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tv   Washington Ideas Forum Senator Mark Warner  CSPAN  December 27, 2015 6:30pm-7:11pm EST

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there the whole time and i think you're seeing that about to happen in the states too. lily talked about how they send eachers, but they spend literally millions of dollars on in theitol and spend big states to make sure their views are heard and priorities are reflected when the states start adjusting their education system. lauren: and i think i asked the question she didn't really answer fully in how are we going to start seeing states change, some of the systems they have set up already, and i think that's probably going to happen very quickly. you already saw, for example, the new york state board of days ago couple of oll back the wait of student tests for teachers evaluations and i think you're going to start seeing a lot of other states do similar things with accountability systems. before, e mentioned also, over the next several months, the education department lawyeringo be sort of out the particulars of the law,
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lily eskelsen garcia's implementation team that as well. r host: so let me ask you this for parents out there who may be hated or loved the idea of testing, does it continue until this law is implemented? when does this testing go away? maggie: well, the testing actually continues and that was something when i asked lily about the unions and the really being ty sometimes a lawyer has, at the reallythe day, democrats united around the idea of both keeping the test and keeping as in of a federal role education as possible and i hink the vote counts are reflected on that when the voting issues. i think the tests don't matter as much. nstead of using a test to rate a school you're using a graduation rate and all the other things a state can put make lace so if you can those tests less high stake in
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education, the word that's is ht on around the country high-stakes testing. if you make them high-stakes, as much. won't matter also, this law takes away some federal incentives in place teachers to be measured according to student tests scores and that's omething the unions really wanted to see go away, and i among hat there is hope those -- among parents and among dvocates for testing, that a teacher doesn't feel they'll be judged based on student tests, that they won't spend as much time doing test preparation and practice tests and all the other things that have been creeping classrooms. lauren: and i would add also hile the federal testing mandate which is annual is in place, there are standards built states law that allow and school districts to eliminate some of the other tests they have that aren't or duplicative. host: lauren camera and maggie, your time o much for
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and thank you for being on "newsmakers." lauren: thanks. maggie: thanks. >> c-span takes you on the road o the white house and into the classroom. this year, our student cam asks ntary contests students to tell us what issues they want to hear from the presidential candidates. follow c-span's road to the white house coverage and get all the details about our student cam contest at >> each year, the washington ideas form brings together journalists and leaders from the republican private sector to look at issues that are part of the national conversation. speakers at this year's event included lonnie bunch who runs smithsonian museum of african-american history and senator mark warner. this is 40 minutes.
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>> up next, lonnie bunch, signature the smithsonian museum with marg carlsonson. margaret: she's busy covering the strikes in syria. so maybe the scarf you wouldn't notice, but i'm back, and with the pleasure of lonnie bunch h who's directing the newest museum in washington and the mall, and e on the the architecture, the building itself, is spectacular. that.tulations on lonnie: thank you. margaret: because you had a lot of people. this n't easy getting to point. i mean, there are a lot of people who didn't want the museum. mall.didn't want it on the they said it could never be done. you were lured here from chicago
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where you were perfectly happy in 2005. happiness about your since being here fighting to get that museum done. lonnie: as i tell people at 8:00 in the morning, i have the best job in america and at 2:00 in the morning, it's the dumbest my life.e ever done in [laughter] lonnie: in some ways, chicago nurtured my soul because there are very few to can-americans that get run major museums. coming back here, building a making, 0 years in the went to the soul of my ncestors, so it was a great reason to come back. margaret: that's an excellent way to put it. was almost as hard as the 9/11 museum. a lot of politics involved. how did you work your way through that? lonnie: with a lot of luck. i think the reality is that we came up with a vision that said, african-american museum for african-americans, but in essence, this is a way to better ricans
