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New Day
CNN Money Now; New Mammogram Guidelines; Marty McFly Traveled to the Future on 10-21-2015 in "Back to the Future Part II". Aired 8:30-9a ET
Aired October 21, 2015 - 08:30 ET
THIS IS A RUSH TRANSCRIPT. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED.
[08:30:00] REP. ADAM SCHIFF (D), BENGHAZI SELECT COMMITTEE: It's a big job as secretary of state that involves more than the security of particular facilities. But the accountability review board did make recommendations about how that make sure that those requests reached the highest levels, the necessary levels, and how there were better management in the future. And one of the things that I think will be interesting to ask the secretary tomorrow is, how are those being implemented? How should the department be restructured to make sure that those requests are acted upon.
ALISYN CAMEROTA, CNN ANCHOR: Yes.
SCHIFF: Those are legitimate questions. But by and large, those have not been the questions this committee has been asking.
CAMEROTA: We will be looking for those answers tomorrow. Congressman Adam Schiff, thanks so much for being on NEW DAY.
SCHIFF: You bet. Thank you.
CAMEROTA: Let's get over to Michaela.
MICHAELA PEREIRA, CNN ANCHOR: All right, Alisyn.
There is a big change in recommendations for mammograms. Get them later. Get them less often. What led to yet another change in these guidelines? Well, we're going to ask the chair of the panel that made that decision.
(COMMERCIAL BREAK)
PEREIRA: All right, here we go with the five things to know for your new day.
At number one, we just received word a U.S. military fighter jet has crashed in the U.K. Local police say the pilot was killed, was believed to be the only person on board.
[08:35:01] Congressman Paul Ryan is willing to run for House speaker but is laying out some conditions for a run. He's demanding support from across the GOP, changing the direction of the party and also balanced time with his family.
Secretary of State John Kerry headed to Europe and the Middle East today. He will meet separately with the Israeli prime minister and the Palestinian president, hoping to stem the escalating violence between the two sides.
New York City Police Officer Randolph Holder has died after being shot in the head in East Harlem. The 33-year-old was a five year veteran of the force.
The New York Mets are a win away from their first World Series appearance in 15 years. They beat the Chicago Cubs 5-2 to take the 3-0 lead in the ML championship series. They play again tonight at Wrigley Field.
For more on the five things, be sure to visit newdaycnn.com.
Alisyn.
CAMEROTA: OK.
Well, the American Cancer Society revising its mammogram guidelines. We are talking to the man who helped make that decision to get some answers, next.
(COMMERCIAL BREAK)
CHRISTINE ROMANS, CNN CHIEF BUSINESS CORRESPONDENT: Welcome back. I'm Christine Romans with "CNN Money Now."
Are you stocks down this year? Well, you're in good company. Think legendary investor Warren Buffett. Take a look at some of his top investments, IBM, Coca-Cola, American Express, Procter & Gamble, all disappointing, plus Walmart, which is down more than 30 percent and the worst performer in the Dow.
Chipotle shares falling this morning. It reported quarterly sales growth of 12 percent. Hey, most companies would love those numbers, but that is Chipotle's worst growth in two years. The chain just isn't growing as rapidly as it once was. That's because it's already had a pretty big footprint, also almost doubling its number of restaurants in the last few years. We'll be right back.
(COMMERCIAL BREAK)
[08:40:43] CAMEROTA: When exactly should women start getting mammograms? Well, it depends on who you ask. The American Cancer Society releasing new guidelines changing the age of starting from 40 to 45. Why the change? Let's bring in Dr. Kevin Oeffinger. He's a physician and Memorial Sloan Kettering and chair of the guideline panel for the American Cancer Society that made these new recommendations.
Doctor, thanks so much for being here.
Why did you change the guidelines?
