| 00:00:42 |
Baucus, Max - U.S. Senator, [D] Montana
THE CONGRESS JOB TO SCRUTINIZE THE CHOICES. WE MUST DETERMINE WHETHER HE'S CHOSEN WISELY. IM JUST AS INTERESTED AS THE PRESIDENT IN CONTROLLING HEALTH...
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| 00:06:13 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
CURRENT PROGRAM THEN AND ITS LEVEL. EVEN THOUGH FUNDING FOR OUTREACH ACTIVITIES TO ENROLL CHILDREN HAD BEEN PROVIDED AN EARLIER BUDGET LAST YEAR'S BUDGET...
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| 00:08:22 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
THE BUDGET AND HOW WE CAN SOLVE THOSE PROBLEMS. ONE TROUBLING AREA IS PHYSICIANS PAYMENTS. THE PHYSICIAN PAYMENT SUSTAINABLE GROWTH RATE WE REFER TO...
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| 00:13:46 |
Baucus, Max - U.S. Senator, [D] Montana
INVOLVES THE HIRING OF
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| 00:13:47 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
PRIVATE INVESTIGATORS BUY WHY IF TO FIND DIRT SAFETY OFFICER AND FDA INVESTIGATORS COMMITTING A CRIMINAL REFERRAL TO THE UNITED STATES ATTORNEY'S OFFICE...
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| 00:14:36 |
Baucus, Max - U.S. Senator, [D] Montana
MY APPRECIATION TO COME TO TALK ABOUT THE BUDGET. OBVIOUSLY MEDICARE IS 56% OF THE $737 BILLION OUR DEPARTMENT ADMINISTERS. SO IT'S THE BIGGEST PART...
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| 00:14:49 |
Leavitt, Michael O. - Secretary, Utah
THE REASONING OF OUR BUDGET. MAY I JUST ACKNOWLEDGE THAT WE VIEW THIS BUDGET AS A START WARNING ON THE CURRENT COURSE. IF IT REMAINS ON AUTOPILOT 11...
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| 00:21:31 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
CAN WE HONESTLY ENGAGE IN A GOOD,
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| 00:21:37 |
Leavitt, Michael O. - Secretary, Utah
SOLID DISCUSSION ABOUT HEALTH CARE PRIORITIES MEDICARE, MEDICAID AND SCHIP EXPANDING. YOU HAVE ASKED
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| 00:21:47 |
Baucus, Max - U.S. Senator, [D] Montana
FOR A HUGE TARICANI AND CUTS. WHICH THIS CONGRESS IS NOT GOING TO ENACT. I MIGHT SAY THAT YOUR REQUEST, YOUR BUDGET REQUEST ALSO SOUNDS VERY MUCH LIKE...
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| 00:24:58 |
Leavitt, Michael O. - Secretary, Utah
DIFFERENTIAL? >> I'D LIKE TO ADDRESS THAT. LET ME ACKNOWLEDGE THAT THE TOOLS THAT ARE AVAILABLE TO THE BUDGET MAKER RIGHT NOW IN MEDICARE ARE RELATIVELY...
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| 00:25:17 |
Baucus, Max - U.S. Senator, [D] Montana
MEDICAID BUT IN HEALTH CARE GENERALLY. AND I'D
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| 00:25:20 |
Leavitt, Michael O. - Secretary, Utah
LIKE TO TAKE OUT YOUR OFFER TO TALK SOME ABOUT HOW WE CAN REDUCE COSTS IN HEALTH CARE GENERALLY. >> WHERE DO I SEE IN YOUR BUDGET A GOOD HONEST TO GOODNESS...
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| 00:25:48 |
Baucus, Max - U.S. Senator, [D] Montana
DO THAT THERE ARE FOUR CORNERSTONES YOU AND I HAVE TALKED ABOUT BEFORE. ELECTRONIC MEDICAL RECORDS,
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| 00:25:54 |
Leavitt, Michael O. - Secretary, Utah
DEFINING WHAT QUALITY IS, GIVING CONSUMERS INFORMATION ABOUT WHAT QUALITY IS IN PRICE, CREATED INCENTIVES SO IF A PROVIDERS ON THE BASIS OF THEIR VALUE...
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| 00:26:44 |
Baucus, Max - U.S. Senator, [D] Montana
COMPETITION FROM THE LOW
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| 00:26:46 |
Leavitt, Michael O. - Secretary, Utah
COST. >> IT SOUNDS LIKE YOU WANT TO PRIVATIZE MORE. >> I WOULD LIKE TO SEE CONSUMERS INVOLVED BECAUSE I THINK IT SOUNDS LIKE -- >> SECRETARY, I DON'T...
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| 00:27:08 |
Baucus, Max - U.S. Senator, [D] Montana
A LARGE COMPONENT
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| 00:27:10 |
Leavitt, Michael O. - Secretary, Utah
AND MEDICARE WE'RE TRYING TO GET HEALTH CARE COSTS DOWN GENERALLY, WHETHER IT'S PRIVATE PAY FOR SERVICE, MEDICARE DAMAGE OR
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| 00:27:17 |
Baucus, Max - U.S. Senator, [D] Montana
FEE-FOR-SERVICE OR WHATEVER IT IS, THAT WOULD BE GREAT. I SEE NOTHING THERE. AGAIN, JUST IDEOLOGIES YOU WANT HEALTH CARE PRIVATIZED. AND YOU WANT TO...
