Page 7 - Payer System News Today

The reason, only reason it was there is to prevent companies-to-that do provide it from dumping their employees youre now saying youre going to do that. >> were going to have to have a single player system which is what he wanted. saying of course we want to go with a single payer system but we cant do that because now were going to show people you cant trust your employer. how about doing a single -- . >> quickly. >> i bet you -- . >> answer this question for me please. there have been a number...

>> with all due respect, adam you may be right. >> ah! you agree with me. to get people into it. >> insurance companies are going to raise their premiums everybody will hate them. they will leave them. state workers will leave the present system and join the exchanges and private workers will follow especially those that have been dumped from the employer plan. then it will be uncle sam providing coverage. >> there is no doubt that a single payer system is what the many policymakers wanted and w...

From the health care law, mainly poor folks and medicaid recipients didnt know enough about the affordable health care law. i think about in 2009 when we went to the digital transition to tv. from analog to digital. you could not turn on the tv or radio without making sure your tv set was ready for the transition. i do not feel there has been sufficient information to the layperson about what you need to do depending on your situation for affordable health care. >> so jay, this is the applicatio...

Theres also private health insurance. and so because of the fragmented system, theres going to be more complexity than there would be in sang l payer system. in addition, most people will go to the internet and punch in the answers to a few questions and many pages are not relevant to most people. all that said, yeah, it has to be shortened. >> medicare for all and single payer. as horrifying as it is, there have been 39 changes to a three-year-old law, is there a chance it may have us move more...

Insurance companies have to sell to these people. in addition, theyre losing people now. so they have to sell to the exchanges. they are able to persuade people to buy poor value insurance for high prices. >> give me one state doing it well. >> california. >> give me one doing it badly. i will. louisiana. >> texas! but this makes me think about the work that youve been doing for a really long time. trying to look at the thing that is health care and get people to access it in a very different wa...

Texas. >> and it is optding out. thats right, you would expect to get them to great to expand medicaid. instead governor perry said no, were not going to expand medicaid. that means the system will cost more because people will wait until things get serious. they go to the emergency room. it costs more. the people in texas will stay pay taxes to ensure people in other states. it makes no sense whatsoever. zbr it makes political sense if he says youre a poor person in texas. obama care has done n...

Make apples to apples comparison. and that should drive down prices. but it only works if everybody helps the system. an enormous number of people logging own and buying insurance. if its only at the moment where im like, uh-oh, better get my insurance. how do we make sure they all sign on? >> there are a couple of ways. the affordable care act provides funding for knave gators which are people and organizations that help people sign up through the system. most importantly, as i said earlier, th...

Pluralistic system. i think the good news in the aca is the pluralism of state-by-state approaches to cost were seeing around the country. its exciting, oregon with community care organizations, massachusetts is trying a global cap. arkansas is pushing bundled payment to the limit. its exciting to see what theyre going to do if their new state legislature lets them proceed. maryland has an all-payer system, theyre going to experiment more with. vermont may go single payer. were going to see quit...

Clearly delineate what would president obama do, what has he done under his health care act to medicare in terms of cuts in medicare spending? what would -- what would ryan do and what would romney do? can you delineate among the three so people now on medicare are facing tonight next couple of years, will see what their choices are? >> how much time do we have? >> you can do it quickly. so, what obama does is he keeps medicare broadly as it has been, but makes important changes to it. it remain...

But romney -- aligned himself with the ryan brand, but not specifics? can he get away with it? ezra klein is a msnbc political analyst -- david, i want you to do something nobodys been able to do in the last couple of days. clearly delineate, what would president obama do, what has he done under his health care act to medicare in terms of cuts and spending. what would ryan do and romney do? can you delineate among the three, so that people now on medicare will be seeing what their choice is? >> ...