the aspen institute, lbj presidential library and robert wood johnson foundation teamed up to host thisussion with former health and human services secretaries kathleen sebelius and michael leavitt. this is about 45 minutes. >> [inaudible conversations] >> i think we're ready to reconvene. welcome back. our next panel is on the front lines, to hhs secretary's and state governors put medicare and medicaid into action. i'm going to turn things over to ruth katz, executive director of the health medicine and society program of the aspen institute. but before i do i just want to say thank you so much for all you've done to organize a wonderful conference. so thank you and welcome to ruth katz. [applause] >> good morning, everybody. as you just heard on ruth katz, director the health medicine and society program at the aspen institute. we are going to move quickly into our next panel because we talk about the front lines of medicare and medicaid and what it takes to programs to welcome both the federal and state levels, there's a lot of ground to cover but i'm sure you would agree. we brough

the robert wood johnson foundation reports that our on average are spending 2.5 times ers did in ther pe 1980's and 1990's. that is a good thing for bon secours. we need them to as nurses age higher job satisfaction, much higher than other professions. that means there is more baby as more baby -- boomer nurses age, they are more likely to be satisfied and keep working. that is invaluable when it comes to patient care and patient safety. however, working in a hospital setting can be hard on nurses due to the physical challenge. are much heavier than they were in the past and have your patients mean more workers prone to injury. that is why we have limited mobility lift teams to healthy older workers with the regular turning of patients. we have seen a reduction of muscle fatigue in older nurses as a result. our workforce is changing and working hard to adjust to the changes. america continues to face a nursing shortage. finding the right nurses for the right jobs at the right time remains difficult. we are going to need to keep our health care employees satisfied with their careers be

lbj presidential library and robert wood johnson. this is about 45 minutes.audible conversations] [inaudible conversations] >> our final panel for today as i mentioned earlier shaping the future of what we've learned and where we are headed. medicare and medicaid in 2065. it gives me great pleasure to introduce ginning english, president of aarp from a giant nonprofit and nonpartisan organization with the membership of more than 37 million. janine is from california where she was a founding partner of a government relations firm and previously served as executive director for the bipartisan commission on california state government organization and economy. please join me in welcoming janine english. [applause] >> thank you very much. i like the idea of this panel. what we've learned where we are headed as that conversation brings meaning to this 50 year anniversary. this is the perfect time to take stock of the incredibly important programs and really think about the future. medicare and medicaid have shown for many years that our country can deliver on the

the robert wood johnson foundation reports that our on -- that registered nurses on average are spending 2.5 times more than their peers did in the 1980's and 1990's. that is a good thing for bon secours. we need them. as nurses age they report higher job satisfaction, much higher than other professions. that means as more baby boomer nurses age, they are more likely to be satisfied and keep working. that kind of experience and knowledge is invaluable when it comes to patient care and patient safety. however, working in a hospital setting can be hard on nurses due to the physical challenge. our patients are much heavier than they were in the past and heavier patients mean more workers prone to injury. that is why we have limited -- we have implemented mobility lift teams to healthy older workers with the regular turning of patients. we have seen a reduction of muscle fatigue in older nurses as a result. our workforce is changing and working hard to adjust to the changes. america continues to face a nursing shortage. finding the right nurses for the right jobs at the right time remains di