| 00:00:15 |
Unidentified Speaker, -
AFTERNOON. AND WELCOME TO THE SIGNATURE PANEL SESSION, INSURING THE FUTURE, THE FINANCING OF HEALTH CARE. MS. HILL AS AN ALLY OF THE UNIVERSITY OF MIAMI...
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| 00:03:48 |
Unidentified Speaker, -
JOHN. YOU ARE SUCH A KEY PART OF THE HURRICANE FAMILY. WE THANK YOU FOR YOUR INVOLVEMENT AND CONTRIBUTIONS. CERTAINLY TODAY, I WOULD BE REMISS IF...
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| 00:09:45 |
Unidentified Speaker, -
MUCH. THANK YOU. THANK YOU VERY MUCH, PAT. WE REALLY APPRECIATE YOUR COMING OUT TO DO THIS WITH US. LET ME THANK JOHN COHEN AND HIS LOYALTY TO THE...
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| 00:10:46 |
Unidentified Speaker, -
I GET ON FOX THEY SAY TO ME SO, WHY DID THE PRESIDENT DO ANYTHING ABOUT COST CONTAINMENT? THE REAL CRITICISM OF THE CLINTON AND THE OBAMA HEALTH CARE...
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| 00:13:30 |
Unidentified Speaker, -
EASY QUESTION. WE WILL DO WORLD PEACE AFTER THAT. [LAUGHTER] WE WILL BE ABLE TO SOLVE ANYTHING ELSE WITHIN ONE ANSWER. OBVIOUSLY IT DOES HAVE -- IT...
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| 00:16:54 |
Unidentified Speaker, -
MICHAEL? >> THANK
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| 00:16:55 |
Unidentified Speaker, -
YOU MADAME SECRETARY AND FOR HAVING ME. I GUESS BEFORE I TOUCH ON PERHAPS THE SUBSTANTIVE SIDE ONE THING THAT IS OVERLOOKED IS A REAL EDUCATION EFFORT...
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| 00:21:24 |
Unidentified Speaker, -
YOU MADAM 63. PLEASURE TO BE HERE. I'M GOING TO BUILD ON THE PARTS OF WHAT MY COLLEAGUES HAVE ALREADY TOUCHED ON. MY DIRECT ANSWER WOULD BE THE SAME...
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| 00:27:42 |
Unidentified Speaker, -
AND FOR THE OPPORTUNITY TO BE HERE ON BEHALF OF THE AMERICAN MEDICAL ASSOCIATION AND THE NATION WE REPRESENT. LET ME JUST EMPHASIZE AND ECHO THE POINT...
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| 00:32:24 |
Unidentified Speaker, -
VERY MUCH. VERY THOUGHTFUL ALL OF THESE REMARKS. JIM FORBES SAID TODAY HEALTH CARE COSTS OF ACTUALLY SLOWED DOWN. WE ARE DOWN TO 4% TO HE SUGGESTED...
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| 00:34:56 |
Unidentified Speaker, -
RICH, AND THEN MAYBE GO TO STEVE AND MOVE DOWN. >> I'M OFTEN REMINDED OF
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| 00:35:03 |
Unidentified Speaker, -
A METAPHOR THAT SAYS WE ARE ALL GOOD ACTORS IN A BAD PLACE AND IF THE SCRIPT HAD BEEN REWRITTEN OUR RULES CHANGE SOME AND HOW WE PLAY THAT ROLE IN...
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| 00:38:13 |
Unidentified Speaker, -
BE PART OF LARGER ORGANIZATIONS, AND IS THE ERA OF THE INDIVIDUAL PHYSICIAN OR SMALL GROUP PRACTICE OVER DOW'S WE MOVE INTO THIS DISCUSSION? >> WHEN...
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| 00:38:28 |
Unidentified Speaker, -
NAVY AND WENT INTO MEDICINE THEY WERE ALREADY TALKING ABOUT DINOSAURS AND THE WAS SEVERAL DECADES AGO. BUT LET ME JUST TALK UP THE FRAGMENTING CARE....
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| 00:42:15 |
Unidentified Speaker, -
REPRESENT AN INDUSTRY, THE INSURANCE INDUSTRY AT STAKE IN FLAT OF MANAGED CARE EVERY TIME SOMEONE IS TURNED DOWN WHEN THEY GO TO GET A CERTAIN KIND...
