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| TIME | SPEAKER | TEXT |
|---|---|---|
| 00:00:05 |
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SURVEYS TELL US THAT THE C- SPAN AUDIENCE IS SPLIT 50/50 BETWEEN MALE AND FEMALE VIEWERS. C-SPAN,... |
| 00:00:18 |
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THE WHITE HOUSE TODAY HEARD FROM A GROUP OF HEALTH-CARE PROVIDERS ON RESTRUCTURING THE U.S. HEALTH-CARE... |
| 00:00:33 |
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THANK YOU. GOOD MORNING. I WANT TO THANK YOU FOR COMING TO WHAT I THINK IS OUR SIXTH MEETING LIKE... |
| 00:03:03 |
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IN THE PRESIDENT OF THE OSTEOPATHIC ASSOCIATION. |
| 00:03:10 |
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CHIEF EXECUTIVE OFFICER OF WALL SCRIPT AND WE DO ELECTRONIC HEALTH RECORDS. |
| 00:03:18 |
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A PROFESSOR OF HEALTH POLICY IN ATLANTA. |
| 00:03:25 |
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THE CEO OF KINDRED HEALTHCARE. |
| 00:03:40 |
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I REPRESENT AND THE UNITED STATES AND SEVERAL POSSE THEIR MAJOR ADVOCACY AND THE DISABILITY COMMISSION.... |
| 00:03:51 |
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I'M THE EXECUTIVE DIRECTOR OF THE NATIONAL ASSOCIATION OF SCHOOL NURSES. WE TAKE CARE OF KIDS AT SCHOOL.... |
| 00:04:02 |
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IN THE CHIEF OPERATING OFFICER AT THE HEALTH INITIATIVE AND WE ARE A MULTI -- WE ARE A NONPROFIT ASSOCIATION.... |
| 00:04:18 |
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PRESIDENT OF -- WE ARE DOING OUR BEST. |
| 00:04:34 |
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WE JUST HAD A REGIONAL SUMMIT ON MONDAY THERE. |
| 00:04:46 |
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I AM WITH MERCK. |
| 00:04:52 |
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I MAY MANAGING ATTORNEY TO HELP LOW-INCOME COMMUNITIES. |
| 00:04:59 |
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I AM WITH THE ADVANCED MEDICAL TECHNOLOGY ASSOCIATION. |
| 00:05:08 |
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WE ARE A 125 YEAR-OLD FAMILY BUSINESS. WE HAVE A COMMERCIAL SALES DIVISION. WE ARE TRYING TO STAY... |
| 00:05:26 |
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I AM WITH THE NATIONAL URBAN LEAGUE WITH THE POLICY INSTITUTE WHERE WE TO RESEARCH AND POLICY ANALYSIS.... |
| 00:05:33 |
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I AM WITH BLUE SHIELD OF CALIFORNIA. WE ARE A LARGE NONPROFIT HEALTH PLAN IN CALIFORNIA. WE HAVE... |
| 00:05:50 |
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IN THE CEO OF WATSON PHARMACEUTICALS. |
| 00:05:58 |
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I AND THE SENIOR VICE PRESIDENT FOR THE ALLIANCE FOR HISPANIC HEALTH. WE DELIVERED COMMUNITY-BASED... |
| 00:06:13 |
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WE ADVOCATE FOR A STRONGER PUBLIC HEALTH SYSTEM AND MAKING PREVENTION THE CENTERPIECE OF HEALTH REFORM.... |
| 00:06:22 |
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WE OPERATE HOSPITALS AND IN THIS YEAR'S CHAIRMAN OF THE FEDERATION OF AMERICAN HOSPITALS. |
| 00:06:33 |
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WE OPERATE 166 HOSPITALS IN 20 STATES ACROSS AMERICA. |
| 00:06:39 |
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EXECUTIVE VICE PRESIDENT OF THE UNITED HEALTH GROUP. WE SERVED APPROXIMATELY 70 MILLION AMERICANS.... |
| 00:06:52 |