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understand who they are, to better understand their national identity and the notion of inclusive made it easier to get corporate support, to get congress involved. honest, there be were so many steps loopialong ty hill i had to go up on the and make sure people understood. but the reality is, we are now a this way from opening museum. [applause] amazing.: so i had a quick education about the new museum. you're going to have famous african-americans. you're going to have people who come in to see jackie robinson and they're going to really rock barry, and th chuck there's a candle-apple red cadillac. it's just fantastic. but they're going to see some really sad things. holocaust museum is a sad place. there's going to be sadness at museum. an-american lonnie: there is no doubt that museum come into this
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and you will maybe cry as you ponder the pain of slavery and segregation. to show ther side is the tension that comes from the joy within this community. this expect people to say, is not a place of sadness. it's a place of possibility, of resilience. it's a place that really speaks angels of america. margaret: just one more thing, when you're in the holocaust museum, it was hitler, and it to germans doing bad things jews, and this is americans doing bad things to other americans, which makes it, i think, a higher hurdle for you. rs and for lonnie: oh, absolutely. the notion of americans as bad something we're not comfortable with. margaret: it's hard to say. lonnie: it really is. so part of the notion is to look at this and say, i have confidence in americans' ability to look at themselves, to look at their country as a work in progress, and to recognize that here have been horrible moments, but there have also
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een moments where people crossed racial lines, blurred up tories and helped live the ideals. margaret: you have a stunning achievement. only slave ship that carried slaves. of of them were lost, half them survived, and you brought it to the museum. how did you find it? how did you get it here? lonnie: well, the notion was think about an to what this museum should be, i realized that even if we made it technologically sophisticated museum, it would fail. because the smithsonian, you go to see it, so i thought what is it people haven't seen? ship. thought, a slave i thought it was going to be pretty easy to find a slave ship. almost realize that every slave ship was no more. gone. et: totally lonnie: so we had to create a project with scholars from around the world to map the ocean floor. we thought we had a slave ship
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that went to cuba. i can tell you about the hours castros ating with the about getting the slave ships from cuba, but the reality was through ound one scholars that left mozambique in its way to brazil with 12 people and sank off the coast of cape town, and as a result of research and diving, we actually found it. and what we did was we realized -- i didn't want to bring up the entire ship. it was in pieces. i wanted a few almost relics, and i didn't want people to think of slave trade where it was 15-20 million people involved. i wanted slave trade to be humanized. here were 400 people touched by this. my goal was to humanize history, accessible to people. margaret: a similar experience, time re having a hard finding authors and a lot of different periods
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of time, and harriet tubman was a very difficult one. how did you find her treasure? lonnie: well, the biggest challenge of this museum was not raising money, not hiring staff, not even getting a space on the mall. margaret: talk candidates. lonnie: piece of cake. of aret: you had an easy time of it? lonnie: let's just say now it's an easy time. the reality is i was worried we didn't have artifacts. unlike any national museum in have rld, this one didn't a collection. it didn't have staff. it didn't have a benefactor. we had to start from scratch. that's what i worried about. we went around the country with almost all of at the 20th century and most of the 19th century is still in basements, trunks andat ti itic attics. we went around the idea, basic idea of an antique road show, smithsonian.he i got a call from a collector in philadelphia who said, lonnie, i harriet tubman.
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margaret: how did he know? lonnie: well, we had gone out. people had heard about us looking for things in the newspapers and he knew me over the years. and when he called, i said, come on, you don't have anything on harriet tubman. does.y and he said, why don't you come to philadelphia and see. i said at least i'll get a out oflphia cheese steak the deal, so i'll go. and i went up and he took us into this room in temple university and he started pulling out things i didn't know existed. of ulled out pictures harriet tubman's funeral that no one had ever seen. sort of a shawl that harriet tubman was wrapped in three years before she died. picture of that shawl and there it was in front of me given to harriet tubman by queen victoria. hymnal pulled out this that had all the spirituals that to sing whenn used the to help steal away slaves.
