL AREA
FOR
THE
% STATE.
% SO
SERIOUSLY
ILL,
SERIOUSLY
% INJURED CHILDREN
SHOW
UP
AT OUR
% DOORSTEP FROM
ALL
OVER THE
% STATE
OF
WISCONSIN.
% >>
SPECIFICALLY
WHAT
HAPPENS
TO
% PEOPLE
AFFLICTED,
AND
HOW
ARE
% PHYSICIANS ABLE
TO PREVENT
THEM
% FROM
DYING?
% >>
SO
I
THINK
WE
SAW
SOME
% COMMON THINGS
AS
WE
WENT
BACK
% THROUGH OUR
CLUSTER
OF
CHILDREN.
% USUALLY
WE
SAW
A
COUPLE
WEEKS
% OF
WEIGHT
LOSS,
DECREASED
% ENERGY, INCREASED
WORK
OF
% BREATHING,
AND
JUST OVERALL
% DIFFICULTY WITH BREATHING.
% THEN SOMETHING
CHANGED
IN
THE
% CHILDREN WHICH
LED THEM
TO
SEEK
% HEALTHCARE.
% WITH
INCREASING WORK AT
% BREATHING
AND
ALL
OF
THEM
HAD
% LOW
BLOOD
OXYGEN
SATURATION
AND
% NEEDED MORE
OXYGEN
AND
LARGE
% AMOUNTS OF
EXTRA OXYGEN FOR % SOME
OF
THEM.
% >>
DOES IT
MAKE
A
DIFFERENCE
IN
% THE
OUTCOME
FOR
PEOPLE TO
SEEK
% CARE
SOONER?
% >>
I
THINK
THAT'S
A
GREAT
% QUESTION THAT
WE'RE
STILL % TRYING
TO
SORT
OUT.% MANY
OF
THOSE
PIECES.
% THAT'S
WHY
UNDERSTANDING FROM
A
% CDC
STANDPOINT
THE
TOTAL
NUMBER
% OF PATIENTS THAT
ARE
AFFECTED % BY THIS
SO
THAT
WE
CAN GET
A
% BETTER
UNDERSTANDING.% THERE IS
ALWAYS
GOING
TO
BE
% UNIQUE CHARACTERISTICS OF
EACH
% INDIVIDUAL PATIENT
THAT
IT MAY
% BE
A
LONG
TIME OF
EXPOSURE
OR
% SHORT
TIME OF
EXPOSURE
AND IT
% WILL
BE
UP
TO
THAT INDIVIDUAL % PATIENT'S RESPONSE
TO
IN
THIS
% CASE
WHAT WE
THINK
IS VAPING.
% >>
SO
OF
THE
PATIENTS
IN
21
% COUNTIES
IF
THEY
ARE
PEDIATRIC
% CASES ARE THEY
ACTUALLY
COMING % TO YOUR
FACILITY
OR
ARE
YOU % WORKING
WITH
THEIR
PHYSICIANS?
% >> A LITTLE
BIT
OF
BOTH.% CHILDREN'S
HERE
IN
MILWAUKEE
% WE'RE THE REFERRAL
POINT
FOR
% THE
STATE OF
WISCONSIN
AND
% SERVICE
THE
ENTIRE
STATE
OF
% WISCONSIN, NORTHERN ILLINOIS
% AND
PIECES OF
MICHIGAN
AND
% MINNESOTA.
% WE'RE
VERY
PROUD
OF
OUR
CARE % CENTER AND
BEING
A
CENTER
OF
% EXPERTISE FOR THE
CARE
OF
% CHILDREN.%THERE IS OTHER PL
ACES IN
THE
% STATE
THAT TAKE CARE OF
% CHILDREN
AND
WE
WORK VERY
% CLOSELY WITH
THEM
AS
WELL.% HERE
IN
MILWAUKEE
WHAT
WE'VE % HAD
17
CHILDREN
HOSPITALIZED.
% >>
DO
YOU
KNOW
THE
EXPERTS
AND
% THE MEDICAL PROFESSIONALS, DO
% YOU
KNOW WHAT
THE
LONG-TERM
% CONSEQUENCES
OF
THIS KIND
OF
% LUNG DAMAGE
MIGHT BE
FOR
THESE
% PEOPLE?
% >>
I
THINK
THAT'S
THE
BIG % QUESTION
AS
WE MOVE
FORWARD % WITH THINGS.%THE
TREATMENT
THAT
WE
PUT
IN
% PLACE
WAS
ACTUALLY
VERY
GOOD
% SUPPORTIVE CARE
AND
USED A LOT
% OF
STEROIDS
IN
ORDER
TO
% DECREASE
THE
IMMUNE RESPONSE
% AND
INFLAMMATORY RESPONSE.
