I have the distinct advantage of going last, alphabetically at
least, so I will try to say something different. I think we have heard well stated and
correctly stated, the deficits of the system and the difficulties -- the overbededness,
the high cost of our elderly population, the difficulties with the reimbursement system.
And I think Pauls comments are exquisitely on the mark on the lack of any kind of
serious value engineering.
But, I think it is a wonderful place to be. I think the health industry has added
advantages to this region and the nation in an extraordinary way.
First of all, its a good idea. Its taking care of people. And, though Paul
is, of course, correct to note that it sometimes kills people, you dont count the
lives that have been saved in the same sentence.
I think it brings to the region an extraordinary amount of economic development. We
just had a county election, and as I remember, there was actually no difference between
the candidates in terms of priorities for economic development. I dont think there
is a stronger opportunity for this region than in the spinoffs. UPMC, for example, brings
in about $200 million dollars a year in federal funds, about 90 percent of the
regions funding from the National Institutes of Health. And with the very positive
increase in funding for federal research, it will likely bring in more. Patients come to
Pittsburgh -- at least, patients come to UPMC from all over the world.
UPMC is the biggest employer in Western Pennsylvania. Other opportunities are the
affiliations of the pharmaceutical and biotechnical companies and the recent announcement
we made of the relationship between the University of Pittsburgh and Carnegie Mellon in
robotics and related biotechnical areas.
There is another opportunity that this region has, following up on what Paul said.
Increasingly, there is actually a small group of people in this area that A) are
responsible for delivering the majority of health care and B) are responsible for paying
the majority of health care costs. Now shame on us all if this small group of people on
both sides of the equation actually cant make it work and work significantly better.