health care stole the American dream but today I’m excited to tell you about how
today I’m excited to tell you about how
today I’m excited to tell you about how regular people including nurses and
regular people including nurses and
regular people including nurses and doctors are taking it back by fixing
doctors are taking it back by fixing
doctors are taking it back by fixing health care and the great news is it’s
health care and the great news is it’s
health care and the great news is it’s working think the economy has recovered
working think the economy has recovered
working think the economy has recovered well if you look at the middle class
well if you look at the middle class
well if you look at the middle class think again the middle class has been in
think again the middle class has been in
think again the middle class has been in a 20-year income decline and remember
a 20-year income decline and remember
a 20-year income decline and remember most Americans get their health care
most Americans get their health care
most Americans get their health care through work and health care is the
through work and health care is the
through work and health care is the reason that 70% of American families
reason that 70% of American families
reason that 70% of American families have less than $1,000 in savings and
have less than $1,000 in savings and
have less than $1,000 in savings and it’s not because employers have been
it’s not because employers have been
it’s not because employers have been stingy they’re actually spending far
stingy they’re actually spending far
stingy they’re actually spending far more money on employees and that did 20
more money on employees and that did 20
more money on employees and that did 20 years ago
years ago
years ago the problem is every dollar and then
the problem is every dollar and then
the problem is every dollar and then some has gone to pay for health care
some has gone to pay for health care
some has gone to pay for health care because for too long employers have
because for too long employers have
because for too long employers have badly managed how they purchase health
badly managed how they purchase health
badly managed how they purchase health care and why is it that Millennials are
care and why is it that Millennials are
care and why is it that Millennials are the first generation in American history
the first generation in American history
the first generation in American history to think that life won’t be better for
to think that life won’t be better for
to think that life won’t be better for them than their parents well with over
them than their parents well with over
them than their parents well with over half of their lifetime earnings slated
half of their lifetime earnings slated
half of their lifetime earnings slated to go to health care
to go to health care
to go to health care Millennials are on track to become
Millennials are on track to become
Millennials are on track to become indentured servants to the health care
indentured servants to the health care
indentured servants to the health care system every year in health care we pay
system every year in health care we pay
system every year in health care we pay more and we get less health care costs
more and we get less health care costs
more and we get less health care costs are overwhelming us and it’s causing us
are overwhelming us and it’s causing us
are overwhelming us and it’s causing us to lose hope but hopes actually what I
to lose hope but hopes actually what I
to lose hope but hopes actually what I want to share today I’m going to share
want to share today I’m going to share
want to share today I’m going to share how regular Americans are applying
how regular Americans are applying
how regular Americans are applying common-sense fixes to health care it’s
common-sense fixes to health care it’s
common-sense fixes to health care it’s what America does when it comes to big
what America does when it comes to big
what America does when it comes to big societal challenges like civil rights
societal challenges like civil rights
societal challenges like civil rights better food energy independence solving
better food energy independence solving
better food energy independence solving these problems from the bottom up is the
these problems from the bottom up is the
these problems from the bottom up is the American Way so I’m going to share how
American Way so I’m going to share how
American Way so I’m going to share how one American is doing it and how it can
one American is doing it and how it can
one American is doing it and how it can be recreated in your community and
be recreated in your community and
be recreated in your community and across America to solve the health care
across America to solve the health care
across America to solve the health care crisis let me introduce to you Harris
crisis let me introduce to you Harris
crisis let me introduce to you Harris Rosen like any business leader he wants
Rosen like any business leader he wants
Rosen like any business leader he wants a fair deal for his business and his
a fair deal for his business and his
a fair deal for his business and his employees Roe
employees Roe
employees Roe the son of immigrants who struck out on
the son of immigrants who struck out on
the son of immigrants who struck out on his own and bought a failing hotel in
his own and bought a failing hotel in
his own and bought a failing hotel in the 1970s during the height of the oil
the 1970s during the height of the oil
the 1970s during the height of the oil crisis in Orlando working five different
crisis in Orlando working five different
crisis in Orlando working five different jobs he turned things around and had a
jobs he turned things around and had a
jobs he turned things around and had a thriving hotel until the 90s when the
thriving hotel until the 90s when the
thriving hotel until the 90s when the increasing weight of healthcare started
increasing weight of healthcare started
increasing weight of healthcare started crushing his business every year he was