% WHERE
WE'RE
GOING
TO STRUGGLE
% RIGHT
NOW
IS
TO
REALLY
% UNDERSTAND
THAT
IF
THIS
IS
% ASSOCIATED WITH
VAPING
AND
THAT
% WHAT
CHEMICAL,
WHAT
DURATION
OF
% EXPOSURE, AND
WHAT
DOES
IT
LOOK
% LIKE
10,
15, 20
YEARS
FROM
NOW?% THESE
ARE
ALL
UNKNOWN.
% VAPING
HAS
BEEN AROUND
FOR
15
% YEARS.
% THE
LAST
THREE
TO
FOUR
YEARS
% WE'VE SEEN A
BIG
INCREASE IN
% VAPING
IN
CHILDREN.
% CHILDREN AND
THEIR DEVELOPING % LUNGS
WE
DON'T
KNOW THE
LONG
% TERM EFFECT OF
THE
VAPING
% PRODUCTS.%WE
KNOW
VAPING IS
BAD
FOR KIDS
% AND
IT
IS NOT
APPROVED
FOR
% CHILDREN.%>>
WE
DESCRIBE
THIS
AS
A
% RAPIDLY DEVELOPING
PUBLIC
% HEALTH CRISIS.%DO
YOU CONTINUE
TO
SEE
CASES?
% >>
WE
HAVEN'T
SEEN
A
CASE TWO
% OR
THREE
WEEKS.
% WE
WERE
AVERAGING
ONE
CASE
PER
% WEEK
WHILE IT
WAS
GOING
ON.% WE DECIDED
WE
NEEDED
TO
GO
% PUBLIC AND
MAKE
A
PUBLIC
% SERVICE ANNOUNCEMENT AROUND
OUR % SIXTH CASE.
% WE
THOUGHT
IT
WAS A
LARGE
% ENOUGH
CLUSTER.
% BY
THE
TIME
THAT WE
DID GO
LIVE
% IN
THE
STATE
OF
WISCONSIN
SENT
% OUT
ITS
PROVIDER
ADVISORY
% LETTER
IS
WE
HAD
EIGHT
CHILDREN % THAT WE
HAD SEEN
BY
THAT TIME.
% >>
WHAT
IS
IT
LIKE
FOR
YOU
AND
% YOUR PHYSICIANS AND
YOUR TEAM
% TO
HAVE
BEEN, AS
A
GOVERNOR
% SAYS, AT
THE FOREFRONT
OF
THIS
% INVESTIGATION?%>> YOU
KNOW,
WHEN
YOU
HEAR
YOUR % GOVERNOR
AND
STATE
SENATOR
TALK
% ABOUT
YOUR
TEAM
IN
THAT
FASHION % IT
DOES
BRING A
SENSE
OF
PRIDE.
%
I
THINK
THAT
AS
TRADITIONAL % WISCONSINITES THERE
WILL
BE
A
% GREAT
SENSE
OF
HUMILITY AND % BEING
HUMBLE
AND MOST
OF
US
% WILL
LOOK
AT
THIS AND
SAY % THAT'S WHAT
WE'RE
HERE FOR.
% OUR
JOB
IS TO
BE
THE SAFETY
NET
% FOR
THE
HEALTH
OF OUR
CHILDREN
% AND OUR
COMMUNITY.
% AND
CHILDREN'S HOSPITAL
OF
% WISCONSIN AND
THE
MEDICAL % COLLEGE
ARE
PART
OF
COMMUNITY
% PRIDE
AND ESPECIALLY SOUTHEAST
% WISCONSIN BUT
FOR
THE ENTIRE
% STATE
OF
WISCONSIN.
% >>
DR. MICHAEL
MEYER,
THANK
YOU % VERY MUCH
FOR JOINING
US ON % THIS.
% >>
THANK YOU, FREDERICA.
% >>
FROM
HEALTH NEWS
TO
A
CLOSER
% LOOK
AT
EDUCATION
AND
A
% STUBBORN ACHIEVEMENT GAP
% PROBLEM
IN
WISCONSIN.
% IT'S A
PROBLEM
STATE
% SUPERINTENDENT
OF
SCHOOLS
% CAROLYN
STANFORD
TAYLOR
SPOKE
% TO
IN
HER
STATE OF
EDUCATION
% ADDRESS THURSDAY.
% >>
TOGETHER
WE
CAN
HAVE
THE
% DIFFICULT CONVERSATIONS
ABOUT
% RACE
AND
EQUITY
IN OUR
SCHOOLS
% AND
OUR
COMMUNITIES
AND
TACKLE
% OUR
ACHIEVEMENT
ACCESS
AND
% OPPORTUNITY
GAP
AS THE
CRISIS % IT IS.
% TOO
MANY
OF
OUR
STUDENTS
OF
% COLOR,
STUDENTS
WITH
% DISABILITIES,
ENGLISH
LEARNERS,
% AND
STUDENTS
FROM LOW
INCOME
% FAMILIES STRUGGLE
TO
ACHIEVE
% THEIR
DREAMS
AND REACH
THEIR % FULL POTENTIAL.
% WE
HAVE TO
GET
LEARNING
RIGHT
% ON
THE FRONT
END
OR
WISCONSIN
% AS
A
STATE
WILL NEVER
ACHIEVE % TRUE SUCCESS.
