Almost 70 of people in america say the Health Care System is broken try to write. I really think that health care is going to be the number one domestic policy issue in the president ial election. In a recent poll that just came out from gallup said 35 of the American People polled Rate Health Care is extremely important as what the issues we. We sing in the polling 53 of americans support a a singlepayer. I know private coverage but now 65 are supporting the public option which would be a Government Insurance plan to compete against private insurers and i call this a steppingstone approach to singlepayer or government run health care, medicare for all. Host the proof is in the pudding. If you look at what happened the last election cycle two years ago, my party, i guess a year ago, my party, Republican Party, we were ousted as the majority in the house of representatives. Many people make the argument the reason was the issue of health care, that many of us campaigned on repeal and replace and, unfortunately, we came close but we didnt get that done and it was shown at the ballot box. Guest exactly. It was unfortunate because donald trump won the presidency edge of the house and the senate. By saying were going to repeal and replace disastrous obamacare which it is a disaster and it is turned the whole Health Care System upside down for a very few people. But we are definitely going to see health care be out there and be the issue and we got to present a Cohesive Strategy to the American People to educate them on why its important to have an marketbased Health Care System and not one controlled by government such as federal government. Host lets talk about obamacare, the Affordable Care act. The forward to your book was written by senator tom coburn and he made the statement, the Affordable Care act has still deliver on its promises. I did as president obama signature legislative achievement when you do full effect individual market premiums have risen 75 pick many low and middle income people have been forced into plant with deductibles as high as 12,000. Let me hear your opinion on obamacare. Guest obamacare will turn ten a march 23. I thought for sure it would have been overturned in the supreme e court in 2012 and then the 2015 but it wasnt. Senator coburn is right, the American People do not like obamacare because of high premiums, high deductibles as you meet in and theyre even higher coming into this year 2020. Small networks of doctors and hospitals a lot of people i have spoken to about the platinum or the gold plans on exchanges thought theyre going to be able to keep the doctor, the health care would be fantastic and, unfortunately, the call of Doctors Office and they say were not taking any of exchange plans. Its really been an overturn in the Health Care System and it hasnt done what we wanted and still about 27 Million People in this country uninsured but most of them had option. They were eligible for medicaid and other, subsidies on exchange but the just didnt sign up and looking at about 4 Million People some of whom are a legal who couldnt sign up. We need a competition and choice. Families and individuals should be able to get the kind of health care that suits their needs and not one where the government is meant Ten Essential Health benefits but all state mandates that make health care more expensive and limited choices that people have. Host from my perspective ive always thought the greatest failing of obamacare, the Affordable Care act was that it did take a choice and competition out of health care and away from patients and from doctors, where it should be. Guest right. We want a system that empowers doctors and patients, not the federal government, not state governments. That was really, i really thought we would be able to repeal and replace obamacare when the democrats took the house back in 2018 i think republicans made a mistake in not really explain to the American People what would happen to those people with existing conditions because the democrats and 100. 9 americans have preexisting chronic conditions, they will lose her health care and its going to be a disaster. Most disaster. Most of those people have employersponsored insurance and theyre not going to lose their coverage. There are only 69 people with chronic conditions were in the individual market. Those of the people that we need to take care of and dr. Tom price when he was in the house, we talk a lot about getting the federal government to give money to the states so it could set up or expand and make better the highrisk pool so those people could get really good coverage that they could afford and they wouldnt lose it. The younger people who really came out against obamacare even with the individual mandate and that penalty rather than fight in church. The cost for for a young persof 25, 28, three, or hundred dollars a month was to come with the people with preexisting conditions and they said im going to pay the individual mandate fine rather than by health coverage. Everyone else was supporting those people who are with preexisting conditions. Host i would have to agree with you. I love my party and support my party. I dont think messaging is our strong point and we needed a better job with that. But hes look at the American Health care act that came within one senators vote of passing you would see we did indeed come up