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Jack -- reiterating that the government is not planning to -- out to traits.
We have to fork over money in the -- sister -- is reportedly dying Obama care.
As a week to cut costs -- could push those too young to qualify for Medicare.
Out of the city run coverage.
It into the new insurance exchanges that are supposed to be created under obamacare.
Sounds like the cities just pushing the burden back -- a federal taxpayers right.
And more cities may be following suit here to break it all down lawyer -- it's we also have long.
He's medical eighteen doctor Marc Siegel with that's welcome to both a video.
Mark that's exactly what's going on right they're saying we are not going to provide a federal -- not a penny but now there's this factor -- they take people who were guaranteed.
As -- years and -- as employees health care.
And they're pushing them in to the Obama care exchanges.
Which means the feds pick up a big portion of that price tag and that would be us so in essence.
That is a federal partial at least federal -- out.
7500 public employees in Detroit over 111000 in Chicago -- a very similar -- yet if the employee.
-- is up to 400% of the poverty level.
They're gonna end up getting approximately.
On average about 4000 dollars towards their premiums by the feds got sounds -- -- bail out to me and if you're one -- -- person per person and a and that's coming out of taxpayer pocket but if you one of these employees you're probably saying wait -- -- I worked my whole career in the city of Detroit and now what I got to go to the exchange and -- what.
I thought my health insurance was fully covered this and if they're over 400% of the poverty line as you were saying Melissa they're gonna pay the whole thing if they can afford it.
Gap doing it I mean do you agree with that break down it and it seems like.
It's sort of one of those solutions were almost everybody does -- because the employees and former employees are going to be mad as a -- -- they're going to be paying something.
And before they were paying anything.
And for us the federal tax -- we are going to be helping to bail out Detroit.
They're probably not just Detroit and it works in Detroit this probably gonna spread all over the country.
But you know Detroit's in bankruptcy.
And and they may try to slop off the entire responsibility.
For paying -- any health care for any of these employees you have to understand.
They get in -- it in many of these cities.
The health care costs are double what -- what what their pension plan costs are.
This is normally the biggest bill that they have -- health care for retirees.
And anyway they can find this stuff up any of it off yeah gonna do.
No absolutely I mean it in fact at cornea pew study 61 of the nation's major cities have a 126.
Billion dollars in retiree health care costs.
That is the giant.
Liability producer Melissa there are ways to reform these things -- -- -- republic not a bellowing up how Republican governor is an Indiana Wisconsin and New Jersey Chris Christie of actually change what the insurance covered with health insurance coverage for public.
Employees that have retired now I'm not saying that that's the best solution either but that's a heck of a lot better than throwing these people.
Out into the cold -- to the exchange onto a broken program obamacare that's like saying the post office is gonna say -- Re enjoying what about the fact that if we are talking about putting these people onto exchanges that do not exist.
I mean they're not there.
Yeah I need this.
Unintended consequences of obamacare I mean nobody first saw when when they when they implemented obamacare that that that this was gonna happen and these exchanges are in many states -- being set up in in in most states are slow to be set up there and they're having trouble getting them set up even when they want us.
Set a -- doctor Siegel how close are we having any exchanges immune talking about this for a long time and obviously.
That's one of the main reasons that the federal man at the employer mandate has been postponed.
Well whenever that one of the things that obamacare thought was gonna happen is that all states we're gonna say here I am -- -- -- in exchange.
But the majority of the states are gonna focus on a federally run exchange some of them like Michigan by the way are gonna partner with the -- where they do one thing the feds to another know how well does that work.
Can you when the last time you remember.
A state and the federal joint program working Medicaid is a -- because of that and that's what's gonna happen here I think October is that is the date.
For January 2014.
I -- and many other experts do not believe that these exchanges are going to be working by 2014 and then here come our 7500.
It was municipal employees out of -- hole.
Right it and we could see more and more municipal plays swing you mentioned it but we RD -- reports.
That Chicago is watching this very closely to see if this could be any answer to bear.
Unfunded health care problems.
Cities like Stockton in California -- mean everyone perked up when they heard Detroit was looking at this.
What do you think every what's the what's the likelihood that others policy it.
Well everybody's gonna watch Detroit.
And -- this bankruptcy.
And that does this shifting of this health care works for Detroit how you can bet that that it's gonna happen.
In every city that's under water.
-- sickly what is the other option because these folks I mean eight this city is going bankrupt.
That this system that they think they were promised you know there's heartbreaking comments from people saying I worked my whole life and I was promised that my wife and I -- gonna have health care for life.
There is kind of know we -- do that at this point.
Well I'm not sympathetic to that as a physician -- I feel that these employees worked their whole life what you just said I think that health -- is going to be Paramount house they get older if the city can't fungus.
The city might as well just -- pretends I think there should be a high priority for the city.
And again that this alternative doesn't exist as far as I'm concerned Obama -- is not gonna save these employees they're gonna -- -- without health insurance.
And without health care.
-- talent thanks about the -- Thanks up next.
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