Bortz speaks on the cost of the American health-care system. He says the

system needs to replace disease management with health management, placing

the emphasis on healthy living and prevention of disease. He laments how

Americans do not know how healthy or unhealthy they are. He says your

health account is dependent upon four areas: design, accidents, age, and

management. He notes the transition from acute to chronic problems is

affecting people's well being.

Bortz then makes the case for

extending health benefits coverage. He says the cost of health care is

also impacting other areas of the economy (examples he uses are teacher and

manufacturing jobs). He calls on Governor Schwarzenegger to declare

California a healthy state and to pay for health, arguing the increased

productivity will pay for it quickly.

In the Q&A, he says in the

current system, prevention does not pay. He advocates economic incentives

for promoting health. He believes health cost rates should be risk rated.