2020 Vision Health in the 21st Century (1996) / Chapter Skim
Currently Skimming:
Opening Address
Opening Address
Pages 4-12
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From page 4... ...
My focus is principally on the biomedical research enterprise and how it fits into the health care system of the future. As many of you know, the health of the National Institutes of Health (NTH)
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From page 5... ...
Up until now, it seems that health care has lagged behind in its adaptation of information systems technology, but its possibilities for reducing costs through this technology are easy to envision from standarctization of medical claims payments, to automated patient records, to telemedicine. All of these will soon be with us.
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From page 6... ...
In addition, recent reports like that from the Pew Health Professions Commission, among others, raise the more general supply issue that we simply have too many doctors. If this perceived imbalance is corrected, either through reimbursement policies or through the laws of supply and demand, it may have the beneficial effect of reducing health care costs.
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From page 7... ...
Finally, ~ cannot conclude without some comment on the nation's budgetary situation and its impact on the health programs in which T have a deep interest. As an appropriator, I have a special concern about the financial burden that health care entitlements will place on federal revenues and the resulting squeeze on funding available for important discretionary health programsamong them, NIH; the Centers for Disease Control and Prevention; health services programs such as family planning, community health centers, and Ryan White AIDS services; and veterans' health care.
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From page 8... ...
This is all being done among a few people at the very to~our budgetary chairmen, Representative John Kasich and Senator Pete Domenici. Both budgets cut NIT and other health care matters very heavily, and ~ am worried about where we are and about the lack of progress or the lack of forthcomingness on the part of the White EIouse to find some common ground and get our budgetary situation finalized.
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From page 9... ...
I say simply that I think you have far more credibility than you realize, and if you can mount an effort to bring issues like this not before the Congress but before the American people, and get the attention of the media which, in today's worm, is everything-the chances of changing policy are great. r have said to Harold Varmus, who is doing a magnificent job at NTH, that he has to become the Carl Sagan of biomedical research and popularize all of the wonderful things that NIH is funding and that are occurring in biomedical research because people are intuitively supportive.
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From page 10... ...
NTH in all that it does, including public health is at risk if we do not gain control over entitlement spending. We have to do it; nobody in this country who understands anything about the federal budget doubts that for a minute; yet the president is playing games with it.
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From page 11... ...
Others will do a magnificent job better than they could do with all of the federal constraints. Perhaps out of that, if it is tried, we will see the best way to provide health care services.
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