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swing low, sweet chariot. there was the hymnal. then everybody was crying. margaret: you had forgotten about the cheese steak. lonnie: i just wanted the hymnal. the collector said, i will give this to the smithsonian because that and that see was the joy of this process. margaret: he gave it to you alive. e was still lonnie: i wasn't going to let him go anywhere. margaret: you're very persuasive. lonnie: i'm from new jersey. [laughter] margaret: and he's just a kid in philadelphia. hit him. know what lonnie: he really didn't. margaret: congratulations on that one. there's another exhibit we have of.icture is it ira aldridge? anything anybody outside of a historian like you has order of aldridge. lonnie: the point of what we ant to do is introduce the public to stories we know they know, but find stories that are important. this is somebody who was born a free black man in new york city and fell in love with
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the theater and went on to loved the ctor and motion of a shakespearean actor. he couldn't get any opportunities in the united states, so he left at age 20 to go to england, and he began to he was so actor, and good that he became the first african-american to play a fellow in a mixed-race production. in europe for almost 20 years. he never got to america. he always wanted to come but no back.uld bring him he felt he was still an american so all the money he raised, he abolitionist o organizations, to help his enslaved brethren. just before he was able to come back to america, unfortunately, he died in 1867. so what we had was this play announces his of performance as a fellow in a very r in the u.k., and rarely do you get a chance to do things like that. margaret: yeah, rarely. so do you have an obama exhibit
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at the museum? lonnie: well, we have -- of course we do. [laughter] margaret: i guess it was a dumb question. well, i'm from washington and i'm not. lonnie: i think what we realized is that the election of historic moment. and so we thought it was crucially important to tell the what of the election, and we actually did, we actually went and collected an entire campaign headquarters of obama that he had in northern virginia. in a way, the goal was not necessarily to celebrate president obama but to talk bout what this means as we enter into the early days of the 21st century. and so that's what we've been trying to do, because for me, the goal of this museum is on the one hand, you know, this would be the first green museum on the mall, and that's great. and eally proud of that, it's going to have artifacts of people that never would have imagined they could see.
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but the goal of the museum is to help people realize that history today and about tomorrow as it is yesterday and ultimately, the job of the smithsonian is to make america better. margaret: that's a good goal stop hard y museums in some place. lonnie: in 1952. margaret: yeah, something like that. you don't always get the up-to-date. so what surprised you? what are you including that you wouldn't have thought of before? what are you proudest of? lonnie: well, i really think that i'm proudest of the things that average people have shared with us. one day, a woman came into my office and said her grandfather soldier in lack world war one, and she had stuff, and she dumped this bag on my table and as i looked at this stuff, it turned out the in was a black soldier world war i who fought for the hellfighters, a fearless unit. but they didn't know how to use them so they gave them to the french so they initially fought
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in french uniforms. uniform. the french there on my table was this uniform from 1919. it so margaret: so people found you. lonnie: people realized in some waiting for been this. to trust it with the smithsonian, and the recognition that the story of the african-american had really been left out of so much, and to be able to now reach into their basements, share the stories of their families, makes it very special and in some ways, very humbling for us. margaret: yeah, do you ever cry? lonnie: all the time. [laughter] makingt: because you're me cry a little bit. monotonous h regularity. margaret: you and john boehner. you could be speaker of the house. [laughter] lonnie: i also could be a museum director. argaret: so you arrived here in 2005. you've done what many people thought wasn't going to happen you decade, and
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open -- well -- we hope to open by the end of september, a year from now. margaret: okay. so this is the anniversary of your opening. lonnie: i've never done anything for 10 years, other stay married. margaret: which she's thrilled, i'm sure. lonnie: she'll be thrilled when we cut the ribbon. you've : so done -- your child is born. do you stay another 10? lonnie: well, you stay long enough to do two things. ne, long enough to take a victory lap, do that. do, , no matter what we people will be critical. you talked too much about religion, not enough about religion. you didn't talk about this. so i want to stay around long enough to fight the fight. margaret: okay. ell, i hope i'm there, and congratulations. lonnie: thank you very much. [applause]
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>> and now, jonathan bush with fusion felix sammons. hi, there. lovely. yeah, so i'm felix sammon. and this is on, jonathan bush, who is the ceo of a very ealth, and he is outspoken outspoken. revolution in healthcare. we'll talk about it in a little bit but i want to know about this healthcare revolution which you won, and my first question is, who is going to be first against the wall when the revolution comes? jonathan: i was going to start that wer by saying revolutions are supposed to be done very quietly, and you're microforum in a
