Toomey2020
Member
- May 29, 2011
- 47
- 3
- 6
To me, these two topics is where I'm very weak. I'm interested to learn more about them from a Republican and Democrat view. What is the problem in these two programs now? How do you fix them?
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But you see, Phil, I dont think Medicare is broken. I dont think Medicaid is broken. Theyre very important social programs of good intent that are accomplishing largely what they intend to accomplish. Health care is broken. The delivery system isnt working. Thats the problem.
We set up a delivery system which is fragmented, unsafe, not sufficiently patient-centered, full of waste, unreliable, despite great efforts of the workforce. We built it wrong. It isnt built for modern times.
Medicare doesnt need fixing. Health care needs fixing. And thats the agenda that Ive been trying to focus on in my whole career, and also as administrator. Now, Medicare and Medicaid have opportunities to provide incentives and information and encouragement to get us those changes, but the problem of American health care is not Medicare, its the delivery system. And now, thank goodness, we seem to be en route toward better delivery options, better delivery configurations. Its only a matter of: Are we going to get that fast enough?