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| 00:43:22 |
Unidentified Speaker, -
ABOUT -- >> I MAY BE THE ONLY ONE
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| 00:43:24 |
Unidentified Speaker, -
IN AMERICA THAT ADMITS WE MAKE THOSE DECISIONS ON THE INSURANCE COMPANY. [LAUGHTER] >> TENS OF MILLIONS OF
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| 00:43:30 |
Unidentified Speaker, -
AMERICANS GET INSURANCE THAT WAY THROUGH AN EMPLOYER WHO SELLS FUNDS AND THEY WORK WITH AN INSURANCE COMPANY, A HEALTH PLAN TO ADMINISTER THE BENEFITS...
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| 00:46:03 |
Unidentified Speaker, -
THESE PATIENTS TO, FOR EXAMPLE, ENCOURAGE THEM TO ADHERE TO THEIR MEDICATION REGIME. YOU KNOW, SO MUCH -- FREE ADMISSIONS GET A LOT OF ATTENTION. ...
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| 00:47:37 |
Unidentified Speaker, -
THE SPOT A LITTLE BIT ABOUT SAVING MONEY. WE HAVE ALL OF THESE -- LOTS OF PEOPLE FROM THE INDUSTRY THAT MAKE MONEY OUT OF THE HEALTH CARE SYSTEM AS IT...
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| 00:48:24 |
Unidentified Speaker, -
RIGHT. >> A DIFFERENT INDUSTRY
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| 00:48:27 |
Unidentified Speaker, -
THAN OTHER INDUSTRIES. >> WELL, BIGGER THAN A COUPLE
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| 00:48:31 |
Unidentified Speaker, -
OF THINGS. ONE IS CERTAINLY WITH EACH ADVANCEMENT COMES ALMOST A NEW DEMAND. THAT IS FOR THE LATEST IN A RACIST. WE HAVE NOT AMORTIZED THE LAST INVESTMENT...
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| 00:49:07 |
Unidentified Speaker, -
A NEW MONITORING SYSTEM TO REAL OR HIS CARRYING IT. IF THEY WALK IN AND DON'T WASH THEIR HANDS, IT TELLS THEM TO WASH THEIR HANDS SO THAT WE DON'T...
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| 00:49:21 |
Unidentified Speaker, -
IF YOU HAVE COME CLOSE. >>
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| 00:49:25 |
Unidentified Speaker, -
RIGHT. SO THEY COME OUT. BUT IT IS PROMISING. ANOTHER EVIDENCE OF LOW-TECH, FRANKLY, IS THE CHECKLIST. THE SAFETY AND QUALITY CHECKLIST APPROACH WAS...
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| 00:51:39 |
Unidentified Speaker, -
MEDICARE TELLS YOU YOU HAVE TO DO IT? IS THAT AN INCENTIVE FOR DOING IT? >> IT IS NOT A
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| 00:51:47 |
Unidentified Speaker, -
HAPPY DAY. YOU KNOW, LET'S LOOK AT A REAL-LIFE EXAMPLE. REPORTING ON QUALITY INDICATORS. WE ARE IN FAVOR OF THAT KIND OF TRANSPARENCY. WE DON'T HAVE...
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| 00:52:33 |
Unidentified Speaker, -
TO GET TO THE AUDIENCE FOR QUESTIONS. HAVE A COUPLE OF MICROPHONES. I DON'T THINK ANYONE. I DON'T WANT TO MOVE THIS UP TO THE BACK. OKAY. YOU ARE...
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| 00:52:56 |
Unidentified Speaker, -
OKAY. >> HI. DAVE HOPKINS WITH PEDIATRICS, INTERNATIONAL MEDICAL GROUP. A DEGREE OF THE LARGEST MEDICAID PROVIDER IN FLORIDA AND THE LARGEST FOR PHYSICIAN...
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| 00:53:49 |
Unidentified Speaker, -
THAT FLORIDA INTENDS TO GIVE SOVEREIGN IMMUNITY TO DOCTORS TO TREAT MEDICAID PATIENTS IN THE STATE AND TO THE EXTENT THAT THAT WILL SAVE THEM MONEY....
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| 00:53:58 |
Unidentified Speaker, -
POINT, CERTAINLY. AND MANAGED MEDICAID AT BASICALLY THE SAME RATE. >>
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| 00:54:02 |
Unidentified Speaker, -
VERY INTERESTING TO SEE IF THEY CAN GET AWAY WITH IT. >> FIRST, BLESS
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| 00:54:06 |
Unidentified Speaker, -
YOU FOR WHAT YOU'RE DOING. SECOND, YOUR OBSERVATION. FORTUNATE ENOUGH TO PRACTICE IN AN AFFLUENT NEIGHBORHOOD. SOMETIMES MY PATIENTS WOULD BECOME ELIGIBLE...