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I AM CHAIRMAN AND CEO OF MEDCO HEALTH SOLUTIONS. WE MANAGE THE DRUG BENEFITS FOR ABOUT 65 MILLION... |
| 00:07:11 |
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I AM WITH THE CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM. WE PURCHASED HEALTH BENEFITS FOR THE... |
| 00:07:29 |
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VICE PRESIDENT OF HEALTH POLICY AT JOHNSON AND JOHNSON. WE HAVE PHARMACEUTICAL MEDICAL DEVICE CONSUMER... |
| 00:07:40 |
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A SENIOR FELLOW AT THE CENTER ON BUDGET AND POLICY PRIORITIES WHICH IS AN ORGANIZATION THAT ADVOCATES... |
| 00:07:54 |
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I AM A HEART SURGEON AT THE CHILDREN'S HOSPITAL IN BOSTON. I AM ON THE FACULTY AT HARVARD MEDICAL... |
| 00:08:20 |
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EXECUTIVE VICE PRESIDENT FOR PUBLIC AFFAIRS FOR EASTER SEALS. WE ARE THE LARGEST PROVIDER OF DISABILITY... |
| 00:08:38 |
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I AM WITH THE AMERICAN ACADEMY OF NURSING. WE ARE THE INSTITUTE OF NURSING AND WE ARE A POLICY THINK... |
| 00:08:57 |
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I AM WITH CONSUMERS UNION'S. WE DO BEST BY DRUGS WHICH IS A COMPARISON OF DIFFERENT TYPES OF DRUGS... |
| 00:09:13 |
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I AM THE PRESIDENT AND FOUNDER OF THE COMPANY WHERE WE HAVE A SMALL CHAIN OF RETAIL TOY AND HOBBY... |
| 00:09:29 |
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I AM WITH FAMILY VOICES, WE REPRESENT THE NEEDS OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND OUR... |
| 00:09:40 |
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THE PRESIDENT AND CEO OF GROUP HEALTH COOPERATIVE. WE ARE DISTINCT AND THAT WE RUN THE LARGEST SHARE... |
| 00:10:03 |
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I AM CHAIRMAN AND CEO OF A CORPORATION AND WE ARE THE LARGEST MAKER OF MEDICAL PRODUCTS USED IN THE... |
| 00:11:02 |
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WHAT SOLUTIONS NEW YOU NEED? |
| 00:11:04 |
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WE HAVE GONE IN THE LAST 12 YEARS FROM PAYING 100% OF OUR EMPLOYEES' HEALTH CARE COST TO SHIFTING... |
| 00:11:44 |
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EVEN WITH A HSA? |
| 00:11:47 |
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WE ARE SWITCHING TO THE HSA. THAT HAS STEMMED THE TIDE. WHAT WILL COME NEXT YEAR, I DO NOT KNOW. BUT... |
| 00:12:59 |
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U.S. SPECIFIC INSTANCES WHERE THERE WERE EMPLOYEES WHO WERE VERY ILL. WHAT YOU THINK IS CAUSING THE... |
| 00:13:11 |
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THERE IS AN EXAMPLE, AN EMPLOYEE WHO HAS A CHRONIC CONDITION. THEY HAD NOT CONTRACTED A CONDITION... |
| 00:14:13 |
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WHEN YOU HAVE TO SIGN UP AGAIN? |
| 00:14:15 |
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SEPTEMBER. RECAPPED ALL THIS OFF UNTIL SEPTEMBER. -- WE HAVE TO HOLD THIS OFF UNTIL SEPTEMBER BUT... |
| 00:14:27 |
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YOU ARE IN MARYLAND AS WELL. |
| 00:14:31 |
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RURAL APPALACHIA. MIKE AND CUT LEVELS OF RED PEPPER TO VARY FROM $15,000 TO $69,000. $18,000, IF YOU... |
| 00:17:51 |
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IT SOUNDS LIKE ONLY HALF OF YOUR EMPLOYEES TAKEN NOW. |
