Video archive of the US Congress

House Proceeding 06-03-09 on Jun 3rd, 2009 :: 2:37:25 to 2:43:50
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Allyson Y. Schwartz

2:37:24 to 2:37:44( Edit History Discussion )

Allyson Y. Schwartz: issue of health care i.t., i'm so glad to have you joing us here. ms. schwartz: thank you very much and i'm very pleased to join you and i want to acknowledge the really good work, mr. murphy, you have done in having these kind of dialogues on the floor and talking about health care and how important and how possible it is for us to actually find a

Allyson Y. Schwartz

2:37:25 to 2:43:50( Edit History Discussion )
Speech By: Allyson Y. Schwartz

Allyson Y. Schwartz

2:37:45 to 2:38:06( Edit History Discussion )

Allyson Y. Schwartz: unique -- uniquelamerican solution to the problems that are facing us and to just reiterate a little bit why we're here, why we are talking about this, it isn't only because it's a moral imperative and for many of uand i know many of us have worked particularly on whether it's making sure medicare works really well or extending health care coverage for children, the chip program which we all really

Allyson Y. Schwartz

2:38:07 to 2:38:27( Edit History Discussion )

Allyson Y. Schwartz: worked so hard on, some of us in our states and certainly i did back in pennsylvania in 1992, but even here on the floor and making sure that children of working families had access, most cases to private health insurance. but the fact is that we're here because it's also an economic imperative and we know that from

Allyson Y. Schwartz

2:38:28 to 2:38:49( Edit History Discussion )

Allyson Y. Schwartz: hearing it from our businesses, small businesses and large businesses saying at that they cannot be economically competitive because of the double-digit inflationary costs of health premiums for their employees, a business owner just told me the other day that their rates went up 40% from one year to the next. that's just not sustainable.

Allyson Y. Schwartz

2:38:50 to 2:39:11( Edit History Discussion )

Allyson Y. Schwartz: and so we need to address that because if they're going to be economically competitive and continue private health benefits where they're reasonable with employees, we have to do something about the escalation in costs in health care and third, of course, is, as a government we are spending money that is growing again in unsustainable rates for medicare and we need to contain the

Allyson Y. Schwartz

2:39:12 to 2:39:32( Edit History Discussion )

Allyson Y. Schwartz: growth of those costs. and again i think i would reiterate what was said before. we believe that americans should have access to quality health care. they should have access to doctors to be able to have ongoing relations with their doctors but we also think that we can do three things. we have to be able to contain costs and we can be smarter and

Allyson Y. Schwartz

2:39:33 to 2:39:54( Edit History Discussion )

Allyson Y. Schwartz: more efficient and more effective in the way we provide health care in this country and i'll talk about this that in a minute. secondly we have to improve the quality of health care. we actually provide a lot of health care, not all of it is exactly what you need and maybe more than you need sometimes or less than you need sometimes. we have to get that right and we can. and then we have to extend coverage to all americs

Allyson Y. Schwartz

2:39:55 to 2:40:16( Edit History Discussion )

Allyson Y. Schwartz: because americans do put off health care that they ought to get. they go to emergency rooms because there isn't a doctor for themo see. and they often don't fill a prescription because they simply can't afford to. they don't follow the recommendations of health care providers. so we're here at a moment and i agree with mr. courtney, we're here at a moment when we can find a way, where we can in fact

Allyson Y. Schwartz

2:40:17 to 2:40:37( Edit History Discussion )

Allyson Y. Schwartz: contain the growth of cost, tend coverage and improve quality for all americans and th's what we want to do and we're going to do it in a uniquely american way which means it's going to be very much a public-private partnership and we're going to build on what works in the system which is that most amecans get their health coverage through their employers, 55% of the insured

Allyson Y. Schwartz

2:40:38 to 2:40:58( Edit History Discussion )

Allyson Y. Schwartz: get it through their employers. they're going to be able to keep that, hopefully less expensive for their employers and for the group in particular that's so hard to access health coverage, the small businesses, individuals, they're going to be able to find a way to find affordable, meaningful coverage. mr. courtney didn't even talk about his pre-existing condition bill which is very important in

Allyson Y. Schwartz

2:40:59 to 2:41:19( Edit History Discussion )

Allyson Y. Schwartz: making sure that when you buy insurance, to find out maybe years later that you don't have coverage for a condition because in fact they found some reason that this was a preexisting condition is really just not acceptable anymore in this country. we should make sure that coverage is meaningful. i do did want to say on the delivery system we've already

Allyson Y. Schwartz

2:41:20 to 2:41:40( Edit History Discussion )

Allyson Y. Schwartz: take an very mainly step forward in putting some real dollars into the system under medicare to incentivize our hospitals and our doctors, to use electronic medical records, interoperable, means different doctors and hospitals can see what's going on, patients can see what's going on to them, go and check their own records potentially

Allyson Y. Schwartz

2:41:41 to 2:42:02( Edit History Discussion )

Allyson Y. Schwartz: which is very exciting way to empower patients. but under medicare we're going to say that physicians and doctors in this country are going to use electronic medical records and in this way they won't duplicate unnecessary tests, they will be able to say, find out if a patient filled a prescription and if they're taking the medication and if not, maybe give them a call and say, you know what?

Allyson Y. Schwartz

2:42:03 to 2:42:23( Edit History Discussion )

Allyson Y. Schwartz: you haven't been back in two months, you're in early diabetes and you really need to be taking this medication, really need to be monitoring what you eat and if you don't you're going to get a lot sicker. why don't you come in and we'll talk about that? wouldn't that be something if a doctor gave you a call and said that? one of the ways we can do that is making sure we have adequate primary chair this country and we don't.

Allyson Y. Schwartz

2:42:24 to 2:42:45( Edit History Discussion )

Allyson Y. Schwartz: we don't have enough primary re providers. i was just having a conversation with another member and he said, i represent a small town there, there aren't enough primary car doctors. i represent a suburban urban district and we don't have enough primary care doctors. this is a problem across this country. and in 1998, half of the medical

Allyson Y. Schwartz

2:42:46 to 2:43:06( Edit History Discussion )

Allyson Y. Schwartz: students were choosing primary care, well, just now we're looking at 20% choosing primary care and they expect that number is going down and so we don't -- there's a reason why we can't find a primary care physician. they aren't there. and while we all want to have our specialists when we need them, having the access to primary care is extremely important to making sure you get

Allyson Y. Schwartz

2:43:07 to 2:43:27( Edit History Discussion )

Allyson Y. Schwartz: the kind ocare that you need and that you get it in a timely fashion and that you have someone helping you figure out what specialist to go to and figuring out what kind of care you need and hopefully helping you stay healthy and helping those, particularly with serious chronic diseases, have ongoing care. i see you

Allyson Y. Schwartz

2:43:28 to 2:43:49( Edit History Discussion )

Allyson Y. Schwartz: [inaudible ing. you're probably ready for me to conclude -- i see you nodding. you're probably ready for me to conclude. there are a lot of different pieces, it is complicated. it is not going to be easy to do. we have to believe in each other that we can do this right and that we can get it right. and that's what we're trying to do. the next eight weeks will be

Allyson Y. Schwartz

2:43:50 to 2:43:51( Edit History Discussion )

Allyson Y. Schwartz: very important to the american people, to american businesses,

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