January 10, 2019 CONGRESSIONAL RECORD — HOUSE H457 Remember, this is a loop. Everything now at the Consumer Electronics Republican or Democratic? It is tech- here we talk about is, if we are going Show, a couple of hundred items being nology. Now, I am sure, eventually, we to keep our promises on Social Secu- shown at this moment that are all will break down and it will become a rity and Medicare, we have got to have technology—we like to refer to them as Republican issue or a Democratic the economic expansion that provides digiceuticals in our office—that will issue, whether it be because which lob- the resources. disrupt the cost of healthcare if we can byists go where, but for right now, it is The next one I am going to give you break down the regulatory legal bar- just a solution. is the one that I am most optimistic riers, whether it be on how we pay for The last one I will give you of my about. And let’s put that board up. But them or the fact that many of them five is when we do all of this this one is a little harder to talk about, provide a level of autonomous progrowth, this ability to crash the so I will beg you to bear with me. healthcare. Our system as it is regu- cost of delivery of healthcare, we are When we have had debates around lated and compensated today does not, going to then have to have a really here on the ACA—some people know it was not designed for a level of autono- honest conversation of what we must as ObamaCare—or our Republican al- mous. do, particularly in Medicare, to mod- ternative, or this healthcare debate, I We have a company in Scottsdale ernize the design, deal with the reality need everyone intellectually to strip that now has four or five locations up. that life expectancies for those who away our partisanship and take a step I guess they used to be Theranos make it into retirement are going up. backwards. Almost all of the debates booths. I think they are at Safeways, if Many of us will spend a third of our have been about who gets to pay. I am allowed to say such a thing. life in retirement. Do we need to The ACA just shifted lots and lots of You go in and you functionally fill change the incentives within those in- the spending onto the government. out your information in an iPad. You dividual programs on how we take our Some of our alternatives were actually go into a private booth. There is an av- benefits? How we manage those costs? trying to spread the cost out more atar on the screen. You grab the How we participate in them? scope—and forgive me, I am not a med- across the private payer populations. We have some really interesting ical person—and you shove it down But we have done almost nothing to ideas: Would you make adjustments for your throat, in your ear, in your nose. disrupt the cost curve. folks who may have the ability to It tells you how to move it. It tells you So part of the thought experiment I carry previous healthcare options with want us all to engage in is: How many what they need. You put your hand on something. It them? of us went to Blockbuster Video last But I truly believe we need to do all weekend? I know it is a little starky, can do a pulse and the temperatures and other things. And an algorithm five of these, and we need to do them but think about it. Didn’t it feel like almost immediately because every day almost overnight you no longer stood does the calculations. Apparently, the algorithm is amazingly accurate. we wait, another 10,300 of our brothers in line at the local retail strip center What would happen if that type of and sisters, Americans, reach 65 and at Blockbuster Video to get the little healthcare became available to all of start to move into their benefits. And silver disk that you were going to take us? We crash the price. We dramati- every day we wait, we avoid the reality home and shove into your Blu-ray cally change the availability. And, yes, of math. player? You would now go home and these things are scary because it is a I guess there are a couple of smart you hit a button and you get Netflix, or disruption of technology into our econ- people out there who many years ago HBO Go, or Hulu, or whatever you are omy, but we don’t have a choice. said: Tell me your demographics and I watching. You saw the charts before. The great- will tell you your destiny. That is what we call a disruption. Al- est fragility in our society is promises I have just told you our demo- most overnight, society figured out, we have made that we have no money. graphics. I have just shared with you hey, this is cheaper, faster, better. And almost every solution gets us no- the scale that is off the charts on the How do we take that sort of concept where close to the types of resources promises we have made and our lack of of disruption and make it part of needed. We must have a disruption in resources, and I believe I have actually healthcare? How do you say, instead of the cost of delivery. begun to give an approach of a unified playing this game that we have played And part of the thought experiment, theory of how we make it work and over and over of just trying to move it has been a year or two, but we have how we make it through, functionally, around who gets to pay, we are going seen things like the contact lens that our 74 million baby boomers who are to engage technology in such a fashion can calculate your blood glucose, that moving into retirement and how we that we disrupt the cost curve of talks to your insulin pump. move through that population bubble healthcare delivery? Because we do know that more than so someone like my 3-year-old daugh- The fact of the matter is there is so half of our healthcare costs in this ter also has the economic opportunities much technology rolling out, this is country are for the 5 percent of our that I have had. about to become your primary care brothers and sisters who have chronic Mr. Speaker, I yield back the balance physician. conditions, what happens when those of my time. How many of you have seen the arti- digiceuticals help manage those chron- cles of something that looks like a ic conditions to prevent the crashing? f kazoo, a large kazoo that you blow into How about the pill bottle that makes and it tells you if you have the flu sure that—we know that 50 percent of virus. The article from last week, pharmaceuticals are not used properly. ADJOURNMENT something a little bigger, a cone over The solution becomes a technology one Mr. SCHWEIKERT. Mr. Speaker, I your nose and mouth, you blow into it when all of a sudden your phone rings. move that the House do now adjourn. and it tells you if you have a bacteria. The beeper goes off. You haven’t taken The motion was agreed to; accord- There is the Apple Watch that will your hypertension medicine that morn- ingly (at 7 o’clock and 10 minutes help you manage your arrhythmia. ing. p.m.), the House adjourned until to- There is all of this technology rolling We desperately need this body to morrow, Friday, January 11, 2019, at 9 out. There are things, I am told,h right start to understand this. And is that a.m. REPORT OF EXPENDITURES FOR OFFICIAL FOREIGN TRAVEL Reports concerning the foreign currencies and U.S. dollars utilized for Official Foreign Travel during the first, second, third, and fourth quarters of 2018, pursuant to Public Law 95–384, are as follows: VerDate Sep 11 2014 02:43 Jan 11, 2019 Jkt 089060 PO 00000 Frm 00095 Fmt 7634 Sfmt 8634 E:\CR\FM\K10JA7.107 H10JAPT1 lotter on DSKBCFDHB2PROD with HOUSE H458 CONGRESSIONAL RECORD — HOUSE January 10, 2019 REPORT OF EXPENDITURES FOR OFFICIAL FOREIGN TRAVEL, COMMITTEE ON THE BUDGET, HOUSE OF REPRESENTATIVES, EXPENDED BETWEEN JAN. 1 AND MAR. 31, 2018 Date Per diem 1 Transportation Other purposes Total U.S. dollar U.S. dollar U.S. dollar U.S. dollar Name of Member or employee Country Foreign equivalent Foreign equivalent Foreign equivalent Foreign equivalent Arrival Departure currency or U.S. currency or U.S. currency or U.S. currency or U.S. currency 2 currency 2 currency 2 currency 2 HOUSE COMMITTEES Please Note: If there were no expenditures during the calendar quarter noted above, please check the box at right to so indicate and return. ◊ 1 Per diem constitutes lodging and meals. 2 If foreign currency is used, enter U.S. dollar equivalent; if U.S. currency is used, enter amount expended. HON. STEVE WOMACK, Chairman, Dec. 26, 2018. REPORT OF EXPENDITURES FOR OFFICIAL FOREIGN TRAVEL, COMMITTEE ON THE BUDGET, HOUSE OF REPRESENTATIVES, EXPENDED BETWEEN APR. 1 AND JUNE 30, 2018 Date Per diem 1 Transportation Other purposes Total U.S. dollar U.S. dollar U.S. dollar U.S.