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front of thousands of people on the record. so i think the revolution or the rotation that we aspire to at athena housing, that i aspire to in life, is to just coach the fragile little demand curve out from under the sofa where daddy down for so ing it long and come out and play again. there's no result-driven healthcare. as a result no innovation. many buyers and sellers come out rom under the carpet with the freedom to move about. there are very little examples of that. the definition of healthcare is mandated by the national leaders downtown. this is what national insurance means. silver or e bronze, gold or something like that. they're all exactly the same with different amounts of coinsurance. exactly the same. like the wendy's commercial, you remember? a comes out in the suit, with flashlight. so we are trying to wake that up. we think the way to do it is to
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connect all the players in the food chain, and present the doctor and the moment of care with all the different options available, electronically in kind of a game layer, and it's working. felix: and with prices and such. jonathan: prices, quality, turnaround time, anything. at this point, there's so little demand curve that any decision ights at all will be sort of shockwave to the system. just shopping for availability. shopping for the frequency with giving choice actually follows through and does the testing, gives you the result. certainly by we can also do fully-loaded downstream costs, right? some cardiologists are very cheap but never met a guy that needed a stent. some are expensive but very judicious. e can do all the math but at this stage of the revolution, it's just getting the disconnect, breaking down this hilarious, almost sort of monty python disconnect between the various stations of the
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healthcare supply chain. felix: you say you want this shoppingn, you're on a revolution. jonathan: yeah, or like a shopping day. educated consumers who you need, these are mainly physicians. care jonathan: yeah, i think you have to start with the doctors. i would love it to be the look at but all of us our eobs and health index. it's just white noise. doctors barely understand it. we have 70,000 doctors on our little network, or big bigger than your network, but it's about five kaisers, i saw the other day, which i thought was pretty cool. but just getting those guys to able to understand, where are there mammograms? mammograms to place x. turns out there are four other places. interesting new information to a lot of doctors, that there's an 80% variation in places is those really new information and now, recently, the possibility that
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they could keep some of the choosing some of the cheapest places and convincing you to go there, that's really exciting, and those are just beginning right now. it's sort of mason stage. and then the people who end up on the wall, as you said, are the ones that don't get chosen anymore because they're too hard to and too access. felix: so tell me, there's a don't like.ou so many things you don't like. one of the things you don't like is called the triple aim: what is the triple aim? jonathan: it's where we're going to do everything for everyone so it's all better and no one's going to do anything hard. so we're going to be -- triple aim says we're going to do with a very narrow focus of being, you know, high service for patients and high quality according to some tempo that defines quality differently it,ry year but can't measure and cost, right, and we can't measure that. totally e three almost unmeasurable goals that weigh equal amounts.
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anything with that many goals that are that hard to measure. exemplifies the lack of real mission, the lack f real actual dedication to make impact that you run into. it's not that anyone doesn't care. the care factor, the care -- the super ego ratio amongst high.hcare people is very we get great value. they work late, they care. out he willingness to take a villager to save the village is very low and the triple aim quintessential icon of that. elix: so you have a single aim. jonathan: yeah. felix: which is? jonathan: make doctors more rid of their ng shit-work that they hate and suck at. [laughter] all the things we like to talk about, we're earning the right to make a little bit of chat we've got this extraordinary five-kaiser-sized network. we're lly, all the job doing of athena health is to find policies and papers that
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doctors numb and ill and say i'll do that paper for you. i'll do your billing. your orders all and find out what happened to them. 55% of doctors' orders, they don't know what happened. they don't get anything back 55% of the time. bad n, it's, again, it's a sort of george orwell comedy future bout a bad felix: and not getting anything back to you. jonathan: and you can consolidate it and like you said, put the people who are wall and ing up on the say hey, you don't maintain -- you fax your results back. into n't let us connect your server. who faxes in 2015? do you know what the average doctor gets in a 2015? 2014, 1154 faxes a month. a month. from y get their emrs obama, right. everyone will have -- the maximum leader says 30 billion, on it, go oute is and get emrs. which s have fax servers
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receive faxes and put them in pdfs in giant piles. what? that was it. you know, it was like when i "big bird on see like, by the time -- it's he's not so big. it's that incredible let-down. so right now, all we're really focusing on is creating a business model that's really umble in just getting this stuff to go away. the basic nonseasons and disappearance of work, starting with that, will create an environment where demand curve i think. up, felix: so talking about demand the big villains, villain in the news in the last couple of weeks was martin scorelli and his $750 pills. he's responding to market pressures in an incredibly rational way. actually not such a villain?