| 00:17:55 |
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RIGHT, BUT THERE ARE ANOTHER 30 BETTER COVER THROUGH A SPOUSE SOMEWHERE. I HAVE 20 PEOPLE THAT ARE... |
| 00:18:12 |
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WE GOT A LOT OF SMART PEOPLE AROUND THIS TABLE. LET'S TALK ABOUT WHAT WE CAN DO TO CONTROL COSTS.... |
| 00:18:26 |
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OBVIOUSLY THERE IS A COST PROBLEM. THERE ARE LOTS OF OPPORTUNITIES AND WHAT I HAVE BEEN TALKING ABOUT... |
| 00:20:12 |
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AND BY THE WAY, I THINK EVERYONE AS THE C-SPAN IS -- KNOWS THAT C-SPAN AS TELEVISING THIS. WHEN YOU... |
| 00:20:26 |
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I NEED TO EXPLAIN THAT. MY FATHER IS A PHYSICIAN. WHEN HE HEARS ELECTRONIC MEDICAL RECORDS, HE SENDS... |
| 00:22:13 |
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I SEE THE DOCTOR NODDING. |
| 00:22:15 |
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I THINK I WILL MAKE A FEW COMMENTS. THIS INSTRUMENT STILL CONTROLS 75% OF HEALTH-CARE EXPENDITURES... |
| 00:24:42 |
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AS YOU KNOW THE PRESIDENT AND CONGRESS ENACTED THE RECOVERY ACT, $19 BILLION FOR WIRING HEALTH CARE,... |
| 00:25:02 |
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DAVE IS RIGHT, WE HAVE A LOT OF STUFF IN SILOS. EVEN THOUGH WE HAVE THIS HUGE DATA BASE, WE ONLY GET... |
| 00:25:59 |
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THAT HAS BEEN AN ISSUE IN THE PAST WHERE I HAVE BEEN TOLD SOME CLINICIANS ARE NOT OPEN TO HEARING... |
| 00:26:10 |
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I THINK PROBABLY THE BIGGEST FEAR IS THE OTHER ONE IF YOU TOUCHED ON, WHICH IS IS GOING TO BE A GOLD... |
| 00:27:23 |
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I WANT TO RECOGNIZE MY COLLEAGUE WHO IS HERE. SHE IS AN ONCOLOGIST WHO WORKS AT A WHITE HOUSE ECONOMIC... |
| 00:27:44 |
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WE CERTAINLY SUPPORT THE STIMULUS EFFORT TO WIRE WRAPPED IT UP. WE WORK WITH A LOT OF A KEEP STAFF... |
| 00:29:31 |
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WE HAVE TO START WITH THE PATIENT. THE PATIENT AS FIRST, AND THEN THE PROBLEMS THAT PAT TALKED ABOUT... |
| 00:30:07 |
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PIMM THANK YOU FOR THE OPPORTUNITY TO BE HERE. I WOULD MAKE A FEW POINTS. OUR BOARD HAS BEEN WORKING... |
| 00:31:36 |
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CAN, YOU'VE GOT ON THE TRAIN. WHEN I HEAR CHRONIC DISEASE, I THINK IT. |
| 00:31:41 |
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WELL, THAT'S GOOD. I AM GLAD TO HEAR THAT. I WANTED TO GO BACK TO THE SMALL BUSINESS OWNERS, BECAUSE... |
| 00:35:22 |
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JACK. |
| 00:35:24 |
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I TALKED ABOUT WHAT CAN TALK ABOUT IT ONE OF THE THINGS THAT PRESIDENT SAID WAS THAT THERE WERE $650... |
| 00:38:12 |
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THERE IS SO MUCH MORE THAT WE COULD BE DOING. I AM GOING TO RECOGNIZE SUSAN. |
| 00:38:20 |
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THANK YOU FOR THE OPPORTUNITY TO BE HERE. HOW WAS IT HIGHLIGHT -- I WANTED TO HIGHLIGHT 1.6 MILLION... |
| 00:44:35 |
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THANKS. PAAL, TALK ABOUT YOUR INDUSTRY AND WHAT YOU'RE SEEING OUT THERE. |
| 00:44:47 |
