If i can have your attention. I am with the alliance for health reform. Thank you all for coming. Target lowincome population from the Affordable Care act and private insurance using federal medicaid dollars. To do that, they need federal approval in the form of a medicaid waiver. Three states already have their waivers in hand and are operating their new programs. Today we are going to take a look at the experiences of two of those states and a broader look at what some other states are proposing to do. We will also look at the balance between on the one hand exposing these same low income people to additional premiums are costsharing and on the other additional im sorry additional premiums in the condition of getting it and on the other hand not getting coverage at all. So we are pleased have as a partner today the Commonwealth Fund essentially philanthropy established to promote the common good and we are doubly pleased to have is the comoderator sara collins who is Vice President f
Need 3. 6 trillion in investment and thats in all a number that includes things other than transportation but we need 3. 6 trillion in investment by the time the decade is through in order to raise it to appropriate levels. Now thats an all in number as i said. The thing is our infrastructure deficit is only going to get worse without action. We cannot meet the needs of growing country and a growing economy by simply maintaining our current level of effort. We must do more. Over the next generation this will become even more apparent because the country will demand more of this Transportation System than it ever has. By 2050 the system will need to move up to 100 million new people and 14 billion additional tons of freight almost twice what we currently do. Even if Congress Today funded our Transportation System at recent levels we would still be on the same track towards slower , less safe nation where rushhour becomes a rush all afternoon. So what we need right now is to rally around
It is not realistically within the realm of possibility. This committee follow the murray ryan agreement and mark up at a trillion, 14 billion. That was the deal, and we will stick with the deal. The second issue that was raised is on the subject of entitlement reform. One of the reasons the mandatory programs are growing are because of the success of people who represent agencies at this table. Social security, people live longer. So we have more people than might have been anticipated by the actuaries in 1950 and 1960 when people died from heart attacks and so on instead of the challenges of chronic illness. One of the reasons that medicare is also an issue is because, again, people are living longer, and we need to manage the chronic illness. But there are paths forward to bend the curve, one of which is, again, from research. Much has been said about alzheimers. And, gosh, if we could crack that code, it would have a tremendous impact. So it all kind of goes hand in hand that, one,
Of content available on any platform and interface is easy. Its a new world and we couldnt do that 24 months ago, let alone 12 months ago. On that march to make it easier for consumers. Our customer service, we are taking the innovation, you wont have to give us the id off the modem. Accountit now my hacked. You take a brandnew iphone, it happen, itnt it to didnt fix it, would you like an installer, we are on our way, we will text you. Thats what the world expect, all kidding aside. Comcast need to own a Wireless Network five years from now . I think wifi is a huge asset for this industry. Wifiw allocation with and to be able to have faster wifi right now, inhome wifi is a lot slower. If you bring it into the house fast, you better distributed fast around the neighborhood. Well involved in making your access into your while it into your wireless vice somehow through wifi or some combination thereof. It reminds me of the time before we went into telephony. There was only one provider an
Executive Infrastructure Club which brings together companies and key u. S. Decision makers at the federal and local levels who have informal roundtable discussions. It allows a dialogue in order for us to sort of share our best practice and Lessons Learned over time. And when i speak to my counter parts in the d. O. T. And those on the hill, its very clear that we have had the same challenges that were always very happy to share those experiences. So thank you very much for the opportunity to explain that. [applause] thank you so much. Nigel. Thank you very much. Good morning, ladies and gentlemen. And thank you very much to the organizers and sponsors of this weeks event for infrastructure week 2014. So im going to talk about p3. Im going to talk about p3 from a u. K. Perspective, from my involvement in the private sector so youve had heard from judith a lot of what im going to say is really going to echo what jude yitsdz has said from the private sectors point of view. What i would