jeffrey selberg: i would empower communities. we have this technology now where we can wring information to people, they can engage in their own health process. we have an expert culture that is not giving up very easily. there is a sense -- this is a just health care, this is across the ages, there is a buildup of vested interest i have the expertise i will take care of you. when in fact, we have the technology to bring this expertise on a decentralized basis. there is nothing more effective in terms of care, both from a quality and cost outcome then in active engaged patient who is surrounded by a family surrounded by in active engaged community. that is where i think we have to go. [applause] mr. clinton: i don't want to end this on a downer -- [laughter] i love this stuff. but i think it would be a mistake to conclude this without recognizing that if all this was as easy as all of you highly intelligent, incredibly creative people make it sound, we would have done it already. so, talk to me about -- this will be good for ever

jeffrey selberg: i want to share joe's gratitude to you, thank you for inspiring us. it makes it easier for us, first thing. [applause] i would say the second thing is we believe going out and doing it is the best way. if we find ourselves in policy inside the beltway, we will be there for a long time. it is one of the reasons why the institute of medicine says it takes 17 years for these kinds of innovations to be fully realized. our thinking is what elizabeth is doing, she is out there doing it with walgreens and -- as her distribution network. you go at it and you find a way -- the ways to scale. right now, all three of these innovations i would call exemplary, they are very small. they have not scaled. our idea is to get the exemplars to the community standard, from the 5% to 95%. one of the things we are doing is working with the center for clinical excellence research at stanford, we funded research and found that 5% of the primary care practices that they surveyed, highest in terms of quality, lowest in terms of per capita cost, that was at 50%. they visited th

let's bring jeffrey selberg out and thank the peterson foundation for what they are doing. let's begin with something elemental. why did you decide to do what you are doing in health care? let's ask the three reformers in the middle here. whatever possessed you while you were a teenager to do this? ms. holmes: i had the opportunity to spend a lot of time thinking about what i can do in my life to make a difference. i thought the purpose of building a business is to make an impact on the world, we are here for that reason. to me, nothing matters more than the reality in our health care system today, which is that when someone you love gets really sick, by the time we find out about it, it is often too late to do something about it. and in those moments, nothing matters more. and if i could spend my life trying to change that, we can make a difference in the world. and spending a lot of time thinking about that led to the realization that we live in a system in which people can only get a diagnostic test paid for by insurance once they are symptomatic for a condition. so the

so let's bring joe kiani out. [ applause ]'@ú zk our last panelist is jeffrey selberg, who heads thepeterson center for health care which has just gotten kicked off. and this is really important because michael peterson who is here and his dad pete peterson are great friends of mine. and they have worked for years to get americans to focus on the long-term consequences of unsustainable debt. and how we can bring debt, especially the debt we run up every year consuming, down so we can invest in our future and secure it. and after years of beating their heads against the wall, they looked at the numbers for the federal budget at least and decided that actually all the real structural problems are in health care. combined with aging population. and they decided that they would try to be a part of the solution instead just sitting on the sidelines, complaining about it. so they are developing a growing program of initiatives aimed to improve the american health care system. so let's bring jeffrey selberg out and thank the peterson foundation for what they're doing. [ applause ] let's jus