| 00:00:32 |
GUEST, -
BE A A TEMPORARY STOPGAP UNTIL 2014. STARTING IN 2014, INSURERS WILL HAVE TO TAKE THESE PEOPLE. THE HIGH RISK POOL WILL PROBABLY BE A PROBLEM. IT'S...
|
| 00:01:12 |
HOST, -
THEY HAD TO FIND A WAY TO TAKE CARE OF PEOPLE
|
| 00:01:15 |
GUEST, -
IN THE WORST
|
| 00:01:16 |
HOST, -
OFF POSITIONS UNTIL THEN. THIS IS NOT AN IDEAL SOLUTION. BASICALLY WHAT YOU'RE DOING IS TAKING THE SICKEST PEOPLE AND PUTTING THEM
|
| 00:01:24 |
GUEST, -
INTO A POOL WHICH IS NOT THE WAY INSURANCE IS SUPPOSED TO WORK. ON TOP OF THAT, YOU HAVE SOME OF THESE STATES THAT ARE ROPESED TO THIS BILL SAYING WE'RE...
|
| 00:02:00 |
HOST, -
DOCTORS FIRST? GUEST: DOCTORS -- IT'S INTERESTING. DOCTORS ARE GOING TO SEE THIS IMPACT BUT NOT AS MUCH IMPACT AS MAYBE PEOPLE THOUGHT THEY SHOULD...
|
| 00:02:23 |
GUEST, -
DOCTORS, DRUGMAKERS. REALLY THE LAW IS MORE FOCUSED ON THE INSURERS, AND SO DOCTORS ARE GOING TO SEE SOME SORT OF MORE PERIPHERAL IMPACTS. THERE IS...
|
| 00:03:32 |
HOST, -
AROUND, AND SO THE BILL DOES PROVIDE A SUBSTANTIAL AMOUNT OF MONEY TO ENCOURAGE DOCTORS TO GO INTO PRIMARY CARE
|
| 00:03:40 |
GUEST, -
TO GO INTO SERVED AND UNDERSERVED AREAS, AND AGAIN, THAT'S NOT REALLY THE MAIN THRUST OF THE BILL. HOST: FOR DOCTORS, A BIG CONCERN WAS REIMBURSEMENT,...
|
| 00:04:09 |
HOST, -
CONCERN ABOUT THIS OBVIOUSLY DURING THE DEBATE. THE CUTS IN MEDICARE ARE REALLY -- AND THEY WERE AGREED TO BY THE HOSPITALS AND DOCTORS. THEY COME TO...
|
| 00:05:32 |
HOST, -
HELLO, THIS IS SHEILA. HOST: GO AHEAD, SHEILA. CALLER: OUR INSURANCE COMMISSIONER, OSMGEN HEDINER SAID HE SENT A LETTER TO KATHLEEN SEBELIUS SAYING...
|
| 00:06:01 |
HOST, -
FEDERAL GOVERNMENT GOING
|
| 00:06:02 |
CALLER, -
TO TAKE THAT OVER? GUEST: YES, SHEILA. YOU'RE RIGHT. HE WAS THE FIRST COMMISSIONER TO COME OUT AND SAY HE WOULD NOT GO ALONG WITH THE HIGH-RISK POOL...
|
| 00:06:26 |
GUEST, -
MANDATE THAT'S IN THE LAW, THE MANDATE THAT EVERYONE CARRY INSURANCE. WHEN THE INSURANCE COMMISSIONER CAME OUT AND SAID HE WOULD NOT HELP IN SETTING...
|
| 00:07:39 |
HOST, -
TENTH
|
| 00:07:44 |
CALLER, -
AMENDMENT. HOST: WHAT ABOUT THE ABORTION PROVISION? THERE IS GREAT UNCERTAINTY OF HOW THIS WILL PLAY OUT A LOT OF PEOPLE THINK IT IS QUITE POSSIBLE...