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I RECOMMEND YOU AND THE ADMINISTRATION FOR ADVANCING THIS DISCUSSION. WHAT IS EVIDENT IS THE AMOUNT... |
| 00:47:43 |
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THANK YOU, AND I DO APPLAUD YOU AND THE ADMINISTRATION FOR TAKING THIS ISSUE ON. WE COULD NOT BE MORE... |
| 00:48:30 |
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HAS THAT INCREASED? |
| 00:48:35 |
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IT IS UP, IT HAS SLOWED DOWN REALLY RECENTLY. BUT ESCALATED DRAMATICALLY OVER THE LAST YEARS. AND... |
| 00:51:42 |
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TONY DID YOU HAVE SOMETHING? |
| 00:51:53 |
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A COUPLE OF OBSERVATIONS. IN 2001, WE REMEMBER THAT CONGRESS SAID THAT IT WAS TIME TO DO SOMETHING.... |
| 00:54:51 |
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THANK YOU. WE'RE TALKING ABOUT IN THE LIGHT. -- END OF LIFE. |
| 00:55:01 |
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UNITED HEALTHCARE HAS BEEN ONE OF THE BIGGEST SUPPORTERS OF A HOSPICE INDUSTRY IN THIS COUNTRY. I'M... |
| 00:57:54 |
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I APPRECIATE THE OPPORTUNITY TO SPEAK TODAY. AS PRESIDENT OF HOSPICE IN ASSOCIATION, OUR PROFESSION... |
| 00:59:51 |
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WE HAVE SMART PEOPLE FROM THE PHARMACEUTICAL INDUSTRY. I WANT TO CALL ON MY FRIEND CATHY AND JANE.... |
| 01:00:03 |
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THANK YOU SO MUCH FOR INVITING US TO THIS MEETING. I HAVE BEEN THINKING AND LISTENING AND WANTED TO... |
| 01:03:23 |
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YOU WORKED ON THAT 12 YEARS AGO. WE ALL KNOW, TONY, I HOPE YOU ARE WRONG. I HOPE WE WILL BE HEARING... |
| 01:03:39 |
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I THINK WE CAN GET TO IT NOW. I REALLY DID. |
| 01:03:44 |
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I 1 A: CHAIN WHO HAS ALSO WORKED ON THESE ISSUES. -- I WANT TO CALL ON JANE WHO IS ALSO WORKED ON THESE... |
| 01:04:15 |
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THERE ARE SO MANY GREAT IDEAS IN THIS ROOM. PUTTING THEM ALL TOGETHER IS THE CHALLENGE. |
| 01:04:23 |
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YOU'RE GOING TO HELP US WITH THAT. |
| 01:04:27 |
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I AM GOING TO TRY NOT TO BE REDUNDANT AND FOCUS ON OTHER THINGS THAT MERCK HAS BEEN DEALING WITH.... |
| 01:05:10 |
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THAT IS A GOOD THING. |
| 01:05:12 |
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IT IS A GOOD THING AND WE'RE THINKING ABOUT HOW ARE YOU AFFECTING -- HOW DO YOU AND SENT -- INCENT... |
| 01:06:47 |
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EVERYBODY AT THIS TABLE. |
| 01:06:49 |
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AND THE LAST THING THAT I WILL SAY, IT HAS BEEN SAID BEFORE BUT IT IS IMPORTANT, THE COMPARATIVE EFFECTIVENESS... |
| 01:07:21 |
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AND I WOULD NOTE, I WAS TALKING ABOUT HOW LONG IT TAKES FOR THINGS TO HAPPEN. BUT THERE HAS BEEN A... |
| 01:08:27 |
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BANK FOR THE OPPORTUNITY TO TALK. I THINK IT -- THANK YOU FOR THE OPPORTUNITY TO TALK. THE VALUE OF... |
| 01:11:43 |
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THANK YOU FOR INVITING US AND THANK YOU FOR ALLOWING US TO SPEAK. I WOULD LIKE TO THROW ANOTHER BIG... |
| 01:12:53 |