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| 00:27:52 |
Leavitt, Michael O. - Secretary, Utah
BAXTER? >> MY LETTER TO THE FDA DATED JANUARY 10, 20008I REQUESTED AN FDA MAKE AVAILABLE THE EXECUTIVE SECRETARY FOR AN INTERVIEW WITH MULLAHS COMMITTEE...
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| 00:28:23 |
Baucus, Max - U.S. Senator, [D] Montana
ME THE INFORMATION THAT I SAW PURE THAT
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| 00:28:26 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
IS OF COURSE AND ODDBALL RESPONSE. NOW I APPRECIATE THAT, BUT IT'S NOT A VERY HELPFUL RESPONSE, SO A VERY SIMPLE QUESTION, COULD YOU MAKE SURE THAT...
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| 00:29:07 |
Leavitt, Michael O. - Secretary, Utah
THE INVESTIGATOR AND SO FORTH, AND WE'D BE HAPPY TO CONTINUE THIS DIALOGUE. I WANTED COOPERATIVE I'M NOT FAMILIAR WITH THIS SITUATION
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| 00:29:15 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
THIS IS 1I WILL HAVE TO RESPOND LATER ON. >> OKAY. I WOULD ONLY ASK YOU, I
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| 00:29:21 |
Leavitt, Michael O. - Secretary, Utah
DON'T BLAME YOU. I PLANT THE JUSTICE DEPARTMENT, BUT REMEMBER IT TOOK US TWO YEARS TO BE ABLE TO QUESTION AGENT WEST AND I DON'T WANT TO GO THROUGH THAT...
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| 00:29:38 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
ANSWER AND GET TOGETHER. >> I'D LIKE TO NOT GO THROUGH WHAT WE DID BEFORE EITHER. >> THANK YOU. I APPRECIATE THAT THE ADMINISTRATION HAS MOVED UNDER A...
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| 00:30:00 |
Leavitt, Michael O. - Secretary, Utah
ENOUGH TIME TODAY TO DO THAT, SO DO THAT IN WRITING. BUT I WOULD LIKE TO HAVE YOU TODAY
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| 00:30:06 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
ELABORATE FURTHER ON WHEN THE ADMINISTRATION DETERMINED THE ADDITIONAL FUNDING FOR SCHIP WAS NEEDED AND MAY BE BUT WAS A STATISTICAL BASE OR PHILOSOPHICAL...
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| 00:31:11 |
Leavitt, Michael O. - Secretary, Utah
THREE THINGS. THE FIRST IS WE STARTED, WE DROPPED OFF THE 08 YEAR AND ADDED 2013 BECAUSE 2013 IS MORE EXPANSIVE THAN WAS 08. THE SECOND THING IS THAT...
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| 00:33:30 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
WITH YOU MR. SECRETARY. LET ME ALSO SAY WE APPRECIATE SENATOR GRASSLEY, SENATOR
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| 00:33:37 |
Leavitt, Michael O. - Secretary, Utah
CRAPO, SENATOR STABENOW, ALL
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| 00:33:39 |
Wyden, Ronald "Ron" Lee - U.S. Senator, [D] Oregon
OF THEM PART OF THIS EFFORT AS WELL. MR. SECRETARY, I BELIEVE THAT YOU CARE ABOUT THE POOR AND LESS FORTUNATE, BUT THIS BUDGET DOES NOT CARE ABOUT THE...
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| 00:35:04 |
Leavitt, Michael O. - Secretary, Utah
IT IS POSSIBLE. A VERY IMPORTANT PART OF THAT WOULD BE WHAT WAS REFERRED TO EARLIER IN THE CORRECTING THE BLATANT DISCRIMINATION THAT EXISTS IN THIS...
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| 00:36:05 |
Wyden, Ronald "Ron" Lee - U.S. Senator, [D] Oregon
THE DISCUSSION CODE SEEMS TO ME IN TERMS OF THIS BUDGET, ONE AREA THAT IS GOING TO WORK A PARTICULAR HARDSHIP IS THERE AN AWFUL LOT OF SHIFTING OF THE...
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| 00:37:08 |
Leavitt, Michael O. - Secretary, Utah
IS BEING USED AS A MEANS IS BEING ABLE TO FUND A LOT OF THINGS THAT ARE NOT HELD RELATED. FOR EXAMPLE, IN ONE STATE THAT I AM AWARE OF MEDICAID FUNDS...
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| 00:37:56 |
Wyden, Ronald "Ron" Lee - U.S. Senator, [D] Oregon
DOING MY BEST TO DO THAT BECAUSE BE ON YOUR WATCH WE STILL HAVE AN OPPORTUNITY TO INSOLENT THE DEBATE. RAFIQ AND BRING THE WHITE HOUSE OVER TO SAYING...
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| 00:38:46 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
WAS 4,160,000,000 THAT THE CONGRESSIONAL BUDGET OFFICE SAYS THAT THE ACTUAL COST WAS GOING TO BE 2,062,000,000, AND THIS GETS BACK TO SOMETHING, WHEN...
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| 00:39:59 |
Leavitt, Michael O. - Secretary, Utah
NUMBERS. >> SINCE THE CHAIRMAN STEPPED UP, SENATOR SCHUMER IS NEXT. >> THANK YOU. I THINK IT WOULD BE NEXT EVEN IF HE DID NOT STEP UP. >> I WILL SHOW...