existing conditions but we were never able to articulate that. Guest that is a problem. That is one of my jobs as a former canadian to educate the American People on what a full government takeover of our health care lead to ration care, long waiting list for care, a shortage of doctors and, of course, higher and your taxes. People like senator sanders, senator warner say Canadian Health process mystery. Its not its not that the average canadian family pays 13,311 a year in hidden taxes for system that denies them care. Host right. Lets go into the premise of your book, medicare for all. Medicare for all as you describe it is the shiny new toy that the democrats have grabbed hold of and as we quite often say in politics, perception is reality. And for a lot of people they perceive this to be the answer until you get into the details. Guest exactly. Medicare for all single payer has been other ngos, Bernie Sanders main talked about this as part of his platform but it didnt come into the four until 2016 when he was running against Hillary Clinton for the democratic nomination for president. He really got out and stump for medicare for all and then of course in 2017 you had a singlepayer bill, 2019 cosponsors, 16 like cory booker and Elizabeth Warren and all the people are in the race or out of it but were in it. He told the American People who need the government to run Health Care System. Emily to universal coverage and, of course, it wont cost very much and everybody will have access to the very best care. We can talk about how much a single payer system would really cost in america, one would mean for doctors, what would me for long waiting lists such as in canada or in the uk of the National Health service. Senator sanders is just adamant for a singlepayer and i find it amazing amateur you do that he is 30 in the iowa caucus at the top of the list of the candidates in New Hampshire and just in a recent poll this week he is the number one candidate in california. California is extremely liberal but i was amazed that a particular young people are really buying into whats better than the Free Health Care cortisone like a fantastic idea until you unravel the onion. Host thats exactly right. It should be interesting talk about a contrast, donald trump and Bernie Sanders. Thats contrast. Guest that is a contrast. Host let me ask you about the numbers. Support has grown since it was first mentioned when Bernie Sanders was running against Hillary Clinton. The support was high. In 2000 and it continued to grow, in 2000 the support was at 40 . In 2019 it had grown to 51 . 72 of democrats were in 2 of democrats were in favor of it. But however when you start to talk about those things that you brought up, eliminates private Health Insurance, then all of a sudden you see it plummet. Guest exactly. We have employersponsored coverage, about 180 million americans have their employersponsored coverage. When you see in the polls 59 , 53 support medicare for all, but then you say what you think about medicare for all if you are going to lose your private insurance . The numbers drop down to 37 . How do you feel about medicare for all if your taxes are going to go up . Support goes down also to 37 . The problem is the American People dont understand what medicare for all means add a sense great and its free but you have to get under the weeds, unravel the onion and explain what it will mean or the health care and they wont be able to keep their employersponsored coverage, which in recent poll 71 of people who have esi like it. They rated as excellent or good. When Elizabeth Warren gets up ive never met a person in my life who likes their Health Insurance. Who is she talk to . I like by insurance. These are lies to the American People with people think if no one likes it or i wouldnt have government take it over . , thats one thing ive noticed, people like medicare particular and medicare now generally when you say medicare it is positive connotations and people like it. However, add everybody into it and whats going to happen . Guest right. If a look at medicare today which came into being and 1965 under president johnson and the great society, we are spending about seven or 800 billion a year year on medicare. Medicare trustees had said that part a could be bankrupt by 2030. A lot of people i would say probably 50 on medicare today now at Medicare Advantage or medicare supplemental ache as one in three doctors is not taking new medicare patients because they are reimbursed at about 40 below what they get paid for treating People Like Us with private coverage. Thats a very important statistic. If the government took over the whole thing it would be far worse. Doctors would quit. Think about medical doctors if theyre going to be paid 40 below what they get paid today. They are going to quit and retire and i think the bigger point is that the best and brightest kids traditional have gone into medicine in this country and they are just not going to go into it. Also doctors would be employees of the government. Government would determine what kind of medicine they can practice, how much theyre going to be paid. You may be the very best Orthopedic Surgeon, i may be the worst but we paid the same and will have global budget. What happens in november the global budget that is set for us is done . We would have to go on vacation. Even if we couldnt