% >>
SUPERINTENDENT STANFORD
% TAYLOR WILL
BE
A GUEST ON
NEXT
% WEEK'S PROGRAM.
% THE ACHIEVEMENT GAP
IS
% REFLECTED IN A
BIG
WAY
IN
THE
% 2018-2019 TEST SCORE
RESULTS
% THAT
SHOW
A
DECLINE IN
STUDENT
% PERFORMANCE OVERALL.
% ACCORDING TO
THE
STATE
% DEPARTMENT
OF
PUBLIC
% INSTRUCTION,
STUDENT
TEST
% SCORES
SHOW
40.1% OF
STUDENTS
% WERE PROFICIENT OR
ADVANCED
IN
% MATH.
% DOWN
A
PERCENTAGE POINT
FROM
% LAST YEAR.
% LIKEWISE, OVERALL
SCORES
IN
% ENGLISH SLIPPED
TO 39.3% OF
% STUDENTS TESTING
PROFICIENT
OR
% ADVANCED, DOWN
FROM 40.6
THE
% YEAR
BEFORE.
% AGAIN
THE
ACHIEVEMENT
GAP
% BETWEEN WHITE
AND BLACK
% STUDENTS ALSO PERSISTS.
% FOR
EXAMPLE,
IN
THE
THIRD
GRADE
% 12%
OF BLACK
STUDENTS
WERE
% PROFICIENT
IN
READING
COMPARED
% TO 46.1%
OF
WHITE
STUDENTS.
% IN
MATH
15.7%
OF BLACK
STUDENTS
% TESTED
PROFICIENT
COMPARED
TO % 58.5%
OF
WHITE
STUDENTS.
% THE
RESULTS
CAUGHT THE
% ATTENTION
OF
MEMBERS
OF
THE
% STATE LEGISLATURE,
INCLUDING
% THE
CHAIR
OF
THE
ASSEMBLY
% EDUCATION
COMMITTEE,
REPUBLICAN
% REPRESENTATIVE JEREMY %THIE
SFELDT
WHO JOINS
US
FROM
% HIS DISTRICT IN
POND
--
FOND
% DU
LAC.
% WHAT
WAS
YOUR
REACTION
WHEN YOU
% SAW
THESE SCORES?
% >>
WELL,
THIS
IS
THE
FOURTH
% YEAR THAT
MOST
OF
OUR
STUDENTS
% HAVE
BEEN DOING
WHAT'S CALLED
% THE
FORWARD
EXAM.
% SO
WE
HAVE
A PRETTY
GOOD
% DATASET
AVAILABLE TO US
NOW
% THAT
YOU
DON'T
FEEL
LIKE
YOU
% ARE
MAKING
FLIPPANT JUDGMENTS % BASED
ON ONE
YEAR
OF
DATA.
% SO
WHEN
I
SAW
THESE
RESULTS
AND % I
NOTED
THAT
THERE
HAS
BEEN
A
% PRETTY CONSISTENT
DOWNWARD % TREND THROUGH
ALL
FOUR
YEARS
OF
% THEM, IT
RAISED
SOME
CONCERNS % ON MY
PART
BECAUSE
I
HAVE
A
% SIGNIFICANT ROLE
AND
I
% APPRECIATE HAVING THAT ROLE,
% BUT
WE
CAN
STILL
TAKE
SOME
% COMFORT THAT
WISCONSIN
IS
STILL
% AHEAD OF
MOST
OTHER
STATES.
% BUT
IT
IS
CONCERNING
TO
ME
THAT
% WE
MOST CERTAINLY ARE
NOT
% HEADED IN
THE
RIGHT
DIRECTION.
% OUR
SCORES ARE
TRENDING % DOWNWARD QUICKLY.%
AND IF
YOU
WERE
TO
GO
INTO
THE % SUBGROUPS
IN
PARTICULAR % DISTRICTS YOU'LL
FIND
THAT
% THERE
WERE DROPS
IN
THE
SCORES
% AS
MUCH
AS
BETWEEN
10
AND 15%
% BETWEEN YEAR
ONE
OF
THE
FORWARD % EXAM
AND
YEAR
FOUR OF
THE
% FORWARD EXAM.
% IT
IS
TIME
FOR
US TO
STOP
% TALKING ABOUT IT
AND DO
% SOMETHING
ABOUT
IT.
% >>
I
WANT
TO
ASK
YOU
WHAT
YOU
% THINK
WE
SHOULD DO
BUT
YOU
SAY
% THAT
THE LEGISLATURE HAS
% DEDICATED
INCREASING
AMOUNTS
OF
% FUNDING
TOWARD
K-12 EVERY
YEAR
% SINCE
2011.
% IN
THE 2011
BUDGET
WAS
CUT.
% HOW
DO
YOU FIGURE
INCREASES
% SINCE
2011?
% >>
THAT
MAY
HAVE
BEEN AN ERROR
% ON
MY
PART.