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| 00:40:20 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
COMING. MY FIRST QUESTIONS ARE ON GENERIC
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| 00:40:23 |
Schumer, Charles E. - U.S. Senator, [D] New York
BIOLOGICS AND I WOULD LIKE TO FOCUS ON THE PROPOSALS INCLUDED IN THE PRESIDENT'S BUDGET 20094 FDA.
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| 00:40:30 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
THE PROPOSALS IN NEW REGULATORY PATHWAY FOR FOLLOW ON BIOLOGICS.
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| 00:40:34 |
Schumer, Charles E. - U.S. Senator, [D] New York
THE BUDGET STATES SUCH A PATH WE SHOULD PROTECT PATIENTS' SAFETY, PROMOTE INNOVATION AND BE FINANCED BY USER FEES. AS YOU KNOW, SENATOR CLINTON, CHAIRMAN...
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| 00:42:52 |
Leavitt, Michael O. - Secretary, Utah
AND THERE ARE LOTS OF ISSUES THAT YOU ARE FAMILIAR WITH. WE ARE ANXIOUS TO SEE A BIPARTISAN PROPOSAL THAT COULD BE ARRIVED AT. >> THE IDEA OF THE THE...
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| 00:43:24 |
Schumer, Charles E. - U.S. Senator, [D] New York
PRINCIPLES. WE NEED A CLEAN PATHWAY APPROVAL THAT IS DRAWN BY SCIENCE
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| 00:43:30 |
Leavitt, Michael O. - Secretary, Utah
AND ALLOWS THE FDA DISCRETION BASED ON THE SCIENCE. SECOND WE MUST ALLOW FOR
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| 00:43:35 |
Schumer, Charles E. - U.S. Senator, [D] New York
INTERCHANGEABILITY AND COMPARE ABILITY. IT IS CREDIBLE -- CRITICAL TO ACHIEVE SAVINGS WHAT PATHWAY DOES NOT REALLY HELP EITHER COMPETITION ARE SCIENTIFIC...
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| 00:44:44 |
Leavitt, Michael O. - Secretary, Utah
THIS COUNTRY. I GO OF STATE NEW YORK. I'VE BEEN INTERESTED IN DIABETES AND WE HAVE DIABETES LEGISLATION , TO TRY TO CHANGE THE WAY TO FUND IT. I MEET...
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| 00:46:14 |
Leavitt, Michael O. - Secretary, Utah
BASED ON THE WAY IT IS DOING AND WERE JUST LOOKING FOR WAYS TO REFINE THE SYSTEM, NOT TO ELIMINATE IT. >> I THINK YOU HAVE DONE A PRETTY GOOD JOB OF...
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| 00:46:41 |
Schumer, Charles E. - U.S. Senator, [D] New York
COMMITTEE, BUT MY GOOD FRIEND FROM OREGON ALWAYS URGES BIPARTISAN DISCUSSIONS,
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| 00:46:50 |
Baucus, Max - U.S. Senator, [D] Montana
BUT THEN THE COMMENT THAT THIS
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| 00:46:52 |
Kyl, Jon - U.S. Senator, [R] Arizona
BUDGET DOES NOT CARE ABOUT THE POOR, OF COURSE THE BUDGET IS NOT AN AN IMMENSE SUBJECT. IS INANIMATE BUT THE PEOPLE THE PUT IT TOGETHER OF IS THE CARE...
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| 00:48:47 |
Leavitt, Michael O. - Secretary, Utah
IN ORDER TO HAVE A SUSTAINABLE MEDICARE, WE HAVE TO CREATE A SYSTEM THAT OF HEALTHCARE GENERALLY, BECAUSE MEDICAID, ALL HEALTHCARE IS A BIG PART OF...
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| 00:50:18 |
Leavitt, Michael O. - Secretary, Utah
EVERYTHING THAT GOES TOWARD THE WOULD TAKE UP THE MEDICARE. THIS IS AN EMERGENCY AND IT IS NOT VERY LONG IN COMING. 11 YEARS WILL HAPPEN FAST. >> IN...
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| 00:50:49 |
Kyl, Jon - U.S. Senator, [R] Arizona
ARTICULATED? >> WE NEED MORE THAN A CHANGE IN BUDGET. WHEN 80 CHANGE IN PHILOSOPHY AND THAT PHILOSOPHY COULD WORK TO THE BENEFIT OF CONSUMERS BECAUSE...
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| 00:51:13 |
Leavitt, Michael O. - Secretary, Utah
YOU HAVE PROPOSED HERE A CUT IN MEDICARE OR A CUT IN MEDICAID? >> LET ME SAY WITHOUT EQUIVOCATION THERE ARE NO CUTTS IN THIS BUDGET. IT WILL CONTINUE...
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| 00:51:31 |
Kyl, Jon - U.S. Senator, [R] Arizona
ARE SIMPLY REDUCING THE RATE OF GROWTH. >> THANK YOU MR. SECRETARY US THE DOES THAT ADJUST SUFFICIENTLY
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| 00:51:40 |
Leavitt, Michael O. - Secretary, Utah
FOR INFLATION INCREASES IN POPULATION INCREASES? >> IF WE DON'T GET MEDICAL INFLATION IS A FUNCTION. >> I'M ASKING, IS THIS DEBATE A CUT OR NOT? DOES...
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| 00:51:57 |
Baucus, Max - U.S. Senator, [D] Montana
YEARS? DOES IT ALSO ACCOMMODATE POPULATION INCREASES OVER THE YEARS? >> THE BUDGET GROWS AT 5% THAT YEAR AND YOU CAN APPLY THAT TO WHICH EVER FACTORS...