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| 00:55:38 |
Unidentified Speaker, -
PATIENTS. >> INTERESTING. THE SECRETARY SAID THAT SHE ALSO THOUGHT THAT WE WERE GOING TO HAVE TO CONTINUE THE DISPROPORTIONATE SHARE OF PAYMENTS THAT...
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| 00:55:52 |
Unidentified Speaker, -
ARE THAT AT THE END OF THE DECADE, AT THE END OF THE 10-YEAR RUN THERE WILL STILL BE SOME 23, 24 MILLION PEOPLE WITHOUT COVERAGE. IT IS NOT AS THOUGH...
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| 00:56:28 |
Unidentified Speaker, -
PARTICULARLY IF YOU HAVE VOLUME AND THE SYSTEMS. IT MAY JUST GIVE YOU ANOTHER MARGIN. >> IT REALLY, WE HAVE
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| 00:56:34 |
Unidentified Speaker, -
TO SEE HOW THAT WORKS. THIS THEORY, AT LEAST, IS THAT THE PRESENTLY UNINSURED WILL NOW BRING SOME LEVEL OF -- THEY WILL HAVE FOR COVERAGE AND BRING SOME...
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| 00:56:48 |
Unidentified Speaker, -
PARTNER WITH CLEVELAND OHIO. OUTSTANDING CONFERENCE. TALKING OF WHAT ABOUT MACRO ISSUES. WE ALL AGREE THAT THERE IS A DEFINITE CASE FOR CHANGE. WE ALL...
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| 00:57:55 |
Unidentified Speaker, -
START. FIRST OF ALL, I THINK WE DO HAVE THE LEADERS. ONE OF THE ANSWERS THAT I WOULD GET TO THE EARLIER QUESTION ABOUT WHY COSTS ARE MODERATING HIS...
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| 00:59:53 |
Unidentified Speaker, -
AM HEARING MORE AND MORE, FIRST OF ALL, WE GO THROUGH WHEN WE ARE TALKING TO FINANCIAL OFFICERS ESPECIALLY, A LITANY OF THINGS THAT A CHANGING WITHIN...
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| 01:01:12 |
Unidentified Speaker, -
INTEGRATING
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| 01:01:13 |
Unidentified Speaker, -
NURSES. >> EXACTLY. THEY TRANSFORM THE DELIVERY. >> AND I FIND THAT
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| 01:01:20 |
Unidentified Speaker, -
POSITIVE. >> ONE, TWO, THREE. >>
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| 01:01:21 |
Unidentified Speaker, -
THANKS TO THE PANEL FOR A VERY WONDERFUL AND INFORMATIVE DIALOGUE. I AM ONE OF YOUR FACULTY MEMBERS AT THE MILLER SCHOOL OF MEDICINE. MY QUESTION IS...
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| 01:01:56 |
Unidentified Speaker, -
BECAUSE I THOUGHT BILL FRETS WITH ADVERTISING. ACTUALLY WAS A DEAL. THIS IS ALLOWING DRUG COMPANIES TO ADVERTISE. ACTUALLY, IT WAS A HUGE DEBATE. ...
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| 01:03:12 |
Unidentified Speaker, -
RELATED COMMENT, AND THIS -- >> IT WAS A POLITICAL
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| 01:03:16 |
Unidentified Speaker, -
DEAL OVER OUR VERY STRONG OBJECTIONS. WE KNEW BETTER. >> THIS SPEAKS, I THINK, TO
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| 01:03:22 |
Unidentified Speaker, -
THE IMPORTANT. A FANCY WAY OF SAYING, LET'S GET THE INFORMATION ON LINE. THE FDA DOES A TERRIFIC JOB OF ASSESSING THE SAFETY AND EFFICACY OF MEDICINES...
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| 01:04:30 |
Unidentified Speaker, -
THE PROVIDER AND A DIFFICULT SITUATION. IT PUTS THE DOG AND A DIFFICULT SITUATION. THE PATIENT COMES IN AND SAYS I WANT THE STRIKE. SO YOU MUST HAVE...
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| 01:04:40 |
Unidentified Speaker, -
THAT. >> ABSOLUTELY. I THINK THEY ARE NOT IN THAT POSITION, AND SOME OF THAT IS POLITICAL AS WELL. WE DO HAVE GUIDELINES, GUIDELINES ABOUT WHAT THE ...