% I SHOULD
HAVE SAID
2012.
% I
KNOW
THERE
WERE
SOME
CUTS IN
% THAT
FIRST
BUDGET.
% THERE
WERE CUTS
ACROSS
THE % BOARD
IN
THE
BUDGET.
% BUT
SINCE
THAT
TIME THERE
HAVE
% BEEN
INCREASING
AMOUNTS
OF
% DOLLARS
INVESTED
IN
EDUCATION
% AND
PARTICULARLY THE
LAST
TWO % BUDGETS
VERY
HEALTHY
AMOUNTS.
% AND
WE'RE
SIMPLY NOT SEEING
% RESULTS
FROM
THAT.
% NOW,
THE
STANDARDIZED TEST % SCORES
ARE
CERTAINLY
NOT
THE
% ONLY
MEASURE YOU WOULD LOOK IT
% BUT
IT IS
A CONCRETE
MEASURE
% AND
IT
IS
A VALUABLE
TOOL
AND
% THESE RESULTS
ARE
HEADED
% DOWNWARD.%AND
I
DO NOT
BELIEVE
THAT
THIS % IS
A
MONEY
PROBLEM.% I
BELIEVE
THAT
THIS IS
A
% METHODOLOGY
PROBLEM.
% PARTICULARLY IN OUR
READING % SCORES.
% >>
SO
YOU
WERE
SUGGESTING
THAT
% WE
NEED TO
DO
SOMETHING
ELSE.
% WHAT
DO
YOU
THINK WE
NEED
TO
DO?
% >>
WELL,
SOME
OF THAT IS
BEING
% FORMULATED YET.
% I
WON'T PRODUCE A
PLAN
UNTIL
I
% HAVE
A
PRETTY
GOOD
IDEA
OF % WHICH
DIRECTION
I
WANT TO
GO
% AND
UNTIL
I'VE
COLLABORATED
% WITH
SOME OTHER
STAKEHOLDERS
ON
% THE ISSUE.%BUT
FOCUSING
IN
PARTICULAR
ON
% READING BECAUSE
I
STRONGLY % BELIEVE THAT READING IS
AT
THE
% CORE OF
ALL
ACADEMIC
STUDIES.% IF YOU
CANNOT
--
IF YOU
CANNOT
% EFFECTIVELY READ YOU
CANNOT
% EFFECTIVELY LEARN.
% I
DON'T
CARE WHAT
SUBJECT IT
% IS,
YOU
HAVE
TO
BE
ABLE
TO
READ
% IN
TODAY'S
WORLD
AND
READ
% EFFECTIVELY AT OR
ABOVE
GRADE
% LEVEL
IN
ORDER
TO
HAVE
--
% REALLY HAVE
SUCCESS IN
OUR % WORLD TODAY.
% AND
SO
WE
HAVE
HAD
AND
THIS % GOES BACK
TO
EVEN
WHEN
I WAS
IN
% COLLEGE BACK
IN
THE
1980s
AND
% THERE
WAS
THIS
WHOLE
LANGUAGE
% APPROACH TO
READING
THAT % STARTED
TO
TAKE
HOLD.
% AND
THAT
HAS
PERMEATED
SCHOOLS
% NOT
JUST
IN WISCONSIN
BUT % ACROSS
THE
UNITED
STATES.
% AND
THE
RESULTS
HAVE
BEEN
% DECREASINGLY -- HAVE
BEEN % INCREASINGLY POOR
AS
THE YEARS
% HAVE
GONE
BY.
% WE
NEED
TO
RETURN TO
A
% PHONICS-BASED APPROACH, TO
% READING
INSTRUCTION.
% AND
THIS
NEEDS
TO
START
AT
OUR
% COLLEGES AND
UNIVERSITIES WHO
% TRAIN
OUR
TEACHERS.% AND WE
HAVE
TO
FIND
A
WAY
TO
% GET
THE
PROFESSORS
OF
THESE
% SCHOOLS TO
STOP
HIDING
BEHIND
% ACADEMIC
FREEDOM
AND
SEEMINGLY
% GOING WITH WHATEVER THE
FLAVOR
% OF
THE
MONTH
IS
IN
ACADEMIA,
% AND
GO
WITH
WHAT
WE
KNOW
% SCIENCE TELLS
US
HISTORICALLY % BASED
IS
HOW
CHILDREN LEARN TO
% READ
EFFECTIVELY.
% >>
WE NEED TO
LEAVE
IT
THERE.% I
UNDERSTAND
THIS IS
QUITE
A
% CONTROVERSY IN
THE
ACADEMIC % WORLD.
% SO
REPRESENTATIVE THIESFELDT.% THANKS
VERY MUCH.
% >> THANK YOU.
% >>
WE
MOVE
NOW TO
THE
OTHER % SIDE
OF
THE
AISLE.
% DEMOCRATIC REPRESENTATIVE %
LAKESHIA MYERS IS
ALSO
ON THE
% ASSEMBLY EDUCATION
COMMITTEE.
