What healthcare will look like in 2020 | stephen klasko | tedxphiladelphia Essay

Translator: TED Translators admin Reviewer: Queenie Lee Well, I want to thank you all for coming, and especially the people that came from outside of Philadelphia that hovered over here; especially those of you that time-traveled from other decades and times. I'm Steve Klasko. I'm the CEO of Stevie's Vinyl Emporium and Implantable Health Chips in South Street in Philadelphia. (Laughter) That's what I am today. But for the past ten years, I've been the presidency of Thomas Jefferson University in Jefferson University Hospital System that literally was one of the pioneers along with several others for what is now called the leaders of the optimistic future in Healthcare Revolution from 2015 to 2024. So for those of you who are coming from another decade, or for those of you who are here in the 2020s, I'd like to talk a little bit about how that journey happened and maybe give you a little bit of the personal story about how it happened for me.

So first one of the things that we did, is we got tired of whining, and we decided let's just travel to the future, think about what we want and then create it. For me, that started in 1977. Very important time for me, I was a senior medical student. It was important because I got asked to give a talk for TED. Now not the TED you're thinking of because TED didn't exist in 1977. It was called tomorrow's education of doctors. It was everything different than the technology that exists today.

It was a little slideshow with a screen, but they asked me to talk about what the future of medicine looks like from a medical student's point of view. I remember it for it was the first time I saw the Rolling Stones - this is what they looked like back then; I was a huge fan. But what I talked about because I was a little nervous about the first talk, I talked about: Can you do anything about spiraling costs? Can you change the fee-for-service system, so we're really rewarding value and not volume? And can you measure outcomes? And I said my generation of docs is going to solve this over the next four years.

We are not going to be dealing with this even 20 years from now. Well, amazingly the docs said, "No." And that didn't happen. Now I was also a very different person back in 1977. This is what I look like. (Applause) (Cheering) Thank you. That's called a leisure suit. (Laughter) But for a brief interlude where they tried to bring it back in 2019, I think it's safe to say it's out of the fashion lexicon forever, but the car was in 1968 GTO which was and is a very cool car. Thank you. So then we went through really what some people called the middle or dark ages, the Managed Care Revolution, which did not really manage anything. It didn't really provide care; it just promoted underutilization - the balanced budget amendment, which didn't balance the budget, and didn't really amend anything.

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