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| 01:05:42 |
Unidentified Speaker, -
TAKE THE NEXT QUESTION. >> MY NAME IS CHRIS
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| 01:05:44 |
Unidentified Speaker, -
COMFORT FROM THE PAST UNIVERSITY MIAMI GRADUATE. NOW I AM A LOCAL SMALL-BUSINESS HERE IN SOUTH FLORIDA. MY QUESTION IS A LITTLE BIT ABOUT CHANGE AND...
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| 01:06:59 |
Unidentified Speaker, -
THINK ONE OF THE POINTS THAT WAS MADE WAS THAT IT SHARES PAIN. YOU CANNOT DEAL WITH COST CONTAINMENT UNLESS EVERY PART OF THE SYSTEM TAKES THEIR SHARE...
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| 01:07:41 |
Unidentified Speaker, -
BRUCE. ADULT AND GERIATRIC IN BOCA RATON. WE DO RESEARCH FROM AND IMH AND CLINICAL WORK. MY QUESTION IS ABOUT THE RELATIVE ABSENCE OF DISCUSSION ...
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| 01:08:23 |
Unidentified Speaker, -
QUESTION AND A STRUGGLE. WHO WANTS TO TAKE THAT ON? >> A COUPLE OF
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| 01:08:30 |
Unidentified Speaker, -
OBSERVATIONS. AMONG ALL OF THE HUMOROUS LAST YEAR, CONGRESS DID PASS LEGISLATION PROVIDING, AS YOU KNOW, MENTAL HEALTH SERVICES AS WELL. IN ADDITION...
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| 01:09:07 |
Unidentified Speaker, -
THEN MARIA TRIED TO WRAP UP. >> HARVEY WAGNER, AN ALUMNUS
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| 01:09:11 |
Unidentified Speaker, -
OF THE UNIVERSITY OF MIAMI. I AM THE PRESIDENT'S COUNCIL HERE AT THE UNIVERSITY. I SPENT MY FIRST 35 YEARS AFTER GRADUATING FROM HERE AS A FINANCIAL...
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| 01:11:04 |
Unidentified Speaker, -
THINGS. ONE WOULD BE FROM THE HOSPITAL POINT OF VIEW. UNDER MEDICARE ALL HOSPITALS ARE REQUIRED TO REPORT IF THEY ARE HAVING PROSPECT OF PAYMENTS,...
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| 01:11:26 |
Unidentified Speaker, -
CONSUMER ON THE HOSPITAL, THEY DON'T WANT TO HAVE IT. THEY DON'T WANT TO HAVE A BLANK BECAUSE PEOPLE INTERPRET THAT IN WAYS THAT MIGHT NOT BE SO HELPFUL...
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| 01:12:46 |
Unidentified Speaker, -
ARE FINDING IS THE CONVERSATION IS VERY QUICKLY MOVING FROM JUST TALKING DISCREETLY ABOUT QUALITY AND COST AND ACCESS TO VALUE. WE HAVE A PROJECT...
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| 01:14:06 |
Unidentified Speaker, -
THAT. >> NO. I WOULD LOVE TO. TWO MORE QUESTIONS. YOU CAN TALK TO PEOPLE AFTERWARDS. >> I LEFT PRACTICE
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| 01:14:16 |
Unidentified Speaker, -
MEDICINE THERE. A GRADUATE OF THE SCHOOL OF MEDICINE, I HAVE A QUESTION ABOUT PATIENT ACCOUNTABILITY. ALL OF THIS ABOUT THE PROVIDER ACCOUNTABILITY...
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| 01:15:21 |
Unidentified Speaker, -
CARE. THE PAYMENT. >> HAVING SAID
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| 01:15:25 |
Unidentified Speaker, -
75 PERCENT OF THE COST RELATES TO PATIENT BEHAVIOR , BOY, THAT IS A SLAM DUNK AND WILL BE EASY. HOW DO YOU CHANGE BEHAVIORS? AND SO I THINK THE THING...