DR. KEVIN OEFFINGER, DIRECTOR OF CANCER SERVICES (ph), MEMORIAL SLOAN KETTERING: Thank you, Alisyn. First, it's very important to understand that the evidence is very
clear that age 45 the benefit outweighs the harms. But the women between the ages of 40 to 44 still enjoy benefit from that. There still is mortality reduction. It's just the evidence is a little less clear. And so we made a -
CAMEROTA: Well, wait, wait, if there's mortality reduction, if they still get a benefit, why change the guidelines? If you can a save one life, why not have them start at 40?
OEFFINGER: Wonderful question. The vast majority of women, over their lifetime, will not have breast cancer, especially younger women. And so doing so you're going to have a lot more screening exams, you'll have false positives and other problems related to that. Very important, as you look at the evidence, very clear black and white at the age of 45 as starting.
But, very importantly, the American Cancer Society strongly supported women age 40 to 44 having the opportunity to have a mammogram and we think that's best done in having a discussion with their healthcare provider, going over what the benefits are, what the limitations of mammography are, the potential downsides and importantly understanding the preferences and values so that they can make an informed decision.
CAMEROTA: So since this is just suggested at that age, between 40 and 45, and it's sort of optional, will insurance cover it?
OEFFINGER: We strongly lobby for that. That's an important part of American Cancer Society is pushing for it and saying that all women age 40 and older that want to have a mammogram that's ordered by their physician should be able to have that done.
CAMEROTA: Here's what's so confusing. There are varying guidelines. Let me put them up on the screen for everyone. The American College of OB/GYN, they say still get a mammogram at 40. You guy, the American Cancer Society, now say 45. The U.S. Preventative Services Task Force says you can start at age 50. What are women to think?
OEFFINGER: We'd like them to follow our guideline. If you look at the way that guidelines are developed, the U.S. Preventative Service Task Force new guideline won't be out until next year. The last one was in 2009. But the Institute of Medicine released kind of a template, a road map, if you will, for how to develop trustworthy guidelines. And we followed that template. It's a best practices model for looking at the evidence, both older evidence and very new evidence and understanding both the benefits and the harms in breast cancer screening.
CAMEROTA: Here is the most stunning bit of information that I read in preparing for this, and I do need you to address this. Last year results from a 25 year follow-up of two landmark studies on breast cancer tracking 90,000 women concluded that mammography did not reduce breast cancer deaths at all. Why are we getting mammograms?
OEFFINGER: One of the things that we found in looking at the evidence is that there is absolutely no question in the mind when you look at hundreds of studies and understand their methodological clause that mammography remains the single best tool for preventing a premature death in a woman with breast cancer. No question.
CAMEROTA: So you refute these two - these landmark studies that polled 90,000 women -
OEFFINGER: Most - most definitely.
CAMEROTA: That show that death was not prevented by mammogram. You disagree with their findings?
OEFFINGER: Most definitely. Because when you look at the sum of the evidence, when you look at all studies together, there's no question that mammography still saves lives. It is still the single best tool we have for saving lives.
CAMEROTA: Because what these studies found is that self-exams - exam, physical exam, does the same - does the very same thing as mammography. Do you think that mammography goes beyond what a doctor's exam or your self-exam does?
OEFFINGER: Most definitely. And that's what the consensus of all of the evidence, when you look at all studies together, shows.
CAMEROTA: Very quickly. There - you also have new guidelines about an exam, and I want to put these up. The old guideline was that regular breast exams by a doctor. The new is, no breast exam by a doctor. Why not have a breast exam by a doctor?
OEFFINGER: It's a great question. And we're certainly pushing that a little against tradition. But simply put, we found no evidence with well-designed studies that doing a clinical breast examination, an exam by a healthcare provider, in a woman that is asymptomatic, who is at average risk for breast cancer, changes outcomes. It doesn't improve our outcomes, and yet it does increase false positive rates.
[08:45:05] And so if we have something that doesn't improve it, regardless of how long we've been practicing it, don't we need to think, could we use that time better for counseling about the benefits and the other options of breast cancer screening?
