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WITH GAIL AMUNDSON, AUTHOR, PRESIDENT AND CEO OF QUALITY QUEST FOR HEALTH IN ILLINOIS,
PRESIDENT AND CEO OF QUALITY QUEST FOR HEALTH IN ILLINOIS, INCORPORATED.
QUEST FOR HEALTH IN ILLINOIS, INCORPORATED. >>TELL ME WHAT, IS THE MISSION
INCORPORATED. >>TELL ME WHAT, IS THE MISSION OF QUALITY QUEST?
>>TELL ME WHAT, IS THE MISSION OF QUALITY QUEST? >> IT IS HEALTHY PEOPLE AND HIGH
OF QUALITY QUEST? >> IT IS HEALTHY PEOPLE AND HIGH QUALITY LOW COST HEALTH CARE.
>> IT IS HEALTHY PEOPLE AND HIGH QUALITY LOW COST HEALTH CARE. >> THAT'S EN VEE SOMEBODY
QUALITY LOW COST HEALTH CARE. >> THAT'S EN VEE SOMEBODY OBJECTIVE, BUT HOW DO YOU GET
>> THAT'S EN VEE SOMEBODY OBJECTIVE, BUT HOW DO YOU GET THERE?
OBJECTIVE, BUT HOW DO YOU GET THERE? >> HOW DO YOU GET THERE IS A
THERE? >> HOW DO YOU GET THERE IS A VERY COMPLICATED JOURNEY.
>> HOW DO YOU GET THERE IS A VERY COMPLICATED JOURNEY. IT IS COMPLICATED BECAUSE OUR
VERY COMPLICATED JOURNEY. IT IS COMPLICATED BECAUSE OUR SYSTEM IS SO COMPLEX, OUR HEALTH
IT IS COMPLICATED BECAUSE OUR SYSTEM IS SO COMPLEX, OUR HEALTH CARE SYSTEM IS VERY COMPLEX.
SYSTEM IS SO COMPLEX, OUR HEALTH CARE SYSTEM IS VERY COMPLEX. AND WHAT WE DO IS A SIMPLE THING
CARE SYSTEM IS VERY COMPLEX. AND WHAT WE DO IS A SIMPLE THING WHICH IS TO PROVIDE A PLACE THAT
AND WHAT WE DO IS A SIMPLE THING WHICH IS TO PROVIDE A PLACE THAT IS NEUTRAL.
WHICH IS TO PROVIDE A PLACE THAT IS NEUTRAL. IT IS OUTSIDE OF COMPETITIVE
IS NEUTRAL. IT IS OUTSIDE OF COMPETITIVE FORCES FOR VARIOUS ORGANIZATIONS
IT IS OUTSIDE OF COMPETITIVE FORCES FOR VARIOUS ORGANIZATIONS TO COME TOGETHER AND PICK TOUGH
FORCES FOR VARIOUS ORGANIZATIONS TO COME TOGETHER AND PICK TOUGH THINGS AND WORK ON SOLUTIONS
TO COME TOGETHER AND PICK TOUGH THINGS AND WORK ON SOLUTIONS THAT BENEFIT EVERYONE IN A SMALL
THINGS AND WORK ON SOLUTIONS THAT BENEFIT EVERYONE IN A SMALL WAY.
THAT BENEFIT EVERYONE IN A SMALL WAY. WELL, I THINK I GET THE MESSAGE,
WAY. WELL, I THINK I GET THE MESSAGE, PART OF IT IS EDUCATION, I WOULD
WELL, I THINK I GET THE MESSAGE, PART OF IT IS EDUCATION, I WOULD THINK.
PART OF IT IS EDUCATION, I WOULD THINK. BUT YOU ARE BATTLING OBESITY.
THINK. BUT YOU ARE BATTLING OBESITY. YOU ARE BATTLING CIGARETTE
BUT YOU ARE BATTLING OBESITY. YOU ARE BATTLING CIGARETTE SMOKING.
YOU ARE BATTLING CIGARETTE SMOKING. YOU ARE BATTLING EXERCISE,
SMOKING. YOU ARE BATTLING EXERCISE, ABSENCE OF EXERCISE, AND IT IS
YOU ARE BATTLING EXERCISE, ABSENCE OF EXERCISE, AND IT IS ALMOST -- IS IT FAIR TO SAY IT
ABSENCE OF EXERCISE, AND IT IS ALMOST -- IS IT FAIR TO SAY IT IS A LIFESTYLE CHANGE YOU ARE
ALMOST -- IS IT FAIR TO SAY IT IS A LIFESTYLE CHANGE YOU ARE SEEKING TO ACCOMPLISH, IN PART?
IS A LIFESTYLE CHANGE YOU ARE SEEKING TO ACCOMPLISH, IN PART? >> THAT WOULD BE FAIR.
SEEKING TO ACCOMPLISH, IN PART? >> THAT WOULD BE FAIR. BY THINK WHAT WE ARE ALSO
>> THAT WOULD BE FAIR. BY THINK WHAT WE ARE ALSO SEEKING TO ACCOMPLISH IS CHANGE
BY THINK WHAT WE ARE ALSO SEEKING TO ACCOMPLISH IS CHANGE HOW THE HEALTH CARE SYSTEM
SEEKING TO ACCOMPLISH IS CHANGE HOW THE HEALTH CARE SYSTEM ITSELF WORKS.
HOW THE HEALTH CARE SYSTEM ITSELF WORKS. SO I WOULD SAY IT IS INTERESTING
ITSELF WORKS. SO I WOULD SAY IT IS INTERESTING TO NOTE THAT ABOUT 80% OF WHAT
SO I WOULD SAY IT IS INTERESTING TO NOTE THAT ABOUT 80% OF WHAT DETERMINES ONE'S HEALTHY LIFE
TO NOTE THAT ABOUT 80% OF WHAT DETERMINES ONE'S HEALTHY LIFE HAS TO O WITH WHAT WE DO
DETERMINES ONE'S HEALTHY LIFE HAS TO O WITH WHAT WE DO OURSELVES, WHAT DO WE EAT, HOW
HAS TO O WITH WHAT WE DO OURSELVES, WHAT DO WE EAT, HOW MUCH DO WE MOVE, HOW MUCH DO WE
OURSELVES, WHAT DO WE EAT, HOW MUCH DO WE MOVE, HOW MUCH DO WE SMOKE OR NOT, 20% IS WHAT WE GET
MUCH DO WE MOVE, HOW MUCH DO WE SMOKE OR NOT, 20% IS WHAT WE GET FROM THE HEALTH CARE SPEAK,
SMOKE OR NOT, 20% IS WHAT WE GET FROM THE HEALTH CARE SPEAK, ROUGHLY SPEAK.
FROM THE HEALTH CARE SPEAK, ROUGHLY SPEAK. BUT WE SPEND A THE LOT OF
ROUGHLY SPEAK. BUT WE SPEND A THE LOT OF RESOURCE ON THE HEALTH CARE
BUT WE SPEND A THE LOT OF RESOURCE ON THE HEALTH CARE SYSTEM SIDE OF IT.
RESOURCE ON THE HEALTH CARE SYSTEM SIDE OF IT. AND A LOT LESS ENERGY ON HELPING
SYSTEM SIDE OF IT. AND A LOT LESS ENERGY ON HELPING PEOPLE LIVE HEALTHY LIVES.
AND A LOT LESS ENERGY ON HELPING PEOPLE LIVE HEALTHY LIVES. THERE IS A TWO PART PROBLEM WE
PEOPLE LIVE HEALTHY LIVES. THERE IS A TWO PART PROBLEM WE ARE SOLVING WHICH IS HOW DO WE
THERE IS A TWO PART PROBLEM WE ARE SOLVING WHICH IS HOW DO WE MAKE THE HEALTH CARE SYSTEM THAT
ARE SOLVING WHICH IS HOW DO WE MAKE THE HEALTH CARE SYSTEM THAT DELIVERS THE SMALLER PARTOOK BUT
MAKE THE HEALTH CARE SYSTEM THAT DELIVERS THE SMALLER PARTOOK BUT IS REALLY IMPORTANT WORK BETTER.
DELIVERS THE SMALLER PARTOOK BUT IS REALLY IMPORTANT WORK BETTER. >>I WOULD LIKE TO TURN TO THE
IS REALLY IMPORTANT WORK BETTER. >>I WOULD LIKE TO TURN TO THE TOPIC OF A BOOK THAT I HAVE READ
>>I WOULD LIKE TO TURN TO THE TOPIC OF A BOOK THAT I HAVE READ WITH SOME DEGREE OF FASCINATION
TOPIC OF A BOOK THAT I HAVE READ WITH SOME DEGREE OF FASCINATION CALLED "BRAIN BUGS," HOW THE
WITH SOME DEGREE OF FASCINATION CALLED "BRAIN BUGS," HOW THE BRAIN FLAWS SHAPE OUR LIVES,
CALLED "BRAIN BUGS," HOW THE BRAIN FLAWS SHAPE OUR LIVES, AUTHORED BY A NEURO SCIENTIST,
BRAIN FLAWS SHAPE OUR LIVES, AUTHORED BY A NEURO SCIENTIST, DEAN GUANTAMANO.
AUTHORED BY A NEURO SCIENTIST, DEAN GUANTAMANO. BOOK SAYS WE CAN BE LED INTO
DEAN GUANTAMANO. BOOK SAYS WE CAN BE LED INTO CERTAIN DIRECTIONS BY PREDICATE
BOOK SAYS WE CAN BE LED INTO CERTAIN DIRECTIONS BY PREDICATE THINKING, BUT CONDITIONING.
CERTAIN DIRECTIONS BY PREDICATE THINKING, BUT CONDITIONING. SO I GET TO THE ISSUE OF
THINKING, BUT CONDITIONING. SO I GET TO THE ISSUE OF ADVERTISING AND AFFINITY GROUPS,
SO I GET TO THE ISSUE OF ADVERTISING AND AFFINITY GROUPS, AND THE ROLL OF CONVERTING
ADVERTISING AND AFFINITY GROUPS, AND THE ROLL OF CONVERTING PEOPLE HAVING THEM STOP SMOKE
AND THE ROLL OF CONVERTING PEOPLE HAVING THEM STOP SMOKE WHICH EVERYONE ADMITS IS
PEOPLE HAVING THEM STOP SMOKE WHICH EVERYONE ADMITS IS TERRIBLE DISEASE THAT IS A
WHICH EVERYONE ADMITS IS TERRIBLE DISEASE THAT IS A DISEASE CARRIER, HOW DO WE STOP
TERRIBLE DISEASE THAT IS A DISEASE CARRIER, HOW DO WE STOP THEM FROM SMOKING WHEN THE
DISEASE CARRIER, HOW DO WE STOP THEM FROM SMOKING WHEN THE ADVERTISING SUGGESTS THAT
THEM FROM SMOKING WHEN THE ADVERTISING SUGGESTS THAT SMOKING HISTORICALLY HAS BEEN A
ADVERTISING SUGGESTS THAT SMOKING HISTORICALLY HAS BEEN A GOOD THING, ALL THE CLASSIC
SMOKING HISTORICALLY HAS BEEN A GOOD THING, ALL THE CLASSIC MOVIES YOU SEE CARY GRANT,
GOOD THING, ALL THE CLASSIC MOVIES YOU SEE CARY GRANT, EVERYONE SMOKE.
MOVIES YOU SEE CARY GRANT, EVERYONE SMOKE. HOW DO YOU STOP THAT, GAIL?
EVERYONE SMOKE. HOW DO YOU STOP THAT, GAIL? >> DECREASING SMOKING TAKES A
HOW DO YOU STOP THAT, GAIL? >> DECREASING SMOKING TAKES A LOT OF PUSHES FROM A LOT OF
>> DECREASING SMOKING TAKES A LOT OF PUSHES FROM A LOT OF DIFFERENT DIRECTION.
LOT OF PUSHES FROM A LOT OF DIFFERENT DIRECTION. WHO DO YOU STOP THAT?
DIFFERENT DIRECTION. WHO DO YOU STOP THAT? YOU CAN'T MAKE THE DESIRABLE
WHO DO YOU STOP THAT? YOU CAN'T MAKE THE DESIRABLE MESSAGING ABOUT THE TOBACCO
YOU CAN'T MAKE THE DESIRABLE MESSAGING ABOUT THE TOBACCO PRODUCT GOING AWAY.
MESSAGING ABOUT THE TOBACCO PRODUCT GOING AWAY. ALTHOUGH THERE ARE RULES NOT
PRODUCT GOING AWAY. ALTHOUGH THERE ARE RULES NOT ABLE TO DIRECT THOSE TO CHILDREN
ALTHOUGH THERE ARE RULES NOT ABLE TO DIRECT THOSE TO CHILDREN SO NO ADVERTISING OF THAT SORT
ABLE TO DIRECT THOSE TO CHILDREN SO NO ADVERTISING OF THAT SORT FOR CHILDREN.
SO NO ADVERTISING OF THAT SORT FOR CHILDREN. CHANGE THE ENVIRONMENT THIS
FOR CHILDREN. CHANGE THE ENVIRONMENT THIS WHICH PEOPLE LIVE, GIVE THEM
CHANGE THE ENVIRONMENT THIS WHICH PEOPLE LIVE, GIVE THEM EDUCATION, OFFER THEM HELP, AND
WHICH PEOPLE LIVE, GIVE THEM EDUCATION, OFFER THEM HELP, AND THE THING THAT A PHYSICIAN'S
EDUCATION, OFFER THEM HELP, AND THE THING THAT A PHYSICIAN'S OFFICE DOES THAT WORKS WELL IS
THE THING THAT A PHYSICIAN'S OFFICE DOES THAT WORKS WELL IS TO TOUCH ON IT EVERY TIME THEY
OFFICE DOES THAT WORKS WELL IS TO TOUCH ON IT EVERY TIME THEY SEE THAT PATIENT.