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I DID WARN YOU THAT WE ARE ON C-SPAN. LET'S KEEP IT THERE, ALL RIGHT? |
| 01:13:01 |
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I AM ESSENTIALLY PARAPHRASING MANY OF THE PEOPLE WHO HAVE LIVED THERE. THE OF LIVE THERE AT VARIOUS... |
| 01:14:23 |
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YOU TALK ABOUT LONG-TERM CARE, AND MAL IS REPRESENTING THE HEALTH-CARE INDUSTRY. I WANT TO GET SCOTT... |
| 01:14:38 |
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I HAVE HAD THE OPPORTUNITY TO WORK IN THE HEALTH CARE -- SORRY. I HAVE HAD THE OPPORTUNITY TO WORK... |
| 01:17:51 |
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YOU MENTIONED THAT THIS WOULD BE AN OPPORTUNITY TO OFFER AN INSURANCE PERSPECTIVE. I WOULD TELL YOU... |
| 01:21:40 |
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TOM, YOUR PERSPECTIVE IN CALIFORNIA. YOU'RE A VERY ASTUTE OBSERVER OF WHAT HAPPENED IN CALIFORNIA.... |
| 01:21:48 |
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THANKS, NANCY. I HAVE A SENSE OF DEJA VU THE BACK HERE IN THIS BUILDING. THE PRESIDENT REALLY WANTS... |
| 01:23:51 |
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I WANT TO GET TO DIANE AND SOME OF THE OTHER FOLKS IN THE ROOM. |
| 01:23:57 |
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THINK SO MUCH FOR HAVING US HERE TODAY. WE REALLY APPLAUD THE EFFORTS OF THE ADMINISTRATION TO TAKE... |
| 01:25:35 |
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TOM, YOU WANTED TO SEE YOU DID NOT ONE UP WITH THE SHARED RESPONSIBILITY ISSUE ON THE TABLE. I WOULD... |
| 01:25:49 |
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BACK IN 2002, OUR CEO ACTUALLY PRESENTED A PLAN FOR UNIVERSAL COVERAGE THAT HAD A SHARED RESPONSIBILITY... |
| 01:27:10 |
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BROOKE, WANTED TO GET YOU IN HERE TALKING ABOUT THE FAMILY VIEW OF THIS. |
| 01:27:15 |
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THANK YOU FOR THE OPPORTUNITY. I ACTUALLY WANT TO TAKE THIS OPPORTUNITY TO INFUSE ONE MORE POPULATION... |
| 01:27:39 |
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HAVE YOU FORGOTTEN THAT WAS STARTED WITH THE CHIP BILL. |
| 01:27:42 |
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KNOW, THAT WAS BIG. THAT WAS A HUGE WIN. WE'RE VERY PLEASED WITH THAT. AS WE'RE TALKING ABOUT HEALTH... |
| 01:29:13 |
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IS THE CHRONIC CARE POINT. |
| 01:29:17 |
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IF WE ADMINISTER THE CARE EARLY, THEY DID NOT GET OUT OF CONTROL. OFTENTIMES, WE FIND OUT THEY HAD... |
| 01:31:07 |
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I'M GOING TO GO TO AMY NOW. YOU KEPT MENTIONING SCHOOL NURSES. [LAUGHTER] |
| 01:31:15 |
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THERE IS AN INVISIBLE HEALTH CARE SYSTEM IN THIS COUNTRY THAT HAPPENS THAT OUR NATION'S SCHOOLS. THERE... |
| 01:33:00 |
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THANKS. DAN, I WANTED TO GET YOU IN ON HOW WE ENGAGE CONSUMERS. |
| 01:33:08 |
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THANK YOU VERY MUCH. I WAS JUST THINKING THAT CONSUMER REPORTS MAGAZINE IS 73 YEARS OLD. WE CALLED... |
| 01:37:42 |
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WE'RE DOWN TO THE LAST FEW MINUTES. WE WILL TALK TO GO -- |
| 01:37:55 |
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EVERYBODY THAT HAS BEEN SAID HERE IS BEEN SO GERMANE TO THE PEOPLE THAT WE SERVE ACROSS THE AGE SPAN.... |
| 01:40:37 |
