Level of business engagement. If you go to Front Range Community college where ive been in colorado you will see they have an advanced manufacturing partnership. Its a partnership between the federal state and local government. You see that the curriculum is being devised in partnership with industry. You actually see that there are businesses whose workers are professors. And what they tell me is one of the reasons they love teaching is they cherry pick the best students. And thats fine. Thats how you build your talent pipeline. And so we need to continue the efforts. And, again governor fallin thank you for your leadership on behalf of Community Colleges. We had four years worth of what we call tax grants. We have since dismissed our acronym director because its a clumsy acronym. What it stands for is using Community Colleges to catalyze change in the work force system. What i learned from these grants is that oftentimes businesses werent talking enough to educators. And so in los an
Projections and also hear it from the private sector. The belief is, having come from the private sector and actually having come from a company that is known for its negotiating on price, walmart, the idea that we use Market Mechanisms to try and put downward pressure on price is something we think is important. Thats why weve asked for those authorities, so that we can try and work with the pharmaceuticals and negotiate to keep downward pressure on that price. Thats what we hope we can do. We see it as part of the overall issues that we are being asked about how we transform the system for the long term. We believe there are things we need to do and pressure we need to future. What do you see as some of the key problems that you are going to be having as you try and move forward with this . I think with regard to this particular issue its not one you know, it is a elect lative and a statutory issue. It will take a statutory change to grant the authorities to be able to negotiate. Tha
Thank you, mr. Chairman. Thank you madam secretary, for being here. There are some questions i want to bring up to begin with. Then we will get to the questions. These are things i want your shop to answer. One are the medicare wage indexes. If you look at those around the country, it was never intended to be like that. 20 of the highest are in california and massachusetts. 14 of the lowest are in alabama and tennessee. For instance, what you get paid in santa cruz, california is 1. 7 with a medicare wage index. And. 73 where i live. Its putting us out of business. That needs to desperately be looked at. The second thing, and i want to know your solution to that. Certainly were all against fraud and abuse. But in my state the medicare comes in, does these audits, withholds the payments. We win 72 of them. And we now, the backlog is so long, you cant get in front of anybody to get your money back that you have earned. And thats unfair. And i think you absolutely need to redo the audits.
Abide by the rigid man daytodays under the law. The Congressional Budget Office estimates the law results in 2. 5 million fewer fulltime jobs reflecting what we heard over and over again from employers who have no choice but to cut hours or delay hiring because of the laws burden mandates. Prices skyrocket. Health Insurance Companies are seeking rate increases of, quote, 20 to 40 or more. Markets are still adjusting to the quote, shock waves, set off by the Affordable Care act. After nearly 2 trillion in new government spending, its estimated more than 25 million individuals still lack basic Health Care Coverage. Yet, just last month, president obama said the law, quote, work the out better than some of us anticipated, close quote. Of course, for those who oppose this government takeover of health care, this is precisely what we anticipated and preciseprecise ly why the American People deserve a better approach. In closing, madam secretary, thank you for joining us this morning. It is
My first stop in the series was at the Commonwealth Fund to learn more about health care and how it got so expensive. We solicited a lot of patient stories through social media and at the end of the series i had this bank of woe of patient stories, people who were smart for the most port New York Times readers who had not been able to make the system work. By there time you are finished, you realized you just scratched the service. I felt like i needed to know because it shows how prices had gotten as a physician to tried in the 80, i knew health care had not always been this way. I wanted to understand how did we get to this system which literally nobody seems to like right now. And by understanding that how can we get to a better place. We have seen so many efforts reform and everybody agrees to needs to be reformed but as see see on the hill today we are still arguing. As you mentioned, you are a physician i am a physician. We went to the same medical school. Harvard medical school.