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Well we've all those aforementioned complexities of legislation ultimately really does come down to something very simple right.
Numbers Nancy Pelosi need the votes -- have them.
Let's bring in -- Troy senior visiting -- Hudson institute and former health and human services deputy secretary Teddy.
You have said this will be one of the most important weeks ever for the American health care system.
Yeah all thanks for having Brian -- schoolhouse rock never anticipated any of that stuff today.
What's going on is that the Democrats are at the culmination of their two decade plan to remake the American health care system.
And they are gonna -- -- get this through and obviously -- getting the votes is a challenge but if they do get it through it will be very hard to undo what they're about to do.
If they don't get it through.
Then there's also the issue that they are going to have a weakened president and a large majority in the house and senate that really didn't accomplish much in two years.
You know -- an excellent point as he usually does which is if Pelosi had the votes that she had to sixteen.
They -- already voted do you agree that launch.
Yeah -- completely right about that but I will give this one cautionary note.
That it is the frequent practice in the house on -- votes that -- say if you get me within five or seven or ten votes to get -- to the floor.
I will make it happen Tom DeLay famously did that would be Medicare part.
56 years ago.
When he if they were down when they went into the vote and they kind of -- that a lot of arms to make it happen so it is not unheard of for them not have the votes to go it going into a vote.
And then making it happen on the floor but -- still got a number of concerns not the least of which is -- this is supposed to be health care for all.
There's millions of people even after they get the bill as we think it's going to look done that you're still gonna have millions of people who are not covered.
That's right this bill would cover about 31 million people half of them through Medicaid which is not the best way to cover people a lot of people are unhappy about coverage and a lot of doctors don't want -- take it so that's one issue.
But even with that they'll still be 24 million people who don't have coverage in -- -- -- nineteen.
That's a lot of people to be uncovered after spending a trillion dollars do you believe a lower cost.
-- I don't believe it will lower costs and -- -- it -- CBO.
-- has some mixed messages on this overall and they say that -- If the Democrats do everything they're gonna say the -- bill will be deficit neutral but that would require them to do the doctor fix which they -- all but -- do.
And doesn't actually do in addition CBO said that the premiums in the non group market are gonna go up ten to 13%.
If my insurance there's going up I don't think -- costs are going now is there any way you and -- talked about this Teddy we talked about the demographic issue a few weeks ago do you believe there is any way that we can truly.
Without cutting coverage without saying no to some seniors I know it's unpopular but -- -- is there any way to cut it other than that.
Look at I don't think you have to just you know cut off dollar for seniors or make huge cuts in Medicare I think you need to make some kind of adjustments we talk about retirement age of the possible adjustment.
We -- talk about putting in some kind of market based reforms.
If people have some skin in the game.
They'll think a little bit more about what the cost of each various service that they trying get in trying use the power of consumer driven health care to bring down health care -- You know -- about the state of -- Have started to create almost not quite almost all locked -- type health insurance pricing.
Some people starting to look at that do you think that could be a model where you keep you could buy insurance based on what you feel.
You know or you fear might happen or is that -- open ended can -- get sick and not covered you're gonna demand coverage anyway.
Think what organs period is -- guy get -- Allah cart but it's got to be combined with a catastrophic plans to have something god forbid terrible happens to you you do have coverage for that catastrophic type events.
I'm I also think that stayed experimentation is right way to go.
I don't think we need to have a federal overhaul of the whole system that the Democrats are talking right now why don't we let some Smart state experiments like what's going on and -- -- Or what Mitch Daniels is doing in Indiana would be health savings account when we let those start -- state experiments take played -- that would take time but right and time is not on the Democrat side.
Well it's the and it's not on their side because they've had two years they haven't gotten much done the American people -- are being down.
Who -- they don't like with the Democrats are trying to do well the big argument is you know hey you know don't knock.
Guy who is an argument with Scott Brown the whole thing and and and I know loosened some heated words over the weekend -- which is.
You know Gibbs the White House spokesman was saying well -- just Massachusetts writes this Massachusetts.
On a federal level.
Do you do you think it is that a fair argument -- look.
I mean if it's ridiculous argument if if you want me to be right.
The the the fact is that Scott Brown won Barney Frank's district which may be the most liberal district in the country the fact.
Is that if the Republicans can win in those type of desperate Democrats are wary everywhere.
But we talked about organ in Massachusetts maybe isn't that the idea should in the states.
Of course we're debating theory I guess here and we know -- that -- vote is.
It's probably come up here any day now.
But do we think we should just let the states do what they want is -- the basis of federalism.
Bottom of a definitive let the states do -- they want but I hope we get -- with earnings guidance right why not right -- wants to have.
You know universal health care and -- wants to have a -- cart and you don't -- why not more of that putting him in the states hands.
Yeah I agree I think we should have more in the states and the thing -- have more market driven reforms I think we should get encourage people to save.
And be consumers and think about how much they spend on health care.
I think all the things -- it would be good things I don't think they will transform the system overnight but I don't think this oh this huge overhaul is gonna fix our problems.
-- Troy visiting senior fellow at the Hudson Institute Teddy always a pleasure we'll see backs.
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