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jonathan: well, he's --i mean, orphan drugs into the seasons, you get these hilarious far.les that take it so but meanwhile just as an example on the other end of the trade m, we all can stocks and the costs -- there's a series of kickbacks, of our little between and e and fidelity fund various people that moves our certificate, and most kickbacks align electronically about a half a second, generate about a half cent to 1.5 cent worth of commission. when i started athena, that commission was $7 and the depository trust corporation had a fork lift moving certificates around in the basement, right. but as the competition for improved, the automation and supply chain integration improved and the price went away. in healthcare, if a hospital pays a doctor five bucks for enrolling that patient of hers electronically in the hospital n't have that they do to show up again and get a clip board, as we all do, they both
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go to jail. that's a jail-time sentence. you go to jail. it's a stark antikickback law. look it up. 5 to do a supply chain -- and really probably at this stage, it's probably worth 10 or $15 to actually connect health information but because of that, we also have islands of isolated information. that's an example on the other end of the spectrum. i'm sorry we've got these orphan because everybody is guaranteed everything, you get these hilarious examples but if eed the demand curve and we have to suck it up with a few worth pills, i think it's it. felix: by enforcing the exact same pills. jonathan: oh, i'm for that. this whole idea of no no, don't look over there, that's not exactly the demand curve either, you know. felix: right. so what is the biggest barrier lovely utopia is that you've -- of everyone be able to have all the information
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jonathan: one thing, there are a lot of barriers. when doctors get risk contracts they have an incentive to see where patients go and can make money to follow them, said they are willing to invest. up, urgent care grows hospital care goes from wanting to blocking them, to connecting them where all these six people are showing up. shifts are these little that are creating light for the market all over the place and health care. there is a new thing you read payments, not perfect but creating an opportunity for a doctor who can shop for the right input. that is all happening right now. a lot of barriers, most of them federal laws that made sense at the time, but the cool thing is
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this internet thing is going to be big and it is finally coming into health care. healthn: -- not felix: care economy is big. and when it is that big there is interest and when you come in with your revolutionary fervor, there is going to be some pushback. who is pushing back the most? a fair point. you start with the villagers. you go feed the villagers and give them a printing press and that is the way that we think all real innovation should start. start at the outside, the low end. see if they can get bigger. thang to get bigger microsoft, we start with these teenagers and took computing out of the laptop and put it in the
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walkman and it was able to grow from there. we are doing the same thing. and those are the big places. of those movements are the ones that will work. felix: so physicians are the teenagers of health care? jonathan: literally choosing between death and the dishonor, doctors are the teenagers of the health care revolution. take the very quickly, to talk about these consumers. i would love to give up any semblance of privacy if i thought about what would make me healthier. i feel like this is, i want to make that choice. jonathan: yes. felix: if i take that choice .way, it is not up to me everybody will be forced to give up that privacy whether they like it or not. jonathan: jonathan: you are mostly right. uptruth, every person shows at the front desk and they have
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a choice but it is defaulted after yes, yes, yes. there andve to dig in say it needs to be no. and you have to pay in full, because we cannot look at the claim win insurance denies it. you can pay in full. and we have some professionals are athletes that say that they we do it thatnd way. nobody can see it. it is left that is less man 1%, less than that. it is true. like a lot of things, we will get swept up and we will lose some personal power the but we will gain so much on the other side. felix: ok. with that, thank you very much. jonathan: thank you guys. i hope that was useful. ♪ warreninia senator mark is up next. ♪
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>> good afternoon. the senator and i are here to and airbnb and the future of the on-demand economy which is made possible because of the invention of the smartphone and mobile technology. prop of thehas a mobile technology that he helped to develop before he became a senator. senator warren: i am the only speaker today who can say leave the cell phones on. i did have a prop, thinking who would've thought that this would have turned into this? is,the fact of the matter when we think about the on-demand economy, without this and gps there be no on-demand economy. aswhere technology leads us
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innovation comes about, we do not know. we are going to get to some policy issues, so let's have at it. host: there was a ruling the summer that said it that people who work for uber are not contractors, they are employees. this is something that kicked off a feisty political debate between democrats and republicans about how we should classify these people working for a new breed of company. help us with that question. i think anybody who thinks about this in the 20th century construct is behind the times. as we change the notion that people might drive 10-15 hours a month, or rent out their makingnt, or do work stuff and selling online, are they a classic employee in any of those constructs?