% SHE
IS
A
FORMER
TRAINER
OF % TEACHERS AT
MILWAUKEE PUBLIC % SCHOOLS
AND SHE JOINS
US FROM
% MILWAUKEE.%THANK YOU VERY MUC
H FOR
BEING
% HERE.
% >> THANK YOU FOR
HAVING ME.
% >>
AS
WE ASKED
OUR
LAST
GUEST,
% WHAT
WAS YOUR
REACTION
WHEN
YOU
% SAW
THE
MOST RECENT
STUDENT
% TEST
SCORES?
% >>
MY
INITIAL
REACTION WAS
TO
% DIVE
DEEPER.
% I TAKE
SCORES
WITH
A
GRAIN
OF
% SALT BECAUSE I
KNOW
HOW THEY
% CAN
BE
SKEWED.
% I
KNOW
HOW
IT
IS
FOR
STUDENTS
% TO
TAKE
A NAPE
EXAM,
THE
% WISCONSIN FORWARD
EXAM
AND
WHAT
% IT'S
LIKE
TO
GUIDE STUDENTS
% THROUGH
THAT
PROCESS.% AND
YOU
GET
MIXED
BAG OF
% REACTIONS FROM
STUDENTS
WHO
ARE
% TIRED OF
TEST
TAKING
AND
THOSE
% WHO, YOU
KNOW, MAY
JUST
WANT
TO % GET IT
OVER
WITH
AND
YOU
MAY
% ALSO
GET
STUDENTS
WHO
ARE
% GENUINELY
NERVOUS ABOUT TAKING % ASSESSMENTS
AND THERE
ARE SO % MANY OF
THEM
YOU
HAVE TO
LOOK
% DEEPER
INTO
WHAT THE
% ASSESSMENTS ACTUALLY CURRY.
% WHEN YOU
THINK
ABOUT
LOOKING
AT
% THE
NAPE ASSESSMENT, THE
NAPE
% ASSESSMENT IS
ONE
THAT
IS
QUITE
% FRANKLY
GRADED HARDER
THAN
% OTHER
ASSESSMENTS.
% WHAT
IT TAKES
FOR
A
STUDENT
TO % BE
LABELED
AS
PROFICIENT
IS % MUCH
MORE
THAN
IT
WOULD
BE
IN
% -- ON
MOST
OTHER
ASSESSMENTS.
% SO
WHEN
YOU
LOOK AT
--
GO
AHEAD.
% >>
I WAS
JUST
GOING
TO
SAY
I
% GET
ALL
THAT
BUT
WHY
IS
STUDENT
% ACHIEVEMENT
AS
MEASURED
BY
% THESE TESTS
DECLINING
IN % WISCONSIN
IN
YOUR
MIND?
% >>
I
THINK IT
CAN
BE
A
BIT
OF
% TEST
BURN-OUT FOR
STUDENTS
% QUITE FRANKLY.
% WHEN
YOU
DO
THE
ACT,
WHICH
IS
% LOOKED
AT AS
THE
GOLD
STANDARD % IN OUR
STATE,
HOWEVER WE
HAVE
% TO
LOOK
AT
THE
FACT
THAT
NOT
% ALL
STUDENTS
WILL
BE
GOING
TO
A
% FOUR-YEAR COLLEGE
OR
UNIVERSITY
% WHERE
THEY
MAY
NOT NEED
THE
ACT
% ASSESSMENT.%I
THINK
WHEN
YOU
LOOK
AT
% ALTERNATIVES
OF
ACT LIKE
OTHER % ASSESSMENTS WHERE THEY
GO
TO
A % TRADE
OR
TECHNICAL
COLLEGE.
% IT
WILL
GRADE
THEM
ON
SKILL
% BASE AND KNOWLEDGE
BASE FOR
THE
% FIELD THAT THEY'RE
PLANNING
TO % ENTER.%SO I THINK
WE
HAVE
TO
LOOK
AT
% EVERYTHING AND
NOT
JUST
GO DOWN
% ONE
PARTICULAR PATH IN
GRADING
% STUDENTS.
% >>
DO
YOU
FEEL
AS
THOUGH
WE % SHOULD --
YOU
ALMOST
SOUND
LIKE
% YOU
FEEL
LIKE
WE
SHOULD
DO
AWAY % WITH
THE
STANDARDIZED
TESTS.
% >>
SOME
OF THEM.
% I
THINK
WE
SHOULD GO
BACK
TO
% PROFICIENCY BASED
ASSESSMENTS.
% THEY
WORKED WELL
ESPECIALLY
% WHEN I WAS
IN SCHOOL.
% THEY WERE USED
TO
MEASURE
WHAT
% YOU
WERE
ACTUALLY
LEARNING,
NOT
% SOME FOREIGN ENTITY FROM
% OUTSIDE OF
THE
STATE
CREATING
% AN
ASSESSMENT
TO
SAY
YOU
SHOULD % KNOW X,
Y
AND
Z.
