| 00:00:32 |
Woodruff, Judy - Senior Correspondent
IS. [LAUGHTER] >> RIGHT HERE AT 12:00. WE'RE GOING TO GET IN A FEW MINUTES TO OUR ALL-STAR PANEL. YOU SEE THEM SEATED HERE AT THE FRONT OF THE ROOM....
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| 00:01:57 |
Dole, Robert "Bob" Joseph - U.S. Senator, [R] Kansas
BE HERE AND WE HAVE HAD THIS OPPORTUNITY WITH THE BIPARTISAN POLICY CENTER FOR OVER A YEAR NOW. TRY TO SEE IF WE COULDN'T SIT DOWN TWO DEMOCRATS...
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| 00:15:40 |
Daschle, Thomas "Tom" A. - U.S. Senator, [D] South Dakota
DIRECT LINE THAT MY FRIEND, BOB DOLE, TAKES. IT'S BEEN ONE OF THE JOYCE IN MY PROFESSIONAL LIFE TO WORK WITH THIS MAN IN DIFFERENT CONTEXTS AND IT HAS...
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| 00:24:36 |
Woodruff, Judy - Senior Correspondent
IS WELCOME. AND I'M GOING TO BE ASKING QUESTIONS AND GOING TO BE HAVING CONVERSATIONS AMONG THIS GROUP UP HERE FOR ANOTHER 45 MINUTES OR SO AND...
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| 00:26:15 |
Kolb, Charles - President
HAVE. I THINK MOST AMERICANS THINK THAT BECAUSE WE OUTSPEND THE REST OF THE WORLD IN TERMS OF AGGREGATE DOLLARS ON HEALTH AND ON A INDIVIDUAL BASIS, WE'RE...
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| 00:27:44 |
Hill, Annie - Executive Vice President
MONTHS IS ABOUT HOW WE GET THERE. THERE'S ACTUALLY FOUR THINGS WE'RE LOOKING FOR, THREE, I'LL USE THREE OF THEM. SO ONE IS THAT WE DO THINK THERE...
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| 00:29:07 |
Woodruff, Judy - Senior Correspondent
SUPPORTED AN EMPLOYER MANDATE FOR A VARIETY OF REASONS. FIRST, WE FEEL EVERY AMERICAN SHOULD BE ININSURED. ALSO THOSE OF US AS INDIVIDUAL WHORS PROVIDING...
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| 00:29:24 |
Dach, Leslie - Executive Vice President
THOSE WHO AREN'T. THEY GET THE WORST CARE, THE MOST EXPENSIVE CARE, IT ADDS TO THE ECONOMIC BURDEN ON THE REST OF US AS WELL AS THE SOCIAL BURDEN....
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| 00:30:23 |
Hill, Annie - Executive Vice President
OF INDIVIDUALS WHO DON'T HAVE COVERAGE NOW? >> I THINK THAT CHARLIE AND OTHERS LAID OUT LOTS OF THE PRINCIPLES WE VERY MUCH AGREE ON. I WOULD...
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| 00:30:42 |
Camden, Carl - President and CEO
URGENCY. IN OUR CASE, I'M PARTICULARLY BOTHERED BY WHAT I SEE AS DECLINING AMERICAN COMPETITIVENESS BECAUSE OF OUTCOMES ON HEALTH CARE. WE ALL TALK...
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| 00:32:34 |
Woodruff, Judy - Senior Correspondent
ON THE BASIS OF QUANTITY NOT QUANTITY. IN THE END -- QUANTITY NOT QUALITY. THIS MEANS WELLNESS AND BEST
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| 00:32:44 |
Stern, Andrew - President
PRACTICES. WE ALL AGREE YOU CAN'T CUT COSTS UNLESS YOU CHANGE THE WHOLE PARADIGM. >> YOU ALL ARE MAKING THIS SOUND EASY. >> SETS A POSITIVE TONE....
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| 00:33:11 |
Woodruff, Judy - Senior Correspondent
THERE'S A FALSE DI COTMY BETWEEN HAVING A
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| 00:33:22 |
Dishman, Eric - Director
COMPETITIVE INSURANCE INDUSTRY AND A GOVERNMENT SYSTEM IN PLACE TO MAKE SURE BAD THINGS DON'T HAPPEN. WE ARE IN FAVOR OF INNOVATION AND TRYING TO KEEP...