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| 00:52:06 |
Leavitt, Michael O. - Secretary, Utah
LIKE. >> AT THINK IT WILL BE MORE THAN
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| 00:52:10 |
Baucus, Max - U.S. Senator, [D] Montana
THAT. SENATOR ROBERTS. SENATOR FLANDERS EARLIER, BUT YOU WERE IN THE LIST
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| 00:52:22 |
Leavitt, Michael O. - Secretary, Utah
NEXT. YOU DON'T HAVE TO GO WITH YOU DON'T WANT TO. WE CAN ALWAYS GO TO
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| 00:52:28 |
Baucus, Max - U.S. Senator, [D] Montana
SOMEBODY ELSE. >> I'M GETTING MY TRACK SHOES ON. >> OKAY, LET HER RIP. >> I HAVE NOT STARTED YET COME UP WITH THAT BACK AT FIVE. THANK YOU ALL ABOUT...
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| 00:52:52 |
Roberts, Pat - U.S. Senator, [R] Kansas
SECRETARY, THANK YOU FOR COMING IN THANKS FOR THE SENATOR FROM ARIZONA FROM PUTTING OUT SOME THINGS THAT WE ON THE DEER. THANK YOU FOR YOUR COMMENTS...
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| 00:53:03 |
Unidentified Speaker, -
GREATER GROWTH, MORE SAVINGS ON PREMIUMS
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| 00:53:06 |
Roberts, Pat - U.S. Senator, [R] Kansas
IN 85% OF THE PEOPLE AGREEING IT IS IT BETTER PROGRAM FOR GOING OF THE CHAIRMAN INDICATED WE NEED TO GET THAT HE 5% FIGURED OUT. WE CANNOT EVEN GET 85%...
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| 01:00:08 |
Baucus, Max - U.S. Senator, [D] Montana
IT IS A BLUNT
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| 01:00:09 |
Leavitt, Michael O. - Secretary, Utah
END IN SENSITIVE SYSTEM IN MANY WAYS. WHAT WE AGREE ON, I THINK UNIVERSALLY IS IT HAS TO BE FIXED. WILL WE CAN'T EVER AGREE ON IS WHAT SPECIFICALLY...
|
| 01:01:50 |
Roberts, Pat - U.S. Senator, [R] Kansas
WILL BE 423 HOME HEALTH-CARE PROVIDERS OF ALL NOT HAVE MEDICARE AND I DON'T KNOW WHAT IS GOING TO HAPPEN TO THE PEOPLE THAT THEY SERVE. IF THEY GET...
|
| 01:03:46 |
Leavitt, Michael O. - Secretary, Utah
WANT TO FIND SUCCESS. >> WELL, WE MAY HAVE A LOT OF BABIES BORN IN PICKUPS IF WE ARE NOT CAREFUL. >> PROBABLY NOT FOR MEDICARE BENEFICIARIES. >> I AM...
|
| 01:04:09 |
Roberts, Pat - U.S. Senator, [R] Kansas
SOME -- OBVIOUSLY I KNOW YOU ARE HEARING FROM MY COLLEAGUES AND I HEARD THE OPENING STATEMENT BY THE CHAIRMAN AND I AGREE
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| 01:04:15 |
Leavitt, Michael O. - Secretary, Utah
WITH SIGNIFICANT COMPONENTS. LET
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| 01:04:17 |
Roberts, Pat - U.S. Senator, [R] Kansas
ME HIT ON SOMETHING WE AGREE ON A FIRST FOR A MOMENT IF I CAN BECAUSE I WANT TO RELEASE IT THE RECORD CLEAR
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| 01:04:23 |
Kerry, John F. - U.S. Senator, [D] Massachusetts
ON HOW THIS MIGHT BE HELPFUL AND THAT IS ON THE ISSUE OF E PRESCRIPTIONS FOR THE WEEK OF THE BILL, A BIPARTISAN BILL THAT WE HAVE PUT IN, WHICH WOULD...
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| 01:05:25 |
Leavitt, Michael O. - Secretary, Utah
NEED TO. >> STANDARDS ARE IN PLACE IN THE TECHNOLOGY IS THERE AND WE COULD GO FORWARD IN YOUR JUDGMENT. >> MY JUDGMENT WE COULD AND WE SUPPORTED AND...
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| 01:05:47 |
Kerry, John F. - U.S. Senator, [D] Massachusetts
CONCLUSION THAT THIS IS -- AND I'VE ALWAYS HAD A LOT OF RESPECT FOR
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| 01:05:53 |
Leavitt, Michael O. - Secretary, Utah
YOU AND I THINK YOU ARE ONE OF THE MORE ARTICULATE PERSONS IN THE ADMINISTRATION AND I KNOW YOUR HISTORY
|
| 01:05:59 |
Kerry, John F. - U.S. Senator, [D] Massachusetts
AND YOUR STATE AS THE GOVERNOR AND I RESPECT IT, SO I DON'T KNOW COMPLETELY WITH THIS IS OF YOUR DESIGN OR SOMEONE ELSE'S, AND YOU DON'T EVEN -- THAT...
|
| 01:10:35 |
Leavitt, Michael O. - Secretary, Utah
BUDGET. EACH TIME I AM REQUIRED TO GO THROUGH A PRICE SETTING SYSTEM WHERE, IN
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| 01:10:40 |
Kerry, John F. - U.S. Senator, [D] Massachusetts
ORDER TO PRESENT A BUDGET THAT CAMBY SCORED AND THE CURRENT RULES, I
|
| 01:10:44 |
Leavitt, Michael O. - Secretary, Utah
TO DO WITH THE PRICE-FIXING SYSTEM. IF I COULD PRESENT A BUDGET THAT WOULD SAY, LET'S TAKE A LOOK AT WHAT WOULD HAPPEN IF BENEFICIARIES OF MEDICARE...
