Tuesday, our encore presentation of first ladies with the life of pat nixon. She travelled abroad more than lady before her. To the d Public Access white house, while she rarely spoke in public, she with her husband through memo or president ial aides. Life s as we examine the of pat nixon at 9 00 p. M. Cspan. Here on our series returns in the new ear with the five most recent first ladies from nancy reagan o michelle obama, monday night starting january 13 live at 9 00 eastern on cspan. Along with the White House Historical association, were edition of pecial the book, first ladies of the United States of america. Biographies and a portrait of the first lady. Discounted or the price of 9. 95 plus shipping. Website it our series with the special section, welcome to the white house, in the ronicles life executive mansion. Thats at cspan. Org firstladies. Coming up on cspan tonight, 1 iscussion on the january start of coverage under the Affordable Care act. Hats followed by the year in review, examining immigration legislation and the change in the senates filibuster rules. We are in the gallery of the Light Catcher building at the museum. Vanishing ice,at alpine and polar landscapes in 17752012. The purpose of the exhibition is to highlight the rich cultural planets frozen frontiers, the alpine regions, the arctic and antarctica. This is a photograph of the Greenland Ice sheet by a german artist, olaf auto becker dated exhibited nd its idebyside with a photograph by camille ceman, also of east ringland. Its from the last iceberg series of 2006. Many people understand the importance of ice for the its reflective qualities that help regulate the climate. Are unaware that its a collective consciousness western culture about these regions. So its important within the Climate Change to let people know that these regions are fundamental to our identity. Theres more from the museum this weekend as book tv and American History tv look at the bellingham, washington, saturday on cspan 2 on cspan 3. 5 00 bring Public Affairs events from washington directly to you, putting you in congressional hearings, white house events, briefings, and conferences, and offering complete gaveltogavel overing of the u. S. House all as a Public Service of private industry where cspan created by industry 40 years ago and funded by the satellite you able provider and now can watch this in hd. Health Insurance Coverage the Affordable Care act starts on january 1. Next, the discussion on and whats to come in 2014. From washington journal this, is an hour. For the next hour, we will talk about the Affordable Care act and how things are going and where they are going in 2014. Ur guests, julie rovner we are also talking with noam levey. Thank you for joining us. Here are one of the headlines over the weekend. Home of one million enrolled on the exchange this month. This came out from the administration yesterday, still , but the larger question, going . Things going e it is much better than it had been. Everyone recalls the rollout of healthcare. Gov. The administration was only able to unroll a few thousand people in the oeste month. By that measure, it is doing a lot that are, as the headline indicates. Still short of where they need to be. Another three months to enroll people. If momentum continues, perhaps they will get a few more million by the end of the enrollment time. Coming thisant date week. What will make a successful january 1 for the administration . What they are most worried about is all those people for the the last week, if you take the numbers apart, it looks like own almost half a and people enrolled they extended again to christmas eve, to make sure people who signed up for a plan actually have insurance. They are all the people who want insurance then. If you keep signing up now, you will have insurance, let the people who signed up were really are to have insurance starting on the first of the year. It is an orton for the people who think they sign up for a plan actually have a plan. It is not just the front end of their website that works but the back end, which means all of those get translated to all the Insurance Companies and the companies are able to follow through with the people who signed up, to make sure the people who signed up aid their premium. That is how you actually finish the process. They extended that deadline as well. That two 2006 when the last big one of these rollouts, they rolled out the medicare description drug plan on january 1. A lot of people went to the pharmacy and discovered they did not have the cover coverage they thought they had. That is the big worry. Press phone numbers on the screen for our guests and viewers to call into our guest. Lines for republicans and democrats and independents. We are talking about the health law and where things are headed not only this week but for the rest of 2014 and beyond. We look forward to your percent to participation. We make sure we are reading those and getting as much information on the table as possible. To the insurers, are they ready ready . Guest more so than they were. The timeframe between now and when people are supposed to get insurance is very tight. Many Insurance Companies have been scrambling to ensure the people who they think are coming are the right people, the people that signed up think they signed up are actually on their roles. Folks in the Insurance Industry i talked to are optimistic they will get things worked out. Be a few were probably more bumps along the way as well as people begin showing up in trying to use the insurance. Us more about the potential problems hanging over january 1. They get enrolled properly. Most people think it will not be the same types of problems there were with the Medicare Part d, was people obviously get prescription drugs pretty much every month. It is not like everybody will 1ow up to the doctor january and january 2. The people who really want insurance to start january 1 are mostly considered people who think they will need insurance going forward. People keep talking about how important the demographic mix is , that you want the healthy and the sick and the good mix, they will probably not have that right. And of march. People whoare the think they will need Health Insurance. Will they show up at the doctor in the first week . About we not dare there is probably more of a grace time here to get this straightened out. It will not be as bad as everyone on the pharmacy in the first few days. The signup iss, october 1. The signup by december 24 to see the coverage beginning at the beginning of the week. The final sign up date is march 31 of 2014. More insight on those days and where things are headed . Guest one thing hospitals and doctors and pharmacies are thinking about is while the numbers are relatively