1. The Future of Cancer Control: From Sick Care to Health Care Tom Kean 9 th Annual Nebraska Cancer Summit October 4, 2013

2. Steve

3. Public Health and Medicine are Noble Professions – Intended to Help Our Fellow Citizens Live the Best Life They Can

4. The Big Conundrum Doing the RIGHT things for ‘health’ In light of Dwindling and misaligned resources for doing the RIGHT things

5. Our Health Care Expenditures are THE Driver for Change In 2012, the USA spent over $2.87 trillion on health care. Our health care spending in 2012 compared to TOTAL GDP by nations in the world was fell between France at 4 th and Germany at 5 th. This figure represents 18% of our own GDP and is growing! This is unsustainable.

6. PROBLEM America has a “sick care” system, instead of a “healthcare” system

7. BUT WHAT DOES THAT REALLY MEAN?

9. A ‘Sick Care’ System Too much preventable disease A cultural mindset focused on ‘fixing’ Misaligned incentives Fascination with new technologies Resistance to ‘change’ Entrenched bureaucracy

10. The Result We spend more than any other nation per capita on health care We spend twice as much on health care as the 2 nd highest country We spend 75% of our health care dollars treating preventable, non-communicable diseases. And among the top 30 industrialized nations on earth, we rank 24 th in life expectancy.

11. Opportunities for Change

12. Prevention / Risk-Reduction  Most people do not know, believe, or act on the fact that at least 50% of all cancer deaths are preventable through changes in diet, exercise, smoking and screening

13. So how do we move 315,000,000+ people from an acute care mindset to one that prioritizes preventive behaviors?

14. How do you make a population level shift? Levels of Intervention policy community institution individual

15. Not A Project at a Time!

16. A “Man on the Moon” Approach

17. Requires: A vision for foundational, societal level change A long-term strategy Serious investment Leadership – national, state, local Engagement of all segments of society Public will Major mindshift

18. Important Prevention-Related Trends to Watch ACA benefits for preventive services Investment in prevention Industry out in front Changing ourselves – personally and organizationally Consumerism The ‘policy’ debate The ‘genetic’ revolution

19. The Overlapping of Public Health and Medicine

20. Improving Quality of Life Importance for cancer survivors Palliative and hospice care Cancer and health disparities

21. Quality of Care Patient-centered care Performance vs. procedure-based incentives Workforce –Pressures –Dynamic changes

22. Linda

23. Contact information: tkean@c- changetogether.org www.c-changetogether.org tkean@c- changetogether.org tkean@c- changetogether.org