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>> all i hear is how we're going to give more people access to the present system and how we're going to pay for it. to me, that's not the only issue. the present system doesn't work and it's going to take us down. we need a whole new kind of medicine. health care reform was a good place to start, but it will do little to address the root problems. we don't have a health care system in this country. we have a disease management system. >> people often think it has to be a new drug or a new laser or something really high tech and expensive for it to be powerful. they have a hard time realizing ...

>> all i hear is how we're going to give more people access to the present system and how we're going to pay for it. and to me that's not the only issue. the present system doesn't work and it's going to take us down. we need a whole new kind of medicine. >> health care reform was a good place to start, but it will do little to address the root problems. we don't have a health care system in this country. we have a disease management system. >> people often think it has to be a new drug or a new laser or something really high-tech and expensive for it to be powerful. and they have a hard time ...

Big industry, and it doesn't want to stop making money. >> at the executive level, what's most important is meeting wall street's expectations, and they have to. these for-profit companies by law have to serve shareholders. you almost forget that what you're doing is providing health care. >> the health care system is unsustainable. we're spending almost twice as much in america as any other country on earth. we're really mortgaging the future. not just the health of health care, but the health of the nation. i got to go to work.

System, and we have a very profitable disease care system. and the disease care system actually, i mean, if it really was honest with itself, it doesn't want you to die and it doesn't want you to get well. it just wants you to keep coming back for your care of your chronic disease. >> most of this huge effort of the health care industry is devoted to intervention in established disease and the majority of that disease is lifestyle related and preventible. i mean, to talk about how we shift toward away from disease intervention to prevention and health promotion, that requires a massive rethink...

A history of cancer in my family and diabetes and heart disease. i was a walking dead man. >> i was a business guy and i thought if we could influence behavior of the 200,000 person workforce, we can have a material effect on health care costs. the easiest starting point was in the 30,000 nonunion workforce. i believe within four years, all of our employees will get this plan. all americans have accepted in the insurance industry. the driving record dictates premium and all insurance companies are saying your behavior should drive the premium. health care doesn't need to be immune to that. we ...