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| 00:34:19 |
Feder, Judy - Senior Fellow
ON THEM. WE DEFINITELY NEED TO BRING DOWN COSTS. UNFORTUNATELY IN THE CURRENT MARKET, WE'RE NOT SEEING PRIVATE INSURANCE COMPANIES DO THAT. WE SEE...
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| 00:36:26 |
Camden, Carl - President and CEO
ARGUMENT THAT JUST AN INCREMENTAL CHANGE IS THE RIGHT THING TO DO OR CAN EVEN WORK. WE'RE SAYING IT CAN'T WORK. WHETHER THEY'RE REALLY SERIOUSLY...
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| 00:37:19 |
Woodruff, Judy - Senior Correspondent
JUDY, -- JUDY HAS ARTICULATED IT REASONABLY WELL. IT'S A PLACE WHERE PEOPLE CAN COME THAT
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| 00:37:27 |
Daschle, Thomas "Tom" A. - U.S. Senator, [D] South Dakota
HAVE, UNTIL NOW, HAD VERY LITTLE OPPORTUNITY TO GET GOOD CARE. I FIND IT INTERESTING THAT OPPONENTS OF THE PUBLIC OPTION GENERALLY SAY THAT THE REASON...
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| 00:39:09 |
Camden, Carl - President and CEO
AS AN OPTION? PLUSES, MINUSES? >> ACTUALLY FOR US, WE'VE BEEN LUCKY WE'VE MANAGED NOT TO MAKE THE PUBLIC OPTION PRECISELY FOR THE ARGUMENTS AND DISCUSSIONS...
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| 00:39:21 |
Woodruff, Judy - Senior Correspondent
FROM A BUSINESS PERSPECTIVE AND FROM ALSO TRYING TO LISTEN TO ALL THE PEOPLE WHO SHOP AT WAL-MART WHO HAVE A CONCERN ABOUT THIS, WHO ARE STRUGGLING...
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| 00:39:32 |
Dach, Leslie - Executive Vice President
WHAT THEY'RE WORRIED -- THEY WANT THIS PROBLEM SOLVE BUD THEY WANT TO FEEL SAFE AND SECURE ABOUT IT. ONE OF THE CONCERNS WE HAVE IS THE DEBATE IS MORE...
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| 00:40:58 |
Woodruff, Judy - Senior Correspondent
THE DEVIL IN THE DETAILS. SENATOR DASCHLE POINTED OUT, YOU'RE REACTING TO A NOTION OF A PUBLIC OPTION THAT SO MANY PEOPLE HAVE SO MANY DIFFERENT ...
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| 00:41:21 |
Dishman, Eric - Director
TO RESPOND TO. VERY SCENARIOS WHERE INTEL COULD GET BEHIND THE PUBLIC OPTION, IF IT'S A LEVEL FLAYING -- PLAYING FIELD AND THE GOVERNMENT DOESN'T...
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| 00:42:17 |
Kolb, Charles - President
US AT C.E.D. ARE FOR A MARKET SOLUTION, BUT WE HAVE TO THINK ABOUT, WHAT HAPPENS IF THREE TO FIVE YEARS INTO THIS, THERE'S A MARKET FAILURE. WE DON'T...
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| 00:43:15 |
Stern, Andrew - President
THERE ARE DEMOCRATS AND REPUBLICANS, BUSINESS AND LABOR, BUT WE'RE ALL AMERICANS. WE THINK WE NEED TO DO SOMETHING FOR OUR COUNTRY AND WE THINK WE CAN...
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| 00:44:36 |
Hill, Annie - Executive Vice President
MANY WAYS IT COULD GO. I'M HOPING THAT WHEN CONGRESS IS NOW BACK TOGETHER, THERE CAN BE SOME GOOD, SOLID DEBATE AROUND SOME DETAILS AND HOPEFULLY...
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| 00:45:24 |
Woodruff, Judy - Senior Correspondent
EDUCATIONAL COMPONENT FOR TONIGHT. FOR ME, AT LEAST, I THINK THE EDUCATIONAL AND POLITICAL COMPONENT IS THE MOST IMPORTANT TO RESTORE A SENSE OF MOMENTUM,...