TO TOUCH ON IT EVERY TIME THEY SEE THAT PATIENT. SO THE SCIENCE SAYS IF WE OFFER
SEE THAT PATIENT. SO THE SCIENCE SAYS IF WE OFFER BRIEF REPEATING MESSAGES ABOUT
SO THE SCIENCE SAYS IF WE OFFER BRIEF REPEATING MESSAGES ABOUT THE IMPORTANCE OF QUITING SMOKE
BRIEF REPEATING MESSAGES ABOUT THE IMPORTANCE OF QUITING SMOKE AND OFFER ASSISTANCE, THAT
THE IMPORTANCE OF QUITING SMOKE AND OFFER ASSISTANCE, THAT PEOPLE QUIT.
AND OFFER ASSISTANCE, THAT PEOPLE QUIT. >>OBESITY.
PEOPLE QUIT. >>OBESITY. THE SAME PROBLEM, EXCEPT I
>>OBESITY. THE SAME PROBLEM, EXCEPT I UNDERSTAND AMONG THE YOUTH, MORE
THE SAME PROBLEM, EXCEPT I UNDERSTAND AMONG THE YOUTH, MORE OF THE YOUNG FOLKS WILL
UNDERSTAND AMONG THE YOUTH, MORE OF THE YOUNG FOLKS WILL RECOGNIZE McDONALD'S GOLDEN
OF THE YOUNG FOLKS WILL RECOGNIZE McDONALD'S GOLDEN ARCHES THAN THEY WILL THE CROSS,
RECOGNIZE McDONALD'S GOLDEN ARCHES THAN THEY WILL THE CROSS, THE CHRISTIAN CROSS.
ARCHES THAN THEY WILL THE CROSS, THE CHRISTIAN CROSS. SO HOW DO YOU NOW STOP OBESITY
THE CHRISTIAN CROSS. SO HOW DO YOU NOW STOP OBESITY WHEN WE HAVE ADVERTISING GIANT
SO HOW DO YOU NOW STOP OBESITY WHEN WE HAVE ADVERTISING GIANT DISSEMINATING MESSAGE WORLDWIDE.
WHEN WE HAVE ADVERTISING GIANT DISSEMINATING MESSAGE WORLDWIDE. HOW DO YOU HANDLE THAT?
DISSEMINATING MESSAGE WORLDWIDE. HOW DO YOU HANDLE THAT? >> THEY ARE SELLING A PRODUCT
HOW DO YOU HANDLE THAT? >> THEY ARE SELLING A PRODUCT THAT IF CONSUMED EXCLUSIVELY OR
>> THEY ARE SELLING A PRODUCT THAT IF CONSUMED EXCLUSIVELY OR IN LARGE PORTION OF THE DIET, IT
THAT IF CONSUMED EXCLUSIVELY OR IN LARGE PORTION OF THE DIET, IT WILL RESULT IN NOT PARTICULARLY
IN LARGE PORTION OF THE DIET, IT WILL RESULT IN NOT PARTICULARLY GOOD THINGS FOR PEOPLE.
WILL RESULT IN NOT PARTICULARLY GOOD THINGS FOR PEOPLE. SO AGAIN, I THINK THAT IT IS
GOOD THINGS FOR PEOPLE. SO AGAIN, I THINK THAT IT IS CHANGING THE ENVIRONMENT, AND
SO AGAIN, I THINK THAT IT IS CHANGING THE ENVIRONMENT, AND THE ENVIRONMENT IS REALLY
CHANGING THE ENVIRONMENT, AND THE ENVIRONMENT IS REALLY CHALLENGE FOR PEOPLE RIGHT NOW.
THE ENVIRONMENT IS REALLY CHALLENGE FOR PEOPLE RIGHT NOW. TWO-THIRDS OF AMERICANS ARE
CHALLENGE FOR PEOPLE RIGHT NOW. TWO-THIRDS OF AMERICANS ARE EITHER OVERWEIGHT OR OBESE.
TWO-THIRDS OF AMERICANS ARE EITHER OVERWEIGHT OR OBESE. IF THERE ARE CHARTS ON THE CDC
EITHER OVERWEIGHT OR OBESE. IF THERE ARE CHARTS ON THE CDC WEB SITE, YEAR BY YEAR COLOR
IF THERE ARE CHARTS ON THE CDC WEB SITE, YEAR BY YEAR COLOR GRAPHS, I USE THOSE IN MY
WEB SITE, YEAR BY YEAR COLOR GRAPHS, I USE THOSE IN MY PRESENTATIONS, THE COUNTRY HAS
GRAPHS, I USE THOSE IN MY PRESENTATIONS, THE COUNTRY HAS CHANGED FROM BLUE TO ORANGE.
PRESENTATIONS, THE COUNTRY HAS CHANGED FROM BLUE TO ORANGE. WE HAVE ADDED THREE NEW
CHANGED FROM BLUE TO ORANGE. WE HAVE ADDED THREE NEW CATEGORIES OF THE PERCENT OF
WE HAVE ADDED THREE NEW CATEGORIES OF THE PERCENT OF ADULTS THAT ARE OBESE.
CATEGORIES OF THE PERCENT OF ADULTS THAT ARE OBESE. OVER ABOUT 20, 25 YEARS, AND
ADULTS THAT ARE OBESE. OVER ABOUT 20, 25 YEARS, AND WHEN I THINK ABOUT THAT, I SAY
OVER ABOUT 20, 25 YEARS, AND WHEN I THINK ABOUT THAT, I SAY "THERE JUST ISN'T ANYWAY WE
WHEN I THINK ABOUT THAT, I SAY "THERE JUST ISN'T ANYWAY WE COULD CHANGE THAT MANY PEOPLE TO
"THERE JUST ISN'T ANYWAY WE COULD CHANGE THAT MANY PEOPLE TO THAT EXTENT BY ASKING THEM TO
COULD CHANGE THAT MANY PEOPLE TO THAT EXTENT BY ASKING THEM TO CHANGE.
THAT EXTENT BY ASKING THEM TO CHANGE. SO THAT SAYS THAT SOMETHING IN
CHANGE. SO THAT SAYS THAT SOMETHING IN THE ENVIRONMENT HAS CHANGED SO
SO THAT SAYS THAT SOMETHING IN THE ENVIRONMENT HAS CHANGED SO THEY ARE BEHAVING DIFFERENTLY.
THE ENVIRONMENT HAS CHANGED SO THEY ARE BEHAVING DIFFERENTLY. THERE ARE SOCIATIVE THINGS.
THEY ARE BEHAVING DIFFERENTLY. THERE ARE SOCIATIVE THINGS. WHAT FOODS ARE AVAILABLE?
THERE ARE SOCIATIVE THINGS. WHAT FOODS ARE AVAILABLE? WHAT FOODS ARE AFFORDABLE?
WHAT FOODS ARE AVAILABLE? WHAT FOODS ARE AFFORDABLE? WHAT FOODS ARE MARKETED?
WHAT FOODS ARE AFFORDABLE? WHAT FOODS ARE MARKETED? WHAT FOODS ARE CHILDREN EATING
WHAT FOODS ARE MARKETED? WHAT FOODS ARE CHILDREN EATING IN SCHOOL?
WHAT FOODS ARE CHILDREN EATING IN SCHOOL? DO THEY KNOW HOW TO -- ARE THEY
IN SCHOOL? DO THEY KNOW HOW TO -- ARE THEY COOKING AT HOME?
DO THEY KNOW HOW TO -- ARE THEY COOKING AT HOME? ARE THEY USING PRIMARILY
COOKING AT HOME? ARE THEY USING PRIMARILY PREPARED FOOD OR BUYING FOOD
ARE THEY USING PRIMARILY PREPARED FOOD OR BUYING FOOD OUT?
PREPARED FOOD OR BUYING FOOD OUT? WHOLE HOST OF DIFFERENT
OUT? WHOLE HOST OF DIFFERENT ENVIRONMENTAL FACTORS THAT
WHOLE HOST OF DIFFERENT ENVIRONMENTAL FACTORS THAT APPEAR TO BE ALL DRIVING IN
ENVIRONMENTAL FACTORS THAT APPEAR TO BE ALL DRIVING IN MAYBE THE WRONG DIRECTION.
APPEAR TO BE ALL DRIVING IN MAYBE THE WRONG DIRECTION. >>NOW, SO IS IT AT ALL POSSIBLE
MAYBE THE WRONG DIRECTION. >>NOW, SO IS IT AT ALL POSSIBLE OR SIMPLY WISHFUL THINKING THAT
>>NOW, SO IS IT AT ALL POSSIBLE OR SIMPLY WISHFUL THINKING THAT YOU CAN CHANGE THE ATTITUDE OF
OR SIMPLY WISHFUL THINKING THAT YOU CAN CHANGE THE ATTITUDE OF THOSE THAT ARE PURCHASING THAT
YOU CAN CHANGE THE ATTITUDE OF THOSE THAT ARE PURCHASING THAT PRODUCT GIVEN THE MILLIONS AND
THOSE THAT ARE PURCHASING THAT PRODUCT GIVEN THE MILLIONS AND BILLIONS OF DOLLARS THAT ARE
PRODUCT GIVEN THE MILLIONS AND BILLIONS OF DOLLARS THAT ARE DEVOTED TO ADVERTISING TO THE
BILLIONS OF DOLLARS THAT ARE DEVOTED TO ADVERTISING TO THE CONTRARY?
DEVOTED TO ADVERTISING TO THE CONTRARY? >>I DON'T THINK I'D GO BA
CONTRARY? >>I DON'T THINK I'D GO BA CHANGING THEIR OPINION ABOUT
>>I DON'T THINK I'D GO BA CHANGING THEIR OPINION ABOUT THAT PRODUCT, BUT ONE DOES HAVE
CHANGING THEIR OPINION ABOUT THAT PRODUCT, BUT ONE DOES HAVE TO -- I THINK YOU HAVE TO
THAT PRODUCT, BUT ONE DOES HAVE TO -- I THINK YOU HAVE TO DELIVER EDUCATION SO PEOPLE --
TO -- I THINK YOU HAVE TO DELIVER EDUCATION SO PEOPLE -- CHILDREN IN SCHOOLS AND THEIR
DELIVER EDUCATION SO PEOPLE -- CHILDREN IN SCHOOLS AND THEIR PARENTS UNDERSTAND WHAT GOOD
CHILDREN IN SCHOOLS AND THEIR PARENTS UNDERSTAND WHAT GOOD NUTRITION IS.
PARENTS UNDERSTAND WHAT GOOD NUTRITION IS. THEY UNDERSTAND THE IMPORTANCE
NUTRITION IS. THEY UNDERSTAND THE IMPORTANCE OF CHILDREN EXERCISING ON A
THEY UNDERSTAND THE IMPORTANCE OF CHILDREN EXERCISING ON A REGULAR BASIS, GETTING OUT AND
OF CHILDREN EXERCISING ON A REGULAR BASIS, GETTING OUT AND MOVING.
REGULAR BASIS, GETTING OUT AND MOVING. 25 YEARS AGO, WHEN I WAS MUCH
MOVING. 25 YEARS AGO, WHEN I WAS MUCH YOUNGER, LET'S ADD FEW MORE THAN
25 YEARS AGO, WHEN I WAS MUCH YOUNGER, LET'S ADD FEW MORE THAN 25, WE RODE OUR BIKES.
YOUNGER, LET'S ADD FEW MORE THAN 25, WE RODE OUR BIKES. WE WERE OUTSIDE ALL THE TILE.
25, WE RODE OUR BIKES. WE WERE OUTSIDE ALL THE TILE. WE DIDN'T HAVE COMPUTER.
WE WERE OUTSIDE ALL THE TILE. WE DIDN'T HAVE COMPUTER. WE DIDN'T PLAY COMPUTER GAMES.
WE DIDN'T HAVE COMPUTER. WE DIDN'T PLAY COMPUTER GAMES. WE DIDN'T GET A TV UNTIL I WAS
WE DIDN'T PLAY COMPUTER GAMES. WE DIDN'T GET A TV UNTIL I WAS IN FOURTH GRADE.
WE DIDN'T GET A TV UNTIL I WAS IN FOURTH GRADE. IT WAS A DIFFERENT ENVIRONMENT.
IN FOURTH GRADE. IT WAS A DIFFERENT ENVIRONMENT. SO YOU SAY HOW DID WE CHANGE
IT WAS A DIFFERENT ENVIRONMENT. SO YOU SAY HOW DID WE CHANGE THAT?
SO YOU SAY HOW DID WE CHANGE THAT? AGAIN, THAT'S SOMETHING QUITE
THAT? AGAIN, THAT'S SOMETHING QUITE LIKE TOBACCO THAT NO ONE THING
AGAIN, THAT'S SOMETHING QUITE LIKE TOBACCO THAT NO ONE THING WILL CHANGE IT.