|
| 00:08:07 |
HOST, -
INCLUDE ABORTION COVERAGE ON THESE EXCHANGES, ON THESE MARKETPLACES WHERE WE'RE GOING TO BUY INSURANCE, BUT PEOPLE WHO BUY INTO THOSE PLANS ARE GOING...
|
| 00:09:31 |
HOST, -
FEDERAL GOVERNMENT IS ABLE TO SET UP THE POOLS. THE BIGGER QUESTION IS WHETHER THEY WILL WORK. THEY SET ASIDE $5 BILLION OVER THE NEXT FOUR YEARS UNTIL...
|
| 00:09:50 |
GUEST, -
OWN AND WE'RE SPENDING ABOUT $2 BILLION A YEAR TO COVER 250,000 PEOPLE. $5 BILLION OVER FOUR YEARS PROBABLY AIN'T GOING TO CUT IT. IT IS NOT AN IDEAL...
|
| 00:10:30 |
HOST, -
IF I WOULD GET A TAX CREDIT FOR THE PREMIUMS THAT I PAY, BECAUSE
|
| 00:10:34 |
CALLER, -
MY EMPLOYER DOESN'T SUPPLY INSURANCE OR PROVIDE IT. ALSO, I WONDERED WHY THE DELAY WAS IMPLEMENTED, BECAUSE IT SEEMS LIKE THESE STATES ARE JUXTAPOSING...
|
| 00:11:18 |
GUEST, -
DOLLARS BUT IF YOUR INCOME IS BELOW A CERTAIN LEVEL, YOU'RE GOING TO GET HELP TO BUY YOUR INSURANCE. IT IS A RECOGNITION THAT YOU'RE KIND OF GETTING...
|
| 00:13:48 |
HOST, -
I'M WONDERING HOW THEY CAN JUSTIFY THAT ANYTHING AND IF THEY
|
| 00:13:51 |
CALLER, -
HAVE AN ARGUMENT THAT WOULD HOLD UP. HOST: DO YOU HAVE A QUESTION ABOUT THE IMPLEMENTATION OF THIS LAW? ARE YOU CURIOUS ABOUT ANYTHING? CALLER: I'M...
|
| 00:14:17 |
HOST, -
IS A HEALTHCARE REPORTER AND CAN'T ANSWER THAT QUESTION. EDDIE ON THE REPUBLICAN LINE.
|
| 00:14:25 |
CALLER, -
GO AHEAD. CALLER: I DON'T CONSIDER IT REFORM AT ALL. I THINK IT IS MORE OF THE SAME. THAT'S ALL WE'RE GOING TO DO IS JUST INSURE MORE PEOPLE. WE'RE...
|
| 00:14:36 |
HOST, -
AS WE HAVE DOCTORS. WE'RE JUST GOING TO HAVE THREE TIMES AS MANY LAWYERS AS DOCTORS. THE BEAUTY OF EUROPE IS THAT A DOCTOR IN A HOSPITAL
|
| 00:14:47 |
CALLER, -
IS SACRO SANCT. YOU DON'T BITE THE HAND THAT FEEDS YOU. DON'T GO THERE AND SUE THEM, PLEASE. HOST: WHAT ABOUT TORT REFORM? GUEST: YOU'RE RIGHT. THERE...
|
| 00:15:20 |
HOST, -
SAID THAT YOU DON'T SEE
|
| 00:15:21 |
GUEST, -
THIS BILL AS REFORM, THERE ARE A LOT OF PEOPLE THAT THINK THAT'S REALLY TRUE IN A BROADER SENSE, THAT THIS BILL DID A LOT TO COVER THE 40 MILLION AMERICANS...
|
| 00:16:25 |
HOST, -
OUT $50,000 AND GIVE IT TO
|
| 00:16:27 |
CALLER, -
THE HOSPITAL WHEN THEY ARRIVE? GUEST: THIS IS ONE OF THE BIG QUESTIONS OF THIS LAW, WHAT PEOPLE ARE GOING TO MAKE OF THE MANDATE THAT EVERYONE HAS...