% TESTING AND
ASSESSMENTS IN
% GENERALS THE NUMBERS
CAN BE
% SKEWED.%THE
ASSESSMENTS
CAN BE
% INEQUITABLE.
% I
THINK
THERE
ARE
DIFFERENT
% FACTORS THAT
GO
INTO LOOKING AT
% ASSESSMENT DATA.
% >>
DO
YOU
FEEL
AS
THOUGH
% WISCONSIN
K-12
STUDENTS
ARE
% THEN ACTUALLY
BETTER
PREPARED
% FOR
WHATEVER
THEY
ARE
GOING
TO
% DO
OUT
OF
SCHOOL
THAN THESE
% RESULTS WOULD SHOW?
% >>
ABSOLUTELY MORE
THAN
LIKELY % YES.
% WHEN
I
WAS
IN
THE
CLASSROOM
AND
% TRAINING TEACHERS
FOR
MILWAUKEE % PUBLIC SCHOOL THAT
HAPPENED
TO
% BE
ON
THE
SCHEDULE
THAT
% STUDENTS WERE
TAKING
THE ACT
% ONE
DAY
AND
THE
NEXT
DAY
THEY
% TOOK
THE ACT
WORK
KEYS
% ASSESSMENT.
% MY
ATTENDANCE DROPPED
THE NEXT
% DAY.
% STUDENTS DIDN'T WANT
TO TAKE
A % BACK-TO-BACK TEST.
% THAT
HAS
CHANGED
IN
RECENT
% YEARS
WHERE
WE
DON'T
CONTINUE % TO
TEST OUR STUDENTS
% BACK-TO-BACK TO
BACK.
% I
LOOK
AT
QUARTERLY
ASSESSMENTS
% WOULD
BE
BETTER AND
JUDGING
% STUDENTS ON A
GENERALIZED
% PROFICIENCY-BASED ASSESSMENT.
% >>
WHAT
ABOUT
THE
ACHIEVEMENT
% GAP
AS
SHOWN IN
THESE TEST
% RESULTS?%HOW
REAL IS THAT?
% >>
I
THINK
WE'VE
ALWAYS
SEEN
% ACHIEVEMENT GAPS
ESPECIALLY
% BETWEEN AFRICAN-AMERICAN AND
% WHITE
STUDENTS BUT I
THINK
ONE
% OF
THE
INTERESTING TAKEAWAYS % FROM THIS
RECENT
BATCH
OF
TESTS
% IS
THAT
YOU
SEE
THAT
WHITE
% STUDENTS ARE
SCORING
LOWER
THAN
% THESE
ASSESSMENTS
SO
WE
CAN'T
% REALLY
USE
IT
AS A
GOOD
GAUGE
% ANYMORE.%BECAUSE WE
NEVER
UTILIZE
THE
% SCORES OF ASIAN
STUDENTS
WHICH
% TYPICALLY TEST HIGHER
ABOVE % WHITE STUDENTS.
% I
THINK
WHEN
YOU
LOOK AT
% SOMETHING AS A
BAROMETER
WE
% HAVE
TO
GO
DEEPER
INTO
NUMBERS % AND
FIND
OUT WHAT
IS
BEHIND
% THEM.
% >> YOU DEFINITELY
WOULD HAVE
TO
% GO
DEEPER
WITHIN
THE
NUMBERS
I
% IMAGINE BECAUSE
I CAN'T
IMAGINE
% THAT
ANYONE
IS GOING
TO
DO
AWAY % WITH THESE
STANDARDIZED TESTS.
% >> ABSOLUTELY.
% I'M NOT SAYING
THEY'RE GOING
TO
% GO
AWAY.
% WE NEED
TO
RE-EVALUATE WHAT % WE'RE
ASSESSING
AND
HOW WE'RE
% LOOKING
AT
THEM.
% >>
REPRESENTATIVE
LAKESHIA
% MYERS, I REALLY
APPRECIATE YOUR % TIME AND
INPUT.
% >> THANK
YOU SO MUCH.
% >>
NOW
TO
HEALTH
NEWS
AND
A
BAD % DIAGNOSIS REGARDING
UNPAID
% MEDICAL
BILLS.
% THE
WISCONSIN
HOSPITAL
% ASSOCIATION
REPORTS
A
7.6%
% INCREASE
IN
2018 IN
UNPAID
% PATIENT
BILLS.
% ALSO KNOWN
AS
UNCOMPENSATED % CARE.%THE TAB
TOTALS
A
DEBT
OF
1.2
% BILLION
DOLLARS
OWED
TO OVER
% 150
WISCONSIN
HOSPITALS.
% THESE
ARE
EXPENSES EITHER % PATIENTS
REFUSE
TO
PAY OR
% SIMPLY
CANNOT
AFFORD.
