Think that we would be a lot more successful by now and for us they are doing it at the local level using the county stakeholders and we are very fortunate that we have the counties support to allow us to tap into these different resources but we have to replicate that acceptability in every county and in every city if it doesnt come topdown. Typically at the end of the four runs people leave more depressed than when they came. At times we have been accused of designing before in the floor in the program to make people more worried. I dont know about everybody else, but i at least am more optimistic and hopeful and i think that we should end this on an upbeat note so please join me in thanking our speakers and i look forward to seeing you again and i can promise you that it will be less optimistic. Plus a live picture from the Brookings Institution as we bring you a discussion this morning on the military Health Care System we hear from a number of Defense Department officials as well
To me that the connection between the military, the activeduty military and the va was terrible symbolized by the fact that we had incompatible electronic record systems. And that apparently have given up trying to harmonize billions of dollars in ten years at least. I wont get into a number, i will accept wholeheartedly the spirit of your question and answer it in a couple of different ways. The military Health System in the va system initially had Different Missions and the whole idea was after the Second World War and the words before now if you got ill or injured you are going to move on. That degree of of coordination at a time when health care was simpler served its purpose. Fastforward purpose. Fast forward to the 21st century and that is neither acceptable or desired because of the complexity of care. We have committed to harmonizing and working on that transition, and i cochaired the Health Executive committee with the under secretary of the va to work across some broad areas
We now have Health Care System in which it your income is less than four times the official poverty threshold for a family of four is now in the vicinity of 90,000 a year, scaled down for smaller families, you are eligible for subsidies, refundable tax credits and assistance with cost sharing, on a sliding scale that starts with recently complete coverage of what is called the Silver Health plan and that is the premium that is charged for a Health Care Plan that covers 70 of the covered Health Care Services on an actuarial basis. Plans can provide that coverage in different ways. Many people also want more generous coverage or they receive it through and foyer sponsored plans. If you buy through a Health Exchange you can buy plans that cover up to 90 of the cost of coverage which leaves relatively small amounts for deductibles where there may not be anybody or cost sharing only for certain services. It is very generous coverage. Perhaps not as generous as try care is not described as b
They are partners in the Moffett Nathanson research firm. Mr. Moffett, lets begin with you. Whats the impact, whats your initial reaction to what cbs, hbo have announced and then add onto that netflix and apple, etc. , and all these different services. Whats the impact on the Overall Television industry . Guest well, those are two separate categories really. The new ones, hbo and cbs, my guess is the impact will be actually somewhat limited. On the other hand, the impact of some of the ones that are already here like netflix has already been very profound. And i think what were seeing here is a real change in the viewing habits of millennials, that theyre simply watching tv in a very different way than my generation watched tv, and youre starting to see all the Media Companies embrace that and recognize that they cant sort of circle the wagons and just try to protect the existing ecosystem anymore, they have to actually reach out to that set of consumers. The advertisers want to reach
That starts with an essentially complete coverage of whats called a Silver Health plan. And that is the premium that is charged for a Health Care Plan that covers 70 of the covered Health Care Services on an actuarial basis. Plans can provide that coverage in different ways. Many people also want more generous coverage, or they receive it through employersponsored plans, if you buy through a Health Exchange you can buy plans that cover up to 90 of the cost of coverage, which leaves relatively small amounts for deductibles, there may not be any or costsharing, only for certain services. Its very generous coverage. Perhaps not as generous as tricare is now described as being, but close. So the question i have is whether it wouldnt be desirable as part of the National Health care system to provide for the base level of coverage to be a general responsibility not of the department of defense, but but of the overall Healthcare System that is serving the rest of the population. Now, for spec