Senator Tom Coburn, MD talks about how important it is for doctors to listen to their patients in order to reduce the treatment costs and focus on prevention.
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Senator Tom Coburn: But you know there is a consumer's report where you can find out everything expect your doctor. There is a consumer's report where you can find out everything except your hospital. There is a consumer's report you can find everything except about your pharmacy and that's not coming. We are starting to see that coming. So if we allow a true market to be developed, what we will see is the maturation of that market in all the components that make that market drive and create greater access, greater transparency and lower cost with competition. And I agree with you gentlemen we are never going to get there unless there has to be a competition. And I want to share something with you that a lot of doctors won't admit to you, but it's going on today. Doctors feel pressured. So what is happening? They're seeing more patients everyday and the only thing they have to sell is time. So if you have X amount of time, even if you work in 16-18 hours a day and you need more room, what do you do? You put more people in there. What happens? In every medical school in this country as if you listen to your patient, they will tell you what's wrong with them. What happening in America today because we are squeezing this prevention component because we don't have that prevention, quite frankly Medicare doesn't pay for that, Medicaid doesn't pay for and most insurance companies don't pay for prevention. What we do is we don't listen any more. We come in, we ask the patient while they are there and average is 6 seconds before they're interrupted by the physicians in this country. It's 6 seconds after the patients starts talking that they are interrupted. What does it tell us? It means that we don't listen, we walk of the door and order test we don't need because we didn't listen to what the patient has to say, so we can get to the next patient so we cannot listen so we can order test that the patient doesn't need. So what happens is that's estimated $50 billion worth of test that they don't need, because we are not listening. So a market is going to -- payment for prevention, because it works, number one. Number two is as we create a market, and I want you to think out of the box for a minute about the possibilities for different products that are around here. And the idea that you can have and you provide insurance product that we will have incentives if you followed that you would get rebates on. We've said, well, what's available today? If you had a real market, you would have hundreds and thousands of different insurance products and local products that were offered to people that aren't available today. We allow universal margining of health care across the United States. No, you are not limited to the 18,000 mandated health policies that sum politicians or bureaucrat decided you must have. You can have what you want.