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| 01:12:20 |
Kerry, John F. - U.S. Senator, [D] Massachusetts
ON IT. MY TIME IS UP AND I WOULD UP IN A DIFFERENT GROUND TO HAVE BEAUTY ME UP AND I COULD BREAK INTO SONG. >> THANK YOU SENATOR. >> MR. SECRETARY,...
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| 01:12:36 |
Leavitt, Michael O. - Secretary, Utah
OF SYMPATHY FOR YOU BECAUSE YOU ARE CONSTRAINED BY BUDGET RULES, SCORING RULES FROM PRESENTING, FROM WHAT THEY HEAR FROM YOU, IN A MARKET INCENTIVE
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| 01:12:52 |
Kerry, John F. - U.S. Senator, [D] Massachusetts
SYSTEM THAT I SUSPECT IN THE AND THE AMERICAN PEOPLE
|
| 01:12:54 |
Smith, Gordon H. - U.S. Senator, [R] Oregon
WOULD FIND MORE SATISFYING THAN WHAT IS BEING OFFERED ON THE CAMPAIGN TRAIL NOW, WHICH ARE COME IN AND CONTROL SYSTEMS. IT SOUNDS GREAT AS A GAME, ...
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| 01:15:49 |
Leavitt, Michael O. - Secretary, Utah
HEARINGS LIKE THIS YOU HAVE BEEN ONE OF MY CHAMPIONS WHEN IT COMES TO MENTAL
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| 01:15:56 |
Smith, Gordon H. - U.S. Senator, [R] Oregon
HEALTH AND WHEN IT COMES TO USE SUICIDE PREVENTION, AND THE CONGRESS, THE LAST ONE, THE BILL WE PASSED , CONGRESS PLUS-UP DEGARRETT LEE ACT OF $4 MILLION...
|
| 01:18:09 |
Leavitt, Michael O. - Secretary, Utah
IN VIRGINIA TECH. WHAT I BECAME MORE AND MORE AWARE OF AS A TRAVEL, THAT WE HAVE GONE TO IN THE LAST 25 OR 30 YEARS A SUBSTANTIAL WAY WE TREAT MENTAL...
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| 01:20:00 |
Smith, Gordon H. - U.S. Senator, [R] Oregon
TALKED TO TERRY REEVES ABOUT THIS AND MADE SUGGESTION BUT IT IS NOT REFLECTED IN THE BUDGET. >> THANK YOU SECRETARY. ADAMS MS. INVISIBLE HAND WAS ...
|
| 01:20:28 |
Baucus, Max - U.S. Senator, [D] Montana
IN REMEMBERING WE ARE ALL AMERICANS , WE ARE ALL TOGETHER IN THE AIM IS TO GET THE BEST HEALTHCARE POSSIBLE AT THE LEAST COST. I KNOW WE AGREE ON THAT...
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| 01:21:17 |
Snowe, Olympia J. - U.S. Senator, [R] Maine
NOW OF TO 1.2 BILLION WILL AFFECTED VERY VULNERABLE SEGMENT OF OUR POPULATION, PARTICULARLY IN THE FOSTER CARE ARENA. IT IS INCONSISTENT WITH THE STATUTORY...
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| 01:22:50 |
Leavitt, Michael O. - Secretary, Utah
TO ATTRACT A MEDICAID MATCH. WELL, WHAT I'VE FOUND IS THERE ARE MANY STATES THAT DO THINGS LIKE BUYING SCHOOL BUSES WITH MEDICAID MONEY. I SEE THEM CREATING...
|
| 01:24:03 |
Snowe, Olympia J. - U.S. Senator, [R] Maine
UP TO 1.2 BILLION. OBVIOUSLY WILL HAVE IS THE VERY BACK ON THE MOST NEEDY AND WE MENTIONED FOSTER CARE, ABSOLUTELY. IN OUR STATE FOR EXAMPLE YOUNG PEOPLE...
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| 01:24:56 |
Leavitt, Michael O. - Secretary, Utah
WITH THE DEADLINE THAT IS LOOMING. >> DIESTA MAD YOU INDICATED THE SAVINGS WAS LARGER THAN PROJECTED. IT IS POSSIBLE THERE WAS MORE OF THIS FAMILY THOUGHT...
|
| 01:25:22 |
Leavitt, Michael O. - Secretary, Utah
LONG TERM. MY CONCERN IS TO MENTION A REDUCTION OF RATES IN GROWTH, BUT ULTIMATELY IT REPRESENTS A BROAD BASE CUT BECAUSE OF AN INCREASE IN THE NUMBER...
|
| 01:26:43 |
Snowe, Olympia J. - U.S. Senator, [R] Maine
ABOVE THE TRADITIONAL FEE-FOR-SERVICE. IF ALL THE BENEFICIARIES MOVED OVER TO THE MEDICARE ADVANTAGE PROGRAM, COST US TO AND $50 BILLION MORE GIVEN...