crushing his business every year he was
crushing his business every year he was paying more and getting less now Rosen
paying more and getting less now Rosen
paying more and getting less now Rosen didn’t know anything about health care
didn’t know anything about health care
didn’t know anything about health care but he knew it was crushing his business
but he knew it was crushing his business
but he knew it was crushing his business and he was fed up so he ignored the so
and he was fed up so he ignored the so
and he was fed up so he ignored the so called experts and said about tackling
called experts and said about tackling
called experts and said about tackling the challenge with candy American spirit
the challenge with candy American spirit
the challenge with candy American spirit and fortunately all the solutions to fix
and fortunately all the solutions to fix
and fortunately all the solutions to fix healthcare have already been invented
healthcare have already been invented
healthcare have already been invented and proven it’s just common sense and it
and proven it’s just common sense and it
and proven it’s just common sense and it just takes some will and he had will and
just takes some will and he had will and
just takes some will and he had will and he applied that will and common sense to
he applied that will and common sense to
he applied that will and common sense to tackling the healthcare challenge by
tackling the healthcare challenge by
tackling the healthcare challenge by cutting out middlemen who weren’t adding
cutting out middlemen who weren’t adding
cutting out middlemen who weren’t adding value and focusing on prevention and
value and focusing on prevention and
value and focusing on prevention and relationship based primary care and
relationship based primary care and
relationship based primary care and carefully managing high-cost medical
carefully managing high-cost medical
carefully managing high-cost medical issues he applied what I call the three
issues he applied what I call the three
issues he applied what I call the three C’s care team cost and community let’s
C’s care team cost and community let’s
C’s care team cost and community let’s look at the first C care team today when
look at the first C care team today when
look at the first C care team today when we go to the doctor’s office
we go to the doctor’s office
we go to the doctor’s office we’re rushed through like we’re cogs on
we’re rushed through like we’re cogs on
we’re rushed through like we’re cogs on an assembly line and it’s no better for
an assembly line and it’s no better for
an assembly line and it’s no better for doctors that rushing through
doctors that rushing through
doctors that rushing through appointments all day long like their
appointments all day long like their
appointments all day long like their hamsters on a hamster wheel you know why
hamsters on a hamster wheel you know why
hamsters on a hamster wheel you know why because they’re having to spend two
because they’re having to spend two
because they’re having to spend two hours on bureaucracy for every one hour
hours on bureaucracy for every one hour
hours on bureaucracy for every one hour patient time it’s no wonder doctors are
patient time it’s no wonder doctors are
patient time it’s no wonder doctors are burning out at record rates one doctor
burning out at record rates one doctor
burning out at record rates one doctor in a large health system in California
in a large health system in California
in a large health system in California share with me how he and his colleagues
share with me how he and his colleagues
share with me how he and his colleagues were getting pressured by the
were getting pressured by the
were getting pressured by the administrators to amputate diabetics
administrators to amputate diabetics
administrators to amputate diabetics feet you know why because it was taking
feet you know why because it was taking
feet you know why because it was taking them too much time to manage the
them too much time to manage the
them too much time to manage the diabetes that our patient at Rosen’s a
diabetes that our patient at Rosen’s a
diabetes that our patient at Rosen’s a different story
different story
different story employees who have diabetes work with a
employees who have diabetes work with a
employees who have diabetes work with a care team that has time to do what they
care team that has time to do what they
care team that has time to do what they do best whether they’re a doctor a
do best whether they’re a doctor a
do best whether they’re a doctor a dietician a health coach a nurse or a
dietician a health coach a nurse or a
dietician a health coach a nurse or a pharmacist to reverse the symptoms of
pharmacist to reverse the symptoms of
pharmacist to reverse the symptoms of diabetes and certainly never get to the
diabetes and certainly never get to the
diabetes and certainly never get to the point where they’d have to amputate the
point where they’d have to amputate the
point where they’d have to amputate the second C is cost you know with today’s
second C is cost you know with today’s
second C is cost you know with today’s perverse incentives did you know that a
perverse incentives did you know that a
perverse incentives did you know that a hospital has paid over $22,000
hospital has paid over $22,000
hospital has paid over $22,000 an hour to amputate a diabetics foot and
an hour to amputate a diabetics foot and
an hour to amputate a diabetics foot and only $200 an hour to manage their
only $200 an hour to manage their
only $200 an hour to manage their diabetes now it’s a different story at
diabetes now it’s a different story at
diabetes now it’s a different story at Rose and they apply common sense they
Rose and they apply common sense they
Rose and they apply common sense they know that if you provide free lifestyle
know that if you provide free lifestyle
know that if you provide free lifestyle and medication management it’s better
and medication management it’s better
and medication management it’s better for the employees health and their
