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Wednesday January 7, 2009

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Past Event

An Economic Studies and Engelberg Center for Health Care Reform Event

The Practice and Potential of Medicine: How to Close the Gap

Health Care


Event Summary

Modern medicine has the capacity to extend and improve the quality of life in ways that previous generations could not even imagine. Yet almost half of all Americans do not receive scientifically recommended care when they see a doctor or are admitted to a hospital. Nearly 100,000 people die annually and still more suffer avoidable debility and pain from preventable medical errors. In fact, the gap between what modern medicine can deliver and what it does deliver is huge and may be getting larger.

On December 15, the Brooking Institution hosted an all-day conference to discuss both the problem and potential solutions, including easing current antitrust rules to encourage integrated delivery networks capable of implementing electronic medical records. Dr. Mark B. McClellan, a visiting senior fellow at the AEI-Brookings Joint Center for Regulatory Studies who previously served as the administrator of the Centers for Medicare and Medicaid Services, delivered the luncheon address.

Transcript

MARK MCCLELLAN: Today, I just want to provide a few remarks and some perspective from Medicare and a little bit more broadly on some practical and concrete steps that can help make that happen now.

You all know why this is so important. I think you have heard about it some already at this conference, about the tremendous promise of medicine today. Our healthcare system is delivering more and more in terms of health. The potential of personalized medicine, more prevention-oriented medicine is even greater for the future. Yet, something that should be regarded as good news by everybody in the country is generally regarded with fear and dread, that even if these better treatments come along, they won't be able to afford them. They won't be able to take advantage of them. So, instead of enthusiasm, we have a lot of frustration with the public, with employers, with other healthcare payers, and with physicians about where our healthcare system is, despite the fact that the promise for the future is tremendous and despite the fact that we have a lot of very promising specific ideas out there about what that future can look like.

You have heard today about some of the challenges in making these changes, some of the challenges related to the culture of medicine. Coming from where I came from recently, I am not going to talk about culture directly. I am going to talk about health policies because I think health policies can have a fundamental impact on the culture and sociology of medicine and whether these kinds of reforms can really take hold and lead to fundamental transformational improvements in our healthcare system.

I also want to emphasize that because we are in a pluralistic healthcare system, these kinds of things don't happen by themselves. We must have a lot of things moving together to get the kinds of changes that we want tin healthcare -- the good ideas, the policies, the different stakeholders, all working together.


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