Transformational Change: Tom and David Adelson

[ Silence ] >> Well, I'm David Adelson, I'm a pediatric dermatologist by trade and work at the University of Oklahoma I'm very excited about the potential that we're half and using what the material that we're getting at the program here at Dartmouth and improving the healthcare in our community

>> I am Tom Adelson, I'm David's younger brother, I'm a state senator from Oklahoma also the former secretary of health And I also, like David really enjoy the program here It's just a fantastic curriculum, fantastic professors and what I'm learning is a lot of application at the policy level Do we invest in medical education? How do we do that? I know David says yes but I'm not sure all the professors would agree here And another issues, you know, our Medicaid program is the second largest budgetary item

So, how do you spend that money, how do you pay for performance, it takes about quality and cost we're learning about And I think for me personally this programs are really good because when I transition back to the private sector, I want to continue working in health care particularly on the pair of side, so it's really been a tremendous experience >> And it's been fun because basically, as a clinician and as a public policy person, we actually take the same classes and we'd learn the same things and we actually have a lot that we can share which each from our own perspectives This programs matters to us because we have particular problems in our– in North Eastern Oklahoma in terms of access to care And this again is a great marriage between those who are interested in policy and those that are basically clinicians who are on the ground

>> And I think that's kind of what drove me to get excited about the program is that try to help solve the problems that we have in terms of the disparities if– in health care both in outcomes and access >> Yeah, I agree and problems in Tulsa or in Oklahoma, there are the same across the nation and I guess really interesting here economist and clinicians Here at Dartmouth say, you know, people don't know what they're buying They don't know they're getting in good care or bad care, what it cost and why is that? So, it's kind of fun, actually I've even listen to some of the big back and forth here at the faculty about how do you build a free market or how do you build a market and healthcare can be done and those are the questions that I think people, all of the country want to know that is such an enormous for the policy challenge that it's really fun to learn from a variety of perspectives >> And then I would agree that both the exciting things in our class, we've got physicians, we've got administrators, we've got people in public policy and the professors coming from also backgrounds in terms of health economics, business and epidemiology as well as clinical care

So it's exciting to get everybody from different backgrounds interested in solving the same problem >> Everyone has a variety of experiences and perspectives and the course has been really good about incorporating all those different experiences and having I think really a rich dialogue Besides, it's really fascinating >> And it's been fun to go to school with my brother [Laughter] >> Yes

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