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Video archive of the US Congress

House Proceeding 06-11-09 on Jun 11th, 2009 :: 2:53:15 to 2:56:14
Total video length: 3 hours 9 minutes Stream Tools: Stream Overview | Edit Time

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Allyson Y. Schwartz

2:53:11 to 2:53:32( Edit History Discussion )

Allyson Y. Schwartz: president says we bend that cost curve on health care. we have to bring costs more into line with the rate of general inflation. ms. schwartz: would the gentleman yield for a moment. i think when some constituents hear some of those words they really want to know, and i think that's one of the things we are really interested in in pursuing here, is they want to know, does that mean i'm

Allyson Y. Schwartz

2:53:15 to 2:56:14( Edit History Discussion )
Speech By: Allyson Y. Schwartz

Allyson Y. Schwartz

2:53:33 to 2:53:54( Edit History Discussion )

Allyson Y. Schwartz: going to get less health care? does it mean aim not going to get what i mean? i'm going to go to the emergency room and turn me away? the fact is we are trying to be smarter than that. what we are saying instead is we want to make sure you get the right service when isou need them. i'm sure you hear from constituents who find they go to the emergency room because there

Allyson Y. Schwartz

2:53:55 to 2:54:15( Edit History Discussion )

Allyson Y. Schwartz: simply isn't a d community. i remember when i was growing up there was a general practitioner down the street. we all went to him. and i bet there is no general practioner there anymore. for many people i know parts of my own district we have seen some hospital units close. we have seen doctors offices close. it just isn't the way medicine is practiced right now.

Allyson Y. Schwartz

2:54:16 to 2:54:36( Edit History Discussion )

Allyson Y. Schwartz: the truth is through reimbursement both insurance companies and what we have done under medicare, we have not created any incentive for doctors or nurse practitioners to go and open an office in a small community and to provide those kind of services. instead we have encouraged them to become specialists, to really do the fancy kind of things. while we need them and we want

Allyson Y. Schwartz

2:54:37 to 2:54:58( Edit History Discussion )

Allyson Y. Schwartz: to make sure we have those specialized physicians there and avail -- available for us, if we only focus on that we have really forgotten the simple things. which is how do you really talk to a patient? make sure they understand what they need to do? how do we make sure we have a shared sponet -- responsibility?

Allyson Y. Schwartz

2:54:59 to 2:55:20( Edit History Discussion )

Allyson Y. Schwartz: the patient can say i'm sure can i take a pill for that. and we'll be fine. but that takes a patient-doctor relationship. that's often what's missing is that ongoing relationship with primary care providers. that's both physicians and nurse practioners. and that's one of the things we want to address. i'm sure that the gentleman's

Allyson Y. Schwartz

2:55:21 to 2:55:41( Edit History Discussion )

Allyson Y. Schwartz: heard the cost of medical homes. maybe you want to talk about that. the idea of an ongoing relationship, the fact we are interested in this health care reform of creating a new opportunity to reimburse primary care practitioners for that kind of ongoing relationpship with patients so they know what special toist see. help someone sort through the

Allyson Y. Schwartz

2:55:42 to 2:56:02( Edit History Discussion )

Allyson Y. Schwartz: many medications they take. i was going to give you one number my staff gave me earlier which i was struck by. it said that medical beneficiaries with fiver or more chronic conditions see an average of 1 different physicians per year. are prescribed an average of 50 different prescriptions. that's a lot to sort through if you're not an expert.

Allyson Y. Schwartz

2:56:03 to 2:56:14( Edit History Discussion )

Allyson Y. Schwartz: it really is. to think about actually having someone you could talk to and say wait a minute, do i really -- should i still be taking these? shouldn't i? who do i ask about this? sure you have hed some of

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