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Obama's talk with retirees highlights digital health records

By Bernie Monegain

President Barack Obama told participants in an AARP tele-town hall Tuesday that electronic health records will help put an end to the inefficiencies they have experienced in healthcare.

"We're also working to computerize medical records, because right now too many folks wind up taking the same tests over and over and over again because their providers can't access previous results," he said at the session at AARP headquarters. "Or they have to relay their entire medical history – every medication they've taken, every surgery they've gotten – every time they see a new provider.  Electronic medical records will help to put an end to all that."

Obama met at AARP headquarters in the nation's capital with AARP CEO A. Barry Rand, AARP President Jenny Chin Hansen, moderator and AARP radio host Mike Cuthbert and an audience of about 60 retirees. He took questions from the audience, as well as from telephone calls and e-mails.

In a statement, Rand posted on the AARP site earlier this month, he said: "All Americans should have affordable healthcare choices. But our current healthcare system costs too much, wastes too much, makes too many mistakes and gives us back too little value for our money."

He spoke about ending billion-dollar subsidies to insurance companies for Medicare Advantage, using nurse practitioners for home healthcare follow-up visits after hospitalizations, proving incentives for physicians to work as a team, creating a healthcare exchange for affordable coverage, including a public option  and paying for improvements with greater efficiencies.

In response to a question about negative ads that emphasize the cost of healthcare reform and the high cost of automating the system, Obama acknowledged the upfront costs and mentioned his recent visit to the Cleveland Clinic.

"In order for us to save money, in some cases, we've got to spend some money up front," he said. "Let me give you some very specific examples. Healthcare IT: Healthcare is the only area where you still have to fill out five different forms – when you go into a bank you don't have to do that. You've got an ATM. If you use your credit card, they'll find you real quick and the billing is real easy – right? But if for some reason you want healthcare, you fill out pencil and paper – I guess they Xerox it – they give it to somebody else. Sometimes you see their files and it's all stuffed with papers, and nurses can't read the doctor's handwriting."

"So for us to set up a system like they have at the Cleveland Clinic that I just visited in Ohio, where every medical record – your privacy is protected, but everything is digitalized," he added.  "Everything – the minute you take a test, it goes to all the doctors and all the specialists that you might end up dealing with. So you end up just having that one test instead of having to then go back to the doctor again and again and again and have a bunch of different tests. Well, that saves money, but you've got to get the computer equipment in the first place to do it. So in some cases we've got to spend some money on the front end."