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His doctor -- a second introduction is required him -- -- now.
-- -- so that they've got to set up exchange's.
Eight Obama believe have not set up exchanges yet army moved in that direction.
It's worse than that Stewart actually the key headline here is lack of uniformity could you have sixteen states plus DC Washington DC that -- said -- gonna set up exchanges or in the process of or already have.
Nine have said they won't including Texas and Florida that are have been vehemently against Obama -- in every way to -- under.
They're gonna turn around -- probably up to half of our states are gonna say the feds have to do it if the states don't agree to do it by next Friday.
The feds have -- -- set of exchanges for them.
Odds about -- federal money will be used a step in with control and -- this is how we gonna do it.
This is what we are going to do more money more federal money there's also been a debate about whether you can actually get these subsidies the federal subsidy on the -- on the federal state exchange under the chances are you don't have but this is tons of money being courted by the federal government.
And again of Europe patient and you wanna that you and your small business let's say is I'm not covering you anymore -- go to the exchanges which is what we're all afraid.
You go to that exchange every state has a different kind of exchange it's gonna get very confusing okay now what -- -- online virtual -- Let's sweep this all aside for saying -- -- -- about exchanges and who's gone how far who's gonna paper sweep -- -- Europe practicing doctor right.
And you know who that obamacare is coming I mean there's no way around it is -- hear it feel it's Kia is -- spell it out what does that mean to you.
What does it mean to your patients what does it mean for the cost of cash -- First civil.
We all like physicians like things as they are every time there's change it means more paperwork for a -- -- patient eight comes in and says.
I'm getting -- new insurance I just went to the state exchange I'm getting this.
Question does your doctor take this he may not he -- -- I don't work with that insurance that insurance isn't paying me enough.
Meanwhile the independent Medicare advisory board iPad this coming along and is gonna start cutting Medicare payments to physicians to hospitals some services are going to be.
Allowed others not.
The more that happens the more physicians are gonna drop Medicare.
And then they're gonna turn around drop out of some private insurance is because private insurers always follow what Medicare recommends.
-- we're -- have -- insurance expansion but a doctor shrinkage doctors running away doctors retiring early doctors taking cash only.
Less people going into medicine.
This is the future here and it sort of so there's no guarantee whatsoever that it that Obama -- is gonna lead.
To better health care probably the opposite got to wrap it up but obamacare is here Tuesday -- -- away.
But thanks so much.
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