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Now our next guest says putting health care decisions and -- the states.
But the the right move we welcome Kansas State insurance commissioner sandy Prager good deceive a spring I don't know if you just heard our last guest suggests that states are going to be forced -- sort of by this pressure -- that the federal government can apply to accept.
That their program what -- you say to that.
I think I'd prefer an opt again provision and and the states that feel they need.
That additional market competition would probably elect to do that by the end.
In states where there are choices.
And and certainly state regulators understand their markets.
I just think it especially where health insurance is concerned and health care is concerned those decisions that are left of the states I think are much better for the consumers.
Yes city -- -- points here however.
Study after study says that the United States spends three times where it per per taxpayer what has spent.
In Europe where all those -- what -- all that spending go wanna go right back on to the US taxpayer.
Well the health reforms they're talking about now our insurance marketplace reforms they're really not looking at the underlying cost of health care and that's where they're going to get.
Began -- bend the cost her best as everyone likes to say.
And that means paper quality of care not quantity of care moving from about your purchasing vs.
-- and purchasing which is the current system we have today with fee for service medicine.
But you look at the things that are -- planning to cut Medicare Advantage flexible spending accounts are gonna force people to buy insurance or don't have it.
It's it all seems to add up to less choice for individuals is that right.
Well I think it it is important that we get everyone covered and that will.
Hopefully also by getting everyone but the cost is that there will be less choice for individuals who now have coverage correct.
Well I it.
It if that's possible but I think that the goal is to keep some of those choices and place it's interesting guy in your previous segment you mentioned the flexible spending account might just get open enrollment today.
And decided not to take a chance so I'm only putting aside what I think the new minimum will be who will golf -- -- -- -- Washington for all sort.
Of ideas and on the Democrat side the city the question this.
Really do you trust the numbers coming out about how other that deficit -- the deficit spending that's going to be needed it to basically take care Health Care Reform.
You -- do think those numbers are solid you think they're right.
Well you know I've seen so many versions and -- -- a lot of it depends on what the final package is so I.
I'm not sure they they truly understand.
What the cost will be over time.
I guess the important thing is take it I I do think it's important in this country that we have everyone covered with.
With some method of paying for their health care services so that everyone gets access to the care presumably.
That's going to help control costs as well but.
You know the devil is going to be in the details going forward and there -- some decisions that if the wrong ones are made.
It can't drive up the cost even more without really delivering quality of care we want well what worries you most see him.
What you know what worries me most is that will do nothing because I I think the cost will continue to go up.
That I really hope we can move on to a debate about.
The the the way health care is purchased and move away from fee for service where you have to buy more to get here or.
Provide more service to get paid more.
And and allow doctors and hospitals to be more rewarded for doing the right thing and I think then we'll begin this to perhaps bring some of the costs under control and maybe take some of this pressure off by us I.
What ought to I went off worries me most is that we.
Lose the competitive marketplace.
I don't want us to have eight.
-- government -- I don't think most Americans agree with -- on that sandy thank you very much very Smart points there from sandy Prager.
Insurance commissioner for the -- can.
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