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THEIR TWO ISSUES THAT WE'RE CONCERNED ABOUT AT THE MOMENT. IT IS ELEGANTLY LAID OUT, THE CONSUMER... |
| 01:41:27 |
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THE COMPANIES AGREE WITH THAT. THAT IS NOT A GREAT WAY TO BE DOING BUSINESS. |
| 01:41:34 |
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ONE THING THAT IS STILL AN ISSUE IS WHETHER THE CENTRAL BENEFIT PACKAGE JUSTIFIED IN TERMS OF THE... |
| 01:42:06 |
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YOU HAVE THAT FIGURED OUT, RIGHT? [LAUGHTER] PAUL USED TO DO THAT FOR A LIVING. |
| 01:42:14 |
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WE THINK THE OF THE RESTORATION HAS TAKEN SOME COURAGEOUS STEPS FORWARD IN LAYING OUT A NEW BUDGET.... |
| 01:42:20 |
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THANKS. |
| 01:42:25 |
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$600 BILLION IN OPTIONS. WE HAVE BEEN TALKING ABOUT EQUALITY SIDE, WAYS OF IMPROVING ACCOUNTABILITY... |
| 01:43:39 |
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CONGRESS TOOK AN IMPORTANT STEP LAST WEEK WITH THE BUDGET RESOLUTION. THEY UNDERSTAND THAT THIS IS... |
| 01:43:55 |
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THANK YOU SO MUCH FOR HAVING INVITED ME. IT HAS BEEN FASCINATED -- I HAVE BEEN FASCINATED TO LISTEN... |
| 01:44:14 |
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ALL OF US HAVE THAT GOAL. I THINK TONY PUT A VERY ELOQUENTLY. ARE WE GOING TO MOVE FORWARD THIS TIME?... |
| 01:44:23 |
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FROM OUR PERSPECTIVE, I WANT TO ADD ONE VERY PRACTICAL SOLUTION. AS A COINCIDENCE, WE HAVE BEEN DOING... |
| 01:47:24 |
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TO THINK I DID NOT GET TO CALL ON YOUR EARLIER. |
| 01:47:30 |
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JUST A WORD ABOUT INNOVATION AND RESEARCH AS A MOVE FORWARD WITH COMPARATIVE EFFECTIVENESS RESEARCH.... |
| 01:50:36 |
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PAUL, I DO NOT THINK I GOT TO CALL ON YOU. THEN EBONY, STEVE, AND JENNIFER. IT IS HARD. I THINK WE... |
| 01:50:50 |
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I WANT TO THINK -- I WANT TO THANK YOU FOR INVITING THE PHARMACEUTICAL MANUFACTURERS. THERE IS A LOT... |
| 01:52:02 |
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EBONY. |
| 01:52:07 |
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I JUST WANTED TO SAY THAT WE HAVE OVER 100 AFFILIATE'SS AND URBAN CENTERS ACROSS THE COUNTRY AS WELL... |
| 01:54:04 |
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IS A THEME THAT WE HAVE HEARD. STEVE. |
| 01:54:09 |
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I WANT TO FOCUS ON ENVIRONMENTAL HEALTH AS A STARTING POINT FOR PREVENTION. YOU CANNOT OVERSTATE THE... |
| 01:58:04 |
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JENNIFER, I WILL LET YOU HAVE THE LAST WORD AND THEN I WILL WRAP UP. SUMMARIZE EVERYTHING. |
| 01:58:10 |
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I WILL TRY TO MAKE IT MEMORABLE. I JUST WANTED TO BE THAT WE TRULY APPRECIATE THE SUPPORT OF YOUR... |
| 02:00:25 |
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I HAVE JUST ONE COMMENT. I THINK THE REAL STAKEHOLDERS HERE OF THE INDIVIDUALS. I WAS TOTALLY FRUSTRATED... |
| 02:02:24 |
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THANK YOU POOR -- THANK YOU FOR PROVIDING COVERAGE. WE WILL NEED ALL OF YOU TO CONTINUE AT THE TABLE.... |
NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.