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| 00:45:41 |
Dach, Leslie - Executive Vice President
HILL, IN A SENSE, THERE NEEDS TO BE A LOT LESS POSITIONING AND MORE PROGRESS. I THINK IF THE PRESIDENT CAN ALSO MAKE THE CLEAR POLITICAL CASE THAT FAILURE...
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| 00:47:51 |
Daschle, Thomas "Tom" A. - U.S. Senator, [D] South Dakota
THE JUNK, AND TO SET STRAIGHT WHAT IT IS WE'RE TRYING TO DO. SECONDLY, I THINK HE NEEDS TO TALK TO THE CONGRESS AND SHARE WITH THEM, WITH GREATER...
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| 00:49:22 |
Dishman, Eric - Director
MENTALITY OF WHAT DO WE NEED TO TAKE AWAY, AS OPPOSED TO WHAT DO WE NEED TO DO TO POSITION OUR COUNTRY TO HELP US CARE NOT ONLY FOR OUR AGING PART...
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| 00:50:28 |
Camden, Carl - President and CEO
RIGHT. WE HAVEN'T SAID WHAT IS EVERYBODY GOING TO GAIN FROM THIS? WHAT DO WE BECOME? HOW DO WE BECOME A BETTER COUNTRY? HOW DO WE BECOME MORE COMPETITIVE?...
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| 00:51:20 |
Woodruff, Judy - Senior Correspondent
HAVE THE RESPONSIBILITY TO LOOK AFTER, OR WE AS A PEOPLE DON'T HAVE A RESPONSIBILITY. >> IF THE ARGUMENT, WE CAN ARGUE, AS AGAIN, LOTS OF ROOM FOR...
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| 00:51:55 |
Camden, Carl - President and CEO
THE DISCUSSION OF WE HAVE THE BEST HEALTH CARE SYSTEM IN THE WORLD, WE DON'T. WE HAVE THE WORST HEALTH CARE SYSTEM IN THE INDUSTRIALIZED WORLD. WE...
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| 00:54:12 |
Stern, Andrew - President
THAT EVERYBODY HAS BEEN HURT. EVERYONE HAS BEEN HURT, NOW WE VOTE. WE MAKE CHOICES. THAT'S ALL LEADERSHIP IS ABOUT IN THE END. MAKING CHOICES. OUR...
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| 00:55:01 |
Kolb, Charles - President
AND LOSERS. YOU CAN'T DO IT ANY OTHER WAY. I THINK ANDY'S RIGHT, POSSIBLE WINNERS, POSSIBLE LOSERS HAVE EVERY RIGHT TO BE HEARD. THEY SHOULD PLAY...
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| 00:56:13 |
Daschle, Thomas "Tom" A. - U.S. Senator, [D] South Dakota
COMPETITIVENESS POINT OF VIEW, THEY KNOW FROM A QUALITY POINT OF VIEW. THESE PROBLEMS ARE VERY REAL. WE MAY DIFFER ON HOW WE GET THERE. THERE SEEMS TO...
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| 00:57:30 |
Dach, Leslie - Executive Vice President
THEY'D RATHER BE FOR PROGRESS THAN PARTISANSHIP. WE'VE SEEN THAT HAPPEN IN THIS TOWN BEFORE ON ISSUES LESS IMPORTANT, WHERE THE ARGUMENTS WERE LESS CLEAR....
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| 00:58:58 |
Woodruff, Judy - Senior Correspondent
YOU. ERIC? >> I THINK THAT'S ANOTHER ISSUE THAT'S GOING TO HAVE HUGE CONTROVERSY. I'VE COME INTO THE 21ST CENTURY AND STARTED BLOGGING. I'VE BEEN TRYING...
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| 00:59:31 |
Dishman, Eric - Director
SOCIAL SCIENTIST BY TRAINING. WE STUDY THOUSANDS OF DOCTORS AND NURSES AND PATIENTS, I WILL TELL YOU THAT THE FEAR OF MALPRACTICE, WHETHER IT'S LEGITIMATE...
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| 01:00:26 |
Camden, Carl - President and CEO
THING WE CAN DO OTO LOWER COSTS. I HAVE SEEN, ALSO A SOCIAL SCIENTISTS, I HAVE SEEN STUDIES AND MY WIFE IS A NURSE WHO SAYS IT HAS A CHILLING EFFECT...
