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Transcripts For CSPAN2 Key Capitol Hill Hearings 20140317

All legal residents residing in france. It is not, i repeat, it is not an example of socialized medicine like cuba. It is also not a National Health service as in the United States united kingdom. It is also not an instance of a government run Health System like our excellent Veterans Health administration. French National Health insurance in contrast is an example of public, social security, and private Health Care Financing combined with a diverse publicprivate mix in the provision of Health Care Services. The French Health care system reflects three political values embraced by americans. Liberalism in the sense of giving patients free choice of any doctor or any hospital they care to go to, with no networks, no restrictions. Second, pluralism. Everybody has a diverse choice. They can go to feeforservice, solo practitioners. They can go to group practices. They can go to Outpatient Health centers. The computer emergency risk, public or private hospital, consultations with specialist

Transcripts For CSPAN3 Politics Public Policy Today 20141015

Performance is called avoidable mortality. That is in a Good Health Care system, women should not die in child birth. People should not die of tuberculosis. People should not die of aschemic Heart Disease. People should not die of cancers that can be cured. And when we look at that, im embarrassed to say that we come out in the United States as 19 and the french come out as number 1, i repeat, number 1. That is a fact that cannot be ignored. It must be addressed. It was written up in health affairs, a reputable journal. It was confirmed with different measures by the oecd, and it has not received in my judgment sufficient discussion. Another indicator of how well a system is doing and a theme of this subcommittee that i know is dear to chairman sanders is access to primary care. You can talk about primary care until youre blue in the face, but lets look at the consequences of whether you receive primary care or not in Different Health care systems. We have a very established measure of

Transcripts For CSPAN3 Politics Public Policy Today 20141015

The media. Very inflammatory headlines. W. H. O. Says all gay men should be on prep. Nobody said that. Read the guidelines there. I think a real advance. In addition to the recommendation, theres an important recommendation for Community Distribution to reduce overdose deaths, which have actually in countries where theres good coverage of arbs, overdose death has been begun to replace hiv as the leading cause of death win people who inject opia opiates. There was good news on prep, which was the results released the Clinical Trial came out in 2011. Bob grant was the lead investigator. This is the open label extension. So this is really the question of the effectiveness of the prep when its not a placebo trial, when people know what they are taking. The good news is the effectiveness was higher than in the trial. About 50 overall. But looking at blood levels and at people who actually took the drug, it turns out, first of all, that the efficacy was 100 as measured in people who took it

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