for the employees health and their
for the employees health and their bottom line the third C is community
bottom line the third C is community
bottom line the third C is community it’s actually my favorite seat
it’s actually my favorite seat
it’s actually my favorite seat postalcode turns out is a better
postalcode turns out is a better
postalcode turns out is a better predictor of health outcomes than DNA
predictor of health outcomes than DNA
predictor of health outcomes than DNA code and unfortunately Health Care’s
code and unfortunately Health Care’s
code and unfortunately Health Care’s hyper inflation has been devastating
hyper inflation has been devastating
hyper inflation has been devastating promoters of health like education safe
promoters of health like education safe
promoters of health like education safe neighborhoods access to good food clean
neighborhoods access to good food clean
neighborhoods access to good food clean air and clean water now it’s a different
air and clean water now it’s a different
air and clean water now it’s a different story at Rosen they know that investing
story at Rosen they know that investing
story at Rosen they know that investing in education is at the foundation of
in education is at the foundation of
in education is at the foundation of achieving the American dream
achieving the American dream
achieving the American dream so they take money that would have
so they take money that would have
so they take money that would have otherwise been squandered in health care
otherwise been squandered in health care
otherwise been squandered in health care and they pay for college for their
and they pay for college for their
and they pay for college for their employees and their employees children
employees and their employees children
employees and their employees children and if that wasn’t enough they adopted a
and if that wasn’t enough they adopted a
and if that wasn’t enough they adopted a nearby neighborhood that was crime
nearby neighborhood that was crime
nearby neighborhood that was crime ridden and started by investing in
ridden and started by investing in
ridden and started by investing in daycare pre-k after-school programs and
daycare pre-k after-school programs and
daycare pre-k after-school programs and so far 450 college education guess what
so far 450 college education guess what
so far 450 college education guess what happened crime went down 67% high school
happened crime went down 67% high school
happened crime went down 67% high school graduation rates doubled to more than
graduation rates doubled to more than
graduation rates doubled to more than are almost a hundred percent and the
are almost a hundred percent and the
are almost a hundred percent and the entire cost of all that was less than
entire cost of all that was less than
entire cost of all that was less than five percent of what they saved compared
five percent of what they saved compared
five percent of what they saved compared to similar companies and this success is
to similar companies and this success is
to similar companies and this success is so contagious that they adopted a
so contagious that they adopted a
so contagious that they adopted a neighborhood five times that size and
neighborhood five times that size and
neighborhood five times that size and they’re doing the same thing so with the
they’re doing the same thing so with the
they’re doing the same thing so with the three C’s care team cost and Community
three C’s care team cost and Community
three C’s care team cost and Community Rosen is spending fifty five percent
Rosen is spending fifty five percent
Rosen is spending fifty five percent less per capita on benefits with one of
less per capita on benefits with one of
less per capita on benefits with one of the best benefits packages in the entire
the best benefits packages in the entire
the best benefits packages in the entire country that’s about five thousand
country that’s about five thousand
country that’s about five thousand dollars per employee per year that can
dollars per employee per year that can
dollars per employee per year that can go into the employees pocket the
go into the employees pocket the
go into the employees pocket the business or the community that’s what
business or the community that’s what
business or the community that’s what happens when you have will that’s how
happens when you have will that’s how
happens when you have will that’s how you restore the American Dream and these
you restore the American Dream and these
you restore the American Dream and these successes are sprouting up from the
successes are sprouting up from the
successes are sprouting up from the ground up all over the country from
ground up all over the country from
ground up all over the country from small manufacturers to school districts
small manufacturers to school districts
small manufacturers to school districts to publishers to large municipalities
to publishers to large municipalities
to publishers to large municipalities basically applying the same
basically applying the same
basically applying the same and sense things that Rosen did and you
and sense things that Rosen did and you
and sense things that Rosen did and you know that if every employer did that in
know that if every employer did that in
know that if every employer did that in this country and had that will and
this country and had that will and
this country and had that will and common sense it would be like a citizen
common sense it would be like a citizen
common sense it would be like a citizen driven five hundred billion dollar
driven five hundred billion dollar
driven five hundred billion dollar economic stimulus every year into the
economic stimulus every year into the
economic stimulus every year into the economy but of course there’s three
economy but of course there’s three
economy but of course there’s three trillion reasons to protect the status
trillion reasons to protect the status
trillion reasons to protect the status quo and there’s no industry that spends
