Also in this playlist...
This transcript is automatically generated
Care debate in general has a lot of people I what I thought of you earlier on our -- board if you ever had to go without health care because I know I have.
Independently stay -- and it would be more expensive than the other can get it like -- and it was always.
Trouble I was freelancing for a long -- as a -- that why -- you got -- -- -- small business and otherwise and it's tough.
-- -- -- this should be a great guests that can also maybe answer some questions give us some perspective from the inside.
The health industry and that is that Mary Monday guard and that might very to have I think the great -- she's indeed climbing.
Mercy school of nursing my alma mater for.
For graduate school of journalism -- journalism got me it's not all coming together here.
He gave -- some perspective from me from the inside from senate actually providing care after that challenges.
And the system we have right now.
And what you can see is maybe a potential.
Positive coming from at the forms of fronts from Washington I guess.
I think would be the plan that the president's putting forth.
Has a lot of promise not only for those are already insured but for those who are not.
We've struggled for many many years really since Medicare Medicaid and 65 there was -- Mason opportunity then to get universal coverage and we miss that opportunity.
But today I think everything is right we know the costs are unsustainable and -- as clinicians working in the field.
What we're finding is that patients.
Are more and more -- likely to live beyond an acute episode that might have been very disabling or even.
-- accustomed to -- many many years ago with chronic illness is probably the most important.
Issue were struggling -- Chronic illness takes a lot more than acute medical interventions it takes.
Yeah a lot of counseling a lot of support -- -- support changing one's way -- And that kind of an environment where we have more -- more chronic illness with more and more.
Need for care and very little reimbursement for it.
We also know that many chronic illnesses and many acute illnesses could be prevented with early access to care and prevention.
And prevention costs money yeah and if we don't have it in the plan people who will not be able to ask you this.
This guy that is especially for the headline across from President Obama as we're watching him speak in eighteen -- Fox Business Network that was when the headline that caught my -- about -- -- less defensive.
About our treatment still meeting they have to do more preventive care what -- you do something like.
You know educate people in schools about better.
Better and gave me health care overall are better -- -- just aren't there any exercise -- -- -- it seems like it might be different routes despite just putting a plan in place said.
That could potentially.
Help solve this problem -- there are many you know many there -- many illnesses that they are not symptom -- Right high blood pressure is not some contentment.
And yet it's one of the biggest killers in American.
And for Americans -- -- if high blood pressure could be detected early.
And patients could be.
He helped to understand that even though.
They aren't feeling any -- -- -- high blood pressure.
They must keep taking their medications they must go on to nutrition guidelines they have to reduce all they have to keep their weight down.
And when you have a and -- a disease that is not symptomatic it's very very difficult to patients understand there's a -- they must follow.
That kind of prevention takes counseling.
Takes time from provider people aren't accessing -- -- Because they don't feel the need for right you don't need to get the doctor -- -- you keep your ideas about starting and in schools is crucial.
But it's not enough.
The other thing that's missing really is that patients are not -- -- aware.
And many providers are not that either about the value of evidence.
Evidence based practice is you know.
It's in every everything you read these days but it means is that care is determined by the research that underpins it.
In one of the most telling.
Areas -- evidence based practice first came to -- -- says was there wasn't paying about twenty years ago an overwhelming.
Evidence from back surgery for back pain then and then how large study was done that showed.
And -- and rest were probably more affected.
In many cases since surgery.
And cheaper and cheaper who came with bit less.
Did disability thereafter.
So -- sitting behind practice he's going to make things.
And better outcome.
Does that goes to the president's plan which is being pitched as an idea of saving costs not raising -- long term but let me ask you about some of the policy.
Good positions that are involved in this in the debate that's happening in Washington for background you're familiar with that you worked in 1993 right on -- to some extent of the president Clinton's plan at the time yes I so you mean you know the back and forth on this and we're back to some of those old arguments again effect on our comment board viewers are.
Commenting live as we speak and have been throughout the program there's a lot of people saying.
We can't afford this right now.
That's one complaint the other one as well if the government gets involved and and -- who brought this up earlier I think on the air.
Well what do they know about running something like this regret that we -- in private hands as a whole public private debate what he citizens.
We can't afford not to do it right now -- the concert just escalating so so rapidly we have government systems we have the VA we have Medicare and Medicaid.
One of the options it was in the 93.
Clinton health care plan which is.
Resurfaced with a different name on -- but these cooperatives which is a wonderful way.
For people to be able to access care and -- low premium because if you -- large pool of people than one -- -- who needs a transplant or something very very expensive doesn't.
Raise everybody's premium because the pool is big enough so we have these cooperatives as a private sector.
Option for people I think it'll be -- Very attractive.
And they won't feel that there you know having -- health care.
Number yeah I think they think that they promised that this public credit I did that it's hard to understand health care is -- -- Tough today conversational speaking unless you can make -- really personal waiting and his personal problem Maria personal -- That he -- it is similar to looking at the way of private and public school system are set up it in the ideal world if it was up and running.
Is that -- is that way to look at it because then it becomes a question of which facility private or public it's the best.
Equipment where the students get the most attention where they get the best teachers my -- he's in the public school systems is a great teacher.
But he knows that she's talked yourself -- how the teachers are lost to.
Private schools because they can be compensated better it's just an overall better working environment and the government can provide.
Just seems like a lot of times that it -- look at how good -- -- -- issues arise if if this type of program is up and running is that.
And you who could -- talk to say it again -- men and somebody -- the medical industry will be more attractive.
The better doctors to better treatment to be with a private.
And private health insurance or be able to provide here -- patients with private health insurance because he would have.
You know better facilities are better equipment where the government.
Just based on what we've seen it I'm done being able to divide it fun to resource is -- -- -- -- Providing it's somewhat different than the analogy of public and private -- ovals I think in health care what we're looking for as a standard of care.
It would be indistinguishable.
Whatever Payer was painful and if possible I do think it's possible I think the most and important way we can do that.
Is by getting prevention involved and you can't do them that universal health care and and whoever the -- is shouldn't make that much difference that is -- Problem -- -- still to some extent but if there's if there's a public private split what's mindset as a business -- to to provide health care and of the government's gonna pick it up they're still trying to figure that balance it seems.
Cindy but did that did that's -- -- mean they've got to figure out something that doesn't dis incentivize private.
Employers to provide health care to the employees don't think.
You picked on a very interesting.
Peace because if if all of a sudden health -- benefits are tax employer health -- -- -- -- which is that there will be a cascade right of people leaving.
It in an unsustainable way into an untested system that hasn't been built yet -- So I think the incremental -- don't tax -- especially -- -- I think it's it's incremental what we need to do and I think the president starting out -- anything half of 635.
Billion going to be from revenues it's going to be taxing very very high income people's health care.
Cost and the second will be from savings in Medicare and Medicaid and it's very important understand.
Then we shouldn't be talking about those savings in terms of fraud and abuse clinicians.
And they care about their patients are making a -- decisions they can't they don't have enough evidence to face about it.
And we don't have enough providers who primary care I spoke with me and man Friday.
Not just been audiences our president has today but I spoke with the education committee.
We need to build a primary care resource in this country for -- have universal access because we don't have enough primary care providers.
There's practitioners can be and very important part of that country we don't have enough physicians -- primary care so we're gonna build the system.
We have to build in a way that doesn't it disincentive.
The incentivize the private employers right now right I think the president understands that.
Yeah I think he's very incremental -- he's doing the right thing.
He's he's gonna move the system forwards that the trillion and it's going to quotes cost in ten years.
He's gonna save us money.
Watch the debate script a happy by the way it's headed their perspectives --
Filter by section