Also in this playlist...
This transcript is automatically generated
Care overhaul wages on in Washington a state of Vermont couldn't serve as the guy for national plan.
Lawmakers there rolled out the blueprint for health -- in 2006 with the goal of providing better medical care to patients while cutting costs.
And not raising taxes.
For more on how this plan works I'm joined by Vermont's Republican governor Jim Douglas warning governor good to see you.
Well thanks for having me.
So this is this this could be a terrific blueprint I've read a lot about this won't meet real.
When you to the legislature basically in 2006 and said let's figure out how to increase access improve quality contain costs.
What kind of blueprint did you guys create and are you happy with the accomplishments.
Well it's not something that's going to be transformed overnight but that was actually -- three when I initiated the blueprint when I came into office.
And I made it clear to vermonters that we have to think about new ways of providing health care the people of our state.
We have the second oldest population in America based on median age.
And obviously it's older people who generally have one or more chronic diseases and that's where the money is so we have to focus on prevention on early detection on screening.
On managing chronic illness.
A lot of the debate in Washington and elsewhere is about whether we have public insurance or private insurance that really misses the point.
We have to reduce the overall cost of care and think about a new way of delivering services.
How does what you guys accomplished hadn't didn't.
Perhaps be translated across the country -- it work.
Well I think it would Wear a small state obviously made up of small communities but.
The nation can be a divided up into.
Health care delivery service areas.
The key is to have a community care team.
To have doctors hospitals.
Behavior health specialists nutritionists.
All working together for the best interest of the patient.
We have to be sure that each individual has what we call medical home.
A primary care practice where he or she can receive the services necessary we have to change how we pay for health care in America.
We have to -- promote primary care more.
And encourage people to get those annual physicals to get their chronic disease managed well to.
To screen for illness so that expensive intervention isn't the only alternative.
We've got some pilot projects under way in Vermont on medication history.
They give you one example.
A woman and one of our communities went into the hospital with some stomach pain.
And instead of an X ray or exploratory surgery or something expensive.
The hospital emergency department was it will call up on the computer her medication history.
And find that she had missed -- renewing her ulcer medication so it was quite an expensive.
Really amazing because a lot of that of course has to do with the concept of of electronic records which is crucial but one of the things that you were able to -- Was -- were able to get.
All of the constituents involved there to contribute to the process and doing that without raising taxes you -- hospitals involved doctors involved.
It is that part when you see the administration doing -- or are we approaching it the wrong way.
Well it is important to have all the players at the table.
The private insurance companies have bought into this strategy Medicaid is participating through a waiver -- that we received from the federal government.
Frankly the only pair that's not get involved as Medicare.
And I've urged officials at the national level to to look at that and then make sure that they're part of this new -- approaching health care as well.
You know a lot of the attention has been on extending coverage and we certainly want to do that we've reduced our uninsured rate here from about 10% to about seven and a half.
But again it's not matter of just covering more people with insurance because we have to change the way we deliver -- We have to reduce costs otherwise regardless of whether it's public or private.
We're going to be broke.
You know governor a big concern that I have is a small business community and of course all the under employed in this country because as you very well know.
The costs of things like cobra like Theresa are just prohibitively expensive.
Are you not concerned that some of those programs.
-- ones that we should really be addressing.
Especially given the fact that so many small business owners create this job growth in this country -- -- used to create the job but in this country.
And I hope will again small businesses are indeed the backbone of America's economy and we have to support them.
What we have in Vermont is a a seamless.
Transition from one program to another in other words is the basic Medicaid program for those who were.
Income level then we have something called.
The Vermont health access plan for those who earn a little more.
And then we have us something called catamounts health.
Based on the mascot for our state university.
Smaller subsidies as people's income rise.
So I think that's model that works whether you're employed or.
We look at your income and provide a subsidy based on the amount that you -- So I think it's it's a system that can easily be replicated around the country.
Governor I have I have to tell you I didn't know a lot about it until I read about it about 3 hours earlier this morning and it looks really really interesting and I which were talking a lot more about it.
I thank you for joining us.
Well thank you Alexis.
Filter by section