In the technology area, we already witnessed a different kind of thinking. Right now we still enjoy leadership and we still enjoy standard leadership. So were able to apply some of our influence. Over time come as you know, especially in the area of Technology Evolves very quickly. By not being there, we will very quickly lose our ability to impact. Once it is harmonized based on the United States standards, for example, all the businesses will suffer because that means we potentially have to create different that the products, different sets of services. That will ever stamp act our ability to expand commerce. Thank you are a match. Too many of the other panelists want to comment on that . Yes. I know john lancaster, we are colleagues together on the United States institute of peace. I dont mean to put words into his mouth, but it is their laments to it the United States can expect to do in terms of influence in other countries. You dont have to be exactly what we would like you to be
Obama, since obama has been in office. As a committee there are particular things. I think that of course the administration gave an adequate support in different times ofti the past two or three years but maybe just put it in contextfo uncomfortable for us and not what we were advocating for with the state department and others in thest United States. But this wasnt fortunately a moment where lives were at stake and as would be seen by the rest of the world as a top issue for American Foreign policy or given all the other things going on. So i agree with you that the sort of language they use on several occasions was unhelpful, didnt go as far as we would have liked. W i am not sure whether it ranged alongside some of the things we discussing today for the Foreign Policy issue betweev them. One of the things with the two countries working sidebyside with iraq inquiry by this committee and the housing inquiry and currently it taken Something Like four years. We are beginning to emerge
An audible conversations [inaudible conversations] we are going to find a seat and allow us to get started. We will try to do it on time. Good afternoon. My name is ed howard with the alliance for Health Reform. On behalf of senator bond and senator rockefeller, we want to welcome you to this program to take a look at the initial almost eight weeks of experience since the marketplaces or exchange is open for business on october 1. And the major pieces of implementation of the Affordable Care act began taking shape. We want to recognize our partners in this enterprise. The Commonwealth Fund, which is almost four baby just over 100yearsold on the washingtonbased philanthropy devoted to the common good. You will be hearing from Sarah Collins of commonwealth in just a moment. This program is important because we want to go to give you as much information as we can, and to put every piece of data that you have seen into the perspective particularly from the perspective of folks who are actu
And the disabled and the chronic conditions, we have got to do more than just keep them covered, we have got to cover and then at th to the cost curv. David blumenthal at commonwealth has done a famous job explaining this. This is what the states are doing that i think its is reay exciting news. Im going to do another session on this. Reforming the Delivery System and reforming the way that we pay for care in this country. We have to treat Health Care Just like a bunch of economic and the words paying for value that is with medicaid is focused on these days i will stop there and look for questions at the end. Thank you. That is a great start this discussion and now we are going to turn over to daniel skyler who is the director of Exchange Technology and a former director of the technology for Utah Health Insurance exchange which has been in business as long as anybody. His colleagues have been helping a number of states prepare for the implementation, especially the exchanges and we ha
Were concerned about problems nd its puzzling to me why these key people didnt talk to you about it. They gave you no hint this is existed . Perhaps i just was not included in certain discussions. What you knew then have spoken ld you up more with regard to rolling out the website on october 1 . Luxury of a ad the time machine to go back and change things, but i cant do that. I understand that. It is a matter did you ask someone at that time for more time . No. Why not . Because my direction was from . Tavner was to n deliver a system on october 1. So marilyn said deliver october 1. Briefingsen in on the from mckenzie that said there were serious problems. Them, i n two of believe. And this was hhs headquarters on april 4. Also in the and Eisenhower Executive Office building on april 6. Briefing the problems. Move it for october 1. Charge of man in making this work, she didnt problems hat those existed . Is that what youre saying today. Told you or didnt tell you . Just curious. I dont