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-- will live from autos to health care and next guest is found some things that he likes about the health care plans of acting presidential candidate.
And think he did not lie and he knows what he's talking about here's Mark McClellan former head of the Food and Drug Administration.
Former administrator of the centers for Medicare and Medicaid.
Director of angle -- center for health care at the Brookings institute said mark thank you so much for being here.
They in this great to be with you mark there are similarities and Barack Obama and John McCain's health care plan that is efficiencies.
And -- using technology to reduce -- right.
That's right and that's an important point people view health care as an issue where there have been big philosophical debates.
But we're increasingly seeing candidates from both sides of the political aisle agreeing on one thing.
If we're gonna talk about Health Care Reform we really need to reform health care we need to.
Focus more on prevention and we need to focus more on what really works we need to get cost out of the system while we're still helping people stay healthier and that's a bigger part the candidates' proposals this year on both sides.
And it has been in the past.
Will it -- what but will it really happened how long we've been hearing talk about we need to apply the technology.
That all these other industries use.
Into the health care system and it's I it's a really just been -- hasn't -- there's never been X accuse him.
We've been here in the talk for a long time in the meantime health care costs keep going up enough enough.
It was really tough for Americans they just been talking about gas prices and energy costs leading to a bigger buyout -- Jackson.
Much more spending for employers.
That's the same thing that's true with health care except one of the main reasons that health care costs are going -- is not because of the prices but.
The quantities and you know what you spend on something is how much of that you buy in the price you pay for it in health care or spending much more on.
Treatments for complications that can be prevented an -- much more than we need to.
Based on some of the best medical evidence on how we can keep people with chronic diseases from having complications as well.
And what is changing now is that -- a lot more specific ideas out there are a lot of great effort headed by physicians by nurses by other health professionals by.
New electronically based health care organizations.
That are trying to take actual steps to improve care and what the candidates are recognizing is that.
Health policy needs to change so that we support those -- we -- just paying more.
For more services like we have in the past.
But we pay more for getting better health at a lower costs but neither you don't think either plan really cover the rising cost of health -- -- That's because they haven't yet spelled out how to do it on and I want give equal opportunity here on.
The democratic side senator Obama's plan talks about getting affordable coverage to all Americans.
But in order to pay for that he relies in large part on steps to reduce the cost of health care in this country by having more prevention by using.
Health Information Technology by treating chronic diseases better.
And on the Republican side for the first time and I can remember there aren't big new proposals for.
New government subsidies for health savings account for a new tax credits that.
Have additional government cost rather senator McCain's focus front and center on.
Bringing down the cost of treating chronic diseases and and increasing prevention for both.
Focusing on same issues that challenge is we don't yet have those answers spelled out.
How -- we actually gonna get there and that's why I hope more of the health care debate is gonna go in the weeks ahead and that's a lot of the work that we're focusing on now.
At our center -- I want they have to point out that Barack Obama's been pretty clear in terms of paying for his plan.
Also rolling back the bush tax cuts on people making over -- 50000 dollars a year.
That's right he's talked about rolling back the tax cuts on the wealthiest Americans and if you count that funding that would go towards the heart of the overall cost of paying for his health care plan.
-- a couple of challenges there though no more wind those tax cuts are scheduled to expire anyway under current loss on.
Some of the deficit projections that people have talked about for 2010 and beyond -- drop in the hundreds of billions of dollars range.
-- those tax cuts aren't counted so it's not.
Additional money it would be.
Potentially adding to our nation's deficits and the second challenge is that as he's made clear.
This doesn't go all the way towards covering the cost we've really got to reform the way that health care works.
If we have any hope of getting to sustainable affordable health insurance coverage -- -- mark.
You don't have much time but Barack Obama part of the plan is to create a Medicare like.
Public option for anyone at any age but do you think that that's the road though to complete government takeover of health care you don't have much it's -- to -- -- here.
Yes it could lead have more of a government take over -- a lot of innovative ideas out there -- in the private sector of the doctors hospitals health plans are trying we need more of that right away and hopefully we can have much more discussion about back to get lower costs and our health care system.
That was very says saint mark thank you so much Mark McClellan -- -- with a wrecking than -- former head of FDA and administrator for Medicare and Medicaid.
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