| 00:00:58 |
GUEST, -
CUT MONEY IS TO CUT MONEY. REPRESENTATIVE PAUL DAX RYAN HAS DONE WELL ENOUGH SCORE. >> WE
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| 00:01:08 |
Unidentified Speaker, -
SHARE ALTOGETHER AS A COUNTRY THE PROBLEM OF REP RYAN IS THAT HEALTH CARE NEEDS TO BECOME SUSTAINABLE AND OUR COUNTRY. THERE ARE TWO WAYS TO DO THAT...
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| 00:02:03 |
Unidentified Speaker, -
THE THINGS THEY REPRESENTATIVE RYAN'S PLAN DOES DID THEY ID SHOWS THAT IT SENIORS ARE EMPOWERED IN CHOOSING THEIR OWN HEALTH INSURANCE THAT THEY WILL...
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| 00:02:24 |
Unidentified Speaker, -
OF BEING INVOLVED WITH THE MEDICARE PROGRAM IS TO WORK FOR SENIORS FOR THEM. WE ARE UNIFIED VOICE ON BEHALF OF THE BENEFICIARIES. VOUCHERS WOULD ERODE...
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| 00:03:05 |
Unidentified Speaker, -
HAVE AN ALTERNATIVE. >> ONE
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| 00:03:09 |
Unidentified Speaker, -
THING INTERESTING ABOUT SENIORS, MEDICARE HAS BEEN TRYING TO DO MORE CARE COORDINATION WITH DIFFERENT ATTEMPTS OVER THE YEARS. WE HAVE NOT QUITE GOTTEN...
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| 00:03:36 |
Unidentified Speaker, -
IT OVER TIME. MEDICARE HAS BEEN A STEADILY IMPROVING PROGRAM. BETTER BENEFITS, MUCH MORE TEXTURE BUT MEDICARE ADVANTAGE, D WE HAVE PARTS DRUG COVERAGE...
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| 00:05:37 |
Unidentified Speaker, -
THINGS BEING SOLD ABOUT A GOVERNMENT TAKEOVER OF HEALTH CARE, THAT THOSE OF US WHO WANT HEALTH CARE TO BE IMPROVED ARE TAKING THINGS AWAY FROM THEM. FROM...
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| 00:06:49 |
Unidentified Speaker, -
HOW THE PROGRAM HAS CHANGED COURSE MARKED UNDOUBTEDLY IS DIFFERENT FROM 1966. THE BENEFITS ARE DIFFERENT, CERTAINLY THE WAY THAT MEDICARE PAYS IS DIFFERENT....
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| 00:07:47 |
Unidentified Speaker, -
AT THE HEALTH CARE SYSTEM WE WANT AND NEED, I AGREE WITH YOU. BUT THOSE PROBLEMS ARE NOT MEDICARE PROBLEMS, THEY ARE HEALTH CARE SYSTEM PROBLEMS. WE NEED...
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| 00:09:22 |
Unidentified Speaker, -
HAD BEEN HEARING FOR DECADES ABOUT FRAUD AND ABUSE. IF WE OPEN UP OUR PHONE LINES HERE, WE COULD GET STORY AFTER STORY OF THEIR OWN PERSONAL LIVES OR...
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| 00:09:44 |
Unidentified Speaker, -
WITH YOU HOW SHOCKING IT IS FRAUD AND ABUSE FAR BEYOND WHAT I UNDERSTOOD BEFORE CAME HERE. WE KNOW IT IS THERE. IT IS A TINY MINORITY OF THE HOSPITALS...
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| 00:11:46 |
Unidentified Speaker, -
FOR ALL THE DOCTORS WATCHING TODAY, THERE IS A STRONG CONCERN WITH THE PAYMENTS SYSTEM, THE DOCK FIX. IT IS BUILT INTO THE BUDGET FOR THE FEDERAL GOVERNMENT...
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| 00:12:29 |
Unidentified Speaker, -
20 YEARS AND I HAVE IMMENSE RESPECT FOR THE WORK FORCE IN THIS COUNTRY. WE ARE REALLY BLESSED WITH PEOPLE THAT WANT TO DO THE RIGHT THING. IT IS SO IMPORTANT...
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| 00:13:37 |
Unidentified Speaker, -
BEEN A PROBLEM IN MEASURING THE BUDGETARY AFFECT IN PROVING QUALITY AND EFFICIENCY. BUT IT TAKES ON AN ADDITIONAL URGENCY, GIVEN THE FACT THAT MEDICARE...
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| 00:14:21 |
Unidentified Speaker, -
BE DELIVERED. IT IS HARD TO BE SECURE ABOUT THE ESTIMATES OF WHAT CAN HAPPEN IF WE IMPROVE CARE. THEY ARE DOING THEIR JOB AS THEY NEED TO DO. I AM CONFIDENT...
