YouSaid · the spoken record

Tom Price

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79

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2018-05-14

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2018-05-14

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1

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1. “In 1990, I took on my first partner, another one, followed a year or two later, another one followed after that. And then the Atlanta market was from an insurance standpoint went from what's called a stage two to a stage four insurance market almost overnight in the early to mid-90s where the insurance companies really had a whole lot of sway over what was going on in healthcare. The HMO issue was taken hold and insurance companies were kind of squeezing docks at that time from our perspective. And so we and I and a number of other orthopedists in the community realized that in order to be able to survive and practice the kind of medicine that we believed was important, we had to get big and so get big we got. And so our practice, which I think was at that time 14 or 16 people emerged with two other practices that were of comparable size.”

   2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

2. “I started my practice in 1984 solo practice. I was in solo practice for six years. I hung out a shingle in 84 to open an office in northern suburban Atlanta. I'd met my wife in residence. She's an anesthesiologist and we married in 1983 and she got a job in that community. And I just hung out the shingle and started practicing.”

   2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

3. “Teacher? She was taught everything from nursery school to college. When I was in high school, she became a university professor, college professor at the University of Michigan Dearborn campus in English. English literature. And so she was a learned lady, a really inspiring lady.”

   2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

4. “Oh no, I did all of that. In fact, I'd worked on Don Regal's campaign in the state of Michigan, who switched from being But Don Regel was the first campaign that I remember working on, although I may have worked on a city campaign. My dad wasn't terribly involved, and my folks were divorced in the mid-60s. But my mom was active in just listening to folks. She wasn't a campaign worker, but she was active in listening and providing a setting for people to exchange ideas.”

   2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

5. “That's right. That's right. It's dad. And so... I had an interest, but I always kind of put it on the back burner. I never, I thought maybe that's something I might do at some point.”

   2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

6. “I mean, if you were breathing and alive, it was hard not to be involved in just recognizing that politics was incredibly important.”

   2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

7. “As they could to help them. But I remember thinking this was hard, hard work and didn't seem to be gratifying for that immediate response that clearly my personality and brain desired. And so when you could see a patient that you could clearly define what the problem was, you could undergo a surgical procedure that I loved being in the operating room and being able to affect things. And then note almost immediately that things were getting better and the patient was on the men. That was really gratifying. And so when I went to Grady and Damry in the summer of 79, I started in general surgery trauma surgery, but then transferred over to orthopedics later that year.”

   2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

8. “It allowed orthopedic is one of the few specialties in medicine where you treat virtually the entire population. So you treat newborns with hip dysplasia or with herbs palsy or problems from birth trauma. Those are many of those are orthopedic challenges. You treat club feet in kids. You treat broken bones in all ages. You treat all folks across the spectrum of society. And most folks from a type A surgeon's personality, most folks that you treat if you do the right thing, they get well. I remember during my junior year in medical school when we started our rotations in the hospitals, my first rotation was internal medicine at University Hospital in Michigan, which was a tertiary center. And so the patients were just as sick as they could be and folks were just working as hard as they were.”

   2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

9. “But I really wanted to go to Emory and to Grady because of the level one, what's now called level one trauma center, a Grady Memorial Hospital where they were just seeing remarkable volume of trauma. It was a great place to train and I enjoyed every minute of it in hindsight at the moment. I'm not sure that I enjoyed every moment of it, but it was a wonderful place. But in my senior year of medical school, after the match, which is in March, March 15th was our match, I took a one-month rotation in orthopedics and just fell in love with it.”

   2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

10. “That you were going to be a doctor. Yeah, I did. And this was a path that allowed me to do it more rapidly. I was a kid in a hurry. And so went through that program, finished at the University of Michigan in 1979. And I was going to be, I wanted to be a trauma surgeon. So when I interviewed for my residency program, I interviewed, starting in Richmond South. I was true to my word to myself, and that was that as soon as I could make that first... Independent decision. I was going south. And so I interviewed at Richmond and Chapel Hill and Duke and Emory Grady in Atlanta and Gainesville, in Florida, Charity Hospital in New Orleans and Galveston, Texas. I think those were all the places that interviewed.”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

11. “Orthopedics. Well, actually, I was accepted into an accelerated pre-medical medical program at the University of Michigan. It was the first year in 1972 when I graduated from high school. And it was a six year program where they would take 50 kids right out of high school and accept them to medical school, basically. And you did an acceleration. So you basically made...”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

12. “It's one of the most expensive ways now to deliver care through the emergence room, and many individuals continue to use the emergence room as their primary care doctor or their entree to the health care system. And so there are a lot of things, and I know that we'll talk about our system, I suspect, but there are a lot of things, there are flaws within the system itself. And that's one of them where people feel or actually don't have any other entree into the system except for going to the emergency room. And so there are a number of things that we could do to be helpful. But again, the physicians on the front lines and the people taking care of folks in the emergence rooms, their job isn't to sort that out. Their job is to just take care of people. And that was whether they...”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

13. “As I mentioned, I learned an incredibly deep respect for the relationship between patients and physicians and the importance of the physician being the primary advocate for the patient. I learned a compassion for individuals that is just important regardless of who they are, where they come from or what their problem is and the importance of doing all that you can to help. And it was wonderful experience as a kid.”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