small, and we are still talking about a couple of Million People, a good portion of the people may not have much experience using Health Insurance before. Health insurance is complicated, even for those of us who write about it. Understanding the way networks and deductibles work, we may see a little bit of confusion on the part of consumers who think the health plan they selected includes this are that drug and perhaps it does not and they need to adjust. We will see a little bit of that. The other thing is, as it has been happening in the market for a number of years, and deductibles are still rising in a lot of health plans being sold in the marketplace is. Consumers who think they are paying their monthly premium, and now they have to pay 2000 before they get any health Insurance Coverage, that will be an adjustment. Speaking of consumers and people, i want to point out this tracking poll, to give you a sense of what folks out there are thinking. Holding steady in november levels is the latest we are seeing here. You can see three lines here. The redline has 48 of people viewing the aca as unfavorable. Interview,st below 34 . In this line, they are just not sure. They do not know. Any more insight into the numbers . Class it was not a good autumn for the Affordable Care act. The website failing to launch and people getting policies canceled because it did not meet the new requirements, there was just a lot of the publicity and that was reflected in all of the polls across the board. Lets hear from michael on the democrats line. Good morning. Im calling because i just want to know why people keep going around telling people not to buy into this president posses insurance. Are cap dese are telling other people out there not to buy insurance. It is so unfair. They can afford some sort of insurance. I am not saying insurance is perfect. It is not. At least it is a hope. It is a hope for people out there who can afford to get some sort of insurance. Mom the years, i watched my insurance month for as she was only making 6,000 a year. Monthd to pay 800 every just to get insurance. That was not topoftheline insurance for her. When she got sick and went to the hospital, she did not even nurse there. For all that money for what . People have got to wake up and understand there are people out there telling you not to buy the insurance and they are in short. Me there waslling a republican senator who was elected the other day and came in and started asking about his they tell him his insurance will not kick in until one month after he is on the job and he is raising hell. Thank you for calling from maryland. Any thoughts . Guest buying Health Insurance is a personal decision. Some people do not want the protection that comes with the insurance. The law establishes now a penalty for people in many cases if they choose not to do that very on the other hand, i think many people look at Health Insurance and they will make a decision it is something they want to invest in and the law make that available and it is important to keep in mind before the law was passed, buying Health Insurance was not an option for many people as you are sick and would not have an easy time getting it. There is a concerted effort by opponents of the law to make it fail and encourage particularly younger and healthier people to not buy Health Insurance and pay the fine instead. There are people who suggested bad thing foris a the law but it may be a bad thing for people who do not buy insurance. For many people in the early years, it will be cheaper to pay the fine band to have insurance. But if something happens to you, you do not have Health Insurance. Stories inumber of the paper today, even on a quiet day like this, they write any reaction to that headline . Guest if you already paid your deductible for the year, you do not have to start over again in january. Another reason is because of flexible spending accounts a lot of people have, where you put money aside taxfree, and it used to be if you did not spend that money before the end of the year, you lose it. The Treasury Department has changed his will that you can roll over some of the money. A lot of companies are not allowing that for this year. For many, it will start next year. Octaves and tend to have a lot of specialties. A lot of people buy glasses at the end of the year so they can use that money. You mentioned, in some cases, it is not just these plans under the Affordable Care act, but a lot of employer plans andtightening up networks putting hospitals and specialists out of their network. A triple whammy about people trying to fit things in at the end of the year. The story speaks to something the caller alluded to, which is the Affordable Care act is a huge law. It is making major changes to the healthcare system. For some people, the changes will be positive and for some people, the health plan will be more expensive or the network may be smaller. Mind whento keep in reading headlines and thinking about the news about the Affordable Care act is that, like anything that changes the system as dramatically as this law does, there will be people for whom it is better and worse. Smallerple may have a network than before. Some people may pay a higher deductible. Other people may get Health Insurance for the first time and never had it before. Or, they may end up paying less. That is an important perspective to keep in mind. Host a republican caller named al. Me a few minutes here. I want to tell you first off, about two months ago, i got notice from an Insurance Company and was thinking about getting additional insurance, just major medical. Let me tell you this. I have got medicare. I am 71. When i was his the five, i never used it. I am a decorated veteran. I have v. A. Insurance. Me woman first first call and gave me a spiel about how you got this and it will not cost me anything. It will not cost me a dime. As i got into it, i found out you have to pay for this and that and this. I do not want anything to do with it. I have plenty of insurance and do not need more. Day before yesterday, i got two packages and are now. Not one but two of the same package for my insurance. They enrolled me and i will call someone. Have 375 pages of insurance in the packages. It is disgusting. So much for birth control. I am 71 years old. I will tell you what this program is primarily for peer for the minorities. A lawrs ago, they passed where you have to take care of people going to hospitals. It is what happened. These people cap going to rgency rooms so hospitals cost of insurance went up for everyone else. You michaels mother was making 70,000 a year. She probably had a family. What is wrong with her paying for that when everyone else has to . Lets hear from our guest. Any response . If you are on