CAMEROTA: Dr. Oeffinger, thanks so much for coming on to explain this. As always, women should check with their own personal doctor about what to do next.
OEFFINGER: Most definitely.
CAMEROTA: Thanks so much.
OEFFINGER: Thank you.
CAMEROTA: Let's get over to Michaela.
PEREIRA: Alisyn, on this very day Marty McFly and Doc Brown traveled to the future in the '80s movie "Back to the Future II." In the honor of "Back to the Future" Day we're going to bring in two of the people behind that movie magic coming up next.
(COMMERCIAL BREAK)
(CLIP FROM "BACK TO THE FUTURE PART II")
PEREIRA: The future has arrived! Wednesday October 21, 2015, also known as "Back to the Future" Day -- apparently even the White House has determined it -- the date when Marty McFly and Doc Brown travel to the future in "Back to the Future II." To celebrate, the 30th anniversary trilogy is being released on DVD and Blu-Ray.
We only have the two best guests here. Bob Gale, the screenwriter and co-producer of the "Back to the Future" movies, Alan Silvestri, the film's composer here.
Gentleman, this is such a delight a treat for us to have you here today.
BOB GALE, SCREENWRITER AND CO-PRODUCER, "BACK TO THE FUTURE": Well it's great to be here, Michaela.
ALAN SILVESTRI, COMPOSER, "BACK TO THE FUTURE": It's great to be here.
[08:49:58] PEREIRA: I have to tell you, though, first of all, I'm looking at you two handsome characters, you picked 30 years in the future. It was such an interesting idea in the future. Not 500 years. Not even a hundred years in the future. Have you spent the last 30 years thinking about the fact that this day was going to arrive?
GALE: Well sure. How would we not?
PEREIRA: Why did you choose 30 years?
GALE: Because in the first movie -- The movies are interesting and people still like them because it is a movie about families and generations. So 30 years is one generation. So the first movie goes from 1985 back to 1955. And it made sense that we were going to go forward in the next one 30 years for the symmetry.
PEREIRA: I like that. I'm hearing the music. So pivotal. So important. Such a big score. Did you know at the time that it would instantly take us back in time?
SILVESTRI: Absolutely not. And you know, the -- when you say big score, it is a - image wise, it's not a big film, but the story somehow was so big that the sense was we could do this kind of epic setting of a score. Even though, as I've been saying, we could expect to see Beaver Cleaver walk in front of the house at any point with the picket fence. So it was an interesting -- interesting combination of elements and here we all are 30 years later.
PEREIRA: And here we all are 30 years later. At the time of the first film, in particular, you already figured it out by the second one that there was a ground swell and people were loving the film and loving Michael J. Fox and the whole concept. But that first while, did you really think you would hit on something with the first film? GALE: Bob Zemeckis and I, my co-writer and the director, we came up
with this idea in 1980. We pitched it. Got a deal to write a script at Columbia Pictures. They said well, no, it's time travel. It's too nice. It's too sweet. We don't want to make it. And the project was rejected over 40 times throughout Hollywood.
PEREIRA: And that is a good message to screenwriters that are struggling out there.
GALE: It is. You have to just stay with it.
PEREIRA: You have to keep at it. Timing is everything. Well it is interesting because you talk about the time travel aspect. It can be kind of dicey. Carl Sagan said you guys nailed it. That's got to feel pretty good.
GALE: It feels great. Absolutely. We're huge Carl Sagan fans. Michio Kaku, he also endorses the movie, he loves it. I mean, it's entertaining.
PEREIRA: It is.
GALE: You know, we're not - you know, don't use this as your science essay, you know, to get into MIT.
PEREIRA: Although gentlemen, let's be real. Let's put up this (INAUDIBLE) of the things that the trilogy got right. Things like head sets. Biometrics. Flatscreen TVs. Drones. That seemed like a notion.
GALE: Drones was a great surprise.
PEREIRA: That is a pretty incredible thing.
GALE: Yes.
