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Story tonight millions of seniors are the latest to be safe from some of the most controversial aspects of Obama care.
The administration says it has decided to award quality bonuses to hundreds of Medicare Advantage plans.
Not just the above -- average plans for more on this I'm joined by Jim -- co-founder of -- -- government relations in the -- the book.
Stop paying the crux Jim welcome.
Thanks for -- we are right so this -- the news today from the president.
Is sort of a reprieve for people on Medicare Advantage this is a much beloved program out there by many seniors.
Why is this happening now and what does it mean.
Well probably has more to do it the forthcoming election next year than anything else.
Medicare Advantage -- very popular program ten million seniors opted to be in it.
African American Hispanic.
And to withdraw -- right before an election be a bad idea.
RA well I know the president struggling in Florida maybe this will give them some help there you know we've also talked a lot on the show about all the waivers given to companies.
And unions frankly who want to get out of obamacare about a thousand have been issued.
It seems to me that the president is doing more to unravel Obama care then his opponents you think so.
Well it's an interesting observation that's right there -- over a thousand exceptions to obamacare which by the way.
The secretary does even technically have the authority to grant those waivers that she has -- anyway and the factors that -- -- a thousand there's a lot more applications in the pipeline.
I clearly this isn't working right for everyone.
Medicare is the subject of a lot and debate right now on Capitol Hill because its growth is just unbelievable.
Annualized double digit growth he told me this afternoon total budget just under 500 billion.
Can we sustain the size of this program or does it need some kind of tweak.
It needs some serious overhaul in fact.
The Congressional Budget Office baseline in March said that the Medicare trust fund will be completely bankrupt in ten years so it needs a lot of reform.
And now the the proposal put forward by Paul Ryan actually addresses in the serious way.
Cannot make sure the seniors are protected and have access to care that they need.
Our let's talk about that a little bit let's explain -- first that Ryan talking about a voucher program for senior that would that would give us something like 121000 dollars.
Every year dot -- line and this isn't gonna cover their medical needs isn't.
Well it's actually modeled on the very program that members of congress are in themselves a program that's been around since longer than Medicare has.
Out of federal employees health benefits program has been around for fifty years from Medicare is only about 45.
I -- works extremely well.
Well no matter where you live in the countries a federal employee.
You have will probably between ten and twelve plans to choose from some cases many more and it's very popularly can change once you -- you don't like the plan that your.
There is so there's the ability change unlike in Medicare presently -- can't move around there's it's the government plan and then there's the government plan.
But -- real down on this issue of where the savings come from I think that's a big concern for a lot of Americans out there.
When you read TU comment from Alan Blinder writing in the not bad for the Wall Street Journal today.
-- question is worst things first he says the plan threatens to eviscerate Medicare.
By privatizing it -- vouchers that absent some sort of cost control miracle would fall further and further behind the rising cost of health care.
Where -- the savings coming for him.
Well Medicare is -- -- itself.
And I faced just mentioned -- trust funds going to be gone in ten years completely bankrupt but I think but the Paul Ryan does which is the right way to do it.
Because most broadly speaking there's only two ways to reform the program.
It rely on more bureaucrats running it in their parent brilliance and price controls on one hand and then the other hand engaging consumers more.
And that's -- -- the Paul Ryan plan does he gets consumers more involved.
Making more decisions.
And giving them more skin in the game so they can actually asked questions about whether or not this particular treatment is necessary whether or not this.
Particular visit is necessary and it controls cost the right way which is what how.
By making sure people are asking the right questions by making sure that people are.
Choosing plans that are effective and can meet their budget and if they don't need to go to particular visit -- they don't have to.
The program that -- you know frank here the programs out of control.
It's gonna go bust very very soon and Ryan's plan would in part have seniors pick up some of the slack.
Yeah that's correct but again it's exactly like this the program that members of congress are in themselves and we all know they would create something that works for them so that's that that model that we're now using for for Medicare.
Well I gonna tell -- it it is an intractable problem Ryan's plan is brave.
And we're going to be watching this and we hope to have you back to talk more about it thank you so much for being on with us today we released --
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