Could health care law 'glitch' price families out of system?

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There's -- new problem coming to light -- the government moves to fully implement the president's health care law it turns out a so called glitch in the system.

May price some families out altogether the families affected can not afford coverage under their employer plans but they're also in eligible for subsidies.

It would help them by an alternative plan because I guess they make too much one estimate says as many as 500000 children.

Could therefore be left uninsured doctor Marc Siegel is member of the Boston is -- he's gonna explain.

This so called the glitch to us we don't know how many families this applies to but they they make too much for -- plan and not enough for the other.

You know if you didn't fall into this gap you might enjoy the oxymoron affordability glitch the affordability glitch basically under the Affordable Care Act.

Nine point 5% of your income is the most that they couldn't have you spend on health insurance we're not talking health care we're talking health insurance.

That comes up to about 5600 dollars for an employer.

Based policy but the employer can save you well -- your kids we can afford to cover your kids under that.

And the family plan might actually cost more like 151000 dollars.

That -- ultimately could push you to the exchange is because the employer might say I I can't cover that go to the exchanges I'm gonna take the penalty.

You go to the exchange when you go to the state exchange you might not qualify for the subsidy from the federal government so there you walk and here's the good news they won't charge of the tax penalty so.

You have no insurance and a you still have no access to health care.

But at least you won't have to pay that 1% tax and then what happens in these estimated 500000 kids nobody knows they don't have a solution to this year.

There's going to be millions of people out there that won't that will fall into this affordability -- And and this is something they did not anticipate.

Let's talk about this other situation that has just cropped up with the health care and that is that three years ago congress created these panels.

And they were.

Well tell us and in what he -- -- now supposed to do since then it turns out they've never met.

The one we're talking about here is the national health care workforce commission that was appointed in 2010.

And like -- what we talk about on the air here all the time the independent payment advisory board this one also has fifteen members.

This one -- was in charge of making sure that there were enough primary care doctors out there.

Especially in rural areas or nurse practitioners somebody take care of people and underserved areas which are generally.

Either the inner city or out there in the rural areas and I gotta tell you back in the 1980s.

They used to pay doctors to work in these clinics.

You you finished residency and they'd say go out to New Mexico and we'll give you two years of -- to workers that worked.

They got rid of that so now instead and this is one of the problems with -- obamacare.

Would instead we got this bureaucratic board that supposed to meet.

And somehow not what say Julie and solve the problem what's the problem we talked about it earlier in the week on the show the promise doctors can't afford to go into primary care.

Medical students don't choose primary care they know they need to make thirty to 60% less when -- -- out there.

How do you fix that nurse practitioners.

Are not allowed to work in most of these clinics -- you can build the clinics.

But in only sixteen states to nurse practitioners work alone in clinics so again we don't have the primary care personnel to take care of.

-- long been warning about this the shortage of primary care doctors what this will mean for all of us I know that you not a fan of bureaucratic panels doing things you think doctors should do but that the irony is is -- this panel hasn't even done its job it was supposed to come up with a solution.

For -- shortage of primary care physicians that they haven't even meant to do that.

They haven't been funded because every year another thing that our viewers don't know about the affordability Affordable Care Act that is that every year a lot of these things have to be refunded.

She got this board.

It exists people -- on it.

They can't do their work without the money and if they had the money I think it's a -- panel because I don't see that they can actually help with the shortage and yet there is -- -- -- -- shortage and what are we gonna do about them that well listen we're talking.

45000.

Primary care doctors short.

By 20/20 according to the association of American medical colleges and that's -- counting the nurse practitioners should we got a 150000 nurse practitioners but they're not in the right places.

I'm worried about that I know you are troubling and our doctor Marc Siegel thanks so much for producer.

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Could health care law 'glitch' price families out of system?

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