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| 01:01:30 |
Stern, Andrew - President
MALPRACTICE WILL BRING PEOPLE WHO WOULDN'T VOTE FOR THE BY THE DEMOCRATS AND MAX BACHUS SHOULD GET SAINTHOOD FOR THE PATIENCE HE'S SHOWN BUT THERE'S TIME...
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| 01:02:39 |
Dishman, Eric - Director
LIKE WE'VE DONE WITH OTHER THINGS IN THE PAST AND HOPEFULLY MORE EFFECTIVE THAN SOME OF THOSE AND LOOKING AT HOW DO TO THE CHANGE THE CARE MODEL TO...
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| 01:03:17 |
Woodruff, Judy - Senior Correspondent
AND GO TO THE AUDIENCE AND I UNDERSTAND WE HAVE INDIVIDUALS WITH MICROPHONE, I CAN'T SEE BECAUSE OF THE LIGHTS, RAISE YOUR HAND, WE'LL TRY TO CALL ON...
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| 01:03:47 |
Q&A, -
SOMEBODY? PLEASE STAND UP, TELL US WHO YOU ARE. >> MARK MEADE, I'M A CONSULTING UNDERWRITER FOR THE EVIL H.M.O.'S. ALL OF MY CLIENTS ARE IN FAVOR...
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| 01:05:29 |
Daschle, Thomas "Tom" A. - U.S. Senator, [D] South Dakota
LEAST 535 ADVOCATES, INCLUDING YOUR OWN CONGRESSMAN AND YOUR TWO SENATORS TO ADVOCATE FOR YOU. YOUR ACCESS TO RECOURSE IN CASES INVOLVING PUBLIC...
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| 01:06:14 |
Feder, Judy - Senior Fellow
SURE THERE'S NOT JUST ONE OR A COUPLE OF PLAYERS IN ANY GIVEN MARKET WHICH IS THE PRESENT SITUATION. WHERE THEY DOMINATE AND ARE UNRESPONSIVE. YOU...
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| 01:07:00 |
Dishman, Eric - Director
SENATOR DASCHLE AND JUDY FEDER. >> I DISAGREE WITH THEM, I WORK WITH THE D.O.I.'S ACROSS THE COUNTRY, AND IN MOST STATES WE HAVE AGGRESSIVE INSURANCE...
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| 01:08:08 |
Daschle, Thomas "Tom" A. - U.S. Senator, [D] South Dakota
I GUESS I WOULD JUST DRAW A DISTINCTION. I THINK YOU'RE RIGHT THAT THERE ARE THOSE CASES WHERE INSURANCE COMPANIES HAVE EITHER ACTED, NOT ILLEGALLY,...
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| 01:10:21 |
Feder, Judy - Senior Fellow
YOUR MEMBERSHIP, SMALL BUSINESSES ARE PAYING FAR MORE IN OVERHEAD TO INSURERS TO COVER MARKETING COSTS, ADVERTISING COSTS THAN LARGE EMPLOYERS. WHAT'S...
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| 01:13:20 |
Daschle, Thomas "Tom" A. - U.S. Senator, [D] South Dakota
TO CREATE AN EXCHANGE IN A STATE WITH A FEW HUNDRED THOUSAND PEOPLE, LIKE WYOMING OR SOUTH DAKOTA. SO IT MAY BE THAT REGIONAL EXCHANGES MAKE MORE...
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| 01:14:55 |
Dishman, Eric - Director
A ROUTINE PACEMAKER REVIEW ACROSS THE STATE WHEN THEY COULD GO IN 20 MILES ACROSS THE STATE LINES. I DON'T HEAR PEOPLE TALKING ABOUT THAT VERY MUCH...
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| 01:15:35 |
Camden, Carl - President and CEO
THREE COMPETITORS, EVEN IF YOU PROVIDE A NATIONAL OPTION, DOESN'T DO A LOT FOR THE COMPETITIVE FIELD. IT'S GOING TO TAKE IN SMALLER STATE, REGIONAL...
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| 01:17:01 |
Dach, Leslie - Executive Vice President
A SENSE FAIRLY DISTRIBUTED IS A MORE FAIR WAY TO HAVE THINGS DISTRIBUTE THE BACHUS PROPOSAL AS WE'VE SEEN IT, IT'S IMPORTANT FOR US TO RECOGNIZE AT...