|
| 00:16:52 |
GUEST, -
BECAUSE WE REQUIRE PEOPLE TO HAVE INSURANCE, THE IDEA BEING IF YOU DON'T GET INSURANCE THEN YOU'RE SHIFTING THE COST TO EVERYONE WHEN YOU DO GET SICK....
|
| 00:18:11 |
HOST, -
IS A BIG DEAL FOR FAMILIES. THE BIGGEST PROVISION, THE ONE THAT SAYS IT ALL, EVERYONE INCLUDING YOUNG PEOPLE HAVE TO HAVE INSURANCE, THAT DOESN'T...
|
| 00:18:22 |
GUEST, -
IN EFFECT UNTIL 2014. HOST: SOME INSURANCE COMPANIES HAVE STARTED TO ACCEPT YOUNG ADULTS ON THEIR PARENTS' INSURANCE. GUEST: THEY HAVE, FOR EASE OF...
|
| 00:18:45 |
HOST, -
HOW MANY NEW BUREAUCRATIC AGENCIES ARE CREATED BY THIS BILL? GUEST:
|
| 00:18:50 |
GUEST, -
GOOD QUESTION. THE MAIN AGENCIES THAT ARE GOING TO BE IMPLEMENTING IT REALLY ARE THE ONES WE HAVE NOW, OUR HEALTH AND HUMAN SERVICES DEPARTMENT,
|
| 00:19:00 |
HOST, -
MEDICARE AND
|
| 00:19:03 |
CALLER, -
MEDICAID DEPARTMENT, THE ACTUAL EXCHANGES THAT I KEEP REFERRING TO, THESE MARKETPLACES WHERE YOU'RE GOING TO GO TO BUY INSURANCE IF YOU DON'T GET IT...
|
| 00:19:11 |
GUEST, -
YOUR EMPLOYER, THEY'RE GOING TO BE SENT UP ON A STATE BY STATE BASIS OR REGIONAL BASIS. IT WILL BE UP TO THE STATES TO SET THESE THINGS UP WHICH COULD...
|
| 00:20:38 |
HOST, -
THE POOL. THAT IS REALLY THE IDEA HERE. RIGHT NOW, THE PROBLEM SOMEBODY THAT PEOPLE WHO TRY TO BUY INSURANCE ON THEIR OWN HAVE A REALLY HARD TIME OF...
|
| 00:20:52 |
GUEST, -
PREEXISTING CONDITION OR CHARGE FOR THEIR TIME. AND B, THE RATES ARE VERY HIGH BECAUSE THE POOL IS NOT BIG ENOUGH. YOU ONLY HAVE PEOPLE IN THE POOL ...
|
| 00:21:49 |
HOST, -
BE TAKEN OUT OF MEDICARE. PEOPLE ARE UPSET
|
| 00:21:52 |
CALLER, -
ABOUT THIS. HOST: WHAT ARE THE FACTS? GUEST: IT IS MORE COMPLICATED THAN THAT. THE IMPACT THAT A MEDICARE RECIPIENT IS GOING TO SEE, NEGATIVE IMPACT...
|
| 00:22:14 |
HOST, -
PRODUCT TO SENIORS. THESE PLANS
|
| 00:22:16 |
GUEST, -
ARE GETTING THEIR SUBSIDIES CUT, SO THE COMPANIES THAT OFFER THESE PLANS ARE GETTING LESS MONEY FROM THE FEDERAL GOVERNMENT TO OFFER THE PLAN, SO THEY...
|
| 00:23:44 |
HOST, -
WANT TO PARTICIPATE, CAN THE CITIZENS SUE
|
| 00:23:48 |
CALLER, -
THE STATE? GUEST: GOOD QUESTION. IN A SENSE, THE BEST RESPONSE FOR A CITIZEN OF ONE OF THESE STATES WHERE THE POLITICAL LEADERSHIP IS NOT BEING COOPERATIVE...
|
| 00:24:12 |
GUEST, -
IT IS ACTING ON THIS, AND WE'LL JUST HAVE TO SEE HOW THAT PLAYS OUT. IT'S POSSIBLE THAT THE LEADERSHIP OF THESE STATES KEEPS BEING UNCOOPERATIVE THEY...