% THE
TOTAL
ALSO
INCLUDES
CHARITY
% CARE
PROVIDED
BY
HOSPITALS
AT
% NO
CHARGE TO
CERTAIN
QUALIFYING
% PATIENTS.%WE
WORK
THROUGH
THIS
% DEVELOPMENT
WITH
BOBBY
PETERSON
% THE
DIRECTOR
OF
ABC
FOR
HELP
% THAT
HELPS
PEOPLE FIND
% AFFORDABLE HEALTHCARE COVERAGE.%
THANK YOU
FOR
BEING
HERE.
% IN
YOUR
MIND
THE
OVERRIDING % COST OF
THIS
ARE
EFFORTS
TO
% UNDO
THE AFFORDABLE CARE
ACT
AT
% BOTH THE NATIONAL AND
STATE
% LEVEL.
% >>
WHEN
YOU
SOW
CONFUSION
YOU
% GET
PEOPLE
MORE TENTATIVE
% APPLYING FOR
PROGRAMS.
% THEY THINK
THEY
DON'T
EXIST.
% A LOT
OF
MARKETPLACE
CONFUSION % OUT THERE.
% SO
IT
LEADS
TO
PEOPLE NOT
% GETTING
THE
COVERAGE
THAT
THEY
% NEED
WHEN
THEY
GET
CARE
% OFTENTIMES THEY'RE
UNABLE TO % PAY
FOR
IT
.
% >>
SO
INCLUDED
IN
THIS IDEA
YOU
% SAY
IS
THAT
IN
WISCONSIN
THE
% MEDICAID OF
BADGERCARE
PROGRAM
% YOU
DESCRIBE
THE
ELIGIBILITY
% PROCESS AS
A
CORN
MAZE.
% JUST THE
DIFFICULTY
IN
% NAVIGATING
THE
SYSTEM, THE
CORN
% MAZE LEAVES
PEOPLE
GOING
% UNCOVERED?
% OR WHAT ARE
THE IMPLICATIONS?
% >>
SOMETIMES.% YOU THINK
ABOUT
IT
THERE
ARE
16
% DIFFERENT ELIGIBILITY
FEATURES % BETWEEN MEDICAID
AND
BADGERCARE
% IN
THE
MARKETPLACE
AND WHICH % WAY
DO
YOU
GO?
% PARENTS
ARE DIRECTED
TOWARD
THE
% MARKETPLACE.
% CHILDREN ARE DREKTD
TOWARDS
% BADGERCARE PLUS.
% FAMILIES
MIGHT
HAVE
SPLIT
% COVERAGE, DEPENDS
ON
THEIR
% INCOME,
HOW
IS
IT ATTRIBUTED
TO
% THEIR
CHILDREN?
% IT
CREATES
A
CORN
MAZE
% ELIGIBILITY.%FEELING
YOUR
WAY
THROUGH
THE
% PROCESS TRYING
TO
GAIN
% ELIGIBILITY.%SOMETIMES
YOU
MISS
OUT.% SOMETIMES
YOU
GIVE
UP.
% AND WHEN YOU
DO,
AND
YOU
HAVE % MEDICAL
CONCERNS
AND
MEDICAL
% ISSUES,
IT CAN
OFTEN
GO
UNPAID.
% >>
YOU ALSO
CITE
JUNK
INSURANCE.
% HOW
DOES
THAT
CONTRIBUTE
TO
% PEOPLE NOT PAYING
FOR
MEDICAL
% CARE?
% >>
BECAUSE
THE
INSURANCE ISN'T % PAYING WHAT
IT
SHOULD
BE.
% IF
YOU
THINK
ABOUT
% COMPREHENSIVE HEALTH INSURANCE %
THAT
COVERS MOST OF
THE
CARE
% NEEDS.
% INSURANCE
IS
CHANGING
SO
THERE
% IS MORE
CO-PAYMENTS
AND % DEDUCTIBLES.%WE
TALK
ABOUT SPECIFIC
% SOLUTIONS
AND
POLICIES
THAT
ARE
% TEMPORARY POLICIES,
ASSOCIATION
% HEALTH
PLANS,
THAT
REALLY NOT
% AS
ROBUST AS WHAT
WE
SEE
IN
THE
% AFFORDABLE
CARE ACT OR TYPICAL % PRIVATE
HEALTH
INSURANCE.
% >>
WERE
THESE
JUNK
PLANS LIKE
% DURING
WHEN
ACA
WAS
IN
FULL % FORCE THEY
DIDN'T
EXIST?
% >>
THEY CAME
--
THE
TRUMP % ADMINISTRATION
HAS
PUT
FORWARD
% RULES
THAT
HAVE
MADE
IT
EASIER
% FOR THOSE
PLANS
TO
GROW.
% PRIOR TO
THE
TRUMP % ADMINISTRATION THEY
WERE
MORE
% SPECIFICALLY EXCLUDED.%>>
WOULD
THAT BE
THE
CASE,
TOO,
% WITH THE KIND OF
CORN
MAZE
OF
% THE MEDICAID
PROGRAM IN
% WISCONSIN?%DID
IT
HAVE
TO
DO
WITH % TINKERING AROUND THE
EDGES?
