Word: systemic
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...this perception that you either have rationing that is very stringent and sort of makes you wait for months before you can get your cancer treated or you can never get your knee replaced, right, all the horror stories you hear from the British model or the Canadian system that people who are opposed to reform always trot out. Or, alternatively, you just have this bloated 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...
...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? You know, first of all, unlike my 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...
...grandmother was generally very happy with her care, and if we could actually get our health care system across the board to hit the efficiency levels of a Kaiser Permanente or a Cleveland Clinic or a Mayo or a Geisinger, we actually would have solved our problems...
...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...
...term. I feel pretty good that I've been pretty consistent on this. The individual mandate is probably the one area where I basically changed my mind. The more deeply I got into the issue, the more I felt that the dangers of adverse selection justified us creating a system that shares responsibility, as long as we were actually making health insurance affordable and there was a hardship waiver for those who, even with generous subsidies, couldn't afford it. And that remains my position...