LIKE TOBACCO THAT NO ONE THING WILL CHANGE IT. IT IS REALLY PEOPLE WORKING
WILL CHANGE IT. IT IS REALLY PEOPLE WORKING TOGETHER AND DECIDING THEY ARE
IT IS REALLY PEOPLE WORKING TOGETHER AND DECIDING THEY ARE GOING TO CHANGE IT AND THEN
TOGETHER AND DECIDING THEY ARE GOING TO CHANGE IT AND THEN PUTTING ALL SORTS OF SMALLER
GOING TO CHANGE IT AND THEN PUTTING ALL SORTS OF SMALLER CHANGES IN PLACE THAT ADD TO UP
PUTTING ALL SORTS OF SMALLER CHANGES IN PLACE THAT ADD TO UP BIGGER CHANGES.
CHANGES IN PLACE THAT ADD TO UP BIGGER CHANGES. FOOD HAS TO BE LESS EXPENSIVE,
BIGGER CHANGES. FOOD HAS TO BE LESS EXPENSIVE, MORE ACCESSIBLE, PEOPLE HAVE TO
FOOD HAS TO BE LESS EXPENSIVE, MORE ACCESSIBLE, PEOPLE HAVE TO UNDERSTAND THE PLUS AND MINUSES
MORE ACCESSIBLE, PEOPLE HAVE TO UNDERSTAND THE PLUS AND MINUSES OF DIFFERENT TYPES OF FOOD, IT
UNDERSTAND THE PLUS AND MINUSES OF DIFFERENT TYPES OF FOOD, IT HAS TO BE EASY AND AFFORDABLE O
OF DIFFERENT TYPES OF FOOD, IT HAS TO BE EASY AND AFFORDABLE O FOR THEM TO HAVE FOOD.
HAS TO BE EASY AND AFFORDABLE O FOR THEM TO HAVE FOOD. THERE ARE QUITE A FEW PROGRAMS
FOR THEM TO HAVE FOOD. THERE ARE QUITE A FEW PROGRAMS FOR PEOPLE TODAY THAT ARE EASIER
THERE ARE QUITE A FEW PROGRAMS FOR PEOPLE TODAY THAT ARE EASIER TO USE AND MORE INTERACTIVE AND
FOR PEOPLE TODAY THAT ARE EASIER TO USE AND MORE INTERACTIVE AND PROVIDE MORE FUNCTIONALITY THAN
TO USE AND MORE INTERACTIVE AND PROVIDE MORE FUNCTIONALITY THAN JUST CARRYING A BOOK.
PROVIDE MORE FUNCTIONALITY THAN JUST CARRYING A BOOK. WHAT HAPPENS, ONLINE PROGRAMS,
JUST CARRYING A BOOK. WHAT HAPPENS, ONLINE PROGRAMS, YOU PUT IN A SLICE OF PIZ ACTION
WHAT HAPPENS, ONLINE PROGRAMS, YOU PUT IN A SLICE OF PIZ ACTION AND IT WILL AUTOMATICALLY POP UP
YOU PUT IN A SLICE OF PIZ ACTION AND IT WILL AUTOMATICALLY POP UP THE CALORIES, AND IT WILL ALSO
AND IT WILL AUTOMATICALLY POP UP THE CALORIES, AND IT WILL ALSO TELL YOU WHAT YOUR BMI IS OUT
THE CALORIES, AND IT WILL ALSO TELL YOU WHAT YOUR BMI IS OUT THERE.
TELL YOU WHAT YOUR BMI IS OUT THERE. >>BODY MASS INDEX.
THERE. >>BODY MASS INDEX. >>AND IT WILL SHOW YOU WHEN YOU
>>BODY MASS INDEX. >>AND IT WILL SHOW YOU WHEN YOU ARE OBESE.
>>AND IT WILL SHOW YOU WHEN YOU ARE OBESE. >>YEAH, AND I THINK I HAVE USED
ARE OBESE. >>YEAH, AND I THINK I HAVE USED THOSE IN MY ADULT LIFE WHEN I
>>YEAH, AND I THINK I HAVE USED THOSE IN MY ADULT LIFE WHEN I THOUGHT I NEEDED TO LOSE A
THOSE IN MY ADULT LIFE WHEN I THOUGHT I NEEDED TO LOSE A LITTLE WEIGHT.
THOUGHT I NEEDED TO LOSE A LITTLE WEIGHT. AND I HAVE TO SAY THEY ARE VERY
LITTLE WEIGHT. AND I HAVE TO SAY THEY ARE VERY INSTRUCTIVE.
AND I HAVE TO SAY THEY ARE VERY INSTRUCTIVE. >>I UNDERSTAND 80% OF WEIGHT
INSTRUCTIVE. >>I UNDERSTAND 80% OF WEIGHT ISSUES RELATE TO WHAT YOU EAT
>>I UNDERSTAND 80% OF WEIGHT ISSUES RELATE TO WHAT YOU EAT AND ONLY 20% TO EXERCISE.
ISSUES RELATE TO WHAT YOU EAT AND ONLY 20% TO EXERCISE. IS THAT -- AM I WRONG ABOUT
AND ONLY 20% TO EXERCISE. IS THAT -- AM I WRONG ABOUT THAT?
IS THAT -- AM I WRONG ABOUT THAT? >> THERE ARE REALLY ONLY TWO
THAT? >> THERE ARE REALLY ONLY TWO VARIABLES IN IT.
>> THERE ARE REALLY ONLY TWO VARIABLES IN IT. HOW MUCH WE MOVE AND HOW MANY
VARIABLES IN IT. HOW MUCH WE MOVE AND HOW MANY CALORIES WE TAKE IN.
HOW MUCH WE MOVE AND HOW MANY CALORIES WE TAKE IN. THAT'S IT.
CALORIES WE TAKE IN. THAT'S IT. I DON'T KNOW THAT THE STATIC
THAT'S IT. I DON'T KNOW THAT THE STATIC THAT YOU MENTIONED, AND I KNOW
I DON'T KNOW THAT THE STATIC THAT YOU MENTIONED, AND I KNOW THAT EACH OF US LEADS A
THAT YOU MENTIONED, AND I KNOW THAT EACH OF US LEADS A DIFFERENT LIFE.
THAT EACH OF US LEADS A DIFFERENT LIFE. I HAVE SEEN PEOPLE IN MY
DIFFERENT LIFE. I HAVE SEEN PEOPLE IN MY PRACTICE WHO WERE QUITE HEAVY,
I HAVE SEEN PEOPLE IN MY PRACTICE WHO WERE QUITE HEAVY, BUT THEY WORK IN A STOCKROOM
PRACTICE WHO WERE QUITE HEAVY, BUT THEY WORK IN A STOCKROOM FLOOR AND THEY ARE MOVING ALL
BUT THEY WORK IN A STOCKROOM FLOOR AND THEY ARE MOVING ALL DAY LONG.
FLOOR AND THEY ARE MOVING ALL DAY LONG. IT IS DIET.
DAY LONG. IT IS DIET. FOR SOMEONE ELSE IN A DIFFERENT
IT IS DIET. FOR SOMEONE ELSE IN A DIFFERENT SITUATION, SOMETHING ELSE.
FOR SOMEONE ELSE IN A DIFFERENT SITUATION, SOMETHING ELSE. THE EDUCATIONAL PROCESS YOU HAVE
SITUATION, SOMETHING ELSE. THE EDUCATIONAL PROCESS YOU HAVE DESCRIBED ASSUMES THAT PEOPLE
THE EDUCATIONAL PROCESS YOU HAVE DESCRIBED ASSUMES THAT PEOPLE WILL BE ABLE TO LEARN AND WILL
DESCRIBED ASSUMES THAT PEOPLE WILL BE ABLE TO LEARN AND WILL BE SUFFICIENTLY POSSESSED OF
WILL BE ABLE TO LEARN AND WILL BE SUFFICIENTLY POSSESSED OF DISCIPLINE TO FOLLOW THROUGH!
BE SUFFICIENTLY POSSESSED OF DISCIPLINE TO FOLLOW THROUGH! >>AND THAT THEY SEE THERE IS A
DISCIPLINE TO FOLLOW THROUGH! >>AND THAT THEY SEE THERE IS A PROBLEM, AND THAT THEY WANT --
>>AND THAT THEY SEE THERE IS A PROBLEM, AND THAT THEY WANT -- IT IS SOMETHING THEY WANT TO
PROBLEM, AND THAT THEY WANT -- IT IS SOMETHING THEY WANT TO CHANGE. SO MANY PARENTS OF
IT IS SOMETHING THEY WANT TO CHANGE. SO MANY PARENTS OF CHILDREN WHO ARE OVER WEIGHT AND
CHANGE. SO MANY PARENTS OF CHILDREN WHO ARE OVER WEIGHT AND OBESE DON'T RECOGNIZE THAT.
CHILDREN WHO ARE OVER WEIGHT AND OBESE DON'T RECOGNIZE THAT. THEIR CHILD LOOKS NORMAL WEIGHT
OBESE DON'T RECOGNIZE THAT. THEIR CHILD LOOKS NORMAL WEIGHT TO BE NORMAL WEIGHT TO THEM IF
THEIR CHILD LOOKS NORMAL WEIGHT TO BE NORMAL WEIGHT TO THEM IF YOU ASKED THEM.
TO BE NORMAL WEIGHT TO THEM IF YOU ASKED THEM. THERE ARE STUDIES ON THAT.
YOU ASKED THEM. THERE ARE STUDIES ON THAT. SO THE FIRST PIECE IS THAT WE
THERE ARE STUDIES ON THAT. SO THE FIRST PIECE IS THAT WE HAVE CHANGED OUR NORMS, WHAT WE
SO THE FIRST PIECE IS THAT WE HAVE CHANGED OUR NORMS, WHAT WE VIEW AS NORMAL WEIGHT AND BODY
HAVE CHANGED OUR NORMS, WHAT WE VIEW AS NORMAL WEIGHT AND BODY SHAPE.
VIEW AS NORMAL WEIGHT AND BODY SHAPE. WE HAVE CHANGED THAT.
SHAPE. WE HAVE CHANGED THAT. I'D SAY WHEN I GRADUATED HIGH
WE HAVE CHANGED THAT. I'D SAY WHEN I GRADUATED HIGH SCHOOL, MY CLASS WAS PRETTY
I'D SAY WHEN I GRADUATED HIGH SCHOOL, MY CLASS WAS PRETTY THIN, AND WE PROBABLY HAD TWO
SCHOOL, MY CLASS WAS PRETTY THIN, AND WE PROBABLY HAD TWO STUDENTS IN A SMALL CLASS OF 40,
THIN, AND WE PROBABLY HAD TWO STUDENTS IN A SMALL CLASS OF 40, 50 PEOPLE THAT WOULD HAVE BEEN
STUDENTS IN A SMALL CLASS OF 40, 50 PEOPLE THAT WOULD HAVE BEEN OVER WEIGHT OR OBESE. MY
50 PEOPLE THAT WOULD HAVE BEEN OVER WEIGHT OR OBESE. MY CHILDREN GRADUATING FROM HIGH
OVER WEIGHT OR OBESE. MY CHILDREN GRADUATING FROM HIGH SCHOOL, IT IS AN ENTIRELY
CHILDREN GRADUATING FROM HIGH SCHOOL, IT IS AN ENTIRELY DIFFERENT STORE YOU.
SCHOOL, IT IS AN ENTIRELY DIFFERENT STORE YOU. HOW ABOUT THIS, HERE IS AN IDEA
DIFFERENT STORE YOU. HOW ABOUT THIS, HERE IS AN IDEA LET'S ASSUME THAT WE ARE UNABLE
HOW ABOUT THIS, HERE IS AN IDEA LET'S ASSUME THAT WE ARE UNABLE TO CONVINCE SOCIETY CHANGE
LET'S ASSUME THAT WE ARE UNABLE TO CONVINCE SOCIETY CHANGE HABITS, A PROPOSITION, I THINK
TO CONVINCE SOCIETY CHANGE HABITS, A PROPOSITION, I THINK IT IS A GOOD THING PEOPLE SMOKE.
HABITS, A PROPOSITION, I THINK IT IS A GOOD THING PEOPLE SMOKE. I WANT THEM TO SMOKE, AND WHEN
IT IS A GOOD THING PEOPLE SMOKE. I WANT THEM TO SMOKE, AND WHEN THEY SEE THEIR FAMILY MEMBERS
I WANT THEM TO SMOKE, AND WHEN THEY SEE THEIR FAMILY MEMBERS DYING, MAYBE THEY WILL STOP
THEY SEE THEIR FAMILY MEMBERS DYING, MAYBE THEY WILL STOP SMOKE.
DYING, MAYBE THEY WILL STOP SMOKE. HAS THAT AFTER COME ACROSS, GIVE
SMOKE. HAS THAT AFTER COME ACROSS, GIVE UP AND LET THEM DO IT?
HAS THAT AFTER COME ACROSS, GIVE UP AND LET THEM DO IT? >> NO.
UP AND LET THEM DO IT? >> NO. THAT'S A LITTLE BIT OF A HARD
>> NO. THAT'S A LITTLE BIT OF A HARD WAY TO DO IT.
THAT'S A LITTLE BIT OF A HARD WAY TO DO IT. I ACTUALLY DON'T THINK IT WORKS.
WAY TO DO IT. I ACTUALLY DON'T THINK IT WORKS. BECAUSE CHILDREN THINK THEY ARE
I ACTUALLY DON'T THINK IT WORKS. BECAUSE CHILDREN THINK THEY ARE IN VULNERABLE.
