Word: coste
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Dates: during 2000-2009
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...system in which we don't even try to make it rational, we just sort of live with what we have. And what I'm trying to suggest is, is that there's this huge space in between where we could make the system much more efficient, much more cost-effective, make people much healthier, and still not have to resort to some of the rationing that people are fearful of. But that - it does require changes in how we approach things...
...what if it would make me just a little bit healthier, but it would really cost a lot of money and I want it? Well, what you're describing is - what you're describing is the status quo now. There are all kinds of things that people want that would make them a little bit better and they don't have. Every single person who goes to the emergency room goes through that. Every single person who is denied reimbursement for something by an insurance company is going through that. Every single person who's got an $8,000 deductible...
...mother, who had a difficult time with her cancer in part because her insurance was a little bit unreliable and she had just taken a new job, my grandmother had been signed up under Kaiser Permanente for years. And it's actually one of the models of high-quality, cost-efficient care that's out there right now, partly because they maintain such a stable base of patients and they construct a whole team approach that has proven to be very effective...
...that you don't even get to those really tough decisions, you don't even have to get to those really tough decisions before you've already saved a huge amount of money and made people healthier and made sure that Medicare was solvent and bent the cost curve. I mean, there's 20, 25% of the cost - of the system that is wasteful right now, even before you get to tough decisions about end-of-life care...
...what we've said is that if doctors and patients had that information, and you start changing some of these delivery systems, you will see significant changes in the cost of health care and you will see improved outcomes and improved convenience, because if people are going through a battery of tests when one test would be sufficient, every time they're going to the doctor, that's gas, babysitting, sitting around for two hours, a day off work. We're not even factoring in those costs...