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Tom Miller, AEI resident fellow discusses challenges that remain for President Obama’s health-care reform law despite his reelection.
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Right stuff all right president Obama's reelection all but guarantees -- of the health care law is not going away.
Our next guest says there are still several challenges in the law that cannot be ignored Tom -- a resident fellow at the American Enterprise Institute joins us now.
Are at all let's talk about that what is some of these challenges -- -- be ignored what's the biggest one do you think.
The biggest -- is his.
Needs a license to rewrite it for reality James Bond style that'll happen yes.
The they did the big challenge initially is going to be the implementation of whether they're state -- -- federal health benefits exchanges.
There's a lot of resistance at the state level many questions as to practically whether you can implement -- is designed.
I'm beyond that is also a legal challenge whether the federal exchanges can be done.
On the base of a lot of push back on this -- some cross bargaining.
Vol and we're seeing the have Republican governors taking -- more Avaya hunt comes stance like you've created the mess and we'll see what happens yeah -- -- -- -- bad bad bad that's the mainland and the president although they push -- very hard initially.
They have to come back to -- we need something that -- some Hal.
And then to be a little bit of a rendezvous with reality that is larger -- fiscal constraints economic constraints economy's not growing -- much we're way out of balance.
Whether it's Medicaid which sometimes operates on a binge purge -- -- indicting and spending.
Medicare.
Is going to change as well and even the exchange business subsidies to the other coverage of they'll get -- down -- -- later uterus and compared to -- we're doing right now both sides are arguing.
Over how they do it is not where do they have to -- whether it's the president's approach or whether it's Republican approach they're talking about how you operate within a more limited budget.
One is top down the others to leave it more to patients and providers to figure out the choice is once you know how much you getting in subsidies we'll talk from what I understand there's a backlog of new regulations will be released on this new health care plan -- soon because they were held back too often the election.
We still don't know for instance what health services and expense is insurers will be required to cover is that right.
That's correct usually when the watchword is you'll find out more than you expected when no you're not before voters the there's also a question whether they can actually finish these -- and know what they're doing or it's been somewhat of a -- but he does -- mutual game of who gets the blame for this.
And I think it's going to be a little more evident when the next stage of regs come out as to what people can live with as opposed to what's there's a lot of push back on.
And I think what we see initially movie -- we get eventually we could be a disaster they have all the different states implementing their -- plans are operating and exchanges.
I couldn't create somewhat of a chaos could -- All it depends what they're in the range of variation is it would also create chaos if you try to have an orthodox single approach to everything everywhere which is that -- me the exact opposite type of mistake.
-- good point world -- -- -- time we could spend a lot of time -- -- medicine can't have become back Tom -- American Enterprise Institute resident fellow -- thank you so much for talking with us.