BECAUSE CHILDREN THINK THEY ARE IN VULNERABLE. THE MESSAGES THAT KEEP THEM FROM
IN VULNERABLE. THE MESSAGES THAT KEEP THEM FROM SMOKING AND THE ACTIONS THAT
THE MESSAGES THAT KEEP THEM FROM SMOKING AND THE ACTIONS THAT KEEP THEM FROM SMOKE HAVE
SMOKING AND THE ACTIONS THAT KEEP THEM FROM SMOKE HAVE NOTHING TO DO WITH PEOPLE DYING
KEEP THEM FROM SMOKE HAVE NOTHING TO DO WITH PEOPLE DYING EARLY, BEING WORRIED ABOUT DYING
NOTHING TO DO WITH PEOPLE DYING EARLY, BEING WORRIED ABOUT DYING EARLY.
EARLY, BEING WORRIED ABOUT DYING EARLY. IT IS VERY ADDICTIVE SUBSTANCE.
EARLY. IT IS VERY ADDICTIVE SUBSTANCE. ONCE YOU START SMOKING, IT IS
IT IS VERY ADDICTIVE SUBSTANCE. ONCE YOU START SMOKING, IT IS CHALLENGE TO QUIT.
ONCE YOU START SMOKING, IT IS CHALLENGE TO QUIT. OBESITY, I THINK THE SAME ISSUE
CHALLENGE TO QUIT. OBESITY, I THINK THE SAME ISSUE APPLIES.
OBESITY, I THINK THE SAME ISSUE APPLIES. IT IS AT THAT POINT AND TIME
APPLIES. IT IS AT THAT POINT AND TIME PEOPLE DON'T REALIZE HOW MUCH OF
IT IS AT THAT POINT AND TIME PEOPLE DON'T REALIZE HOW MUCH OF A HEALTH THREAT IT IS.
PEOPLE DON'T REALIZE HOW MUCH OF A HEALTH THREAT IT IS. WE ARE GOING TO START TO SEE
A HEALTH THREAT IT IS. WE ARE GOING TO START TO SEE PEOPLE DIE AT A YOUNGER AGE.
WE ARE GOING TO START TO SEE PEOPLE DIE AT A YOUNGER AGE. WE WILL SEE THE DEATH RATES IN
PEOPLE DIE AT A YOUNGER AGE. WE WILL SEE THE DEATH RATES IN MIDDLE AGE WOMEN HAVE STARTED TO
WE WILL SEE THE DEATH RATES IN MIDDLE AGE WOMEN HAVE STARTED TO GO UP IN RECENT YEARS, NATIONAL
MIDDLE AGE WOMEN HAVE STARTED TO GO UP IN RECENT YEARS, NATIONAL STATISTICS, BUT PEOPLE PAY
GO UP IN RECENT YEARS, NATIONAL STATISTICS, BUT PEOPLE PAY ATTENTION TO THOSE, HAVE TO
STATISTICS, BUT PEOPLE PAY ATTENTION TO THOSE, HAVE TO START PAYING ATTENTION AND
ATTENTION TO THOSE, HAVE TO START PAYING ATTENTION AND TALKING ABOUT IT.
START PAYING ATTENTION AND TALKING ABOUT IT. BUT I THINK FAMILIES HAVE
TALKING ABOUT IT. BUT I THINK FAMILIES HAVE EXPERIENCED IT ALREADY AND IT
BUT I THINK FAMILIES HAVE EXPERIENCED IT ALREADY AND IT HASN'T CAUSED A CHANGE.
EXPERIENCED IT ALREADY AND IT HASN'T CAUSED A CHANGE. YOU ARE ON THE EDGE OF ALMOST A
HASN'T CAUSED A CHANGE. YOU ARE ON THE EDGE OF ALMOST A FAMILY PRACTICE PRACTITIONER?
YOU ARE ON THE EDGE OF ALMOST A FAMILY PRACTICE PRACTITIONER? IS THAT FAIR?
FAMILY PRACTICE PRACTITIONER? IS THAT FAIR? >> I THINK IT WOULD BE PRETTY
IS THAT FAIR? >> I THINK IT WOULD BE PRETTY FAIR.
>> I THINK IT WOULD BE PRETTY FAIR. I AM A FAMILY PRACTICE DOCTOR IN
FAIR. I AM A FAMILY PRACTICE DOCTOR IN A WAY FOR DOLTS.
I AM A FAMILY PRACTICE DOCTOR IN A WAY FOR DOLTS. I DON'T SEE CHILDREN.
A WAY FOR DOLTS. I DON'T SEE CHILDREN. I NEVER SAW CHILDREN IN MY
I DON'T SEE CHILDREN. I NEVER SAW CHILDREN IN MY PRACTICE.
I NEVER SAW CHILDREN IN MY PRACTICE. MY PRACTICE WITH GERIATRIC FOCUS
PRACTICE. MY PRACTICE WITH GERIATRIC FOCUS TENDED TO BE A BIT OLDER.
MY PRACTICE WITH GERIATRIC FOCUS TENDED TO BE A BIT OLDER. >>35 --
TENDED TO BE A BIT OLDER. >>35 -- >>PRIMARY CARE.
>>35 -- >>PRIMARY CARE. PRIMARY CARE, RIGHT.
>>PRIMARY CARE. PRIMARY CARE, RIGHT. >>COULD YOU EXPAND ON THE HE
PRIMARY CARE, RIGHT. >>COULD YOU EXPAND ON THE HE DEFINITION OF YOUR UNDER
>>COULD YOU EXPAND ON THE HE DEFINITION OF YOUR UNDER GRADUATE DEGREE?
DEFINITION OF YOUR UNDER GRADUATE DEGREE? WHAT IS IT ABOUT?
GRADUATE DEGREE? WHAT IS IT ABOUT? HOW DOES IT RELATE TO WHAT YOU
WHAT IS IT ABOUT? HOW DOES IT RELATE TO WHAT YOU ARE DOING?
HOW DOES IT RELATE TO WHAT YOU ARE DOING? WHAT YOU DID AS EN TERNIT AND
ARE DOING? WHAT YOU DID AS EN TERNIT AND WHAT YOU ARE DOING TODAY?
WHAT YOU DID AS EN TERNIT AND WHAT YOU ARE DOING TODAY? >> MY UNDERGRADUATE DEGREE WAS
WHAT YOU ARE DOING TODAY? >> MY UNDERGRADUATE DEGREE WAS BASIC SCIENCE DEGREE.
>> MY UNDERGRADUATE DEGREE WAS BASIC SCIENCE DEGREE. IT WAS -- MY INTENTION FROM THE
BASIC SCIENCE DEGREE. IT WAS -- MY INTENTION FROM THE GET-GO WAS TO BE A DOCTOR.
IT WAS -- MY INTENTION FROM THE GET-GO WAS TO BE A DOCTOR. I WANTED TO BE A DOCTOR.
GET-GO WAS TO BE A DOCTOR. I WANTED TO BE A DOCTOR. SO I WAS GETTING MY DEGREE FOR
I WANTED TO BE A DOCTOR. SO I WAS GETTING MY DEGREE FOR THAT GOAL.
SO I WAS GETTING MY DEGREE FOR THAT GOAL. AND I WAS -- I LOVE SCIENCE,
THAT GOAL. AND I WAS -- I LOVE SCIENCE, MOLECULAR BIOLOGY WAS SOMETHING
AND I WAS -- I LOVE SCIENCE, MOLECULAR BIOLOGY WAS SOMETHING I WAS QUITE INTERESTED IN.
MOLECULAR BIOLOGY WAS SOMETHING I WAS QUITE INTERESTED IN. >> AND MATH?
I WAS QUITE INTERESTED IN. >> AND MATH? >> I LOVE MATH, YEAH.
>> AND MATH? >> I LOVE MATH, YEAH. >>AND GARDENING.
>> I LOVE MATH, YEAH. >>AND GARDENING. >>AND GARDENING.
>>AND GARDENING. >>AND GARDENING. >>AND OUTDOORS?
>>AND GARDENING. >>AND OUTDOORS? >> AND OUTDOORS.
>>AND OUTDOORS? >> AND OUTDOORS. >>AND READING.
>> AND OUTDOORS. >>AND READING. >>UH-HUH.
>>AND READING. >>UH-HUH. >>AND RIGHT WRITING?
>>UH-HUH. >>AND RIGHT WRITING? >> I WRITE MORE NOW THAN I EVER
>>AND RIGHT WRITING? >> I WRITE MORE NOW THAN I EVER HAVE BEFORE.
>> I WRITE MORE NOW THAN I EVER HAVE BEFORE. BUT THAT'S PA LITTLE LESS -- IT
HAVE BEFORE. BUT THAT'S PA LITTLE LESS -- IT DOESN'T QUITE FLOW OUT OF MY
BUT THAT'S PA LITTLE LESS -- IT DOESN'T QUITE FLOW OUT OF MY PEN. I HAVE TO WORK AT THAT A
DOESN'T QUITE FLOW OUT OF MY PEN. I HAVE TO WORK AT THAT A LITTLE BIT.
PEN. I HAVE TO WORK AT THAT A LITTLE BIT. >>THE TIPPING POINT.
LITTLE BIT. >>THE TIPPING POINT. >>YOU SAID YOU ALWAYS WANTED TO
>>THE TIPPING POINT. >>YOU SAID YOU ALWAYS WANTED TO BE A DOCTOR.
>>YOU SAID YOU ALWAYS WANTED TO BE A DOCTOR. >>ALWAYS, COULD YOU DEFINE
BE A DOCTOR. >>ALWAYS, COULD YOU DEFINE ALWAYS?
>>ALWAYS, COULD YOU DEFINE ALWAYS? WHEN DID "ALWAYS" BEGIN?
ALWAYS? WHEN DID "ALWAYS" BEGIN? >> I WAS A YOUNG GUIDANCE
WHEN DID "ALWAYS" BEGIN? >> I WAS A YOUNG GUIDANCE COUNSELOR IN OUR HIGH SCHOOL WHO
>> I WAS A YOUNG GUIDANCE COUNSELOR IN OUR HIGH SCHOOL WHO ASKED ME WHERE I WAS PLANNING TO
COUNSELOR IN OUR HIGH SCHOOL WHO ASKED ME WHERE I WAS PLANNING TO GO TO COLLEGE.
ASKED ME WHERE I WAS PLANNING TO GO TO COLLEGE. I SAID -- OH, NO, IT WAS TIME
GO TO COLLEGE. I SAID -- OH, NO, IT WAS TIME FOR ME TO SELECT A COLLEGE, AND
I SAID -- OH, NO, IT WAS TIME FOR ME TO SELECT A COLLEGE, AND WHAT WAS I PLANNING TO DO?
FOR ME TO SELECT A COLLEGE, AND WHAT WAS I PLANNING TO DO? I SAID JUST DON'T KNOW.
WHAT WAS I PLANNING TO DO? I SAID JUST DON'T KNOW. SO HE SAT ME DOWN WITH A BOOK OF
I SAID JUST DON'T KNOW. SO HE SAT ME DOWN WITH A BOOK OF CAREERS, AND SAID DO ANY OF
SO HE SAT ME DOWN WITH A BOOK OF CAREERS, AND SAID DO ANY OF THOSE SOUND GOOD?
CAREERS, AND SAID DO ANY OF THOSE SOUND GOOD? I SAID "I THINK I WANT TO TO BEA
THOSE SOUND GOOD? I SAID "I THINK I WANT TO TO BEA DOCTOR."
I SAID "I THINK I WANT TO TO BEA DOCTOR." THAT WAS THE TIPPING POINT.
DOCTOR." THAT WAS THE TIPPING POINT. >>YOU DON'T KNOW WHY?
THAT WAS THE TIPPING POINT. >>YOU DON'T KNOW WHY? >> MY MOTHER IS A NURSE.
>>YOU DON'T KNOW WHY? >> MY MOTHER IS A NURSE. IT IS THE INTEREST ABOUT THE
>> MY MOTHER IS A NURSE. IT IS THE INTEREST ABOUT THE SCIENCE AND THE BIOLOGY AND ALL
IT IS THE INTEREST ABOUT THE SCIENCE AND THE BIOLOGY AND ALL OF THAT, AND I SAID "I THINK I
SCIENCE AND THE BIOLOGY AND ALL OF THAT, AND I SAID "I THINK I CAN DO THAT I'D LIBRARY TO DO
OF THAT, AND I SAID "I THINK I CAN DO THAT I'D LIBRARY TO DO THAT."
CAN DO THAT I'D LIBRARY TO DO THAT." >>SIBLINGS.
THAT." >>SIBLINGS. >>THREE.
>>SIBLINGS. >>THREE. >>TELL ME ABOUT THE SIBLINGS.
>>THREE. >>TELL ME ABOUT THE SIBLINGS. WHAT ARE THEIR CAREER PATH?
>>TELL ME ABOUT THE SIBLINGS. WHAT ARE THEIR CAREER PATH? >>I HAVE A SISTER WHO HAS JUST
WHAT ARE THEIR CAREER PATH? >>I HAVE A SISTER WHO HAS JUST IN I-T.
>>I HAVE A SISTER WHO HAS JUST IN I-T. I HAVE A SISTER WHO IS A
IN I-T. I HAVE A SISTER WHO IS A VETERINARIAN, LARGE ANIMAL
I HAVE A SISTER WHO IS A VETERINARIAN, LARGE ANIMAL VETERINARIAN AND FARMER, AND I
VETERINARIAN, LARGE ANIMAL VETERINARIAN AND FARMER, AND I HAVE A SISTER WHO IS INDEPENDENT
VETERINARIAN AND FARMER, AND I HAVE A SISTER WHO IS INDEPENDENT BUSINESS WOMAN.
