I’d love for each of you to talk about what you’re worried about. What is it that you feel…we wanna do better? Bertha you answered a very important question because when my colleagues turn around and say ‘Larry, why are you so ornery today?’ I’m gonna say
it’s because we’re in health care. As we look at our health care system today, obviously it has challenges. Many people say the system’s broken. We would sit
here and say our health care system was was created for episodic care in a fee-for-service environment. Not one that is created to support and
provide for the individual health care needs of consumers. And health care has grown to almost $3.6 trillion. It’s 18% of GDP. It’s continuing to grow. We know more than half of all Americans suffer from one or more chronic diseases and the dollars that we’re
spending on that are not helping those individuals to achieve their best health.
And I can go on and on. You know I often say to people no one in their right mind would ever design a system like the U.S. health system the way it has evolved,
because it just is not efficient. And in a sense, it works in opposition to doing
what you’re trying to do at Kaiser and what you’re trying to do with the merger with Aetna. Picking up on what Larry said, I think that we have to come to the reality that in the 21st century a sick care model is not the right answer.
I think the challenge that we have today is you look at health care it’s a series
of transactions. And who’s connecting the dots across those those
transactions? Versus the opportunity that we have to provide care management to patients, consumers, individuals – those words are all starting
to get blurred now. And I think that’s that’s
the direction that we need to go. We need to take health care to where the people are, to the communities in which they live and work. And it’s the
opposite today. How do we design a health system that focuses on prevention as the best medicine, which speaks to self-care, and then early detection, early diagnosis, early treatment? How do we deal with a system of coordination of care and services that deals with what you just described – chronic care – and doing it in a
way that is not episodic? And, so, that’s I think the both exciting and daunting challenge that we have in front of us.