|
| 01:27:39 |
Leavitt, Michael O. - Secretary, Utah
IS BEGINNING TO GREET PEOPLE TO HAVE SERVICE TO OTHERWISE WOULD NOT HAD A. IT IS BEEN PARTICULARLY POPULAR AMONG LOW INCOME AND MINORITY -- BUT WE...
|
| 01:29:05 |
Baucus, Max - U.S. Senator, [D] Montana
AND CERTAINLY CHEERING ON THE OTHERS, SENATOR SNOWE WAS WORKED
|
| 01:29:09 |
Stabenow, Debbie - U.S. Senator, [D] Michigan
ON THIS EXTENSIVELY, HAVE BEEN
|
| 01:29:11 |
Stabenow, Debbie - U.S. Senator, [D] Michigan
WORKING VERY HARD WITH THE CHAIRMAN SUPPORT AND RANKING MEMBER SUPPORT, MOVING IN THE DIRECTION OF EPRESCRIBING. I WOULD JUST NOTE THAT YOU DO NOTHING...
|
| 01:34:11 |
Leavitt, Michael O. - Secretary, Utah
QUOTE, WHETHER. I SEE MEDICARE BEING ABOUT HEALTHIER AND BETTER LIVES FOR SENIORS. I AM DEEPLY CONCERNED ABOUT WHAT THE IMPACT IS OF THIS SYSTEM WE ...
|
| 01:35:17 |
Stabenow, Debbie - U.S. Senator, [D] Michigan
UNRELENTING EFFORT TO DO WHAT I KNOW IN YOUR VIEW, AND I RESPECT THAT, IS MORE CHOICE. MY FOLKS ARE ASKING FOR MORE DOCTORS, NOT ALL INSURANCE PLANS....
|
| 01:36:11 |
Baucus, Max - U.S. Senator, [D] Montana
ON THE
|
| 01:36:13 |
Lincoln, Blanche Lambert - U.S. Senator, [D] Arkansas
ASSUMPTION THAT PRIVATE MARKET COMPETITION WOULD RESULT IN PLANS BEING ABLE TO PROVIDE GOOD, QUALITY COVERAGE AND EXTRA BENEFITS WHILE COSTING THE GOVERNMENT...
|
| 01:38:16 |
Leavitt, Michael O. - Secretary, Utah
THOSE CHANGES? >> I'M SAYING WE NEED TO MAKE THOSE CHANGES. >> YOU'RE NOT SUGGESTING WHAT THOSE CHANGES ARE? >> NOT TODAY BUT I CERTAINLY HAVE A LOT...
|
| 01:38:33 |
Lincoln, Blanche Lambert - U.S. Senator, [D] Arkansas
NOT PROVIDE TO BENEFICIARIES INFORMATION ABOUT THE QUALITY OF THE CARE THEY ARE GETTING, ABOUT THE
|
| 01:38:38 |
Leavitt, Michael O. - Secretary, Utah
COST OF THE CARE THEY ARE GETTING. THERE IS NO REASON
|
| 01:38:41 |
Lincoln, Blanche Lambert - U.S. Senator, [D] Arkansas
WE COULDN'T PROVIDE THEM WITH INCENTIVES THAT WOULD
|
| 01:38:44 |
Leavitt, Michael O. - Secretary, Utah
ALLOW THEM CHOICES AND INFORMATION ABOUT HOW THEY CAN GET BETTER QUALITY OR COST. IF WE DID MEDICARE WOULD WIN. IF WE DID BENEFICIARIES WOULD WIN....
|
| 01:39:20 |
Lincoln, Blanche Lambert - U.S. Senator, [D] Arkansas
MEAN, THAT'S GOING TO COST MONEY TOO IN TERMS OF WE'RE TALKING ABOUT BECAUSE YOU'RE NOT DEALING WITH PEOPLE THAT ARE SAVVY ABOUT HEALTH CARE ISSUES...
|
| 01:42:14 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
IF THEY ARE HAPPY, THEY DO HAVE A DIFFERENT PLACE THEY CAN GO. ONE THING ABOUT MEDICARE OR ADVANTAGES THERE ARE PEOPLE UNHAPPY WITH
|
| 01:42:23 |
Leavitt, Michael O. - Secretary, Utah
TRADITIONAL MEDICARE, THEY CAN AT LEAST TO IS THAT. WE'D LIKE TO HAVE THAT AS AN OPTION BECAUSE IT HELPS PEOPLE BEING POORLY SERVED ONE-WAY AN ALTERNATIVE....
|
| 01:42:53 |
Lincoln, Blanche Lambert - U.S. Senator, [D] Arkansas
THEN WHENEVER TIME SENATOR WIDE IN THE WANTS, -- >> [INAUDIBLE] >> I'M SORRY, I
|
| 01:43:01 |
Leavitt, Michael O. - Secretary, Utah
THOUGHT WE WERE DONE.
|
| 01:43:03 |
Lincoln, Blanche Lambert - U.S. Senator, [D] Arkansas
YES. SENATOR WYDEN, IF
|
| 01:43:05 |
Leavitt, Michael O. - Secretary, Utah
IT RUNS PAST 12:00 AND GOING TO HAVE TO GO WHILE YOU FINISH UP THEN. SINCE
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| 01:43:12 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
THE DEFICIT REDUCTION ACT THE ADMINISTRATION HAS ISSUED SOME REGULATIONS THAT HAVE STIRRED UP CONTROVERSY.
