Jeffrey Brenner, the founder of Camden Coalition of Healthcare Providers, encouraged governors attending the National Governors Association summer meeting in Milwaukee to work with healthcare providers in their state to consolidate and de-institutionalize their systems.
Everyone that needs to be here to fix the American healthcare system is right here in this room," said Brenner
, who works in Camden, New Jersey, where 40 percent of the population lives in poverty.
remarks during the opening session of the three-day event, attended by 23 state governors and the governors from Virgin Islands and Puerto Rico.
The governors are participating in presentations and discussions regarding economic development and commerce, natural resources, military veterans and cybersecurity.
Brenner's organization found that a large part of healthcare spending happens in large facilities such as hospitals, nursing homes and hospice facilities, where costs tend to be higher.
cited a Pennsylvania study that found community-based nursing of elderly patients over a 10-year period decreased hospitalization by a third, Medicare costs by a fifth and risk of death by a fourth.
"You have to go way back in medical history to find anything with that kind of impact," he
"This is a stunning impact."
recommended creation of systems in which nurses and social workers work in the field to help the chronically sick navigate the complex healthcare system.
This approach, he
said, will ultimately decrease the number of expensive hospital visits.
The United States spends $2.8 trillion, twice as much as every other country, on healthcare each year, representing 18 percent of the country's total economy, Brenner
"We have to re-invest this money on the front line of care, rather than building more hospitals, expanding emergency rooms and buying more scanners," Brenner