|
| 00:25:46 |
HOST, -
WEEK? >>
|
| 00:25:49 |
GUEST, -
WELL, ONCE I FINISHED THIS BOOK AND READ THE LAW, I DON'T THINK WORKER'S COMP IS INCLUDED IN THE LAW. THERE IS A LOT IN THE LAW I SHOULD ADD THAT IS...
|
| 00:26:12 |
Unidentified Speaker, -
TO HELP THEM BUY INSURANCE, BUSINESSES OF, I BELIEVE, UNDER 25 EMPLOYEES OR IT MIGHT BE -6B 0. I WILL HAVE TO DOUBLE-CHECK, BUT THEY'RE GOING TO BE...
|
| 00:27:30 |
HOST, -
YOU MEAN? CALLER:
|
| 00:27:31 |
CALLER, -
CORRECT. BUT WHAT THEY'RE ACTUALLY DEALING WITH ARE SPECIFICS OF THE BILL THAT ACTUALLY MANDATE THAT THE STATE IS GOING TO HAVE TO PICK UP CERTAIN...
|
| 00:27:50 |
HOST, -
GUEST: GOOD
|
| 00:27:51 |
CALLER, -
POINT. THEY'RE RAISING SEVERAL DIFFERENT CLAIMS AND SOME STATES ARE RAISING SOME CLAIMS AND OTHERS ARE RAISINGS OTHERS. SOME ARE JUST OBJECTING TO THE...
|
| 00:28:11 |
GUEST, -
UP THESE NEW MARKETPLACES, AND ALSO, YOU KNOW, NOT RIGHT FOR THE FEDERAL GOVERNMENT TO TAKE ON MORE MEDICAID PATIENTS. A BIG PART IS THAT WE WILL...
|
| 00:30:07 |
HOST, -
WERE MORE LIKE DISCOUNT INSURANCE RATHER THAN INSURANCE
|
| 00:30:11 |
CALLER, -
WITH MAJOR MEDICAL. I DO HAVE PREEXISTING CONDITIONS, AND I NEED TO KNOW IS THE STATE GOING TO SET IT UP WITH THE MAJOR MEDICALS ALONG WITH EVERYTHING...
|
| 00:30:49 |
GUEST, -
ON-LINE GOING AROUND LOOKING TO SEE, GOSH, IS THIS WHAT I NEED? WHAT DOES THIS PROVIDE? RIGHT NOW, AS YOU KNOW, IT'S VERY DIFFICULT TO FIGURE OUT THIS...
|
| 00:32:01 |
HOST, -
AGAINST SOCIALISM, AND MEDICARE, SOCIAL SECURITY, FARM
|
| 00:32:05 |
CALLER, -
SUBSIDIES, THOSE ARE ALL LITTLE BITS OF SOCIALISM THAT AMERICA HAS HAD ALL ALONG, SO I KNOW THAT -- HOW CAN YOU SUCK ON A SOCIALIST TIT AND COMPLAIN...
|
| 00:32:51 |
HOST, -
START UNTIL TEN
|
| 00:32:53 |
GUEST, -
YEARS, RIGHT, AND THE OTHER INSURANCE DOESN'T GO INTO EFFECT UNTIL FOUR YEARS, AND ANOTHER SEGMENT OF MY STATEMENT I WOULD LIKE TO SAY IS I'M LOSING...
|
| 00:33:36 |
GUEST, -
MEDICAID PATIENTS. THE LAW DOES TRY TO DEAL WITH THIS BY INCREASING SUBSTANTIALLY THE MEDICAID REIMBURSEMENT RATE FOR PRIMARY CARE VISITS TO DOCTORS...
|
| 00:35:10 |
Unidentified Speaker, -
WE DID. FOR MORE INFORMATION, GO TO C-SPAN.ORG/BOOKS AS WELL AS C-SPAN, ORG/SUPREME COURT. YOU CAN BUY IT ON-LINE AND IN BOOKSTORES AS WELL TODAY....
|
NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.