medicare, you are not allowed to enroll with the Affordable Care act. Lets start there. For people uponly to age 65. Right there, i do not know what kind of plan he was enrolled in, but it is not for people on medicare. If you are on medicare, you can get supplemental insurance, but you cannot get an Affordable Care act plan. Is calling from new hampshire, independent caller. Hey, there. Are you there . Affordable care act. I would have preferred a single payer but im excited about having health care for all americans. If one wants to see what a Free Market Health care world looks like, i suggest viewing the dvd, as i lay dying. It is positively grim. I suggest all republicans and young people watch it. Thank you. Lets hear from salt lake city, democrat. Hi, there. Yes, good morning. [indiscernible] i am really happy for this on c span, objectively. I want to make more comments about health care. This has been a problem in america for as long as we can remember. [indiscernible] there are sets of problems related to the formal health care act. Number one, [indiscernible] late in his first campaign, and to makesequent efforts the legislation go through , from different stakeholders. I think obama made a mistake because theynning , so it so difficult difficult, that it was not easy to explain and it has lost all of its weight because it has been gutted during the conservative and other stakeholders [indiscernible] it was almost bare bone. The easiest thing was to keep the public option. That was the basis for the whole program. Liberals are known to be inconsistent. They do not stand for anything. Everyones they see elses digging the heels, then they start changing. [indiscernible] conservatives are those people who do not like from day one and [indiscernible] Big Government is becoming involved in our daily lives and a big section of the economy. Thank you for calling their a lot of points. Lets hear from our guest. Very complicated. A process of a long and arduous legislative ross as i do not think anybody would say was perfection. The president may have noted that one point that the only perfect law was handed down on mount sinai. Hase is no question the law a lot of flaws. Under normal circumstances, some been andaws might have might still be addressed. It is very difficult because the law has been polarizing as it has been over the last 3. 5 years. It has been very difficult to make the kinds of adjustments one would normally at from a piece of legislation this size. It is part of the reason we are where we are. An editorial cartoon showing the president with a bunch of contraptions generally called obamacare and he says, he does not want to return this and he just wants it repackaged. What do you think he is trying to say here . Of the difficulties, he has laid a very complicated and laidre system something even more complicated on top of it any wonder why people do not understand it or why it is difficult for Health Supporters to explain it. To make it more calm gated, you have a polarized congress who cannot even do the smallest fixes to it. It is not even imagine matter of repackaging. There are a lot of small things both sides would like fixed and they have not been able to because congress is so gridlock. One of the Things Congress one of the things mentioned about the gridlock, they could have gone with a public option. One of the things we are really seeing around the country is that the prices really differ depending on your family size and age on how much you earn because there are subsidies. We are also seeing the prices differ markedly depending on where you live because of just how much insurance costs and how much competition there is. It is turning out to be kind of a luck of the draw. In some places, people are saving a lot of money because they happen to be lucky enough to live in a sweet spot for the Insurance Agency and in new hampshire, where there is one insurance policy, they tend to be expensive. A tweet asking how taxing Insurance Plans lowers the cost of insurance. Guest it does not. By a number ofed different mechanisms, including a couple of new taxes. That was in part driven by a desire to ensure it would not add to the deficit. Expensive to extend coverage to millions of people. One of the taxes is a new tax put on the Insurance Plan to help offset the cost of coverage. There was rationalization that the Insurance Industry stood to gain a lot of new customers and they could make a contribution. But i do not think anybody believes if you add a tax on to insurance that that will not be passed on. Moving on to pennsylvania, a republican, high. Hi. Caller hi. I know 90 Million People will lose insurance for applying for the insurance is too expensive and the only other recourse is medical assistance. I am wondering how many other people have been transferred and are now going to be stuck applying for medical assistance, something that i would never want to do and i want to know how many other people do it. The second question is, in regard to taxes, i understand a tax, 3. 8 , can you please explain and i will listen after i hang up. I do not think there is a 3. 8 tax on rental spear there is a tax for high income people, a number of taxes, that you have to make more than a quarter of a Million Dollars for most of those taxes to kick in. Not a lot of good numbers about how many people lost their insurance. Is onlyemember this within the individual market this year about people whose policies were canceled because they did not meet the requirement. The majority of those people got other insurance. Many of them got cheaper insurance and we are mostly hearing from people who did not because those are the people complaining, or they were getting subsidies. There are a number of people looking or there will be some people who end up hanging more. It depends on where you live and how much insurance costs. That is still sorting itself out. The story was found there it ceou. S. Government named for obamacare. Coming under increasing pressure. The chief executive to run the federal marketplace and to lay the concerns of insurers after a rocky rollout. Guest the white house heard some of the criticism. After the botched rollout, the essentially ad Rapid Response rescue man to come in and take it over and he stepped aside now and the former executive from microsoft agreed to step in to take over oversight of the further implementation of healthcare. Gov. It is not clear whether or how long he will stay. He pledged only to stay within next year. There is discussion about whether he may stay longer. Clearly, one of the real weaknesses of the implementation of healthcare. Gov and the enrollment process was a lack of clear leadership in the obama administration
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