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Dates: during 2000-2009
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...people right now on Capitol Hill who are saying, we need more from him; he's got to tell us what - where his bright red lines are on this. The truth is we've actually, I think, provided more guidance than has been advertised. I mean, if you think about how we've moved this forward, we didn't simply put out some broad principles; we were fairly specific. We said we need to have insurance reform, and that's going to include things like preventing insurers from dropping people because of preexisting conditions. We said that we are going...
...these are benign changes - changes in how the delivery system works, reimbursing doctors for quality as opposed to quantity, trying to reduce the number of tests, trying to discourage hospitals from readmitting patients, or at least providing them bonuses for getting it right the first time - all those things mean that people are going to have to change their practices...
...that going to happen occasionally or at least that I'm not going to be able to get what I want? I mean - Well - yes. I mean, here's what I've tried to say. Here's how I've described it, and this is the truth as I see it: There is nothing that - there is nothing that would make you healthier that health reform would prevent you from getting. What we are interested in doing is giving doctors and patients the ability to sort through what's effective and what's not, and not purchase things that...
Well, you know, a few months ago, when you brought up your own grandmother's situation [her choice to have an expensive hip-replacement operation, despite the fact that she was terminially ill], I mean, it was, I think, painful and personal because every family, if they haven't hit some wrenching decision like this, is going to. As you think back on that, I mean, was that the right decision? Is this the - for your family, for her? Is this the kind of thing that a reformed system, as you see it, would change the dynamic of that decision...
...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...