14. “He went back to medical school at the age of 36. I went to Wayne State University at the age of 36. Came out and thought he was going to be a primary care doctor, thought he was going to practice internal medicine. At that time he could just do an internship. And because of his age, that's all he did. He had five kids at that point. Practiced for a joint fellow in suburban Detroit and practiced for a year and didn't like it at all. And so he started one of the first Professional group emergency room physician groups in the state of Michigan was one of the founding members of the American College of Emergency Physicians. And so again, when I was a kid, I would go, other kids would be doing other things. I'd be going to the emergence room after school to watch my dad and see what was going on.”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

15. “I mean, it was idyllic. I remember, you know, those wonderful days of running around the farm. And I was too young to have too much responsibility. It's the best.”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

16. “A physician. He kind of rebelled when he was a kid. He knew that he loved medicine because of his father, but his summers as a child were spent with an uncle on a farm in Hillsdale, Michigan outside of Hillsdale, Michigan. And he loved that. And so after he got back from the war in World War II, he was going to Michigan State. He had his education interrupted, and he came back and got an AG degree at Michigan State. It was one of the first individuals with an AG degree in Fowlerville, Michigan. I grew up in Fowlerville. And he got a dairy farm, started a dairy farm, and tried that out for 11 years, broke his back literally, and his pocket. That's hard work. That's hard work. Hard work. We had 250 head, 250 acres, and it was...”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

17. “This was in Toledo. Toledo, Ohio. But he traded in a large area. So I was too young to remember exactly where we were going, but he practiced medicine until he was 94 years old. Died at the age of 98, but practiced medicine until he was 94. This is”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

18. “my childhood memory is that they would go and knock on the door and they'd come to the door and instead of saying, you know, who are you? What do you want? The door would fling open and they'd say, oh, Dr. Price, welcome. And they'd give him a big hug. And I remember thinking, this is something special going on here. If you go to people's homes and they open the door and give you hugs, that's probably a pretty good thing to be involved in.”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

19. “My grandfather graduated medical school in 1908 from Case Western, which was then Case University. So in 1908, you were just a doc. And my first memories of medicine were with him. When I was a kid, as I mentioned, I'm the middle of five. I was the only one who showed any interest in medicine. And when I was a kid, I would go on rounds with him to see patients on the weekend sometimes. And that meant getting in your car and driving to people's homes. I really believe that it was probably when the importance of the physician-patient relationship was grilled into my core because when we would go to these homes, and I remember thinking as an eight or nine or ten-year-old kid, why are we doing this? I'm here to be with granddad, right? He was bigger than life guy. But we'd go to these homes. And inevitably, my memory.”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

20. “Traded some of their kids. The professional teams, as you know, have a professional group. And so I would treat some of their family.”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

21. “A seventh game Yeah. So I've transferred that now to Atlanta. And I actually became very frustrated with the American League when they put in the designated hitter. I thought that was kind of a bastardization of baseball. And so I became a National League fan. And then so going to Atlanta and picking up my wonderful support for the Braz where my wife and I are seasoned ticket holders for the Braves and we've been to more games than we care to admit.”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

22. “So it's a little lonely when Mickey Lolich and Bob Gibson. Yeah, exactly. It was wonderful. It was an incredible game. But I was the only one cheering early on. And I remember thinking this isn't a very wise idea to be a 14-year-old kid in the crowd. Especially when your team wins. I've been in”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

23. “And she said that that was crazy idea that how was I going to get there and how was I going to pay for it and all that? And I had advised this whole plan about how I was going to fly to St. Louis and stay with an uncle that I'd never met. Man, you were a hardcore fan. Go to the game. Oh, absolutely. The thing that I didn't, and so I did. I went to the game. But the thing that I didn't appreciate is that there wouldn't be any Tiger fans in the crowd. Yeah, it's a little lonely.”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

24. “So I got tickets to the third, fourth, and fifth game were in Detroit in the sixth and seventh games were in St. Louis. I went to third, fourth, and fifth game with all scalp tickets right outside the stadium. And the Tigers were down three to one. Yes, I remember, yeah. Baseball fans in your audience. And so when we came back, I announced to my mom that I was going to St. Louis to see the seventh game.”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

25. “I went with my dad to almost every opening day. But this was at a time when we would just hop on to the game. And so I had a paper route at that age. I was 14 years old in 1968.”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

26. “In seven in that wonderful seventh game in St. Louis. Yeah, I was, I loved baseball. It was probably the only sport that I had any proficiency in, and that was likely why I loved it. But we went to game after game after game at the old Tiger Stadium down in Michigan and Trumbull. What with your dad?”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

27. “Born in Lansing, raised outside of Detroit. And wasn't very fond of the cold weather even as a kid. And so I remember distinctly, at least my mom told me she's passed, but my mom used to tell me that at the age of six, I announced her that there wasn't any reason that we lived here. We ought to live in Virginia. When I could make my first independent decision, it was where I did my medical residence orthopedic surgery residency”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

28. “Yeah, I'm a Michigan boy born and raised in Michigan. My dad was from Ohio. My mom was from Virginia, southwestern Virginia. And those are my southern roots. I'm in the middle of five. And so... Where Michigan?”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source

29. “Good stock, good Midwestern stock. Thanks, David. Wonderful to be with you, and really appreciate the opportunity. And thank you for all the service that you've brought to our country. Thank you”

    2018-05-14 · The Axe Files with David Axelrod · Ep. 242 - Tom Price · IDENTIFIED FROM THE TRANSCRIPT · source