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| 01:18:13 |
Kolb, Charles - President
OR LITTLE YOU WANT TO KEEP AN EMPLOYER ROLE HERE. THE PROBLEM IS, WE'VE GOT A FLAWED STRUCTURAL SYSTEM THAT GREW UP BY ACCIDENT AFTER WORLD WAR...
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| 01:19:56 |
Stern, Andrew - President
BUILD A STATEWIDE SYSTEM FROM. IT'S SORT OF SAYING WE CAN GO FROM NEW HAMPSHIRE TOWN MEETINGS TO GOVERN NEW YORK CITY THROUGH A TOWN MEETING. THERE'S...
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| 01:21:00 |
Hill, Annie - Executive Vice President
TOO COMPLICATED TO FIGURE OUT AS FAR AS DEPENDS ON THE DEMOGRAPHICS OF YOUR WORK FOREST, THE AGE OF YOUR WORK FOREST, THE LOCATION OF WHERE YOU'RE AT,...
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| 01:21:40 |
Camden, Carl - President and CEO
PARTICIPATION, THERE'S A LOT OF ROOM FOR DEBATE. YOU CAN FUSS MUCH AROUND IT. BUT WHAT YOU CAN'T HAVE ARE EMPLOYERS SAYING THAT THE WAY THEY'RE GOING...
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| 01:23:08 |
Dishman, Eric - Director
TERNTTIVELY GOING UP OUT THERE THE WOMAN ON THE FRONT ROW IN THE JACKET. >> HI, JOYCE FREE DAN WITH INTERNAL MEDICINE NEWS. EVERYBODY TALKED
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| 01:23:23 |
Woodruff, Judy - Senior Correspondent
ABOUT BEING IN AGREEMENT WITH PROVIDING HIGH QUALITY HEALTH CARE YET ONE OF THE PROVISIONS TO ADDRESS QUALITY AND COMPARATIVE EFFECTIVENESS RESEARCH...
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| 01:24:15 |
Daschle, Thomas "Tom" A. - U.S. Senator, [D] South Dakota
ADHERE TO SOME SORT OF EVIDENCE-BASED APPROACHES TO GOOD MEDICINE. EVERY SINGLE ONE. YOU CAN'T FIND AN INSTITUTION OF HIGH QUALITY THAT DOESN'T SAY,...
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| 01:28:35 |
Kolb, Charles - President
DESCRIBED IS THE LOGICAL RESULT OF HOW EMPLOYER-SPONSORED BENEFITS ARE NOW TREATED BY THE TAX CODE AND THAT INDIVIDUALS WHEN THEY MAKE DECISIONS ARE...
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| 01:30:47 |
Camden, Carl - President and CEO
PACKAGES. IT WAS UNDERSTANDABLE BY INDIVIDUALS. ONE OF THE PRINCIPLES THAT WE HAD BEEN ON AGREEMENT UPON IS THE NEED FOR INDIVIDUALS. CHARLIE, YOU...
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| 01:33:17 |
Daschle, Thomas "Tom" A. - U.S. Senator, [D] South Dakota
A AS WE GO FORWARD. THAT'S TRUE FOR THE CONSUMER AS WELL AS THE PROVIDER SIDE. >> THAT'S WHAT THE PRESIDENT NEEDS TO BE ADDING TO HIS MESSAGE. I WAS...
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| 01:33:46 |
Dishman, Eric - Director
NEW COULD HAVEN ANT, WE HAVE A RESPONSIBILITY TOWARDS HEALTH AND WELLNESS. WE HAVE LEARNED SOME REALLY BAD BEHAVIORS. >> A LOT OF CHANGE FOR MANY ...
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| 01:34:18 |
Feder, Judy - Senior Fellow
IS PART OF THE PICTURE ALONG WITH THE RESPONSIBILITY. THE INVESTMENT IN INFORMATION TECHNOLOGY WILL BE SUCCESSFUL IF IT IS GATHERING THE KINDS OF DATA...
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| 01:36:13 |
Dach, Leslie - Executive Vice President
SYSTEM. AS WE SIT THERE TRYING TO DO IT, YOU CANNOT DO THAT AS AN INDIVIDUAL PAYER. YOU CAN MAKE STEPS ABOUT WHAT THE PEOPLE HAVE TALKED ABOUT....