HAVE A SISTER WHO IS INDEPENDENT BUSINESS WOMAN. >> ALL THIS EMANATED FROM A
BUSINESS WOMAN. >> ALL THIS EMANATED FROM A FATHER WHO WAS A DAIRY FARMER?
>> ALL THIS EMANATED FROM A FATHER WHO WAS A DAIRY FARMER? >> I HAVE ALWAYS THOUGHT THAT MY
FATHER WHO WAS A DAIRY FARMER? >> I HAVE ALWAYS THOUGHT THAT MY PARENTS ALWAYS THOUGHT WE COULD
>> I HAVE ALWAYS THOUGHT THAT MY PARENTS ALWAYS THOUGHT WE COULD DO WHATEVER WE WANTED TO DO,
PARENTS ALWAYS THOUGHT WE COULD DO WHATEVER WE WANTED TO DO, THAT THERE WASN'T ANYTHING WE
DO WHATEVER WE WANTED TO DO, THAT THERE WASN'T ANYTHING WE COULDN'T DO IF WE PUT OUR MIND
THAT THERE WASN'T ANYTHING WE COULDN'T DO IF WE PUT OUR MIND TO IT.
COULDN'T DO IF WE PUT OUR MIND TO IT. THEY NEVER PUT ANY CONSTRAINTS
TO IT. THEY NEVER PUT ANY CONSTRAINTS IN FRONT OF WHAT I THOUGHT I
THEY NEVER PUT ANY CONSTRAINTS IN FRONT OF WHAT I THOUGHT I WANTED TO DO.
IN FRONT OF WHAT I THOUGHT I WANTED TO DO. I DIDN'T COME HOME AND SAY, I
WANTED TO DO. I DIDN'T COME HOME AND SAY, I WANT TO BE A DOCTOR, AND IT WAS,
I DIDN'T COME HOME AND SAY, I WANT TO BE A DOCTOR, AND IT WAS, NO, NO, NO.
WANT TO BE A DOCTOR, AND IT WAS, NO, NO, NO. THEY DIDN'T DO THAT.
NO, NO, NO. THEY DIDN'T DO THAT. IT WAS ENCOURAGE.
THEY DIDN'T DO THAT. IT WAS ENCOURAGE. IF YOU ARE A DAIRY FARMER AND
IT WAS ENCOURAGE. IF YOU ARE A DAIRY FARMER AND LIVE IN A SMALL TOWN, YOU HAVE
IF YOU ARE A DAIRY FARMER AND LIVE IN A SMALL TOWN, YOU HAVE TO FIGURE THINGS OUT YOURSELF.
LIVE IN A SMALL TOWN, YOU HAVE TO FIGURE THINGS OUT YOURSELF. SO SELF EFFICACY, I THINK THAT'S
TO FIGURE THINGS OUT YOURSELF. SO SELF EFFICACY, I THINK THAT'S SOME OF IT.
SO SELF EFFICACY, I THINK THAT'S SOME OF IT. >>YOUR MEDICAL PRACTICE.
SOME OF IT. >>YOUR MEDICAL PRACTICE. TOMAHAWK, WISCONSIN, POPULATION
>>YOUR MEDICAL PRACTICE. TOMAHAWK, WISCONSIN, POPULATION 3,350 FOLKS IN 2010.
TOMAHAWK, WISCONSIN, POPULATION 3,350 FOLKS IN 2010. AND WHAT WAS THAT LIKE COMPARED
3,350 FOLKS IN 2010. AND WHAT WAS THAT LIKE COMPARED TO WHAT YOU ARE DOING TODAY?
AND WHAT WAS THAT LIKE COMPARED TO WHAT YOU ARE DOING TODAY? >> THAT WAS QUITE A BIT
TO WHAT YOU ARE DOING TODAY? >> THAT WAS QUITE A BIT DIFFERENT THAN WHAT I DO TODAY.
>> THAT WAS QUITE A BIT DIFFERENT THAN WHAT I DO TODAY. IT WAS A PRIMARY CARE PRACTICE,
DIFFERENT THAN WHAT I DO TODAY. IT WAS A PRIMARY CARE PRACTICE, JUST -- IT WAS A TOWN THAT
IT WAS A PRIMARY CARE PRACTICE, JUST -- IT WAS A TOWN THAT NEEDED TWO FIX PHYSICIANS.
JUST -- IT WAS A TOWN THAT NEEDED TWO FIX PHYSICIANS. WHEN MY HUSBAND ABBY
NEEDED TWO FIX PHYSICIANS. WHEN MY HUSBAND ABBY GRADUATED -- FINISHED RESIDENCY,
WHEN MY HUSBAND ABBY GRADUATED -- FINISHED RESIDENCY, WE NEEDED TO FIND A PLACE WHERE
GRADUATED -- FINISHED RESIDENCY, WE NEEDED TO FIND A PLACE WHERE THEY NEEDED TWO DOCTORS, AND
WE NEEDED TO FIND A PLACE WHERE THEY NEEDED TWO DOCTORS, AND BEING FROM A SMALL TOWN FARM, I
THEY NEEDED TWO DOCTORS, AND BEING FROM A SMALL TOWN FARM, I THOUGHT I WANTED TO PRACTICE IN
BEING FROM A SMALL TOWN FARM, I THOUGHT I WANTED TO PRACTICE IN A SMALL TO BE.
THOUGHT I WANTED TO PRACTICE IN A SMALL TO BE. SO THIS WAS AN OPPORTUNITY, AND
A SMALL TO BE. SO THIS WAS AN OPPORTUNITY, AND WE TO BE IT THE IT TURNED OUT IT
SO THIS WAS AN OPPORTUNITY, AND WE TO BE IT THE IT TURNED OUT IT WAS -- PEOPLE WERE GREAT.
WE TO BE IT THE IT TURNED OUT IT WAS -- PEOPLE WERE GREAT. PRACTICE WAS PROBABLY NOT EX
WAS -- PEOPLE WERE GREAT. PRACTICE WAS PROBABLY NOT EX ACLY WHAT WE WANT TO DO
PRACTICE WAS PROBABLY NOT EX ACLY WHAT WE WANT TO DO LONG-TERM MANY SO WE LEFT
ACLY WHAT WE WANT TO DO LONG-TERM MANY SO WE LEFT TOMAHAWK AND WENT TO THE TWIN
LONG-TERM MANY SO WE LEFT TOMAHAWK AND WENT TO THE TWIN CITY IN '5, I THINK.
TOMAHAWK AND WENT TO THE TWIN CITY IN '5, I THINK. >>YOU SAY THE PRAT WAS
CITY IN '5, I THINK. >>YOU SAY THE PRAT WAS DIFFERENT.
>>YOU SAY THE PRAT WAS DIFFERENT. IT WASN'T SOMETHING YOU THOUGHT
DIFFERENT. IT WASN'T SOMETHING YOU THOUGHT YOU WANTED TO DO LONG-TERM,
IT WASN'T SOMETHING YOU THOUGHT YOU WANTED TO DO LONG-TERM, TYPICALLY, THE RURAL PHYSICIAN
YOU WANTED TO DO LONG-TERM, TYPICALLY, THE RURAL PHYSICIAN IS PART PHYSICIAN, PART
TYPICALLY, THE RURAL PHYSICIAN IS PART PHYSICIAN, PART PSYCHIATRIST, PART SIGH -- PART
IS PART PHYSICIAN, PART PSYCHIATRIST, PART SIGH -- PART PSYCHOLOGIST.
PSYCHIATRIST, PART SIGH -- PART PSYCHOLOGIST. TYPICAL QUESTION OF THE PATIENT
PSYCHOLOGIST. TYPICAL QUESTION OF THE PATIENT IS "WHAT WOULD YOU LIKE TO TALK
TYPICAL QUESTION OF THE PATIENT IS "WHAT WOULD YOU LIKE TO TALK ABOUT?"
IS "WHAT WOULD YOU LIKE TO TALK ABOUT?" DO YOU MISS THAT.
ABOUT?" DO YOU MISS THAT. >>I LOVE BEING A DOCTOR.
DO YOU MISS THAT. >>I LOVE BEING A DOCTOR. AND WHEN YOU ARE IN A SMALL
>>I LOVE BEING A DOCTOR. AND WHEN YOU ARE IN A SMALL TOWN, I THINK THOSE WERE THINGS
AND WHEN YOU ARE IN A SMALL TOWN, I THINK THOSE WERE THINGS I DID WHETHER I WAS THIS A SMALL
TOWN, I THINK THOSE WERE THINGS I DID WHETHER I WAS THIS A SMALL TOWN OR ST. PAUL, MINNESOTA, DID
I DID WHETHER I WAS THIS A SMALL TOWN OR ST. PAUL, MINNESOTA, DID THAT IN BOTH LOCATIONS.
TOWN OR ST. PAUL, MINNESOTA, DID THAT IN BOTH LOCATIONS. IN A SMALL TOWN, WE WERE
THAT IN BOTH LOCATIONS. IN A SMALL TOWN, WE WERE PROBABLY LESS USEFUL TO THEM AS
IN A SMALL TOWN, WE WERE PROBABLY LESS USEFUL TO THEM AS INTERNAL MEDICINE DOCTORS THAN
PROBABLY LESS USEFUL TO THEM AS INTERNAL MEDICINE DOCTORS THAN THE FAMILY PRACTICE DOCTORS
INTERNAL MEDICINE DOCTORS THAN THE FAMILY PRACTICE DOCTORS BECAUSE THE FAMILY PRACTICE
THE FAMILY PRACTICE DOCTORS BECAUSE THE FAMILY PRACTICE DOCTORS DO OB AND SEE CHILDREN.
BECAUSE THE FAMILY PRACTICE DOCTORS DO OB AND SEE CHILDREN. SO IT WAS PROBABLY NOT QUITE THE
DOCTORS DO OB AND SEE CHILDREN. SO IT WAS PROBABLY NOT QUITE THE PERFECT PRACTICE FIT FOR THE
SO IT WAS PROBABLY NOT QUITE THE PERFECT PRACTICE FIT FOR THE SIZE OF THAT COMMUNITY TO HAVE
PERFECT PRACTICE FIT FOR THE SIZE OF THAT COMMUNITY TO HAVE TWO INTERNISTS.
SIZE OF THAT COMMUNITY TO HAVE TWO INTERNISTS. >>OVER SPECIALTY, OVER SPECIALLY
TWO INTERNISTS. >>OVER SPECIALTY, OVER SPECIALLY SPECIALLY -- OVER SPECIALTY
>>OVER SPECIALTY, OVER SPECIALLY SPECIALLY -- OVER SPECIALTY SATIONS.
SPECIALLY -- OVER SPECIALTY SATIONS. >>YOUR SPOUSE IS THERE?
SATIONS. >>YOUR SPOUSE IS THERE? >> YOU WILL UP.
>>YOUR SPOUSE IS THERE? >> YOU WILL UP. >>ONE TIME THE QUOTE WAS
>> YOU WILL UP. >>ONE TIME THE QUOTE WAS "PATIENTS DESERVE BERT."
>>ONE TIME THE QUOTE WAS "PATIENTS DESERVE BERT." DO YOU RECALL THAT.
"PATIENTS DESERVE BERT." DO YOU RECALL THAT. >>YES.
DO YOU RECALL THAT. >>YES. >>WHAT IS THE BACK GROUND ON
>>YES. >>WHAT IS THE BACK GROUND ON THAT?
>>WHAT IS THE BACK GROUND ON THAT? >> I WAS THE -- WHAT WE CALL THE
THAT? >> I WAS THE -- WHAT WE CALL THE CHIEF OF PROFESSIONAL SERVICE.
>> I WAS THE -- WHAT WE CALL THE CHIEF OF PROFESSIONAL SERVICE. I WAS A PHYSICIAN IN CHARGE OF
CHIEF OF PROFESSIONAL SERVICE. I WAS A PHYSICIAN IN CHARGE OF THE CLINIC. WE HAD -- WE TOOK
I WAS A PHYSICIAN IN CHARGE OF THE CLINIC. WE HAD -- WE TOOK VERY SERIOUS LIGETTING PATIENTS
THE CLINIC. WE HAD -- WE TOOK VERY SERIOUS LIGETTING PATIENTS IN.
VERY SERIOUS LIGETTING PATIENTS IN. WE WERE CALLED A STAFF MODEL
IN. WE WERE CALLED A STAFF MODEL CLINIC.
WE WERE CALLED A STAFF MODEL CLINIC. THERE ARE PATIENTS THAT ARE OUR
CLINIC. THERE ARE PATIENTS THAT ARE OUR PATIENTS.
THERE ARE PATIENTS THAT ARE OUR PATIENTS. THEY HAVE A HEALTH MAINTENANCE
PATIENTS. THEY HAVE A HEALTH MAINTENANCE ORGANIZATION.
THEY HAVE A HEALTH MAINTENANCE ORGANIZATION. THEY ARE OUR PATIENTS MANY WE
ORGANIZATION. THEY ARE OUR PATIENTS MANY WE HAD A BUSY PRACTICE.
THEY ARE OUR PATIENTS MANY WE HAD A BUSY PRACTICE. AND WE TRIED TO GET EVERYONE IN
HAD A BUSY PRACTICE. AND WE TRIED TO GET EVERYONE IN ON A REGULAR BASIS 40'SS, AND WE
AND WE TRIED TO GET EVERYONE IN ON A REGULAR BASIS 40'SS, AND WE STRUGGLED WITH ACCESS, THE
ON A REGULAR BASIS 40'SS, AND WE STRUGGLED WITH ACCESS, THE APPOINTMENTS WERE ALL FULL AND
STRUGGLED WITH ACCESS, THE APPOINTMENTS WERE ALL FULL AND OVER BOOKED AND PEOPLE STRUGGLED
APPOINTMENTS WERE ALL FULL AND OVER BOOKED AND PEOPLE STRUGGLED TO GET IN.