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| 01:43:18 |
Lincoln, Blanche Lambert - U.S. Senator, [D] Arkansas
IT SEEMS TO ME THERE ARE BILLS OUT THERE TO PUT MORATORIUMS
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| 01:43:22 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
ON JUST ABOUT EVERY MEDICARE REGULATION THAT CMS HAS ISSUED. I'VE BEEN WILLING TO GIVE YOU THE BENEFIT OF THE DOUBT AND HAVE OPPOSED MORATORIUM ON...
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| 01:44:56 |
Leavitt, Michael O. - Secretary, Utah
WHY WE HAVE COURTS. THERE WILL ALWAYS BE A NEED FOR PEOPLE TO INTERPRET AND THAT'S WHY WE HAVE A REGULATORY PROCESS. I CAN ASSURE YOU THAT NO REGULATION...
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| 01:45:39 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
FOLLOW THE LAW, RIGHT? >> I'M NOT SURE, I'M NOT A LAWYER I'M NOT
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| 01:45:47 |
Leavitt, Michael O. - Secretary, Utah
ABLE TO -- I WILL FALL BELOW WALL, WRITE THAT DOWN. >> TO BE ELIGIBLE FOR MEDICAID, THIS IS ANOTHER QUESTION,
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| 01:45:52 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
TO BE ELIGIBLE FOR MEDICAID A PERSON HAS A SYSTEM OR QUALIFIED THEY PREFERRED A DIVISION OF REQUIRE STATES TO FERTILE THE DOCUMENT CITIZENSHIPS OF
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| 01:46:02 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
MANY MEDICAID RECIPIENTS AND APPLICANTS, THIS PROVISION WAS IN RESPONSE TO JULY, 2005 INSPECTOR GENERAL REPORT THAT SHOWED
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| 01:46:10 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
STATES WEREN'T DOING IT FOR A GOOD JOB OF DOCUMENTING THE CITIZENSHIP OF MEDICAID IN THE TAX RELIEF AND HEALTH CARE ACT WE PAST DECEMBER, 2006 MAY INCLUDE...
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| 01:47:17 |
Leavitt, Michael O. - Secretary, Utah
THING WHEN STATES DO IT IN A WAY THAT CAUSES ENROLLMENTS TO GO OUTSIDE THE PARAMETERS OF LAW. >> THANK YOU VERY MUCH. SENATOR BIDEN? >> THANK YOU AGAIN...
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| 01:47:46 |
Grassley, Charles "Chuck" E. - U.S. Senator, [R] Iowa
THAT WITH YOU. MR. SECRETARY, AS WE ALL KNOW, THE PHYSICIAN
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| 01:47:50 |
Wyden, Ronald "Ron" Lee - U.S. Senator, [D] Oregon
PAYMENT UPDATE ISSUE IS UPON US AGAIN AND OF COURSE, THE DEBATE ABOUT WHAT IS KNOWN AS THE MEDICARE 45% TRIGGER IS GOING TO BE DISCUSSED AS WELL. SOME...
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| 01:49:30 |
Leavitt, Michael O. - Secretary, Utah
EVERY AMERICAN HAS ACCESS OR HAS HEALTH INSURANCE THAT IS AFFORDABLE TO THEM. SOME WOULD HAVE A SYSTEM THAT IS MORE CONTROLLED BY THE GOVERNMENT, OTHERS...
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| 01:51:15 |
Wyden, Ronald "Ron" Lee - U.S. Senator, [D] Oregon
FOR EXAMPLE ABOUT BUYING QUALITY COMPARATIVE EFFECTIVENESS AND I HOPE THAT YOU WILL GIVE US YOUR THOUGHTS QUICKLY ABOUT HOW TO USE THOSE VEHICLES. ONE...
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| 01:52:38 |
Leavitt, Michael O. - Secretary, Utah
SYSTEMIZED AND THAT WOULD GO ALONG WAY JUST TO BRINGING CONSUMERS INTO A SENSE OF INVOLVEMENT IF THEY UNDERSTOOD THEIR BELL, THAT WOULD BE A GREAT START....
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| 01:53:13 |
Wyden, Ronald "Ron" Lee - U.S. Senator, [D] Oregon
COST OF PROVIDING THE SERVICES AND 17%
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| 01:53:17 |
Lincoln, Blanche Lambert - U.S. Senator, [D] Arkansas
FOR PROVIDERS IN SUPER ORAL AREAS. AGAIN, THESE ARE I KNOW FOR US AND A STATE LIKE ARKANSAS THAT IS TREMENDOUSLY RURAL IT IS VIRTUALLY IMPOSSIBLE FOR...
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| 01:54:23 |
Leavitt, Michael O. - Secretary, Utah
POPULATION. WE KNOW WHAT ALL OF THE MEDICAL SCHOOLS IN THIS COUNTRY EVERY ONE OF THEM HAS
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| 01:54:28 |
Lincoln, Blanche Lambert - U.S. Senator, [D] Arkansas
THE DEPARTMENT OF PEDIATRICS ONLY ABOUT SIX OR SEVEN HAVE DEPARTMENTS IN
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| 01:54:33 |
Leavitt, Michael O. - Secretary, Utah
GERIATRICS. AND IF WE DON'T MAINTAIN SOME OF OUR EFFORTS
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| 01:54:36 |
Lincoln, Blanche Lambert - U.S. Senator, [D] Arkansas
IN JAPAN IN BOTH THE GERIATRICIANS THAT NEED TO BE OUT THERE BUT ALSO THE HEALTH CARE PROFESSIONALS IN PARTICULAR GERIATRIC NEEDS, THE PROGRAM SUPPORTS...
