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-- -- The -- budget plan calls for major reforms to Medicare according to our next guest is going to mean rationing of health -- played a simple -- thing.
Doctor Mark Siegel is here.
After explain this 12 -- real simply because this is complicated medical stuff and I don't understand it why does President Obama.
Implied rationing -- -- He says even as he extends the Medicare to more and more people on Medicaid to more and more people he says that he wants to -- 480 billion dollars.
By 20/20 three.
How is he going to do that he's gonna do that by empowering.
Something called the independent Medicare advisory board.
Which kicks in -- medical costs go up beyond expected.
Whenever that happens this board kicks in and says this treatment isn't cost effective this treatment is -- working this treatment is not.
-- and that's what I don't want as a physician and that's what my patients don't want and that's rationing your federal government has a committee that decides what's a good treatment what is it that's just like Great Britain OK so -- don't know no disrespect and.
And on -- talk and -- exodus out.
If you've got medical costs that the rising rising rising rising rising incomes this -- -- it's activated.
And -- board says you can have back but you can't have this that's -- exactly form of rationing got it exactly and it's based on studies that are not proven by the way it's based on.
Arbitrary -- -- don't look like -- -- -- -- listeners may be it will book maybe it would put a cap on medical costs which I'll killing in this town you know I don't think.
See you gonna do it personable -- I don't think it'll work because you know what if you make an arbitrary ruling you don't get a -- and you need to get sicker later down the line like cataracts we start -- Single character.
Personal -- how do you stop this constant rise in the cost of -- to adopt for a hospital.
Often they do it first -- you raise the retirement age.
It's ridiculous that people are healthier living longer and better shape than they were plus years and years ago and that's gonna -- -- uncle that's gonna cut down on course because the entitlement program.
Is spending a fortune on people between the age of 65 and seven so it raised the retouched images raise -- to -- today.
This entitlement doesn't kick in until seventy if you got five years we -- not having to -- and entitlement.
That's how you control costs that's one way.
And other ways you could take a modified version of Paul Ryan's plan and say.
It's up to a certain age you give a lump sum and you -- -- out to a private insurer who I can deal with much more easily than I can do with a government a good thing that could have a private insurer turns me down much easier to appeal it it's on a case by case basis.
I'm in favor that -- also in favor of cutting down the overuse and abuse in Medicare but not the way the president envisions some police is gonna come and and prevent practitioners from over using things in from the -- stand licking stamps that's not how you do it.
You have boards of doctors -- get involved and police their own and you don't make it's so easy for people to go to the doctor's office of the not sick.
That should be -- if that's politically impossible.
And you know it.
Politically impossible but medically correct and I'm tired of politicians I guess I -- I tired -- politicians talk about something they have no clue.
An elderly person should not be able to over use the insurance but they should be able user when -- -- -- preventive medicine the president loves to talk about that.
In real life it doesn't work in the doctor's office.
But dobbs is getting paid for a visit every visit from a Medicare patients.
They're gonna keep bouncing that Medicare patient don't especially if they're paid too little color.
They are rationed in the number of times about Medicare patient can go that's rationing that's gonna cause more Costco did you -- the number of times it -- turtles hooked up to novel in the in the hospital for the kids see me when they're just starting to get -- killing me in -- yeah -- runs -- thought -- there's almost no room for my take and we got him to talk about collaborators in your take you should be.
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