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Andrew Rubin of the NYU Langone Medical Center gives his outlook for the Supreme Court ruling on the health-care law.
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Assets are less than 24 hours are gonna find out the fate of the Health Care Reform -- joining me now.
As we countdown of the supreme court's ruling is Andrew Rubin vice president medical center.
Clinical affairs and affiliates of the NYU lingo and medical center he oversees more than 900 positions with a budget of more than three quarters of a billion dollars while with a big responsibility to dig into the group.
So I obviously you know you oversee a lot of people we've got a lot of money.
That you're managing -- at your disposal I would say do you have contingency plans based on how this is gonna play out.
Well the big secret here is with or without Health Care Reform hospitals doctors have been preparing for the future and you know what we're gonna do with limited resources so.
Tomorrow's decision from my perspective from the Supreme Court is more about the consumer what's gonna happen to the consumer in their access to the insurance markets.
And access to health care in general -- -- -- -- started our cost control planning spending plans physician network building.
-- -- driving patience to the most cost efficient settings for their care.
Tomorrow's a little bit different.
So what outcome are you ready for what -- you hikes happen well you know the -- there there's there are real some really good things about this law -- -- -- some real problems with that so.
On a on a personal level I'd like to see America solve its health care problems for people don't have access to health care markets -- on that level I'd like to see.
You know the Supreme Court upholds the health care law but I understand why people are so.
Against that are things in there that are very.
Very confusing for the public to understand this individual mandate what these cost control provisions really mean how people access care -- But I mean -- upholding it means that people with preexisting conditions that insurance companies can't discriminate.
Against them they have taken months somebody's got to pay for that that's about 37 point four billion dollars in additional cost according to CBO who -- from.
Hey listen if we don't happen and into individual mandate.
We we can't solve this problem with you know forcing insurance companies to carry everybody with pre existing conditions.
We use it as a society made the decision you know we didn't wanna nationalized health care system we wanted the private markets just to stay in place in this country that's what's all about for us.
So if we want that in there the trade -- is some form of an individual mandate whether it be an individual mandate or something else that congress decides who comes up with -- Health Care Reform is overturned.
-- -- it makes sense to have healthy people pay for the sick people.
I mean it seems like one of the biggest problems in controlling costs is when you don't have.
The patient -- -- consuming the service paying for it at that point because you don't make the same decisions you know you consume as much as you possibly can't.
-- -- you're not are at the very -- -- sensitive if you're not sitting their pain for so creates only distortions it seems like an apparently does not help control cost.
Fly have to tell you that the market is incredibly distorted how people choose their health care in this country is is terribly distort the pricing mechanisms -- -- -- for me.
You know years and decades to solve all the problems we gotta start somewhere and I think that's what congress and the president intended with this legislation was to try and start to solve the problem in the place to start with making sure everybody.
Everyone who wanted health care insurance.
Have access to it.
But how -- he saw -- -- probably one idea I mean how do you get the patient more in touch with.
What the cost of what they're consuming so we started that are ready we've started that with probably insurance plans like you yourself have these consumer directed plans -- he is you've noticed there's been a lot of coverage in the news about patients paying more for their health -- Why because employers have started to push more that cost on to their employees and guess what employees don't like it because it's costing them more -- -- health care.
But what we haven't done yet is fix the pricing mechanism so we're making consumers pay more for their health care but we haven't fixed the cost side of the equation if you -- insurance companies to cover people -- pre existing conditions is it fair to just make them pay more.
You'll be covered but it just more expensive because you're gonna use more -- say it it does make sense and and listen we have to do more because they're all loss -- -- substitute subsidies to people who can't pay for their insurance than than -- cost and subsidies to ensure these people who are consuming more.
So again I think that I think the right you're asking really good questions.
The right place to start.
Is at.
Is somewhere with in my opinion which is this mandate they're gonna have to make lots of tweaks to this law regardless of what happens to it and he you know with -- overturn it's gone but.
If it does stand -- -- nobody really knows what's gonna happen except the Supreme Court that's out.
But if it does stay in place I assure you I'll be back to explain to the challenge in making in the future because they're gonna need to make a lot that it today -- -- -- thanks for -- and we appreciate.