afford it. Host what about these are the plans that are advertised as more moderate if you will, Solutions Like adding a a publc option or allowing the patience to buy into medicare and medicaid . How would that impact our Health Care System . Guest 65 of people polled recently support the public option. If you go back, when, harris early on i i thought she could well be the candidate but she really i think her candidacy drop because of her waffling on medicare for all. One day she sported the come the next in such a lost support and shes out. Senator warren of course up until very recently was a big supporter of full government takeover of health care. Now she says within the first 100 days i would introduce a public option. My third year in the president of the bring in medicare for all. All those people who have the public option which is a Government Insurance plan that would compete in the exchanges against private coverage would all love their government ensured so, therefore, they want to be in medicare for all. I just think its a complete lie and we know that in talking to people. But senator warren, mayor buttigieg, joe biden, theyve all come switched to this were going to go to this public option, government plan first. Its a steppingstone approach. Even mayor buttigieg has said while he supports the public option, its if after couple years is that working not everybody is in, he would go to medicare for all. Host when you talk about medic for all, thats a misnomer because its not somewhat, medicare for all. It is a misnomer because it should be called what it is, and that is its a one size fits all government run Health Care System. Guest right. A couple years ago i was debating a princeton economics professor who unfortunately, sadly passed away a year and half or so ago that i sing an International Debate within talk about the canadian wait times, the ration care. You can see a specialist without getting a referral, how hard it is to get a doctor he interrupted me and said we have an example of a single payer system in this country and it is terrific. What plan is that . He said the v. A. , the Veterans Administration. This was before all of the information came out about the fact our veterans were not getting top gear. They are on waiting lists, veteran of access as you will note to the latest drugs and biologics are available for people with private coverage. We really have to educate people. The American People understand now the Veterans Administration is a disaster, and so is that what we want . These politicians are really pushing because people seem skittish about medicare for all come single. Lets go and have a public option just to compete first. My own ob gyn said recently when a sad, i lose a lot of money on my medicaid patients are barely breakeven on medicare and i have to make my salary from people like you with private coverage but i get really good care. Host lets talk about two other of the plans, the santas plan and jayapal plans. Both of those, i know her and thats fine but they would actually destroyed medicare. It would as we know it, and for Young Americans and rich or poor it would mean they would be into a a new government run Health Care System. Guest exactly. Jayapal is chairman of the medicare for all caucus, she is really pushing to tell the American People shes in washington state. Im from vancouver so sort of similar areas, british colombia and wash in state liberal but senator sanders and jaya pulsate medical be limited to, medicare bill limited, the Government Program would be for everybody. The only two programs that would be left would be the Indian Health services which i dont think its the best of care to our indian people and the second would be the Veterans Administration which is another example of this as i talked about that hasnt gone well. This is a giant ball when asked, what would happen to all the people that work and enters into shia things like that . She admitted 1 Million People in the Insurance Industry would lose their jobs Elizabeth Warren when confronted she said, asked what will these people to . They could work in the auto Insurance Industry or the life Insurance Industry. No comparison to working in the Health Insurance versus auto insurance. Bernie sanders said one to 2 million will lose their jobs but im going to set up a federal Trend Program to return all of those people so within five years they will have a new career and you and i know that is just not going to work, it would be incredibly expensive. Host in your book to see medicare for all gives the government monopoly over the provision of Health Insurance and it forbids doctors who participate in the scheme from accepting private payment from any service the government covers. You just mentioned you went to your ob gyn and she said i lose money on medicaid i believe it was and then medicare i breakeven and then i make my salary off private. If you take that away whats the going to me the salaries of health care workers, not only doctors but pharmacists might i add . Guest pharmacist, health care, people who work in hospitals, all of these people. Its going have a tremendous impact on your ability to keep your job. It also means the federal government it with the federal government is taking the whole thing over, whos going to do all this work that the alleged to meet people in the Insurance I