quo and there’s no industry that spends
quo and there’s no industry that spends anywhere near health care at the local
anywhere near health care at the local
anywhere near health care at the local state and federal level to lobbying to
state and federal level to lobbying to
state and federal level to lobbying to preserve such a wildly underperforming
preserve such a wildly underperforming
preserve such a wildly underperforming system that clearly has driven the
system that clearly has driven the
system that clearly has driven the middle class income decline and in turn
middle class income decline and in turn
middle class income decline and in turn that clearly fueled the recent
that clearly fueled the recent
that clearly fueled the recent presidential election but almost nobody
presidential election but almost nobody
presidential election but almost nobody is talking about the fact that that was
is talking about the fact that that was
is talking about the fact that that was at least 95 percent generated by Health
at least 95 percent generated by Health
at least 95 percent generated by Health Care’s hyperinflation as data from Rand
Care’s hyperinflation as data from Rand
Care’s hyperinflation as data from Rand and Brookings and Kaiser and others
and Brookings and Kaiser and others
and Brookings and Kaiser and others clearly shows so here’s the key point
clearly shows so here’s the key point
clearly shows so here’s the key point those that are trying to protect the
those that are trying to protect the
those that are trying to protect the status quo they’ll try to politicize
status quo they’ll try to politicize
status quo they’ll try to politicize health care they’ll try to use fear
health care they’ll try to use fear
health care they’ll try to use fear uncertainty and doubt to protect their
uncertainty and doubt to protect their
uncertainty and doubt to protect their interests to stop progress they know
interests to stop progress they know
interests to stop progress they know that there’s nothing easier to
that there’s nothing easier to
that there’s nothing easier to politicize or frighten people about than
politicize or frighten people about than
politicize or frighten people about than health care after all it’s life and
health care after all it’s life and
health care after all it’s life and death right but each of us must
death right but each of us must
death right but each of us must inoculate ourselves against these
inoculate ourselves against these
inoculate ourselves against these enablers of the status quo who benefit
enablers of the status quo who benefit
enablers of the status quo who benefit themselves at the cost of our health and
themselves at the cost of our health and
themselves at the cost of our health and our wealth by infecting us with this
our wealth by infecting us with this
our wealth by infecting us with this sense that health care is too
sense that health care is too
sense that health care is too complicated to fix that is absolutely
complicated to fix that is absolutely
complicated to fix that is absolutely false all over the country people are
false all over the country people are
false all over the country people are realizing these solutions aren’t going
realizing these solutions aren’t going
realizing these solutions aren’t going to come from somewhere else each of us
to come from somewhere else each of us
to come from somewhere else each of us has looked in the mirror and realize
has looked in the mirror and realize
has looked in the mirror and realize it’s on us to restore the American dream
it’s on us to restore the American dream
it’s on us to restore the American dream so hundreds are sharing their success
so hundreds are sharing their success
so hundreds are sharing their success and have come together to create the
and have come together to create the
and have come together to create the health Rosetta it’s a free resource you
health Rosetta it’s a free resource you
health Rosetta it’s a free resource you can google it basically shows how health
can google it basically shows how health
can google it basically shows how health care is not too complicated to fix and
care is not too complicated to fix and
care is not too complicated to fix and in fact most of its common sense so for
in fact most of its common sense so for
in fact most of its common sense so for each area like getting proper primary
each area like getting proper primary
each area like getting proper primary care we outline how it works how it’s
care we outline how it works how it’s
care we outline how it works how it’s better than the status quo action steps
better than the status quo action steps
better than the status quo action steps challenges to expect and links to more
challenges to expect and links to more
challenges to expect and links to more resources we’re just getting started but
resources we’re just getting started but
resources we’re just getting started but already or
already or
already or organizations representing millions of
organizations representing millions of
organizations representing millions of Americans are jumping on board and
Americans are jumping on board and
Americans are jumping on board and here’s the great news former adversaries
here’s the great news former adversaries
here’s the great news former adversaries are realizing they actually have shared
are realizing they actually have shared
are realizing they actually have shared goals for example in Pittsburgh teacher
goals for example in Pittsburgh teacher
goals for example in Pittsburgh teacher unions and management got together
unions and management got together
unions and management got together did you know took a fresh look at their
did you know took a fresh look at their
did you know took a fresh look at their benefits approach and it’s amazing the
benefits approach and it’s amazing the
benefits approach and it’s amazing the result in Pittsburgh kindergartners are
result in Pittsburgh kindergartners are
result in Pittsburgh kindergartners are gonna have two billion dollars more
gonna have two billion dollars more