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no, but the notion that they are ---5:00, their different definitions of work. coming back from the valley, because of that decision many platforms that were potentially reluctant to get engaged in the policy debate are now actually anxious to be involved. what i found was it that they actually got regulatory constraints on trying out different models of insurance. one thing that i hope to bring to the table is the idea, could we get a regulatory timeout so that those companies who want to think about social insurance, unemployment, disability and other attributes could try them without trying to fall back into 20th century classification debates. at the end of the day, i think we will end up with a third classification and other countries have already done that. i do not think that policymakers we are ready to define what that
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will look like. benefits that are inherent to a 20th century employee, health care, unemployment insurance, pension, 401(k), how is this public policy or these platforms, how can they replace these things that seem to be going away on their own? senator warren: this is not something that happened overnight. my dad is it 90 this weekend, he worked 40 years in a company, and --had a penchant pension and benefits. if we move from this generation, we move to 3-4 jobs, we still had some benefits. the millennial's, they are not just millennial's mother also a lot of boomers in the economy right now, and they have not come back into the established workforce, they are operating on , maybe doing well
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but with nothing to catch them because none of these social insurance programs have actually moved into the 21st century. what my premise is is we do not need to replicate the 20th century model, it may be independent third parties, that could offer these. the idea that you could go from here down to which it hit the -- fan, that is a free rider program on all taxpayers and we could actually frame this debate in a conservative way that says we have to try some sort of joint contribution models in between. what does it look like, could it be an exchange model, by the way most of this on-demand economy would not happen if there had not been as -- fca, because of health insurance and employment has allowed a lot of people to take this plunge into the on-demand economy. i should quickly add that
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somebody being a w-2 employee does not guarantee success anymore, because with this modeling, there are a lot of people who give back 28 hours and never get the full benefits of being an employee, because of the advent of technology. but could there be an exchange model where you shop for benefits. can we look at a model, the old model were when you were a carpenter in the works for different firms and each time you look for a different from, but size jointly contribute. it was not won by a government. it is run by unions that it could be a trusted third-party that is an association. one of the things that we talked about last week in san francisco was, could you have a consumer driven model? we are hosted by somebody at airbnb or you do some work as a task, you ride with a list car, can you give a gratuity that would be matched by the platform that would go into a social insurance fund.
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i do not think that we know yet, but what court decision drove in california was the threat that this innovation could be squashed by a top-down regulatory ruling that made all of these entities willing to try out new policy ideas. that is good. but we need to find a regulatory timeout to allow some of these platforms try these models before we invent a one size fits all solution. host: i want to talk about part-time work. drivers,e several uber this was done by an economist and uber and it found that people who are driving for the company, 80% of them had a full-time job before they joined. and working for uber, only 1% had a full-time job. they were participants in this study. and this is just there are a lot of people trading full-time work for the flexibility of piecing
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together gigs, a little bit of freelance. what do you see -- do you think this could be a future model for work? senator warren: i think it could be paid we do not have the data. -- i think it could be. but we do not have the data. the last time we look at this was 2005. that is as much as value as 1985 car because the world has changed. we need to get all of these platforms under sequestration, the notion that we are going to get the government to figure this all out, we need these platforms to share data so we can do this. one thing we know is is growing rapidly. .ckinsey said 53 million we need to figure it out. second, there are a number of folks who are cobbling together a variety of different


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