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Possible unintended consequences of ObamaCare

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    All-Star panel weighs in

  • Duration 6:27
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CBO looked at this issue in August to set about four million that -- now.

Nearly double to seven million workers who won't get insurance and employer the bottom line here is that no matter where you live.

On January 1 2014.

And insurance marketplace will be up and running and consumers will have more access to quality affordable health insurance coverage.

White House spokesman Jay Carney and Republican critic Douglas holds -- -- on the possible unintended consequences.

Of obamacare.

And we're back now with a -- -- all the attention over the CBO the Congressional Budget Office projections.

About the debt and the deficit yesterday we neglected to talk about.

Another big number they had Mara and that was the CBO now says under Obama care.

Seven million people will lose their employer based health insurance employers will say.

It doesn't make sense we'll take the penalty whenever you're gonna have to go on -- on the public program.

That's up from its projection of four million back.

Just last August how -- an -- that.

It's a big deal the point does the administration has a gargantuan task ahead of it has to get these insurance exchanges up and running in all these states especially.

In the majority of states where there's a Republican governor -- opted not to set up the exchange themselves.

So that set up these exchanges they have to have people operating in all these exchanges to help all of these people including the millions of people who might be dumped by their employers onto the private individual insurance market to help them find coverage.

And this is very high stakes because the most important thing for the presidency is to prove that this is going to work.

And that the and people who couldn't get insurance before will be able to get it but somebody who -- had insurance through their employer and no longer has that they better be able to sign up pretty quickly and get something that's equivalent or better.

Or else I think this will be judged -- yeah.

Charles I -- to pick up on that because the real.

Upheaval of Obama -- doesn't even begin for all the political upheaval the operational upheaval all that from that are held.

Doesn't kick in until next January the individual mandate the exchanges.

And and this precise question which is gonna because remember the president said if you like -- policy.

And you're like your doctor you can keep it.

If seven million.

Workers -- being told by their bosses now we're gonna drop you from the company policy that's a big deal.

How big a political issue do you expect the the implementation.

Of Obama -- to be how would actually works out.

I think if it could be utterly disastrous -- -- it is.

And I think you will have a huge effect on the present on the presidency.

Because this is his number one achievement this is his legacy.

If his presidency ended today that -- -- be remembered.

The man who began his in the path of nationalizing health care.

And as you say it all hinges on a fantastically.

Complex intrusion into.

Health care which is 18% in the United States economy.

Now when the president said.

-- jury hears arguments about Obama care and if you like your doctor you can keep him if you like health care coverage.

You can keep that he was technically right.

But the fact is that if you if you are not being offered it because -- company.

As he's no longer offering -- -- -- to pay a fine.

Because as we heard earlier in the program it would be cheaper than in fact you don't have the choice of having.

You're your -- health plan or your doctor and you -- there was an unintended effect.

The unintended perhaps but utterly predictable.

So it isn't as if any of this is news and I'm not sure that the president really regrets this I think his ultimate objective is what he always wanted to.

Nationalize health care like you have in Britain and Canada.

But he said you can't get there -- one step and this is a system so complex and ultimately I think the only.

The only escape these the only who Kuwait can end up is going to be a nationalized system.

Meanwhile as if that weren't complicated enough Steve governors around the country are trying to decide whether to sign up.

For the government offer because of -- the Supreme Court so they couldn't make -- -- threaten the penalty to expand Medicaid to cover.

Even more people at the lower end of the income scale and the government is offering.

A 100%.

-- it will pick up all the -- for the first three years and then 90%.

Supposedly for the -- him and we'll see how long that goes on but for years to come.

It's certainly not Pennsylvania governor Tom Corbett just rejected that sad I don't I don't wanna do it because I don't trust the government and that night of some what happens if that starts to fall we have to pick up -- Of the share bought six Republican governors including let's put up on the screen John Kasich of Ohio.

Jan Brewer of Arizona and today Rick Snyder of Michigan say.

They like the -- and they want to take the federal money and and and do what is the state expansion what do you make of that what.

Pretty -- here's some of these Republican governors celebrating the fact that they're getting quote unquote free federal money.

Top -- -- joining this program look I think it's a raw deal and anybody who believes that it's going to be 90%.

In perpetuity is deluding themselves and I think really putting their taxpayers.

At risk he saw the same kind of rejection of these proposals.

Early on in the Obama administration when you -- of the governors reject this real money this federal money for -- when they said.

We like the up front -- we know we're going to be stuck paying the bills down the line but the problem of unfunded mandates has been around for.

Decades I think that's exactly -- this turns into and when the federal government looks to reform entitlements one of the places it's going to look first is Medicaid and do you think that that 90% is gonna stay 90% it will be dramatically.

Ticked down.

Well equipment -- -- that pick up on that.

Does the fact that that.

Quite conservative governors like John -- like Jan Brewer who opposed obamacare in the first -- -- Are now saying they're willing to sign up for the for the state Medicaid plan.

I think that's pretty significant themes of governors decided what was best for their states.

And this was an offer that was designed to be.

Too good to refuse and in the case of Ohio and Arizona and Nevada -- was and this is the way that they're gonna pay for coverage for their low income people.

And you know I don't think that.

I think we'll have to see what happens on the road but Medicaid is either going to be.

Didn't matter be shrunk from -- turns -- -- block grant to the states which is what Republicans want it anyway.

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