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| 01:16:05 |
Unidentified Speaker, -
GRADUATED FROM THE UNIVERSITY OF MIAMI. AS THE PREVIOUS QUESTION, THANK YOU. KIND OF STOLE MY QUESTION. >> LOOKING FOR A
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| 01:16:19 |
Unidentified Speaker, -
JOB. >> THE QUALITY ASPECT OF
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| 01:16:22 |
Unidentified Speaker, -
THIS, BUT I GUESS I'M GOING TO ASK IT AGAIN JUST BECAUSE I'M STANDING RIGHT HERE. [APPLAUSE] >> THAT'S OUR
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| 01:16:32 |
Unidentified Speaker, -
STUDENTS. >> AND HE HAS
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| 01:16:34 |
Unidentified Speaker, -
ALREADY GRADUATED. >> ONE OF THE HAS MENTIONED
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| 01:16:39 |
Unidentified Speaker, -
THAT 20%, 80 PERCENT IN THE COUNTRY. THE POPULATION IS INCREASING, AGING, BUT FUNDING IS STILL THERE. MY QUESTION IS BASICALLY HOW DO YOU THINK THE...
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| 01:16:57 |
Unidentified Speaker, -
QUESTION. HE WANTS TO TAKE IT? >> WELL, I'LL
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| 01:17:01 |
Unidentified Speaker, -
START. YOU'RE TALKING ABOUT WORK FORCE ISSUES AND THE WORKFORCE SHORTAGE. CAN YOU MAINTAIN QUALITY UNDER THE CIRCUMSTANCES. I WOULD SUGGEST TO YOU...
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| 01:17:47 |
Unidentified Speaker, -
A NATURAL MIGRATION AWAY FROM THINGS THAT YOU DON'T DO WELL. >> ESPECIALLY WITH
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| 01:17:52 |
Unidentified Speaker, -
MORE INTERFERENCE. SO IF YOU CAN'T HIT THE NUMBERS PLAYERS MAY NOT CONTRACT WITH YOU. PURCHASES MAY NOT PUT YOU IN THEIR PREFERRED NETWORK. ONCE THINGS...
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| 01:18:23 |
Unidentified Speaker, -
OKAY. FINAL QUESTION. THE PRESIDENT HAS JUST BEEN REELECTED. SECRETARY KATHLEEN SEBELIUS DECIDES TO GO BACK TO KANSAS. SHE CALLS YOU IN AND SAYS,...
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| 01:19:18 |
Unidentified Speaker, -
ABOUT IT. CHANGE PARTY IDENTIFICATION. [INAUDIBLE CONVERSATIONS] >> YOU
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| 01:19:29 |
Unidentified Speaker, -
KNOW,. >> PRESIDENT
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| 01:19:32 |
Unidentified Speaker, -
OBAMA. >> I THINK THAT I WOULD
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| 01:19:34 |
Unidentified Speaker, -
SUGGEST TO HIM AT ONE LEVEL DO NOT OPEN PROMISE. TRY TO GET A SENSE OF WHAT WE ALL KNOW, AND THAT IS THAT IT WILL NOT BE EASY. TRY AT SOME LEVEL TO...
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| 01:19:53 |
Unidentified Speaker, -
THING. A CALL TO ACTION. SOMEBODY HAS TO LEAD THIS NATION IN A DIFFERENT DIRECTION. THE PROMISE THAT WE WILL MAKE CHANGES THAT ARE RESPONSIBLE, BUT...
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| 01:20:08 |
Unidentified Speaker, -
CALL TO ACTION. ARE REELECTED DEMOCRATIC PRESIDENT WOULD EARN GREAT CREDIBILITY WITH THE AMERICAN PEOPLE ON THIS ISSUE BY EXTENDING AN OLIVE BRANCH TO...
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| 01:20:21 |
Unidentified Speaker, -
OKAY. [APPLAUSE] >> I WOULD NOT TAKE
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| 01:20:24 |
Unidentified Speaker, -
THE JOB. NO WAY I WOULD GET THROUGH. BUT I THINK WHAT I WOULD DO IS LINK THE ECONOMIC GROWTH OF THE COUNTRY TO CONTAINING HEALTH CARE COSTS AND GETTING...
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| 01:20:39 |
Unidentified Speaker, -
YOU. LET'S THINK THIS ABSOLUTELY MARVELOUS PANEL. [APPLAUSE] [APPLAUSE] >> LET ME REMIND YOU THAT
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| 01:20:49 |
Unidentified Speaker, -
YOU ARE INVITED TO RECEPTIONS. WE ARE BUYING THE DRINKS. AND WE WON'T CHARGE YOU. THANK YOU. WE HAVE GOOD SESSIONS TOMORROW AS WELL. [INAUDIBLE CONVERSATIONS]...
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.