gonna have two billion dollars more available to them during their k12 years
available to them during their k12 years
available to them during their k12 years than their counterparts in Philadelphia
than their counterparts in Philadelphia
than their counterparts in Philadelphia where they’re needlessly spending 40
where they’re needlessly spending 40
where they’re needlessly spending 40 percent more on health benefits so in
percent more on health benefits so in
percent more on health benefits so in Pittsburgh teachers are paid better that
Pittsburgh teachers are paid better that
Pittsburgh teachers are paid better that better benefits and class sizes are 30%
better benefits and class sizes are 30%
better benefits and class sizes are 30% smaller and the great thing is these
smaller and the great thing is these
smaller and the great thing is these solutions are coming from people all
solutions are coming from people all
solutions are coming from people all across the political spectrum in fact
across the political spectrum in fact
across the political spectrum in fact progressives are implementing ideas that
progressives are implementing ideas that
progressives are implementing ideas that we be called conservative conservatives
we be called conservative conservatives
we be called conservative conservatives are implementing ideas that would be
are implementing ideas that would be
are implementing ideas that would be called progressive each of us has had an
called progressive each of us has had an
called progressive each of us has had an awakening we don’t need a left solution
awakening we don’t need a left solution
awakening we don’t need a left solution or a right solution we need an American
or a right solution we need an American
or a right solution we need an American solution and it’s spreading like
solution and it’s spreading like
solution and it’s spreading like wildfire so if you’re an employee let
wildfire so if you’re an employee let
wildfire so if you’re an employee let your CEO know there’s a way to slash
your CEO know there’s a way to slash
your CEO know there’s a way to slash health care costs while improving
health care costs while improving
health care costs while improving benefits if you’re a business leader
benefits if you’re a business leader
benefits if you’re a business leader it’s time to ignore the so-called
it’s time to ignore the so-called
it’s time to ignore the so-called experts and apply the same discipline to
experts and apply the same discipline to
experts and apply the same discipline to health care that you do owe to all other
health care that you do owe to all other
health care that you do owe to all other major purchases in your business and if
major purchases in your business and if
major purchases in your business and if you’re a union leader there’s never been
you’re a union leader there’s never been
you’re a union leader there’s never been a better time to take a fresh look at
a better time to take a fresh look at
a better time to take a fresh look at how you address your benefits frankly
how you address your benefits frankly
how you address your benefits frankly it’s crushing your membership as it is
it’s crushing your membership as it is
it’s crushing your membership as it is and whether you’re a business or a union
and whether you’re a business or a union
and whether you’re a business or a union leader there’s a free resource now for
leader there’s a free resource now for
leader there’s a free resource now for you too that has a it’s a blueprint for
you too that has a it’s a blueprint for
you too that has a it’s a blueprint for how to purchase health care smart for
how to purchase health care smart for
how to purchase health care smart for too long we’ve let health care crushed
too long we’ve let health care crushed
too long we’ve let health care crushed the American dream we can’t afford 20
the American dream we can’t afford 20
the American dream we can’t afford 20 more years of income decline for the
more years of income decline for the
more years of income decline for the middle class no country has smarter or
middle class no country has smarter or
middle class no country has smarter or more compassionate nurses and doctors or
more compassionate nurses and doctors or
more compassionate nurses and doctors or more innovators who have reinvented this
more innovators who have reinvented this
more innovators who have reinvented this country time and again and no in all
country time and again and no in all
country time and again and no in all corners of health care there are people
corners of health care there are people
corners of health care there are people who went into it for all the right
who went into it for all the right
who went into it for all the right reasons but perverse incentives and
reasons but perverse incentives and
reasons but perverse incentives and outdated approaches have shackled them
outdated approaches have shackled them
outdated approaches have shackled them and whether we knew it or not we’ve all
and whether we knew it or not we’ve all
and whether we knew it or not we’ve all contributed to this mess now it’s on us
contributed to this mess now it’s on us
contributed to this mess now it’s on us to fix it and the great news is when
to fix it and the great news is when
to fix it and the great news is when this change happens community by
this change happens community by
this change happens community by community it’s impossible to stop
community it’s impossible to stop
community it’s impossible to stop so yes health care stole the American
so yes health care stole the American
so yes health care stole the American Dream but it’s absolutely possible to
Dream but it’s absolutely possible to
Dream but it’s absolutely possible to take it back and I’d invite you to join
take it back and I’d invite you to join
take it back and I’d invite you to join us to make it happen in your community
us to make it happen in your community
us to make it happen in your community thank you
”
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