OVER BOOKED AND PEOPLE STRUGGLED TO GET IN. I THOUGHT THERE IS SOMETHING
TO GET IN. I THOUGHT THERE IS SOMETHING WRONG HERE.
I THOUGHT THERE IS SOMETHING WRONG HERE. WE OWE OUR PATIENTS GOOD ACCESS
WRONG HERE. WE OWE OUR PATIENTS GOOD ACCESS TO THEIR MEDICAL CARE.
WE OWE OUR PATIENTS GOOD ACCESS TO THEIR MEDICAL CARE. AND THAT WAS PROBABLY ONE OF MY
TO THEIR MEDICAL CARE. AND THAT WAS PROBABLY ONE OF MY FIRST BIG PROJECT WAS SORTING
AND THAT WAS PROBABLY ONE OF MY FIRST BIG PROJECT WAS SORTING OUT WHAT WAS GOING ON AND WHY
FIRST BIG PROJECT WAS SORTING OUT WHAT WAS GOING ON AND WHY WAS THAT A PROBLEM.
OUT WHAT WAS GOING ON AND WHY WAS THAT A PROBLEM. >>SEEING IF YOU COULD DO
WAS THAT A PROBLEM. >>SEEING IF YOU COULD DO SOMETHING ABOUT IT?
>>SEEING IF YOU COULD DO SOMETHING ABOUT IT? >> RIGHT.
SOMETHING ABOUT IT? >> RIGHT. >>AND THIS SENSE OF CHANGING
>> RIGHT. >>AND THIS SENSE OF CHANGING MEDICAL CARE, THE DELIVERY OF
>>AND THIS SENSE OF CHANGING MEDICAL CARE, THE DELIVERY OF MEDICAL CARE, THE TREND IS
MEDICAL CARE, THE DELIVERY OF MEDICAL CARE, THE TREND IS TOWARD HOSPITAL BASED
MEDICAL CARE, THE TREND IS TOWARD HOSPITAL BASED RELATIONSHIPS?
TOWARD HOSPITAL BASED RELATIONSHIPS? >> YOU MEAN FOR PRACTICE?
RELATIONSHIPS? >> YOU MEAN FOR PRACTICE? >> FOR PRACTICE.
>> YOU MEAN FOR PRACTICE? >> FOR PRACTICE. >>THERE IS A LOT OF TREND
>> FOR PRACTICE. >>THERE IS A LOT OF TREND TOWARDS HOSPITAL BASED
>>THERE IS A LOT OF TREND TOWARDS HOSPITAL BASED RELATIONSHIPS BECAUSE HOSPITALS
TOWARDS HOSPITAL BASED RELATIONSHIPS BECAUSE HOSPITALS ARE, YOU KNOW, LARGE
RELATIONSHIPS BECAUSE HOSPITALS ARE, YOU KNOW, LARGE INSTITUTIONS ~L WE HAVE FOCUSED
ARE, YOU KNOW, LARGE INSTITUTIONS ~L WE HAVE FOCUSED OUR HEALTH CARE SYSTEM AROUND
INSTITUTIONS ~L WE HAVE FOCUSED OUR HEALTH CARE SYSTEM AROUND HOSPITALS BE AND THEY ARE
OUR HEALTH CARE SYSTEM AROUND HOSPITALS BE AND THEY ARE AFFILIATING NOW WITH THE
HOSPITALS BE AND THEY ARE AFFILIATING NOW WITH THE ACCOUNTABLE CARE ORGANIZATION
AFFILIATING NOW WITH THE ACCOUNTABLE CARE ORGANIZATION CONCEPT THAT IS OUT THERE.
ACCOUNTABLE CARE ORGANIZATION CONCEPT THAT IS OUT THERE. THEY ARE STARTING TO PULL THINGS
CONCEPT THAT IS OUT THERE. THEY ARE STARTING TO PULL THINGS TOGETHER.
THEY ARE STARTING TO PULL THINGS TOGETHER. AND A LOT OF IT IS CENTERED
TOGETHER. AND A LOT OF IT IS CENTERED AROUND THE HOSPITAL. THAT'S
AND A LOT OF IT IS CENTERED AROUND THE HOSPITAL. THAT'S TRUE.
AROUND THE HOSPITAL. THAT'S TRUE. >> AND SOME OTHER STATISTICS, I
TRUE. >> AND SOME OTHER STATISTICS, I AM THINKING ABOUT THE NEED
>> AND SOME OTHER STATISTICS, I AM THINKING ABOUT THE NEED IMMEDIATE FOR MORE
AM THINKING ABOUT THE NEED IMMEDIATE FOR MORE PHYSICIANINGS.
IMMEDIATE FOR MORE PHYSICIANINGS. BETWEEN 2010 AND 2050, THERE
PHYSICIANINGS. BETWEEN 2010 AND 2050, THERE WILL BE AN INCREASE FROM
BETWEEN 2010 AND 2050, THERE WILL BE AN INCREASE FROM 310 MILLION PEOPLE CURRENTLY TO
WILL BE AN INCREASE FROM 310 MILLION PEOPLE CURRENTLY TO 4 RUN 39 TO 440 MILLION PEOPLE
310 MILLION PEOPLE CURRENTLY TO 4 RUN 39 TO 440 MILLION PEOPLE IN 2050, THAT'S 42% INCREASE --
4 RUN 39 TO 440 MILLION PEOPLE IN 2050, THAT'S 42% INCREASE -- IN THE THIS COUNTRY ALONE.
IN 2050, THAT'S 42% INCREASE -- IN THE THIS COUNTRY ALONE. AND ONE IN FIVE WILL BE AGE 65
IN THE THIS COUNTRY ALONE. AND ONE IN FIVE WILL BE AGE 65 OR OLDER.
AND ONE IN FIVE WILL BE AGE 65 OR OLDER. SO YOUR SUB SPECIALTY WOULD BE
OR OLDER. SO YOUR SUB SPECIALTY WOULD BE VERY PROMINENT.
SO YOUR SUB SPECIALTY WOULD BE VERY PROMINENT. LIFE EXPECTANCY FROM 76 IN 1993
VERY PROMINENT. LIFE EXPECTANCY FROM 76 IN 1993 TO ALMOST 83 YEARS IN 2050.
LIFE EXPECTANCY FROM 76 IN 1993 TO ALMOST 83 YEARS IN 2050. HOW DO YOU COPE -- HOW DOES THE
TO ALMOST 83 YEARS IN 2050. HOW DO YOU COPE -- HOW DOES THE SYSTEM NOT BREAK DOWN WHEN THEY
HOW DO YOU COPE -- HOW DOES THE SYSTEM NOT BREAK DOWN WHEN THEY HAVE THIS MASSIVE INFLUX OF MORE
SYSTEM NOT BREAK DOWN WHEN THEY HAVE THIS MASSIVE INFLUX OF MORE HUMAN BEINGS?
HAVE THIS MASSIVE INFLUX OF MORE HUMAN BEINGS? >> WELL, THAT'S A VERY GOOD
HUMAN BEINGS? >> WELL, THAT'S A VERY GOOD QUESTION ESPECIALLY WITH THE
>> WELL, THAT'S A VERY GOOD QUESTION ESPECIALLY WITH THE DEMOGRAPHIC CHANGE, WITH THE
QUESTION ESPECIALLY WITH THE DEMOGRAPHIC CHANGE, WITH THE MORE THE POPULATION BEING OLDER
DEMOGRAPHIC CHANGE, WITH THE MORE THE POPULATION BEING OLDER WE USE A LOT MORE HEALTH CARE
MORE THE POPULATION BEING OLDER WE USE A LOT MORE HEALTH CARE WHEN WE ARE OLDER.
WE USE A LOT MORE HEALTH CARE WHEN WE ARE OLDER. THIS IS ACTUALLY SOME OF THE
WHEN WE ARE OLDER. THIS IS ACTUALLY SOME OF THE CHANGE THAT IS GOING ON IN
THIS IS ACTUALLY SOME OF THE CHANGE THAT IS GOING ON IN HEALTH CARE RIGHT NOW.
CHANGE THAT IS GOING ON IN HEALTH CARE RIGHT NOW. WE HAVE A SYSTEM THAT IS NOT
HEALTH CARE RIGHT NOW. WE HAVE A SYSTEM THAT IS NOT VERY EFFICIENT.
WE HAVE A SYSTEM THAT IS NOT VERY EFFICIENT. WE HAVE A LOT OF RESOURCES IN
VERY EFFICIENT. WE HAVE A LOT OF RESOURCES IN HEALTH CARE THAT COULD BE
WE HAVE A LOT OF RESOURCES IN HEALTH CARE THAT COULD BE DEPLOYED A LOT MORE EFFECTIVELY
HEALTH CARE THAT COULD BE DEPLOYED A LOT MORE EFFECTIVELY TO TAKE CARE OF MORE PATIENTS
DEPLOYED A LOT MORE EFFECTIVELY TO TAKE CARE OF MORE PATIENTS AND DO IT IN A BETTER WAY.
TO TAKE CARE OF MORE PATIENTS AND DO IT IN A BETTER WAY. THAT'S PARTLY WHAT QUEST IS HERE
AND DO IT IN A BETTER WAY. THAT'S PARTLY WHAT QUEST IS HERE TO HELP STIMULATE, LET PEOPLE
THAT'S PARTLY WHAT QUEST IS HERE TO HELP STIMULATE, LET PEOPLE WORK ON THAT HERE LOCALLY.
TO HELP STIMULATE, LET PEOPLE WORK ON THAT HERE LOCALLY. WE WILL NEED MORE PRIMARY CARE
WORK ON THAT HERE LOCALLY. WE WILL NEED MORE PRIMARY CARE DOCTORS AND CLINICIANS, OTHER
WE WILL NEED MORE PRIMARY CARE DOCTORS AND CLINICIANS, OTHER LIKE NURSE PRACTITIONERS, P A'S,
DOCTORS AND CLINICIANS, OTHER LIKE NURSE PRACTITIONERS, P A'S, ETCETERA.
LIKE NURSE PRACTITIONERS, P A'S, ETCETERA. BUT THE ECONOMICS FROM REALLY
ETCETERA. BUT THE ECONOMICS FROM REALLY TURNED THE TIED DOWN, YOU KNOW,
BUT THE ECONOMICS FROM REALLY TURNED THE TIED DOWN, YOU KNOW, TURNED THE STREAM OF NEW PRIMARY
TURNED THE TIED DOWN, YOU KNOW, TURNED THE STREAM OF NEW PRIMARY CARE CLINICIANS COMING OUT AS
TURNED THE STREAM OF NEW PRIMARY CARE CLINICIANS COMING OUT AS SLOWED DOWN BECAUSE OF THE
CARE CLINICIANS COMING OUT AS SLOWED DOWN BECAUSE OF THE DISPARITY IN INCOME BETWEEN
SLOWED DOWN BECAUSE OF THE DISPARITY IN INCOME BETWEEN PRIMARY CARE AND SPECIALTY CARE.
DISPARITY IN INCOME BETWEEN PRIMARY CARE AND SPECIALTY CARE. BUT THE ISSUE IS THAT SPECIALTY
PRIMARY CARE AND SPECIALTY CARE. BUT THE ISSUE IS THAT SPECIALTY MEDICINE HAS BEEN -- IS
BUT THE ISSUE IS THAT SPECIALTY MEDICINE HAS BEEN -- IS REIMBURSED AT MULTIPLES OF
MEDICINE HAS BEEN -- IS REIMBURSED AT MULTIPLES OF PRIMARY CARE.
REIMBURSED AT MULTIPLES OF PRIMARY CARE. IF WE SAY WE NEED PRIMARY CARE
PRIMARY CARE. IF WE SAY WE NEED PRIMARY CARE DOCTORS TO TAKE CARE OF OUR
IF WE SAY WE NEED PRIMARY CARE DOCTORS TO TAKE CARE OF OUR PATIENT BASE, YOU KNOW, THE
DOCTORS TO TAKE CARE OF OUR PATIENT BASE, YOU KNOW, THE ELDERLY PATIENTS WE WILL HAVE,
PATIENT BASE, YOU KNOW, THE ELDERLY PATIENTS WE WILL HAVE, GREATER NUMBER OF PATIENTS,
ELDERLY PATIENTS WE WILL HAVE, GREATER NUMBER OF PATIENTS, PRIMARY CARE IS THE ENTRY. WE
GREATER NUMBER OF PATIENTS, PRIMARY CARE IS THE ENTRY. WE ARE THE FOUNDATION OF THE HEALTH
PRIMARY CARE IS THE ENTRY. WE ARE THE FOUNDATION OF THE HEALTH CARE SYSTEM.
ARE THE FOUNDATION OF THE HEALTH CARE SYSTEM. BUT WE ARE NOT TREATING IT THAT
CARE SYSTEM. BUT WE ARE NOT TREATING IT THAT WAY.
BUT WE ARE NOT TREATING IT THAT WAY. WHAT HAS HAPPENED AT THE FRONT
WAY. WHAT HAS HAPPENED AT THE FRONT END OF THAT STREAM IS THAT THE
WHAT HAS HAPPENED AT THE FRONT END OF THAT STREAM IS THAT THE NEW DOCTORS COMING OUT OF
END OF THAT STREAM IS THAT THE NEW DOCTORS COMING OUT OF MEDICAL SCHOOL DON'T CHOOSE
NEW DOCTORS COMING OUT OF MEDICAL SCHOOL DON'T CHOOSE PRIMARY CARE RESIDENCIES.
