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AEI Senior Resident Fellow Dr. Scott Gottlieb and Manhattan Institute Senior Fellow Avik Roy on efforts to implement all the rules and regulations wit...
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Well Obama -- regulations are starting to hit the fan and Obama's signature a lot is riddled with costly mistakes.
And a slew of unmet deadlines with more -- -- -- senior fellow at the Manhattan institute and former health care advisor to Mitt Romney.
Doctor Scott Gottlieb resident fellow for the American Enterprise Institute.
I should say -- -- is actually.
I worked with Rodney correct -- we both -- -- -- OK let's everywhere actually I wanna start -- something that came out half from the American action forum and that was a new study that finds.
The Obama administration has missed nearly half of the regulatory deadlines in Obama care.
Normally there's time for consumers to -- time for people to get involved in the conversation those time -- have shortened -- what do you make of this.
Well it's it's pretty simple you know if you wanna take over 16 of the economy it's hard work and can't do with just a couple dozen bureaucrats in Washington and and and so.
It's not surprising at all that that implementation instance has been sloppy and and rough and I think.
If that's gonna continue and where it's really gonna -- people as when they think that they're getting new coverage -- that covers and costs enormous amounts of money the cost of insurance in the individual market.
It's gonna skyrocket by as much as a 100% for for young people looking for insurance and trying to buy for themselves what do you make of this -- -- -- regulation dot -- there's and three regulations related to obamacare that have their com commentary do attend a Christmas.
The administration really hasn't given people time to comment on these major roles have only given thirty days in many instances a major role should have at least -- you -- days.
So they're trying to get this done very quickly right around holiday.
Huge hit home though it is when we read and I get out what we have -- we'll figure out what we said.
You know I act.
I I know you guys have somewhat different ideas about the possibility of obamacare remaining -- -- but let me start with you is.
The Republicans have consulate talked about repeal.
Is that even a possibility at this.
Point I mean nothing is impossible but I think it's really really hard I mean -- basically have to once the subsidies in the trillions of dollars of subsidies start to flow through the system.
How do you take those away from people I think we just we know because we try to do that and we try to change Medicare and in small ways to -- obtain Medicaid some ways it's really hard to do.
But what you couldn't do I think in theory is.
His use of the exchanges -- a path for reforming the broader health care system in a better way you'd have to do a lot to change the way obamacare work.
It's gonna have to change the structure of the federal law you'd have to allow states to offer any plan that pet currently operates -- state perhaps into these exchanges the problem with the Obama care exchanges.
Is that tightly regulates what plans can go into those marketplaces that are not true martyr insurance exchanges these -- the insurance exchanges that are going to be offered on a state based at the state by state basis.
Some of those states not all hello some of them are saying now let me let me -- on to another story -- here quickly that we -- following that I think -- you both find interstate.
It's a new report from the health and human services inspector general -- incredible waste and mismanagement in Medicare take a look at these numbers Costa suppliers.
-- 191.
Medicare pays 919.
Just unbelievable numbers of waste fraud and abuse Scott -- you first what do you make of us.
Well it's very hard to exercise her program to remotely from Washington all the utilization review -- Medicare has done basically with paper Roberts is not a good way to manage compliance there's going to be an equal amount of waste in the obamacare program they're not -- -- to ensure it to guarantee eligibility.
To certify eligibility for people her -- To administer this at a local level where you can have private companies or locally your drive companies actually looking over utilization looking over the -- -- being delivered.
The thing is you know it's easy to waste other people's money if it's your money are not got wasted as much and I think that's the problem put seniors and control their own.
Dollars and they won't wasted but if it's a trillion dollar ATM with -- governments just rubber stamping these tax to doctors and hospitals and and criminals really who are -- exploiting the system of course there's going to be -- waste.
So there's nothing that Washington can do -- change unless they -- the system back to the individual.
-- gonna have major reform of health care and don't care really didn't do that it seems to me and made some of the problems worse not better.
I think that's right now but but you know now that's now it's there we're stuck with that we've got to see what we can do if we have to step back and we do this in the investment community all the time we say.
Starting from today regardless of what happened before how we change how what what our portfolio look like today.
Same with health care we gotta look -- -- look obamacare is the law.
How do we how we take what the whole system is trying to do something that Scott quickly the problem -- of the structures and health care changing perhaps -- -- so much consolidation marketplace is going to be very hard to go back and then try to implement a market based reform on top of that.
Over -- and Scott thanks for coming on -- this is a fascinating conversation to me.
We cover Obama Carolina it's great to have you want sad happy holidays to you -- it to Christmas.
