to get us started, we're delighted to have two speakers, joe antos from american enterprises and ken thorpe from emery, to speak respectably about the roles of technology and chronic conditions. and joe, we're very happy to have joe with us today. he decided to have an authentic health care experience over the weekend in order to have a legitimate grip on his subject. but joe managed to come back from a case of sciatica and be us with today. thank you for being with us. we know it was only with considerable effort you were able to join us. so joe has a presentation and then we'll move directly into ken's presentation. joe, all yours. >> thank you. okay, there we are. so i promise to stay on the subject -- oh, sorry. i promise to stay on the subject for whole minutes at a time, technology. and you saw the picture of marcus welby. if you got up this morning and took a pill, you used medical technology. that's probably what almost everybody in this room did. i took quite a few pills. they didn't do much good. rick, get to work. but virtually -- what's that? >> i need incentives. >> i'll be get

then we heard from ken thorpe about how it now looks as if 60% of the spending growth over the last couple of decades has been attributable to the growing treated prevalence of chronic disease. much of this as he said is driven by rising obesity, whether it's diabetes or oth other -- or cardiovascular disease or other diseases linked to diabetes. and he spent a good amount of time talking about the problems that we have encountered with respect to these populations, lack of care coordination, lack of use of interventions that we know work. he mentioned the diabetes prevention program and the substantial evidence we have that loss of 5% to 7% of body weight can halt prediabetes to diabetes and really as he said should be a low-cost intervention that could be rolled out rather broadly. that, plus care coordination in many respects he mentioned as a real force that could arrest some of the health spending growth that has been attributed to those causes. we then heard from our reactors in sequence. melanie talking about the purview of the poster children for the mix of technology and cost. we

started, we're delighted to have two speakers, joe antos from american enterprise institute and ken thorp from emory expect about the roles of technology and chronic conditions. and joe, we're very happy to have joe here with us today. he decided to have an authentic heal care experience over the weekend in order to have a legitimate grip on his subject, but joe managed to come back om a case of sciatica and be with us today. joe, thank you so much for being here. we know it was only with considerable effort that you were able to join us and we appreciate that. so, jo, we're going to start with you. joe has a presentation and then we'll move directly in to ken's presentation. joe, all yours. >> thank you. what do we aim at? okay. all right. there we are. so i promise to stay on the subject for whole minutes at a time, technology, and of course you saw the picture of marcus welby. you know, if you got up this morning and took a pill, you used medical technology. that's probably what almost everybody in this room did. i took quite a few pills. they didn't do much good. ck, get to work. but