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| 01:56:20 |
Leavitt, Michael O. - Secretary, Utah
INFRASTRUCTURE. >> BUT YOU CAN'T PROVIDE THE SERVICES IF THEY ARE NOT TRAINED. >> I'M QUITE CONCERNED GENERALLY ABOUT THE WAY WE ARE CONDUCTING TRAINING...
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| 01:56:41 |
Lincoln, Blanche Lambert - U.S. Senator, [D] Arkansas
WE STILL WOULDN'T BE MEETING WHAT OUR NEEDS ARE IN THE FUTURE. THERE ARE
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| 01:56:46 |
Leavitt, Michael O. - Secretary, Utah
SOME SYSTEMIC CHANGES TIME WILL ALLOW US TO TALK ABOUT TODAY BUT I BELIEVE CAN BE LATE TO HELP US MEET THAT DEMAND. IDEAS SUCH AS BEGINNING TO MEASURE...
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| 01:57:42 |
Lincoln, Blanche Lambert - U.S. Senator, [D] Arkansas
IN ARKANSAS RECEIVED 100%. A PERFECT SCORE. SO THERE IS A GOOD WAY TO DO THIS. YOU KNOW, IT IS VERY NECESSARY BECAUSE AS YOU SAID WE ARE NOT JUST NOT...
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| 01:59:35 |
Hatch, Orrin - U.S. Senator, [R] Utah
FIELD IS REALLY THE ANSWER. AND EVERYBODY I THINK WITH BRAINS KNOWS THAT. BUT IT IS SO HARD TO GET PEOPLE TO REALLY DO SOME OF THESE THINGS BECAUSE...
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| 02:01:28 |
Leavitt, Michael O. - Secretary, Utah
YEARS. THERE ARE ONLY THREE WAYS TO ARRIVE AT STANDARDS. THE FIRST IS YOU CAN HAVE GOVERNMENT STEP UP AND SET THE STANDARD. IT'S BEEN MY EXPERIENCE...
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| 02:03:47 |
Hatch, Orrin - U.S. Senator, [R] Utah
PROVIDER CUT AND THEY MAKE UP 63% OF THE MEDICARE SAVINGS. I THINK THAT IS CORRECT, ISN'T IT? >> IT'S 56%. NO, YOU ARE RIGHT. >> 63%. COULD YOU EXPLAIN...
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| 02:04:19 |
Leavitt, Michael O. - Secretary, Utah
ME JUST MENTION TO YOU THAT WE HAVE A DISCUSSION ABOUT THIS EARLIER
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| 02:04:23 |
Hatch, Orrin - U.S. Senator, [R] Utah
WHERE I INDICATED THERE ARE SOME FRUSTRATIONS WITH THE SCORING SYSTEM WHERE I'M NOT ABLE TO LOOK AT SOME OF THE THINGS WE'VE TALKED ABOUT GETTING CONSUMERS...
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| 02:04:40 |
Leavitt, Michael O. - Secretary, Utah
OF THE MEDICARE TO CREATE A BUDGET THAT WOULD BEGIN TO MOVE US TOWARD SUSTAINABILITY. WE DE SAUNIER NOT TO HAVE AN IMPACT ON BENEFICIARIES AND SO...
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| 02:05:37 |
Hatch, Orrin - U.S. Senator, [R] Utah
BRING IT HOME, THE UNIVERSITY OF UTAH, THEIR FUNDING BASE IS NOT SECRET THEY STAND TO LOSE MILLIONS OF DOLLARS IF THIS GOES INTO EFFECT AT THE END OF...
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| 02:06:46 |
Leavitt, Michael O. - Secretary, Utah
THAT ARE, THERE ARE PARTS WELL, MY GUESS IS THAT THEY WOULD NOT DISAGREE WITH THE FACT IT HAS BECOME AN INTEGRAL PART OF THEIR FUNDING. >> I THINK...
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| 02:07:18 |
Hatch, Orrin - U.S. Senator, [R] Utah
THE SYSTEM. BUT THE SYSTEM WE HAVE
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| 02:07:21 |
Leavitt, Michael O. - Secretary, Utah
RIGHT NOW LACKS LOGIC IN MY JUDGMENT AND A BIG PICTURE THOUGHT OUGHT TO BE GIVEN. IT IS A LOGICAL IN MY MIND FOR GRADUATE MEDICAL EDUCATION TO BE FUNDED
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| 02:07:31 |
Hatch, Orrin - U.S. Senator, [R] Utah
ALMOST ENTIRELY BY MEDICARE AND MEDICAID. WE OUGHT TO HAVE A BROAD-BASED APPROACH. THERE
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| 02:07:36 |
Leavitt, Michael O. - Secretary, Utah
ARE MANY HOSPITALS IN THIS COUNTRY AND MANY MEDICAL PROVIDING COMMUNITIES THAT BENEFIT FROM GRADUATE MEDICAL EDUCATION THAT DON'T SHARE IN ANY OF THE...
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| 02:08:17 |
Hatch, Orrin - U.S. Senator, [R] Utah
WORK WITH US AND SEE IF WE CAN FIND SOME SOLUTIONS THAT MAKE SENSE IN BOTH WAYS AND OTHER WORDS, I THINK WHAT YOU ARE TRYING TO DO IS NOBLE AND CONSIDERATE...
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.