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| 01:38:42 |
Feder, Judy - Senior Fellow
MORE PRO-COMPETITIVE STRATEGIES AND WHAT WE ARE SEEING ARE SEEING SOME CHANGES IN WHAT IS COMING OUT OF THE F.T.C. IN TERMS OF A MUCH MORE COMPETITIVE...
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| 01:39:19 |
Daschle, Thomas "Tom" A. - U.S. Senator, [D] South Dakota
ACTION, BECAUSE I THINK THAT THERE IS SOME IMPORTANCE HERE IN GREATER TRANSPARENCY AND GREATER INFORMATION SHARING AND GREATER COMMON PRACTICE THAT...
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| 01:40:38 |
Feder, Judy - Senior Fellow
TO HOSPITAL BECAUSE THE CARE ISN'T GIVEN, IN PART, THE REASON NOT ALWAYS THE CASE AND WHAT WE ARE LOOKING IS PAYMENT AND DELIVERY REFORMS IN WHICH...
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| 01:41:19 |
Daschle, Thomas "Tom" A. - U.S. Senator, [D] South Dakota
THE 21ST CENTURY WITH GREATER I.T. AND RECOGNITION THAT WE COULD HAVE THE COSTS OF ADMINISTRATION OF HOSPITALS AND OTHER PROVIDERS THROUGHOUT THE...
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| 01:41:59 |
Woodruff, Judy - Senior Correspondent
IF THE PRESIDENT LEADS. THE PRESIDENT LEADS. >> AND HOW DO YOU DEFINE LEADS? >> I THINK HE HAS TO LAY OUT A PLAN OF ACTION ON HOW TO GET THERE. SENATOR...
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| 01:42:25 |
Kolb, Charles - President
THE SENATE. >> NEXT FEW DAYS? >> ON OR AFTER THE 15 OF SEPTEMBER. >> FOCUS. YOU CAN'T SOLVE ALL THE PROBLEMS AT ONCE. SENATOR DASCHLE SAID WE'RE NOT...
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| 01:42:44 |
Stern, Andrew - President
WOULD SAY A NARROWING DOWN OF THE DISCUSSION SO WE'RE COMING MUCH CLOSER TO A BILL ON EACH SIDE RECOGNIZING THERE STILL NEEDS TO BE RECONCILIATION....
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| 01:42:56 |
Dishman, Eric - Director
SEE SOME OF THOSE MEMBERS IN BOTH PARTIES THAT ARE IN THE MIDDLE BE WILLING TO TAKE POLITICAL RISK OF THEIR OWN AND STAND UP AND BE FOR SOMETHING,...
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| 01:43:18 |
Dach, Leslie - Executive Vice President
ON THE SIDE OF GETTING IT DONE OR THERE IS A REAL RISK NOT TO, POLITICAL AND OTHER WISE. >> I THINK THE POLITICAL JUDGMENTS ARE MUCH
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| 01:43:28 |
Feder, Judy - Senior Fellow
MORE WELL INFORMED COLLEAGUES HERE, BUT ASSUMING THERE IS A LISTENING TO THE PUBLIC VIA OUR REPRESENTATIVES ON THIS ISSUE, WHEN THE PUBLIC CHANGES...
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| 01:43:51 |
Camden, Carl - President and CEO
HELPS. >> SENATOR DASCHLE, YOU GET THE LAST WORD. >> I WOULD SAY ALL OF THE ABOVE. [LAUGHTER] >> ALL SEVEN SUGGESTIONS WERE EXACTLY ON TARGET. ...
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| 01:44:11 |
Daschle, Thomas "Tom" A. - U.S. Senator, [D] South Dakota
WE NEED TO HAVE VOTES ON THE FLOOR AND DO IT WITHIN THE NEXT COUPLE OF WEEKS AND MOVE FORWARD. AND THE HOUSE AND SENATE BOTH HAVE TO PUT A SCHEDULE...
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| 01:44:44 |
Woodruff, Judy - Senior Correspondent
CABLE SATELLITE CORP. 2009] [CAPTIONING PERFORMED BY NATIONAL CAPTIONING INSTITUTE] >> THE
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.