President Trump Remarks on Health Care Costs CSPAN June 25, 2019 1:17am-1:45am EDT
at 10:00 a.m. eastern to resume a debate that sets defense policies and programs. the head of the transportation security administration testifies on capitol hill about potential vulnerabilities and other priorities for the agency. then laettner the day, we'll hear from federal and state emergency management officials about natural desaster preparedness effort as at house oversight and a subcommittee hearing. earlier today, president trump delivered remarks on transparency and health care cost before signing an executive order requiring health care providers to tell patients how much services would cost before they get them. it also mandates the department of health and human services to put forward a proposal to provide patients with information about potential out of pocket cost they'll face
lately. [laughter] it's very nice. i appreciate it very much. and welcome to the white house. great place. no place like it, actually. we're here to announce new ground breaking actions that we're taking to dramatically increase quality, affordability and fairness to our health care system. this landmark initiative continues on the campaign to put american patients first. this is a truly big action. people have no idea how big it is. some people say bigger than health care itself. this is something that's going to be very important. it's virtually impossible for americans to know the price and quality of health care services and the services they receive. as a result, patients face significant obstacles shopping for the best care at the best price driving up health care cost for everyone. with today's historic action, we are fundamentally changing the nature of the health care
marketplace. this is bigger than anything e've done in this particular realm. and probably alex, it's not even close from what they're telling me. we will empower patients with the information they need to search for the lowest cost and the highest quality care. in other words, they'll be able to seek out their doctor, seek out the doctor they want and they'll be given vast amounts of information about those doctors. we're grate to feel be joined by secretary alex cesar and administrator sima verma. where is sima? hi, sima. [applause] and i also want to recognize and thank great senator chuck grassley. chuck, thank you very much. [applause]
e-15, the way on ethanol, right? he's tough. when he goes after you, he's brew tasm but he gets what he wants and then he likes you, right? congratulations to the farmer, frankly. great job. appreciate it. and that's all year round. mike braun. thank you, mike. great job you're doing. representative, greg walden, we worked so hard together on right greg. people are loving it. devin nunes, incredible people. lieu tetant governor jeff dunkin' and doug forest. thank you. you didn't get a very good seat. i can't believe it. [laughter] it's not like you. and all of our great state legislators we have a lot of them with us today. a lot of great medical people and doctors. for decades powerful insurance
companies lobbyist and specialist interests have denied the real cost of the health care services they provide. it's that simple. this lack of price, transparency that is enriched entry giants greatly costing americans hundreds of billions of dollars a year. patients have been billed nearly $800 for saline. more than $6,000 for a drug test that's the simplest methods used and $6,000. i've seen them. and over $17,000 for stitches to just stitch up a minor wound. often prices differ drastically between providers and hospitals for the exact same services and there's no consistency, there's no predictability and there's frankly, no rime or reason for what's been happening if sort many years. as a result, americans find themselves in deeply unfair
situations, erica, please, if you would come up and just explain what happened to you. thank you very much. >> thank you, mr. president. [applause] erica: thank you. over the last three and a half years while fighting a stage 3 cancer, we visited many health care facilities. we saw price variations that just caught us off-guard. really surprised us. from one facility to the next. and it caused us financial hardship. an example of this is when i had two identical biopsy procedures only is 11 days apart at facilitys that were only 17 miles apart from each other. we learned when we received the bills for the second procedure that it cost us more than 330% than the first time we had it done. different facility, identical procedure, drastically different pricing. this is one of many stories our
family has. if price transparency had been required, we would have been empowered to find the best pricing for my car savings thousands of dollars over the last three years. mr. president -- >> yes, i'm right here. [laughter] >> thank you for this executive order and thank you for empowering and helping families like mine all over the nation. >> thank you very much. that's very nice. [applause] thank you. thanks very much, erica. we believe the american people have the right to know the price of services before they go to visit the doctor. therefore in just a few moments i'll be signing a breakthrough executive order. it will create unprecedented transparency about health care prices and provide this information for the american people for the first time ever, first time it's ever been done.
people needed it had to be done but it hasn't been done. i wonder why. they will be required to publish prices what people pay for services in a way that's clear, straightforward and accessible to all and you'll be able to price it among many different potential providers. you'll get great pricing. prices will come down by numbers that you won't even believe. you won't even believe it. more price transparency will mean more competition and the cost of health care will go way, way down. vanderbilt economists highly respected dr. larry vanhorn is here with us. larry was introduced to me by a gentleman who is a great ntleman, great economist art laffer. and he just got the presidential medal of freedom a couple of days ago.