MEDICAL SCHOOL DON'T CHOOSE PRIMARY CARE RESIDENCIES. THEY CHOOSE SPECIALTY
PRIMARY CARE RESIDENCIES. THEY CHOOSE SPECIALTY RESIDENCIES.
THEY CHOOSE SPECIALTY RESIDENCIES. WE ARE NOT GENERATING PEOPLE TO
RESIDENCIES. WE ARE NOT GENERATING PEOPLE TO FILL WHAT WILL BE A SMALLER POOL
WE ARE NOT GENERATING PEOPLE TO FILL WHAT WILL BE A SMALLER POOL OF DOCTORS, NOT A LARGER POOLS
FILL WHAT WILL BE A SMALLER POOL OF DOCTORS, NOT A LARGER POOLS OF DOCTORS IN PRIMARY CARE.
OF DOCTORS, NOT A LARGER POOLS OF DOCTORS IN PRIMARY CARE. >>A QUOTE FROM ECONOMIST
OF DOCTORS IN PRIMARY CARE. >>A QUOTE FROM ECONOMIST "AMERICANS SPENT $2.6 TRILLION
>>A QUOTE FROM ECONOMIST "AMERICANS SPENT $2.6 TRILLION ON HEALTH CARE IN 2010, 18% OF
"AMERICANS SPENT $2.6 TRILLION ON HEALTH CARE IN 2010, 18% OF THE GROSS DOMESTIC PRODUCT, YET
ON HEALTH CARE IN 2010, 18% OF THE GROSS DOMESTIC PRODUCT, YET FEW HAVE THE FAINTEST IDEA WHAT
THE GROSS DOMESTIC PRODUCT, YET FEW HAVE THE FAINTEST IDEA WHAT ANY TREATMENT COSTS OR HOW IT
FEW HAVE THE FAINTEST IDEA WHAT ANY TREATMENT COSTS OR HOW IT COMPARES WITH ANY OTHER
ANY TREATMENT COSTS OR HOW IT COMPARES WITH ANY OTHER TREATMENT."
COMPARES WITH ANY OTHER TREATMENT." >>IT IS VERY DIFFICULT TO GET
TREATMENT." >>IT IS VERY DIFFICULT TO GET THE INFORMATION ONE NEEDS TO BE
>>IT IS VERY DIFFICULT TO GET THE INFORMATION ONE NEEDS TO BE AS A SMART CONSUMER.
THE INFORMATION ONE NEEDS TO BE AS A SMART CONSUMER. YOU WOULD SAY THEY WANT TO GET
AS A SMART CONSUMER. YOU WOULD SAY THEY WANT TO GET THE SURGERY AT A REASONABLE
YOU WOULD SAY THEY WANT TO GET THE SURGERY AT A REASONABLE PRICE WATCH IS THE PRICE?
THE SURGERY AT A REASONABLE PRICE WATCH IS THE PRICE? THE PRICE ISN'T THE PRICE.
PRICE WATCH IS THE PRICE? THE PRICE ISN'T THE PRICE. IT DEPENDS WHAT INSURANCE DO I
THE PRICE ISN'T THE PRICE. IT DEPENDS WHAT INSURANCE DO I HAVE, AM I PAYING MYSELF IS.
IT DEPENDS WHAT INSURANCE DO I HAVE, AM I PAYING MYSELF IS. IT IS DIFFERENT.
HAVE, AM I PAYING MYSELF IS. IT IS DIFFERENT. THE PEOPLE WHO IT DON'T HAVE
IT IS DIFFERENT. THE PEOPLE WHO IT DON'T HAVE INSURANCE PAY THE HIGHEST PRICE
THE PEOPLE WHO IT DON'T HAVE INSURANCE PAY THE HIGHEST PRICE FOR THEIR HEALTH CARE SERVICES.
INSURANCE PAY THE HIGHEST PRICE FOR THEIR HEALTH CARE SERVICES. THE DIFFERENCE BETWEEN THE
FOR THEIR HEALTH CARE SERVICES. THE DIFFERENCE BETWEEN THE MEDICARE BILLED RATE AND WHAT
THE DIFFERENCE BETWEEN THE MEDICARE BILLED RATE AND WHAT MEDICARE ACTUALLY PAYS IS THAT
MEDICARE BILLED RATE AND WHAT MEDICARE ACTUALLY PAYS IS THAT GAP IS A COMMON PHENOMENON IN
MEDICARE ACTUALLY PAYS IS THAT GAP IS A COMMON PHENOMENON IN ANY INSURANCE CARRIER.
GAP IS A COMMON PHENOMENON IN ANY INSURANCE CARRIER. THERE IS A STARTING POINT FOR
ANY INSURANCE CARRIER. THERE IS A STARTING POINT FOR NEGOTIATIONS THAT IS THE STATED
THERE IS A STARTING POINT FOR NEGOTIATIONS THAT IS THE STATED FEE SCHEDULE.
NEGOTIATIONS THAT IS THE STATED FEE SCHEDULE. IT IS ALL NEGOTIATED TYPICALLY
FEE SCHEDULE. IT IS ALL NEGOTIATED TYPICALLY AT ONE SLOT.
IT IS ALL NEGOTIATED TYPICALLY AT ONE SLOT. SO I WOULD SAY THERE IS PROBABLY
AT ONE SLOT. SO I WOULD SAY THERE IS PROBABLY NOT A CARRIER OUT THERE THAT
SO I WOULD SAY THERE IS PROBABLY NOT A CARRIER OUT THERE THAT DOESN'T GET A SIGNIFICANT
NOT A CARRIER OUT THERE THAT DOESN'T GET A SIGNIFICANT DISCOUNT OFF THE FEE DISCOUNT.
DOESN'T GET A SIGNIFICANT DISCOUNT OFF THE FEE DISCOUNT. IF WE ARE AND INDIVIDUAL SERVICE
DISCOUNT OFF THE FEE DISCOUNT. IF WE ARE AND INDIVIDUAL SERVICE GOING IN GETTING THAT SERVICE,
IF WE ARE AND INDIVIDUAL SERVICE GOING IN GETTING THAT SERVICE, WE WILL BE BILLED THE HIGHER
GOING IN GETTING THAT SERVICE, WE WILL BE BILLED THE HIGHER RATE TYPICALLY F WE PUT PRICES
WE WILL BE BILLED THE HIGHER RATE TYPICALLY F WE PUT PRICES OUT THERE, THEY WOULDN'T MAKE
RATE TYPICALLY F WE PUT PRICES OUT THERE, THEY WOULDN'T MAKE ANY SENSE BECAUSE THEY ARE
OUT THERE, THEY WOULDN'T MAKE ANY SENSE BECAUSE THEY ARE DIFFERENT FOR EVERY PAYOR, AND
ANY SENSE BECAUSE THEY ARE DIFFERENT FOR EVERY PAYOR, AND LIKE I SAY, DIFFERENT FOR
DIFFERENT FOR EVERY PAYOR, AND LIKE I SAY, DIFFERENT FOR SOMEBODY PAYING THEMSELVES. IF
LIKE I SAY, DIFFERENT FOR SOMEBODY PAYING THEMSELVES. IF YOU TAKE LAY SIX LSSIC SURGERY
SOMEBODY PAYING THEMSELVES. IF YOU TAKE LAY SIX LSSIC SURGERY ISN'T COVERED.
YOU TAKE LAY SIX LSSIC SURGERY ISN'T COVERED. LASIC IS THE PRICE IS KNOWN.
ISN'T COVERED. LASIC IS THE PRICE IS KNOWN. IT IS A COMMON PROCEDURE THAT
LASIC IS THE PRICE IS KNOWN. IT IS A COMMON PROCEDURE THAT PEOPLE CHECK FOR THEMSELVES.
IT IS A COMMON PROCEDURE THAT PEOPLE CHECK FOR THEMSELVES. WHEN YOU LOOK AT IT, QUALITY HAS
PEOPLE CHECK FOR THEMSELVES. WHEN YOU LOOK AT IT, QUALITY HAS GONE UP, AND THE COST HAS GONE
WHEN YOU LOOK AT IT, QUALITY HAS GONE UP, AND THE COST HAS GONE DOWN.
GONE UP, AND THE COST HAS GONE DOWN. IT IS REALLY -- IT IS A SIMPLE
DOWN. IT IS REALLY -- IT IS A SIMPLE PREMISE OF THE MARKET.
IT IS REALLY -- IT IS A SIMPLE PREMISE OF THE MARKET. BUT IT WON'T HAPPEN WHEN THERE
PREMISE OF THE MARKET. BUT IT WON'T HAPPEN WHEN THERE ARE TEN DIFFERENT PRICES FOR THE
BUT IT WON'T HAPPEN WHEN THERE ARE TEN DIFFERENT PRICES FOR THE SAME THING ALL OF WHICH NO ONE
ARE TEN DIFFERENT PRICES FOR THE SAME THING ALL OF WHICH NO ONE SEES.
SAME THING ALL OF WHICH NO ONE SEES. >>EDUCATION?
SEES. >>EDUCATION? >> I DON'T THINK EDUCATION IS
>>EDUCATION? >> I DON'T THINK EDUCATION IS GOING TO DO IT.
>> I DON'T THINK EDUCATION IS GOING TO DO IT. THOSE FEE DIFFERENCES CAN BE SO
GOING TO DO IT. THOSE FEE DIFFERENCES CAN BE SO LARGE THAT THEY JUST DON'T MAKE
THOSE FEE DIFFERENCES CAN BE SO LARGE THAT THEY JUST DON'T MAKE ANY SENSE.
LARGE THAT THEY JUST DON'T MAKE ANY SENSE. THEY DON'T MAKE ANY SENSE. SO I
ANY SENSE. THEY DON'T MAKE ANY SENSE. SO I DON'T KNOW HOW LONG IT WILL TAKE
THEY DON'T MAKE ANY SENSE. SO I DON'T KNOW HOW LONG IT WILL TAKE US TO GET THERE TO GET TO PRICE
DON'T KNOW HOW LONG IT WILL TAKE US TO GET THERE TO GET TO PRICE TRANSPARENCY, HOW MUCH IS THIS
US TO GET THERE TO GET TO PRICE TRANSPARENCY, HOW MUCH IS THIS GOING TO COST.
TRANSPARENCY, HOW MUCH IS THIS GOING TO COST. >>WELL, GEN TO THE SPEAKING AND
GOING TO COST. >>WELL, GEN TO THE SPEAKING AND OBESITY.
>>WELL, GEN TO THE SPEAKING AND OBESITY. I AM SUGGESTING THAT IF I WERE
OBESITY. I AM SUGGESTING THAT IF I WERE TO SMOKE, ALL MY LIFE, AND I
I AM SUGGESTING THAT IF I WERE TO SMOKE, ALL MY LIFE, AND I KNOW THAT THERE IS A BAD THING,
TO SMOKE, ALL MY LIFE, AND I KNOW THAT THERE IS A BAD THING, AND I CAN'T STOP.
KNOW THAT THERE IS A BAD THING, AND I CAN'T STOP. IF I KNEW IT IS GOING TO COST ME
AND I CAN'T STOP. IF I KNEW IT IS GOING TO COST ME X DOLLARS IN THE FUTURE FOR A
IF I KNEW IT IS GOING TO COST ME X DOLLARS IN THE FUTURE FOR A PROCEDURE, UNLESS THEY STOP
X DOLLARS IN THE FUTURE FOR A PROCEDURE, UNLESS THEY STOP SMOKING, WOULD I TRY TO STOP
PROCEDURE, UNLESS THEY STOP SMOKING, WOULD I TRY TO STOP SMOKING?
SMOKING, WOULD I TRY TO STOP SMOKING? POCKETBOOK.
SMOKING? POCKETBOOK. >>POCKETBOOK WORKS.
POCKETBOOK. >>POCKETBOOK WORKS. BUT IT IS A DELAYED POCKETBOOK
>>POCKETBOOK WORKS. BUT IT IS A DELAYED POCKETBOOK ISSUE.
BUT IT IS A DELAYED POCKETBOOK ISSUE. IF I HAVE TO PAY A HIGHER
ISSUE. IF I HAVE TO PAY A HIGHER PREMIUM, THAT WOULD PROBABLY BE
IF I HAVE TO PAY A HIGHER PREMIUM, THAT WOULD PROBABLY BE QUITE INFLUENTIAL.
PREMIUM, THAT WOULD PROBABLY BE QUITE INFLUENTIAL. IF I --
QUITE INFLUENTIAL. IF I -- >>IF YOU HAVE DISCOUNTS FOR SAFE
IF I -- >>IF YOU HAVE DISCOUNTS FOR SAFE DRIVING.
>>IF YOU HAVE DISCOUNTS FOR SAFE DRIVING. >>DISCOUNT FOR NOT SMOKING IS
DRIVING. >>DISCOUNT FOR NOT SMOKING IS MORE PAT ALIBLE.
>>DISCOUNT FOR NOT SMOKING IS MORE PAT ALIBLE. FOR SOMETHING IMMEDIATE IN MY
MORE PAT ALIBLE. FOR SOMETHING IMMEDIATE IN MY POCKETBOOK TODAY IS MUCH MORE IN
FOR SOMETHING IMMEDIATE IN MY POCKETBOOK TODAY IS MUCH MORE IN FLEW IN SHALL ON CHANGING
POCKETBOOK TODAY IS MUCH MORE IN FLEW IN SHALL ON CHANGING BEHAVIOR.
