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The form of non v. A. Care and choice care to get this right. If i can make two quick observations. Youre absolutely spot on. First of all we have to force ourselves to make certain decisions about what care can be most efficiently delivered in the community. So weve talked before my example the chairman remembers optometry. Why would we send a veteran 100 miles to get his eyes checked and get some glasses . We can do that anywhere. We wouldnt we routinely be referring that out to the community unless a veteran really wants to come to va. We are learning right now, again working to manage towa...

Them out of educating consumers they are unable to be objective and there are a lot of marketing messages in the education that they do with doctors through continuing medical education which is required for most physicians or through disease awareness initiatives aimed at other consumers or Health Care Providers either consumers or Health Care Providers. There is a lot of distortion that happens because of the pharmaceutical industry and we need to make sure that the information that Health Care Providers and consumers have is accurate. We will never get that from pharmaceutical companies. Br...

To doctors or patrons, what would you do patients, what would you do. Dr. Fughberman i would get them out of educating consumers, they are unable to be objective and there are a lot of marketing messages in the education that they do with doctors through continuing medical education which is required for most physicians or through disease awareness initiatives aimed at other consumers or Health Care Providers either consumers or Health Care Providers. There is a lot of distortion of medical discord that happens because of the pharmaceutical industry and we need to make sure that the informatio...

Pretend that they are in a partnership with physicians and Health Care Providers and they are on the same side in terms of helping patients, they are really quite different. Pharmaceutical companies are legally required to represent the best interests of shareholders and physicians are legally required to represent patients. Occasionally interests align but often they do not. Brian what is one thing that happens between the pharmaceutical companies and doctors that would give us an example of what you are talking about . Dr. Fughberman for example the promotion of a drug starts 710 years befor...

Captioning performed by vitac forward to hearing first from sloan gibson. Thank you, mr. Chairman. Chairman isakson Ranking Member blumenthal and the committee, were committed to making the Choice Program work and to providing veterans timely and geographically accessible care, using care in the community whenever necessary. Ill talk shortly about what were doing and the help that we need from congress to make all of that happen. First, i want to talk very briefly about access to care. Most mornings at 9 00 a. M. , for the last year, Senior Leaders from across the department gathered to focus ...