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What about obamacare today of course is the first day are the exchanges ready.
Is this system gonna work or will it inexorably collapsed joining us now to talk about it.
-- -- doctors.
Doctor Dmitry alternate in joins us say liver surgeon.
Thanks very much for being with us doctor Michael -- joins -- founder of -- sleep center.
Sir thank you for being -- this as well.
Everything you read is suggests that these exchanges are complete and -- Mess.
The price seen for subsidies.
The software network.
The pricing for the premiums.
Apparently doesn't work which will affect -- -- and about 32 million people in 36 states.
Yes you can applied to Obama care exchanges offline but you know the whole point was the convenience on line.
And then you've got a whole host of other problems associated with this as well.
Is this sort of a disaster in the making -- ago.
I don't think so I think there's a lot of naysayers out there and -- glitches on Election Day voting machines.
American people gonna have to see this is something that people have been asking for for twenty years and certainly Hillary Clinton Bill Clinton tried to get -- past they couldn't do it -- Obama was able to get the Affordable Care Act passed and it's here in today's the first day and it's I think it's something that's needed we're just gonna have to see.
How it goes as a lot of holes -- -- -- -- what do you think.
I'm very passionate about this because I really think that this is going to create a significant and tremendous complicated system in our country.
And I'm thinking not about the political implications Republicans vs Democrats know what about the technical portions of the change.
I'm thinking about the individual family that is facing the problem right now someone.
Desperately here today.
Debt and most importantly the complex here because if you look at the situation.
More stuff that insurance plans that are forced to provide the exchange.
-- need to drive the course down how can -- do that.
-- create extremely restrictive plants where patients can not go outside of network.
Or face tremendous increase in their course outside of network system.
So most -- the doctors will be paid less if he joined the network so it's unlikely that.
-- and specialists will join the network Wilkes we've seen that a lot -- Mean major universe dissenters were excluded from the changes there for the patients are restricted that they cannot access the -- I am sure.
Access and quality of care may go down how would you respond to that you know I'd say that.
You to some extent you get we pay for.
If you're gonna have coverage -- you've never had covered before you probably should be restricted and where you're able to go.
If you're able to pay more money you're gonna go.
-- -- to the top specialists I work pro Bono and NYU one day week for seventeen years.
Treated many anyone who came in we we treat them right so I think it's a good point as far as the major hospital senators but there will be people that are there.
These people have no coverage right now families are going bankrupt so I think he got to look for people that are that don't have -- System cover.
-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- The Manhattan institute go to their website have calculated what people are gonna have to -- young people in particular.
After -- they're gonna get hammered.
Rates for young men will rise 99%.
For younger women arise between.
Of course it varies state by state for example North Carolina.
Increase for men overall in that state for women.
I mean what's the reaction could -- be when Americans start getting their premium bills after all.
I actually think that a lot of young people will prefer to pay the fine instead of signing the panel.
Right especially in the first couple of years when it's -- -- absolutely because they able gamble on the fact that they they're healthy.
And they would prefer to save money to be the -- things for them that are important today such as food rent and Dutch health care.
Yet you you know it is true doctor -- in places like California nor.
People will see lower premiums on average but that's only because -- this two states already.
Has report officially high.
Rates but by virtue of what their states had already passed in terms of insurance regulations but.
You look at the other 48 states and my goodness.
People -- really -- piece done and they are already here are being -- Right -- people can stay with what they currently have.
You know no one's being asked to form to -- something else they can stay with their current.
Coverage -- not not necessarily true 60000 people in California who had individual policies with -- they got their cancellation notices over the last.
Three months they're being forced onto the -- I interviewed.
One of them.
On the other days it doctor actual -- Yes Mike I know for me my premiums have gone up from my family every year yet.
As it as an employer.
You New York I'm New -- based -- players receive and I was already hot I didn't get it right and it keeps going higher and higher so something's gotta be done in a system was broken.
So we're looking at had -- we fix this broken system we can't keep paying higher premiums 18% 12%.
-- -- higher premiums that's the system that we're in right now.
So the question is the president came out and HHS came out witness.
