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Tom Harkin
@tomharkin· Democratic · IA· Jun 11, 2003

I am just wondering what we should do nationally, maybe through Medicare or something else, to try to encourage other hospitals to go that route.

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Tom Harkin
@tomharkin· Democratic · IA· Jun 11, 2003

You have got to have that. And then--but going overboard on some of this stuff--I mean, I have got to believe that that 350 pages really--no one really looks at that.

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Tom Harkin
@tomharkin· Democratic · IA· Jun 11, 2003

But I think--I end up spending a ton of money on programmers programming to get the data that he needs--even if I automated the darn thing, I would still be spending buckets of money on programmers to get the data out he needs to report…

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Tom Harkin
@tomharkin· Democratic · IA· Jun 11, 2003

It sounds like the kind of thing that you cannot do in one fell swoop.

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Tom Harkin
@tomharkin· Democratic · IA· Jun 11, 2003

This is third and final one in the series, in terms of what is happening, in terms of coverage, lack of coverage, cost of insurance.

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Tom Harkin
@tomharkin· Democratic · IA· Jun 11, 2003

It is almost like a crescendo now of different things--bankruptcy because of medical bills, businesses forced to scale back their benefits.

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Tom Harkin
@tomharkin· Democratic · IA· Jun 11, 2003

Do you think that that is possible to do that, to set up a system like that?

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Tom Harkin
@tomharkin· Democratic · IA· Jun 11, 2003

I can say, about each one of you, you are sort of on the cutting edge of what we have got to be doing...

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Tom Harkin
@tomharkin· Democratic · IA· Jun 11, 2003

It needs to be streamlined. It needs to be brought up to date. It needs to be less burdensome, because it is just eating up too many of our resources.

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Tom Harkin
@tomharkin· Democratic · IA· Jun 11, 2003

Thanks for all the great work you are doing out in the field.

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Tom Harkin
@tomharkin· Democratic · IA· Jun 11, 2003

Well, thank you all, again, very much. This has been a very intellectually stimulating morning for me, I am sure for our staff.

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Tom Harkin
@tomharkin· Democratic · IA· Jun 11, 2003

And so you have got to--as I have heard you this morning, there are ways of addressing it on both sides.

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Tom Harkin
@tomharkin· Democratic · IA· Jun 11, 2003

Are there any provisions in Medicare that would allow for the up-front payment or establishing chronic-care management programs?

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Tom Harkin
@tomharkin· Democratic · IA· Jun 11, 2003

I do not know where one ends and one begins.

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