PEREIRA: Video conferencing, all sorts of, you know, hoverboard - okay, we're still working on the hoverboard. But can I bring us to the Cubs? I mean, you have to stop and recognize - granted, we know that Game 4 is today, Wrigley Field. They are down 3-0.
GALE: And they could end up being the Cubs again.
PEREIRA: They could be the Cubs very well again. But come on.
GALE: The irony of all this is that I'm a St. Louis Cardinals fan. Okay? So we needed a joke in the movie, something that would inspire Marty to do sports betting. Because that what the plot of part II is all about. So the idea was let's come up with the most absurd sports prediction that anybody could imagine. And what would that be?
SILVESTRI: And that was the one.
PEREIRA: Those poor Cubby fans. Can I do a little trivia? Because we have some super fans on our staff. Do you mind indulging our super fans -- GALE: Go for it.
PEREIRA: -- that have sent me questions that I was told they're mandatory to ask of you. Okay, here we go. First one, how did you come up with the name flux capacitor?
GALE: Oh my god. It was just some stupid scientific gobbledygook that, you know -- I don't know how much I had to drink that night.
PEREIRA: Okay. Did you write the line "Great Scott!" or did Christopher Lloyd come up with that on his own?
GALE: No. Bob Zemeckis wrote is that.
PEREIRA: That's awesome. He delivered it when he walked in the studio.
GALE: Yes.
PEREIRA: Was it more nerve-wracking to predict the future or attempt to accurately age your movie star? By the way, you can take a look on your screen, we'll show you Marty now versus the idea of what you thought he would look like now.
GALE: Well for the actors it was much more grueling for them to sit in the makeup chair for four hours and get that. And of course you look at how we aged them. We aged them more. We overdid it because we wanted to make a big contrast.
PEREIRA: Of course. You want that effect.
GALE: Right.
PEREIRA: Well gentlemen, this brings -- all three of us have just been reveling in old memories from the day. Thank you so much for this great film and the series, the trilogy. And thanks for helping us remember "Back to the Future" Day. Again, the White House determined today is officially "Back to the Future" Day. Congratulations.
(CROSSTALK)
PEREIRA: What a pleasure. Alan, Bob, thank you.
GALE: Thank you, Michaela.
SILVESTRI: Thank you.
PEREIRA: So give us an idea of what your favorite "Back to the Future" memory is. You can tweet us using #NewDayCNN, you can post a comment on Facebook.
[08:55:01] I know you have some memories, Chris. You have been quoting the movie pretty much all morning.
CHRIS CUOMO, CNN ANCHOR: I will tell you, one of the things I loved is when they went back to the sports almanacs and it allowed them to make bets and win all the -- that would be a nice, nice day for me. Great to have them here too, Mick. Well done. Well done.
All right. So we got "Good Stuff" for you coming up. Listen to this one. A groom gets cold feet, cancels a wedding just days to spare. How is that "The Good Stuff?" Find out ahead.
(COMMERCIAL BREAK)
CUOMO: "Good Stuff." Young bride in Sacramento jilted by a groom with cold feet. That's not good. But listen to this. The mother's first thought, other than to call (INAUDIBLE) on the guilty groom, give the $35,000 that they were going to spend on the meal to the homeless.
(BEGIN VIDEO CLIP)
UNIDENTIFIED FEMALE: When I found out on Monday that the wedding would not be taking place, it just seemed like of course this would be something that we would do to give back.
(END VIDEO CLIP)
PEREIRA: Look at that.
CUOMO: The meal was originally for 120 family and friends, lifted the spirits of strangers fallen on hard times. As for the also nonrefundable honeymoon? The bride and the mom went together.
(CROSSTALK)
CAMEROTA: That's it.
PEREIRA: Lemonade out of lemons.
CAMEROTA: Indeed.
PEREIRA: I love it.
CUOMO: Purpose out of pain.
PEREIRA: Yep.
CAMEROTA: Time now for "NEWSROOM" with Carol Costello.