Big splashy statement about three weeks ago saying you -- we've done our calculations the premiums are actually gonna go to -- but the base rate upon which state judged it.
Is two years from now so that wasn't exactly.
-- -- -- -- -- Let me get to the other -- promises was made and we've sort of touched on it.
If you like your policy get to keep -- feel like your health care you get to keep it as I mentioned you've got millions of people getting cancellation notices from insurance companies but the -- Estimates that companies.
To the tune of eleven million Americans that work for companies are gonna lose their coverage it could -- highest.
35 million CBO Congressional Budget Office nonpartisan.
And that's a pretty stunning breach of a promise by the president and.
But the get a look -- we insurance companies like Aetna.
And how do you let that -- have and that happened so I think the president's got to get tough with the insurance companies -- we know with the CEOs are doing there.
They keep making money you know hand over fist and -- -- -- he can't let that keep going on so give it Obama -- didn't deal with.
But that's that that has to be dealt with -- in total agreement with you the -- to deal with the insurance companies themselves at the same time so that.
This is gonna play out over the next few years this is not you know this is not.
You know exactly as it's written they're gonna be some I think amendments to that.
Have either cut their workers' hours below thirty per week -- they're laying off workers entirely -- would the mandate.
You think in retrospect that was a bit of a a bit of a statement a big mistake contained in obamacare that.
You know thirty hour threshold and now those folks who were reduced to 29 are known as twenty niners.
You know I'm.
At Iowa I would like to make a comment about the statement that you get with -- four.
What about all these people that just received the cancellation.
Those are hard working Americans.
And some of them happened to get sick today.
And it just received the cancellation.
And tomorrow they need to see a specialist heart surgeon.
The brain surgeon -- chemotherapy and they can't get to it so they can't afford.
The system they can't afford to pay the premium -- now after working 3040 years in.
And paying the bills and being into the insurance now they reject it and there on the sidelines and now we going to gravitate to this sort of two separate systems those who can pay for it and those who can't.
That's not -- And after obamacare is fully implemented -- ago.
Again -- -- via -- on Parsons says they'll still be 33 million uninsured.
Ten years from now on when he.
-- -- -- If it's an -- its.
Nothing's -- it's an imperfect plan it's the best that we had to the only thing that we've had to date to come up with this.
Health care fiasco that we do is we close this conversation.
Doctor gonna give me your best argument to -- viewers now as to why they should believe.
In Obama -- instead.
Think the best thing is that they're gonna do with health and preventive and wellness service we can't just it's not just about the money it's the value.
Most of the money spent on the catastrophic care rate 50% of our money spent on 5% of the people.
So it -- we need further reform this is the beginning of the reform this is something that's on the table.
We're -- -- start it and it's vitally needed right now in this country.
-- for the economy but also for the individual.
And we're here with it and it's going to be like it was like Medicare was in the beginning.
I don't know what I would do we didn't have Medicare right now -- -- -- -- well I don't know what I would I don't know yeah.
From an individual shouldn't -- sure so I think that's pretty gonna save and obamacare and five to ten years people really used to it and I hope it's.
They got to work at the kinks I think we're all aware that they're gonna -- although I will say.
You know parenthetically that you know at least those great social pieces of legislation entitlements Medicare and so -- -- Social Security were passed on a bipartisan.
Faces this one was not in here and perhaps.
He's a huge difference.
As we wrap things up after Gelb are doctor Alton give me you -- best.
Argument why Obama care.
I'm not sure should could go away completely but I think the some some of the core values of obamacare have to change.
We have to understand that.
We believe in an economy.
And in the economy would have to have a balanced financial approach in now with -- fleet of course with people throwing out on the sidelines without access to medical care.
This probably is not the best system.
Yes the argument that in two years it will get better.
Maybe it will become the Americans will die in the meantime coming Americans will continue to get sick.
And end up an hour emergency rooms requiring that emergency care that we're still providing.
All right gentlemen it's been a pleasure to have you -- here in the studio doctor Dmitry Aldrin doctor Michael you know two doctors to know quite a bit about a here.
Not to mention medicine general thank you can thank you have here.
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