FLEW IN SHALL ON CHANGING BEHAVIOR. >>I COULDN'T AGREE WITH YOU
BEHAVIOR. >>I COULDN'T AGREE WITH YOU MORE.
>>I COULDN'T AGREE WITH YOU MORE. I DO WANT TO TALK ABOUT GAIL'S
MORE. I DO WANT TO TALK ABOUT GAIL'S DAY JOB.
I DO WANT TO TALK ABOUT GAIL'S DAY JOB. HERE IS ANOTHER "IF YOU WANT TO
DAY JOB. HERE IS ANOTHER "IF YOU WANT TO GO FAST, GO ALONE, IF YOU WANT
HERE IS ANOTHER "IF YOU WANT TO GO FAST, GO ALONE, IF YOU WANT TO GO FAR, GO TOGETHER."
GO FAST, GO ALONE, IF YOU WANT TO GO FAR, GO TOGETHER." BUT THAT'S SOMETHING YOU
TO GO FAR, GO TOGETHER." BUT THAT'S SOMETHING YOU SUBSCRIBED TO GIVEN YOUR DAY JOB
BUT THAT'S SOMETHING YOU SUBSCRIBED TO GIVEN YOUR DAY JOB IS THE IDEA IS PARTNERSHIP
SUBSCRIBED TO GIVEN YOUR DAY JOB IS THE IDEA IS PARTNERSHIP BETWEEN PATIENT AND PROVIDER.
IS THE IDEA IS PARTNERSHIP BETWEEN PATIENT AND PROVIDER. >>UH-HUH.
BETWEEN PATIENT AND PROVIDER. >>UH-HUH. YOUR ORGANIZATION IS FUNDED IN
>>UH-HUH. YOUR ORGANIZATION IS FUNDED IN PART BY OSF.
YOUR ORGANIZATION IS FUNDED IN PART BY OSF. AS A MATTER OF FACT YOU ARE ON
PART BY OSF. AS A MATTER OF FACT YOU ARE ON THE PAYROLL IN THE ORGANIZATION
AS A MATTER OF FACT YOU ARE ON THE PAYROLL IN THE ORGANIZATION REIMBURSES OSF.
THE PAYROLL IN THE ORGANIZATION REIMBURSES OSF. 15, 17 FOLKS ON THE BOARD. BUT
REIMBURSES OSF. 15, 17 FOLKS ON THE BOARD. BUT ANY EVENT IT IS AN ATTEMPT TO
15, 17 FOLKS ON THE BOARD. BUT ANY EVENT IT IS AN ATTEMPT TO CREATE A TEAM, IF YOU WILL.
ANY EVENT IT IS AN ATTEMPT TO CREATE A TEAM, IF YOU WILL. IS IT WORKING?
CREATE A TEAM, IF YOU WILL. IS IT WORKING? >> I THINK WE HAVE EXAMPLES
IS IT WORKING? >> I THINK WE HAVE EXAMPLES WHERE IT HAS WORKED REALLY WELL.
>> I THINK WE HAVE EXAMPLES WHERE IT HAS WORKED REALLY WELL. IT WORKED REALLY WELL.
WHERE IT HAS WORKED REALLY WELL. IT WORKED REALLY WELL. ITS NOT SIMPLY THE DOCTOR AND
IT WORKED REALLY WELL. ITS NOT SIMPLY THE DOCTOR AND THE PATIENT.
ITS NOT SIMPLY THE DOCTOR AND THE PATIENT. IT IS THE EMPLOYER, THE INSURER,
THE PATIENT. IT IS THE EMPLOYER, THE INSURER, THE DOCTOR-HOSPITAL AND
IT IS THE EMPLOYER, THE INSURER, THE DOCTOR-HOSPITAL AND CONSUMERS.
THE DOCTOR-HOSPITAL AND CONSUMERS. SO EVERY ONE OF THOSE -- FOR THE
CONSUMERS. SO EVERY ONE OF THOSE -- FOR THE THINGS THAT REALLY WORKED FOR
SO EVERY ONE OF THOSE -- FOR THE THINGS THAT REALLY WORKED FOR US, EVERY ONE OF THOSE MAKES A
THINGS THAT REALLY WORKED FOR US, EVERY ONE OF THOSE MAKES A CHANGE.
US, EVERY ONE OF THOSE MAKES A CHANGE. THEY ARE ALL CHANGES THAT POINT
CHANGE. THEY ARE ALL CHANGES THAT POINT IN THE SAME DIRECTION, BUT THEY
THEY ARE ALL CHANGES THAT POINT IN THE SAME DIRECTION, BUT THEY ARE DIFFERENT CHANGES.
IN THE SAME DIRECTION, BUT THEY ARE DIFFERENT CHANGES. AND THAT'S WORKING TOGETHER.
ARE DIFFERENT CHANGES. AND THAT'S WORKING TOGETHER. I GIVE YOU AN EXAMPLE OF -- I
AND THAT'S WORKING TOGETHER. I GIVE YOU AN EXAMPLE OF -- I DON'T KNOW IF YOU SAW ON THE WEB
I GIVE YOU AN EXAMPLE OF -- I DON'T KNOW IF YOU SAW ON THE WEB SITE, WE HAVE COLONOSCOPY
DON'T KNOW IF YOU SAW ON THE WEB SITE, WE HAVE COLONOSCOPY QUALITY REPORTING.
SITE, WE HAVE COLONOSCOPY QUALITY REPORTING. IT IS SOMETHING, PEOPLE CAN
QUALITY REPORTING. IT IS SOMETHING, PEOPLE CAN PICK, THEY CAN GO ONLINE.
IT IS SOMETHING, PEOPLE CAN PICK, THEY CAN GO ONLINE. IT IS ELECTIVE PROCEDURE, ALL GO
PICK, THEY CAN GO ONLINE. IT IS ELECTIVE PROCEDURE, ALL GO INTO A REPORT, AND SELECT.
IT IS ELECTIVE PROCEDURE, ALL GO INTO A REPORT, AND SELECT. THE DOCTORS ARE DOING SOMETHING
INTO A REPORT, AND SELECT. THE DOCTORS ARE DOING SOMETHING DIFFERENT. POTENTIALLY THE
THE DOCTORS ARE DOING SOMETHING DIFFERENT. POTENTIALLY THE PATIENTS ARE DOING SOMETHING
DIFFERENT. POTENTIALLY THE PATIENTS ARE DOING SOMETHING DIFFERENT.
PATIENTS ARE DOING SOMETHING DIFFERENT. THERE WAS PAYMENT INCENTIVE WITH
DIFFERENT. THERE WAS PAYMENT INCENTIVE WITH AN EMPLOYER, AND YOU ADDED ALL
THERE WAS PAYMENT INCENTIVE WITH AN EMPLOYER, AND YOU ADDED ALL THOSE THINGS TOGETHER, AND WE
AN EMPLOYER, AND YOU ADDED ALL THOSE THINGS TOGETHER, AND WE HAVE A SYSTEM THAT IS NOT IN
THOSE THINGS TOGETHER, AND WE HAVE A SYSTEM THAT IS NOT IN PLACE ANYWHERE ELSE IN THE
HAVE A SYSTEM THAT IS NOT IN PLACE ANYWHERE ELSE IN THE COUNTRY.
PLACE ANYWHERE ELSE IN THE COUNTRY. >>SO IT IS WORKING?
COUNTRY. >>SO IT IS WORKING? >> IT IS WORKING.
>>SO IT IS WORKING? >> IT IS WORKING. >>IF YOU EXPANDED THAT, PRANCE
>> IT IS WORKING. >>IF YOU EXPANDED THAT, PRANCE COULD BE MORE PERSUASIVE?
>>IF YOU EXPANDED THAT, PRANCE COULD BE MORE PERSUASIVE? >> IF WE EXPAND -- IF WE CAN
COULD BE MORE PERSUASIVE? >> IF WE EXPAND -- IF WE CAN BRING THESE PIECES TOGETHER ON
>> IF WE EXPAND -- IF WE CAN BRING THESE PIECES TOGETHER ON EVERYTHING WE TACKLE, WE WOULD
BRING THESE PIECES TOGETHER ON EVERYTHING WE TACKLE, WE WOULD HAVE PHENOMENAL RESULTS P BUT
EVERYTHING WE TACKLE, WE WOULD HAVE PHENOMENAL RESULTS P BUT CHANGE IS REALLY HARD.
HAVE PHENOMENAL RESULTS P BUT CHANGE IS REALLY HARD. >>GAIL, WHAT DRIVES YOU?
CHANGE IS REALLY HARD. >>GAIL, WHAT DRIVES YOU? >> I THINK WE NEED TO DO BETTER
>>GAIL, WHAT DRIVES YOU? >> I THINK WE NEED TO DO BETTER FOR PATIENTS.
>> I THINK WE NEED TO DO BETTER FOR PATIENTS. I THINK WE NEED TO DO BETTER FOR
FOR PATIENTS. I THINK WE NEED TO DO BETTER FOR THEM.
I THINK WE NEED TO DO BETTER FOR THEM. AND THERE ISN'T ANYONE WHO
THEM. AND THERE ISN'T ANYONE WHO DOESN'T WANT TO DO A GOOD JOB IN
AND THERE ISN'T ANYONE WHO DOESN'T WANT TO DO A GOOD JOB IN HEALTH CARE.
DOESN'T WANT TO DO A GOOD JOB IN HEALTH CARE. MAYBE A FEW BAD APPLES.
HEALTH CARE. MAYBE A FEW BAD APPLES. EVERYONE IS DOING THEIR VERY
MAYBE A FEW BAD APPLES. EVERYONE IS DOING THEIR VERY BEST, BUT WE ARE NOT DELIVERING
EVERYONE IS DOING THEIR VERY BEST, BUT WE ARE NOT DELIVERING TO PATIENTS WHAT THEY DESERVE.
BEST, BUT WE ARE NOT DELIVERING TO PATIENTS WHAT THEY DESERVE. AND THAT SAYS TO ME THAT WE NEED
TO PATIENTS WHAT THEY DESERVE. AND THAT SAYS TO ME THAT WE NEED TO CHANGE HOW WE ARE DOING IT.
AND THAT SAYS TO ME THAT WE NEED TO CHANGE HOW WE ARE DOING IT. THAT IS TRUE.
TO CHANGE HOW WE ARE DOING IT. THAT IS TRUE. IT IS A SYSTEM -- IT IS
THAT IS TRUE. IT IS A SYSTEM -- IT IS ENGINEERING PROBLEM.
IT IS A SYSTEM -- IT IS ENGINEERING PROBLEM. THE SYSTEM IS ENGINEERED IN A
ENGINEERING PROBLEM. THE SYSTEM IS ENGINEERED IN A WAY THAT DIDN'T GET THE KIND OF
THE SYSTEM IS ENGINEERED IN A WAY THAT DIDN'T GET THE KIND OF RESULTS THAT PEOPLE DESERVE.
WAY THAT DIDN'T GET THE KIND OF RESULTS THAT PEOPLE DESERVE. >>YOUR GREATEST SUCCESS?
RESULTS THAT PEOPLE DESERVE. >>YOUR GREATEST SUCCESS? >> MY GREATEST SUCCESS, WELL,
>>YOUR GREATEST SUCCESS? >> MY GREATEST SUCCESS, WELL, HERE I WOULD SAY IT IS
>> MY GREATEST SUCCESS, WELL, HERE I WOULD SAY IT IS COLONOSCOPY, BUT IT IS PROBABLY
HERE I WOULD SAY IT IS COLONOSCOPY, BUT IT IS PROBABLY THE ORGANIZATION IN MINNESOTA,
COLONOSCOPY, BUT IT IS PROBABLY THE ORGANIZATION IN MINNESOTA, CALLED COMMUNITY MEASUREMENT,
THE ORGANIZATION IN MINNESOTA, CALLED COMMUNITY MEASUREMENT, HEALTH CARE PUBLIC REPORTING
CALLED COMMUNITY MEASUREMENT, HEALTH CARE PUBLIC REPORTING STATE-WIDE, HAS EVERY PAYOR IN
HEALTH CARE PUBLIC REPORTING STATE-WIDE, HAS EVERY PAYOR IN THE STATE PARTICIPATING,
STATE-WIDE, HAS EVERY PAYOR IN THE STATE PARTICIPATING, PROVIDERS ARE ON THE BOARD.
THE STATE PARTICIPATING, PROVIDERS ARE ON THE BOARD. IT IS A REALLY GOING CONCERN AND
PROVIDERS ARE ON THE BOARD. IT IS A REALLY GOING CONCERN AND IT HAS BEEN GREAT WORK.
IT IS A REALLY GOING CONCERN AND IT HAS BEEN GREAT WORK. >>IT HAS BEEN MY PRIVILEGE AND
IT HAS BEEN GREAT WORK. >>IT HAS BEEN MY PRIVILEGE AND PLEASURE.
>>IT HAS BEEN MY PRIVILEGE AND PLEASURE. THANK YOU VERY MUCH.
PLEASURE. THANK YOU VERY MUCH. MY PLEASURE.
THANK YOU VERY MUCH. MY PLEASURE. I HAVE ENJOINED THIS AND I AM
MY PLEASURE. I HAVE ENJOINED THIS AND I AM HONORED TO HAVE HAD THE
I HAVE ENJOINED THIS AND I AM HONORED TO HAVE HAD THE OPPORTUNITY.
HONORED TO HAVE HAD THE OPPORTUNITY. >>