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-- new issues are being raised about president Obama's health care law Americans will start paying more taxes to support Obama care in January.
But many analysts say the federal government is way behind schedule on the building blocks needed to actually implement it.
Everyone needs to remember that there wasn't a lot of flawed and given to Obama care by a single entity making sure that all the pieces fit together.
It was put together by bunch of special interest and that's why you get this Rube Goldberg contraption we're having all these problems.
Well doctor Marc Siegel is just.
Medicine at NYU -- -- medical center and a member of the Fox News medical eighteenth pick you for joining us stock.
-- -- and the Rube Goldberg is not exactly an endorsement.
I had no not at all so firms -- local government has just defined the term necessary benefits it's still hasn't define what constitutes adequate coverage.
And that doesn't determine whether businesses are gonna get credit for providing insurance -- -- fun games and many of these companies after we -- their policies in the coming months so is this new definition already coming to late.
I think it is and the big battle front that's coming up petty and is really the state exchanges.
And the biggest problem with -- obamacare in the biggest criticism it's gotten is for mandating this kind of comprehensive insurance.
Which again people have said as one size fits all whether you need everything it provides.
Or not 60% of actuarial value means that there's not a lot of room for deductibles not a lot of room for co pays.
Not a lot of room for health savings accounts most of most Americans currently have the kind of insurance which has deductibles has co pays.
Has health savings account.
You know what that means lower premiums so if you have to go to a state exchange where you're forced to get the kind of insurance which is to comprehensive.
Premiums are going to be very very high there's not going to be enough competition not enough choice at the state exchange and you may end up.
Not being able to afford the premiums.
And the question is -- exchanges even be ready -- supposed to be ready to tested October 2013 that's eleven months away.
They needed new network to communicate with states over these exchanges and that is not even close to up and running.
Well more than twelve states -- and have said that their flat out not doing this including Georgia Ohio Wisconsin -- not -- set up their own exchanges.
They're gonna make the federal government doing to HHS will set him up four of them.
Because the states don't get anything out of it there's no value the gonna get a public relations nightmare if it doesn't work.
And as I just described these exchanges there's not enough products on them for people to say all I want that cheaper one I don't want that expensive one I can't afford that will -- healthy.
-- -- -- need to all of this bells and whistles for.
Obamacare has so many regulations it's trying to get the kind of insurance in play.
Where everything is covered preventive services.
You don't granted we want to cover preexisting conditions -- we talked about that on the show yesterday.
But what is the cost of all this high premium insurance not enough choice.
That's why the states don't wanna be involved in this what do they get out of -- they don't get a financial incentive they're saying many states are saying and governor Kasich an Ohio has said.
Let let let the federal government put in these exchanges why should we do we're not getting anything out of our interest and doctor Marc Siegel thank you as always.
Good to sit apparently there.
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