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| 00:16:07 |
Unidentified Speaker, -
KNOWS YOU'RE THE MEDICARE BOSS, BUT YOU'RE ALSO THE MEDICAID COSTS. IN THE RIGHT AND BUDGET, EVERYONE TALKS ABOUT MEDICARE SAVES A LOT OF MONEY, BUT...
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| 00:17:00 |
Unidentified Speaker, -
MEDICAID, VERY SEVERE. MY HEART IS CLOSER TO MEDICAID AND MEDICARE. I'VE TAKEN CARE OF INNER-CITY KIDS WHO DEPENDED HEAVILY ON MEDICAID SUPPORT TO GET...
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| 00:19:00 |
Unidentified Speaker, -
IS A FOLLOW-UP QUESTION. YOU SOUND VERY THOUGHTFUL, BUT THEY'RE PEOPLE THAT WANT RESULTS NOW. HOW ARE YOU GOING TO NOT CUT MEDICAID SUBSTANTIALLY? >>...
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| 00:19:19 |
Unidentified Speaker, -
BY THAT BENEFICIARY AND LOOKED FOR EFFICIENCIES THAT ALLOW THE COST OF ALL. EVERY DAY I GO TO WORK THINKING NOT JUST ABOUT THE TROUBLE WE'RE HAVING...
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| 00:19:51 |
Unidentified Speaker, -
DO WITH THE STATE'S IN IMPLEMENTING THE NEW HEALTH CARE LAW IN GENERAL? THERE ARE A GROWING NUMBER OF STATE LEADERS FROM ONE PARTY PRIMARILY WITH WHO...
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| 00:20:21 |
Unidentified Speaker, -
BE PATIENT AND STAY AT THE TABLE. IT DOES NOT MATTER WHAT PARTY LEADS IT, THEY ARE STILL OUR PARTNER AND WE NEED TO WORK THROUGH THE CANCERS WITH THESE...
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| 00:21:21 |
Unidentified Speaker, -
HAS BEEN AN ACCEPTANCE THAT THE AGE OF ELIGIBILITY HAS TO RISE. WHY IS THIS STILL 65 FOR MEDICARE? >> I CAN ANSWER
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| 00:21:34 |
Unidentified Speaker, -
YOUR QUESTION FROM THE VIEWPOINT OF CONGRESS. >>
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| 00:21:38 |
Unidentified Speaker, -
FROM THE HEALTH CARE PERSPECTIVE, WOULD THAT HELP WITH THE QUALITY OF CARE FOR AMERICANS? >> I THINK
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| 00:21:44 |
Unidentified Speaker, -
THE QUALITY OF CARE AT THAT THE SYSTEM GIVES OUR SENIORS, I THINK WE SHOULD KEEP IT. THIS IDEA THAT WHEN YOU HIT THAT AGE, AND THEN YOU'RE PART OF A...
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| 00:22:13 |
Unidentified Speaker, -
BEEN SOME DISCUSSION OF TRYING TO GET HIGHER INCOME MEDICARE BENEFICIARIES TO PAY MORE. PART OF THE PROGRAM IN MEDICARE PART B, THERE IS A REQUIREMENT...
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| 00:22:39 |
Unidentified Speaker, -
SPECULATIVE FOR ME RIGHT NOW. I LIKE THE SYSTEM WE ARE IN RIGHT NOW. WE ARE ALL IN IT AND COMMITTED TO IT. I KNOW THAT CREATES A DYNAMIC OF OF COMMITMENT...
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| 00:23:06 |
Unidentified Speaker, -
IN WHAT YOU CAN SAY, BUT ARE YOU HEARING ANY SIGN OF ALL THE SENATE REPUBLICANS ARE WARMING UP TO YOU? >> I'M
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| 00:23:16 |
Unidentified Speaker, -
ENJOYING ANY INTERACTION I HAVE WITH CONGRESS. I CANNOT TELL YOU HOW MUCH I HAVE LEARNED FROM INTERACTIONS WITH SENATORS AND REPRESENTATIVES ON BOTH SIDES...
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| 00:23:46 |
Unidentified Speaker, -
YOUR REFERENCED YOU SURPRISED THAT THEY LOVE ALL -- THE DIFFERENCE BETWEEN YOUR PRACTICE AND RUNNING THE MEDICAID AND MEDICARE SYSTEM. WHAT DID YOU LEARN...
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| 00:24:05 |
Unidentified Speaker, -
FEDERAL WORK FORCE HAS BEEN A MAJOR LEARNING FOR ME. I DID NOT KNOW WHAT IT WOULD BE LIKE. MY AGENCY HAS OVER 4000 PEOPLE IN IT, WONDERFUL PEOPLE. ...
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| 00:24:48 |
Unidentified Speaker, -
UP, YOU TALKED ABOUT YOUR VIEW OF THE LONG TERM. BUT YOUR FUTURE IS IN DOUBT. HEALTH REFORM IS IN THE COURTS AND WE DO NOT KNOW WHAT HAPPENED. HOW CONFIDENT...