and art was telling me that he's the head of a hospital where he comes from. he's on the board. and they did this. he said it is beyond anything he's seen from an economic standpoint and even a health standpoint. i said let's talk about it. we discussed it. it's something known very well but a lot of people don't do it because there won't be some rich people that won't be too happy about this. but the people will be happy about it. solarry, could you -- [applause] -- so larry, could you -- [applause] so larry, if you would, one thing before larry gets up, one of the big beneficiaries are really good doctors, the good doctors. they should be the beneficiaries. not the baddock tors but the good doctors. thank you for being here because
i guarantee you, you'll all probably very good doctors. so larry, come up and share a little bit of your wisdom and what the -- this is all about. >> mr. president. [applause] thank you, mr. president for taking this action that will put health care information into the hands of the american consumer. this will be transformational. i studied the health care markets as well as american consumers. my analysis suggests that when cash prices are transparent, up front in the market on average they're 39% cheaper than the amounts that third party payers pay for like services. even when insurance covers the 300% vary yace within a market across --
variation within the market across the market. they will use free market forces to drive health care markets towards lower prices that outcome greater access and greater value. but this is bigger than health care. lower prices for health care leaves more money in american's wallets and in their paychecks for all other goods and services that will be good for america and good for americans. [applause] president trump: thank you very much, larry. today's action is about helping americans find excellent care, currently patients do not have adequate tools to find the dock thoors will deliver better health outcome at an affordable
cost. and when they used to talk about obamacare, you can keep your doctor that turned to be a lie 28 different times. here, you can keep your doctor but you can also find somebody other than your doctor of your choice an that will be based on talent and based on price. because of this, you'll be able to search out for the right doctor. and it really is in a true sense the opposite of obamacare. you get much better pricing and you'll get the doctor that you want and maybe you'll get better than the doctor that you originally thought about. it's pretty incredible. low quality care often means unnecessary services. for example, a baddock tor may routinely performance expensive sfinle spinal surgery for back pain without first trying physical therapy. that's why my order directs agencies to help inform the public about the quality of ctors and hospitals by leveraging all this data.
we will save money and save lives and your care will be much better. it's by dr. elanaoined george. please come up and tell them a little bit about what transparency means. [applause] >> i love being a doctor. however, one of the most challenging things is the inability to be an effective advocate for my patients. i have had patients stuck with a costly bill they didn't expect. i have felt powerless at times because of my inability to help them, especially when i have to send them to a hospital and we can't find out the price of the service.
price transparency is the solution. down,l drive price quality up, and help doctors serve their patients better. thank you, president trump, for this executive order. [applause] president trump: great job. thank you, elaina. increaseht to transparency and lower-cost for patients, many democrats in congress support bernie sanders's government takeover of health care. the democrat plan would terminate the private health insurance of over 180 million americans who are happy with what they have. under my administration, we will never let that happen. we believe in giving patients -- [applause] president trump: we believe in
choice andents freedom in health care, ensuring access to the doctors they want, the treatment they need, and the highest level of medic -- of medical care anywhere in the world. this is a truly hysteric to -- truly historic day. i don't know if it will be covered that way by the fake news. this is a very big thing that is happening right now. it is pretty much going to blow everything away, alex, as we discussed. we are making health options available to american workers through association plans, short-term plans, and reimbursement associations. we are working with congress to stop surprise medical billing. [applause]
heardent trump: when we surprise medical bill, we are not talking about a positive surprise. am. oh gee, how happy i you are talking about a disaster. no american should be blindsided by medical bills they did not agree to in advance. people get sick, they don't think about let's sit down and negotiate for 20 minutes. they want to get at her. -- get better. access toending health care accounts. we passed right to try. we were helped so much by these gentlemen in the front row. you too, senator. we think a lot about the house, the way you fought for it, greg and doug, and devin, i know you
are in this one. because try is amazing they were trying to get it for 45 years and they couldn't do it. it sounds simple but it is not. the insurance companies didn't want it because of liabilities. country didn't want it because they didn't want to be sued. used to have patients who, if they were rich enough, they would go to asia, europe of all over the world to try to find a cure. we have the greatest doctors, lab technicians come every time -- everything, but it takes a certain amount of time to get years, andoved, 15 by the way, we brought that down to about six. these were people who are terminally ill and they didn't want to give them the potential
cure because they were afraid they would hurt them. people can sign a waiver, no one will be held liable. insurance companies didn't want it on their record. we set up a different standard so it is other parts. people's lives are saved. we had one the other day, an incredible young woman where they made a medical mistake, it was over for her, they were explaining last rites, and they did this and she is healthy. it was an incredible thing. i talk about it a lot, right to sounds sohing that simple. just so you feel good, greg and doug and everybody, tremendous success. people who were definitely not going to make it are now living
and in many cases they will be just fine. for the first time in a long time, we are doing things that nobody has ever done before. we eliminated the obamacare individual mandate adult he, -- mandate penalty, which was the most unpopular thing in obamacare. i had a decision to make. did we do a good job with the remnants of obamacare or a bad job? if we do a bad job, you can blame obama and the democrats. if we do a good job, they get a little bit more credit but it is still faulty and it doesn't work, it is expensive. lazar our secretary, alex -- alex azar, don't do a good job, do a great job.
obamacare doesn't work but it works at least adequately now. we had that choice to make. nottically, it is probably the best thing i did but it is the right thing for many people. i want to thank you for doing a good job. defending lot of time medicare, social security. we are always going to protect pre-existing conditions. the republicans are totally behind that. if you see anything little bit unusual, it -- we are putting in very strong, taking care of patients with pre-existing conditions. that issay, alex, that
a strong foundation of what we are doing and where we are at. we are taking power away from bureaucrats, insurance companies, and special interests. we are giving that power back to patients. we are giving americans the right to know. now we have the right to try , know, negotiate, pick your own doctor, and other than that, what can i tell you? can't do better than that. health care system that is going to do good and work for the people. i want to thank everyone for being here. i'm going to go & the executive order -- go and sign the executive order. i want to especially thank all .f the doctors for being here
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