Needed drugs. They have not provided an analysis for how physicians would have to refer beneficiaries to more costly hospital outpatient settings. Cms has not indicated how will affect the beneficiary access and quality birth but during the course of a formal evaluation. Not surprisingly the proposed experiment has been one of the condemned by experts and stakeholders. Almost immediately after his proposed demonstration was release we received a letter from times from over 300 stakeholder organizations asking for help in getting cms to withdraw the proposal. These organizations include the arthritis foundation, the Caregiver Action Network the immune deficiency foundation, the lung cancer alliance, and the National Alliance for Mental Illness. The organizations that have reached out with concerns about how the proposal represents patients who suffer from the disease is treated by these drugs including cancer arthritis Mental Illness and hiv represent the physicians who treat the patien
Results of practices in rural areas like most of my state of iowa are the patients with a rare disease so what safeguards do you have with regard to treating patients served a smaller practices in rural areas with Rare Diseases . I share your commitment to a small and rural practice i grew up in a small town in texas with a 2 Family Practice we did propose to include rural and small practices but noted we were concerned and focused on the access issues and we sought common tiffany adjustments or exclusions or other changes were needed so we will assess those comments to determine if any adjustments are needed. Number two we have heard from a number of groups that many patients and providers could have been avoided the patients were included in the design at the front end wellplanned city put in and rare when faldo small practices of the stakeholders in the future . We proposed up process multi phase two that includes input of multiple points including patient input to were looking at c
Everyones information there will not be endorsements from the panelists today one important thing i want to clear up because i think it is important for context of this discussion is that the impression you have in organizations in working on this because in washington d. C. People say on the 6 00 news on the sunday talk shows where is the compromise . Where are the people in the middle that can split the baby and come up with legislation . I think that youre going to hear loud and clear from us but is this about compromise or is this about working towards shared values of principled people on both the left and the rig right . All the reasonable people thought this was the way to respond to everything. Left right coalitions and criminal Justice Reform have been successful. Work because curved led so if they led the same fight it wouldnt work. Im not sure i trust everybody but on a right Left Coalition there is no compromise on principles. We are working to do the same thing perhaps for
Blanche, you h but this time youve gone too far. Stop pacing up and down, you look like a cocker spaniel picking in the dog show. audience laughing why didnt you ask that rude bar villain up to my fishing cabin . I go up there to catch big mouth beast, not to live with them. Go over and ask. [harry] blanche, i have work to do. [blanche] i said, go over and ask george. I will not, and that is final. Alright, then ill go to the cabin with you. What . what . I thought you detested fishing. Well, i wont fish, but i was thinking it could be sort of like a second honeymoon for us, dear. And i can sit in your lap and we can cuddle by the fire. audience laughing blanche, i surrender. I will go over and ask that other big mouth beast. audience laughing joyful instrumental music george, although i am [george] good morning, harry. George, although i am the [george] harry, is sort of rude to come into somebodys house without saying good morning. [harry] good morning, george. Okay, start now, you s
Its nice and airy out here. Yeah, well thats because the windows are open inside. audience laughing what are you so dressed up for . Oh, this . Well, cant afford not to, after all, im going to college. Well, you went last year and it was all we could do to get you to wear shoes. audience laughing well, i was only a sophomore then. Oh, sit down, ronnie, ill get you lunch. Oh, mother, im sorry, i didnt call you, but im taking one of my classmates out to lunch. Oh, oh. So, dad, can i have 10 . 10 dollars for lunch . Well yes, you see, im taking her to la rose. Its nice and quiet, and we can study greek philosophy there. La rose . audience laughing look, ronnie, theres a nice little greek restaurant on sunset boulevard. Its cheap and you can get your philosophy right from the kitchen while its still hot. audience laughing oh dad, all i want oh, ronnie, ronnie. If your father is going to be so cheap, here. Thank you, mother. Youre welcome, now give me 10 dollars, please. What for . Well, ju