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The Great Simplification with Nate Hagens

John Kitzhaber: "What Makes a Healthy Society?"

The Great Simplification with Nate Hagens

Nate Hagens

Science, Earth Sciences, Natural Sciences

4.8553 Ratings

🗓️ 10 May 2023

⏱️ 50 minutes

🧾️ Download transcript

Summary

On this episode, former Governor of Oregon and ER Doctor John Kitzhaber joins Nate to discuss the shortcomings of the medical system in the United States. With health outcomes below average compared to other developed nations and healthcare spending at nearly 20% of GDP, creating medical systems that are less costly while also keeping people healthier is critical to the well-being of the country and its citizens. Dr. Kitzhaber's hands-on experience working in medicine and systemic perspective as a policymaker gives him a unique perspective on healthcare resource allocation, the effectiveness of medicine, and the real world effects of how we incentivize medical care. Can we extend our time horizons by making long-term investments in the most effective preventative care? How do we take care of more people with fewer resources available? Most of all, can we come together to think critically about how we can create a system that prioritizes holistic health, based in community and accessible to everyone?

About John Kitzhaber

John Kitzhaber has more than 40 years of experience in health care and health policy in both public and private sectors. He practiced as an emergency room physician for 15 years; served 14 years in the Oregon Legislature, and served three terms as Governor of the State of Oregon.

Kitzhaber is the author of the groundbreaking Oregon Health Plan, through which hundreds of thousands of low- and moderate-income Oregon families gain access to health care. During his third term as Governor, Kitzhaber was the chief architect of Oregon's Coordinated Care Organizations, the first effort in the country created on a statewide basis to meet the Triple Aim—better health, better quality, lower cost—with a focus on community and population health.

To watch this video episode on Youtube: https://youtu.be/Z4cjl77rj78 

Show Notes & Links to Learn More: https://www.thegreatsimplification.com/episode/70-john-kitzhaber 

Transcript

Click on a timestamp to play from that location

0:00.0

You're listening to The Great Simplification with Nate Higgins.

0:06.3

That's me.

0:07.7

On this show, we try to explore and simplify what's happening with energy, the economy, the environment, in our society.

0:17.0

Together with scientists, experts, and leaders, this show is about understanding the bird's-eye view of how everything fits together, where we go from here and what we can do about it as a society and as individuals.

0:33.1

Today's guest is John Kitshopper, a former emergency room physician and also the former governor of Oregon.

0:41.7

John and I discuss the medical and health care system in the United States, which may seem

0:48.5

tangential to the great simplification, but health care is over 20% of the size of our economy and we get lower health outcomes

0:58.3

than many other developed nations.

1:01.7

In the future, we're obviously in a resource and growth constraint and complexity

1:06.1

constrained system.

1:07.1

We're going to have to create medical systems that use less energy and money while

1:11.5

keeping people healthy.

1:13.8

Dr. Kitshober has a unique perspective on health care policy and its real world applications.

1:19.4

He's credited with some of the most outstanding reforms in the nation's health care system,

1:24.9

including some that are still in effect in Oregon, including the Oregon

1:28.6

health plan and coordinated care organizations.

1:32.7

John is currently active in health care reform advocacy, fighting for a system that prioritizes

1:38.8

better health outcomes that meet the triple aim of better health, better quality, and lower cost with a focus on community and population health.

1:50.0

Please welcome Dr. John Kitshober. Governor, great to see you.

2:07.5

Yeah, Nate.

2:08.0

Thanks for having me.

2:09.8

You are welcome.

...

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