% >>
I
THINK WISCONSIN DIDN'T
% EXPAND
MEDICAID
SO
WHEN
WE
% TINKERED AROUND
THE EDGES
AND
% SAID
WE
COULD
EXPAND
UP
TO
100%
% FOR
ADULTS
AND
UP
TO
306%
FOR
% SOME
CHILDREN
IT CREATES
% DIFFERENT ELIGIBILITY PATHWAYS.
% WHICH
WAY
DO
I
GO
FOR
MY
KIDS,
% MYSELF, MY
INCOME
IS
% FLUCTUATING.%I
MIGHT BE
ON
OR I
MIGHT
BE
OFF.
% >>
REALLY
COMPLICATED.
% >>
SEASONAL
EMPLOYMENT
OR
% SALES, FARMING
INCOME
THAT
% COULD
DROP
SUDDENLY
BECAUSE
OF
% FUEL COSTS
OR
OTHER
THINGS.% A
LOT OF
VARIABLES.
% IT
IS HARD
FOR
PEOPLE TO STAY % ON
TOP
OF.
% >>
YOU TALK ABOUT
SURPRISE % MEDICAL BILLS.%WHAT
ARE
THOSE?
% >>
THEY'RE
NOT NEW
TO
ME
% BECAUSE
I
HAVE
BEEN
PRACTICING % IN THIS AREA
FOR
30 YEARS.
% BASICALLY SOMETIMES
WHEN
YOU
% HAVE
A
BILL
THAT
WAS
UNEXPECTED
% AND
TYPICALLY
IT'S
BECAUSE
YOU
% ARE
PAYING
BEYOND
THE USUAL
AND
% CUSTOMARY
EXPENSES.% THE
HOSPITAL
SAYS
WE'LL
CHARGE
% YOU
$15,000
FOR
THIS
TREATMENT,
% THE
INSURANCE
COMPANY
SAYS
WE
% ONLY PAY
UP
TO $10,000.
% SO
YOU TYPICALLY
SIGN
A
WAIVER
% AND
AGREE
TO
PAY
WHAT
THE % INSURANCE
COMPANY WOULD PAY.
% YOU
THINK
YOU HAVE COVERAGE BUT
% THEN
YOU
HAVE A
$5,000
BILL
% BECAUSE YOU
HAVE AGREED
TO
% ACCEPT LIABILITY.
% YOU
SIGN A
LOT OF
PAPERS
WHEN
% YOU
GO
INTO
THE
HOSPITAL
OR DO
% THE TOUCH SCREEN.
% SOMETIMES IT
LEAVES
YOU
EXPOSED
%
TO MEDICAL BILLS
AND
LIABILITY.
% >> YOU SAY
WHAT
HAPPENS
IN
THE
% UNCOMPENSATED
AND
CHARITY
CARE
% SCENARIO IS
THAT
IT
GETS
SPREAD
% AROUND TO
OTHER
HOSPITAL
BILLS.
% SO WE'RE BASICALLY
ALL PAYING.
% >> RIGHT, AT
THE
END
OF
THE
DAY
% UNCOMPENSATED CARE
DOESN'T JUST
% VANISH
AND
DISAPPEAR.
% WE
TALK
ABOUT THE
SOCIALIZATION % AND
REDISTRIBUTION
OF
THE
DEBT % TO
EVERYBODY ELSE'S BILL.
% IT
BRINGS
UP
THE
COST
OF
% HEALTHCARE
IN
TERMS
OF
HIGHER
% COSTS,
MORE
EXPENSIVE
SERVICES
% BECAUSE
THOSE DEBTS
DON'T
JUST % DISAPPEAR.
% THEY
ACTUALLY HAVE TO
BE
% ABSORBED.
% >>
ISN'T
THAT WHAT
THE
% AFFORDABLE CARE
ACT
WAS
LOOKING % TO GET
AT EXACTLY?
% >>
RIGHT.
% YOU
THINK
ABOUT IT,
PAY ME
NOW
% OR
LATER.
% IF
WE
WILL
BE
PRO-ACTIVE
AND
% FRONT
END
LET'S
TRY
TO
MAKE
IT
% SEAMLESS FOR FAMILIES AND
KIDS % TOGETHER AS
MUCH
AS
POSSIBLE.
% LET'S
PROVIDE
A
COMPREHENSIVE % LEVEL OF
SERVICE AND
COVERAGE.% BECAUSE AT THE
END OF
THE
DAY
% IF
THEY
INCUR
MEDICAL
DEBT THEY
% CAN'T
PAY
IT
ENDS
UP
WE
ALL END % UP PAYING
FOR
IT IN
THE
LONG % RUN.
% >>
BOBBY, THANK
YOU
VERY
MUCH.
% THAT
IS ALL
FOR
TONIGHT'S
% PROGRAM.
% NEXT
WEEK
STATE
SCHOOL
% SUPERINTENDENT
CAROLYN
STANFORD % TAYLOR
WILL
JOIN US.
% I'M
FREDERICA
FREYBERG.% HAVE
A GREAT WEEKEND.