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| 00:25:15 |
Unidentified Speaker, -
CONFIDENT OF SUCCESS. I KNOW THAT THIS IS GOING TO WORK. WE HAVE A CRISIS IN OUR COUNTRY. REPUBLICANS, DEMOCRATS, PAYERS, PROVIDERS, WE ARE ALL IN THE...
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| 00:25:47 |
Unidentified Speaker, -
FIX ONE THING WITHOUT ANY INTERFERENCE FROM ANYBODY ELSE, WHAT WOULD IT BE? >>
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| 00:25:54 |
Unidentified Speaker, -
TEMPO. I WOULD GO FASTER. WE ARE AT A PACE NOW WE THINK ABOUT THREE YEARS NOW FROM NOW. MY WHOLE SENSES OF READINESS. WE KNOW WHAT TO DO IN THIS COUNTRY...
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| 00:26:28 |
Unidentified Speaker, -
BEING OUR GUEST THIS WEEK. WE'RE BACK WITH THE REPORTERS. GENTLEMEN, WE JUST TALKED TO DR. BERWICK. WHAT IS DIFFERENT ABOUT THE CRISIS LEVEL THIS TIME...
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| 00:27:00 |
Unidentified Speaker, -
WE HAVE SEEN TWO VERY DIFFERENT PROPOSALS. THREE THINGS GOING ON. MEDICARE IS AN OPEN-ENDED ENTITLEMENT PROGRAM. IT IS TOO COSTLY RIGHT NOW AND NOT...
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| 00:27:51 |
Unidentified Speaker, -
OUTCOME UNKNOWABLE? >> I THINK IT IS INFORMED
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| 00:27:55 |
Unidentified Speaker, -
BY A LEVEL OF URGENCY. IT MAY BE SOMEWHAT DIFFERENT THAN IN THE PAST. THERE IS NOT A HUGE AMOUNTS OF TIME TO ACTUALLY COME UP WITH SOMETHING. BUT HE...
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| 00:28:35 |
Unidentified Speaker, -
OUT OF MONEY, THEY DO NOT STOP PAYING. THERE IS STILL MONEY COMING IN FROM TAXES. BUT THEY PAID LAST. IF THE MEDICARE HOSPITAL INSURANCE TRUST FUND...
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| 00:28:59 |
Unidentified Speaker, -
CONTINUE TO RUN UP THE DEAD. >> THEY CANNOT RUN
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| 00:29:02 |
Unidentified Speaker, -
OF THE DEBT FROM THE TRUST FUND. THEY COULD POTENTIALLY BORROW IT FROM SOMEWHERE ELSE. BUT THEY WOULD END UP HAVING TO CUT BACK PROBABLY WHAT THEY'RE...
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| 00:29:39 |
Unidentified Speaker, -
GENERATION AGO, SOCIAL SECURITY WAS IN THIS URGENT SITUATION. PEOPLE WERE PUT INTO A ROOM AND SAID NOT TO COME OUT UNTIL THEY HAD A SOLUTION. WILL THERE...
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| 00:29:53 |
Unidentified Speaker, -
KNOW ANYTHING ABOUT THAT. >> HAVE YOU HEARD ANYONE
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| 00:29:57 |
Unidentified Speaker, -
SAY INSTEAD OF TACKLING THE WHOLE BUDGET PROBLEM, LET'S TACKLE MEDICARE? >> IT IS SUCH A
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| 00:30:05 |
Unidentified Speaker, -
POLITICAL WINNER FOR THE DEMOCRATS. NANCY PELOSI WAS ALL ABOUT JOBS AND RECENTLY SHE CAME OUT AND SAID, MEDICARE, MEDICARE, MEDICARE. THEY KNOW THAT...
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| 00:30:42 |
Unidentified Speaker, -
EXPECTATION THAT A DEAL ON MEDICARE COULD BE WORKED OUT BETWEEN NOW AND 2012. >> MEDICARE
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| 00:30:51 |
Unidentified Speaker, -
ADVANTAGE BEING RUN IN MANY DISTRICTS. >> IN THE RUN-UP TO
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| 00:30:56 |
Unidentified Speaker, -
THE 2010 ELECTIONS, REPUBLICANS HAVE NO INCENTIVE TO TRY TO FIX HEALTH CARE REFORM. IT WAS A POLITICAL WINNER FOR THEM. WHY WOULD THEY DO ANYTHING TO...
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| 00:31:48 |
Unidentified Speaker, -
A NOTE OF OPTIMISM IN AN OTHERWISE PESSIMISTIC ASSESSMENT. THANK YOU FOR BEING HERE THIS WEEKEND. WE APPRECIATE YOUR EXPERTISE. [CAPTIONING PERFORMED...
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.