Would indicate that. Almost 70 of the people in america say that the Healthcare System is broken. Right, i really think that healthcare is going to be the number one to musick policy issue in the president ial election. In a recent poll just came out from gallup that said the 5 of the American People pulled rate healthcare is extremely important as one of the issues and we seen in the polling 53 of americans support singlepayer and i know private coverage at all but now 65 supporting the public option which would be a Government Insurance plan to compete against private insurers and i call this a steppingstone approach to government run medicare for all. The proof is in the pudding. If you look at what happened the last election cycle two years ago my party, i guess it was one year ago, my party the Republican Party we were ousted as a majority and house of representatives and many people will make the armament that it was because the issue of healthcare and that many of us campaigned on repeal and replace and unfortunately we came close but we did not get that done. It was shown at the ballot box. Exactly, it was unfortunate because i think donald trump won the presidency and you had the house in the senate and by saying that we will repeal and replace the disastrous obamacare which it is a disaster and turn the whole Healthcare System down for a very few people but we are definitely going to save healthcare be out there and be the issue and we got to present a Cohesive Strategy to the American People and educate them on why it is important that we have a marketbased health care and not one controlled by government such as the federal government. Lets talk about obamacare for a second, the Affordable Care act. The forward to your book was written by senator tom calder and he made the same and there and he said the Affordable Care act has failed to deliver on the promises, five years after present obama signature legislative achievement went into full effect individual market premiums have risen 75 , many low and middle income people have been forced into plans with deductibles as high as 12000. 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 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 explaining 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 six Million 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 individual mandate and paid that penalty rather than buying insurance. The cost for a young person of 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 if you 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 warren say Canadian Health care is free. 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 out there, Bernie Sanders main talking point about this as part of his platform but it didnt come into before intel 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. It will lead to universal coverage and, of course, it wont cost very much and everybody while 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 and im sure 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 i mean it sounds like a fantastic idea into 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 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 do 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 sounds great and its free but you have to get under the weeds, unravel the onion and explain what it will mean 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 rate it as excellent or good. When Elizabeth Warren gets up ive never met a person in my life who likes their Health Insurance. Who does she talk to . I like my 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 other plans that are advertised as more moderate if you will, Solutions Like adding a public 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 Kamala Harris early on 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 supported it, and 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 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, if after couple years is that working not everybody is in, he would go to medicare for all. Host when you talk about medicare 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 cant 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 care. They are on waiting lists, veteran of access as you will know 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 all single payer. 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 of the plans, the sanders plan and jayapal plans. Both of those, i know her and thats fine but they would actually destroy medicare. It would as we know it, and for Young Americans and rich or poor it would mean they would be into 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 Washington 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. Ms. Jayapal admitted 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 you say 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 mean to 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 if its 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 Industry and in other need one main people in pharmacy and all of these things, whos going to be doing this jobs . The government will have to expand tremendously because doctors will have to be paid, there will have to be a whole new bureaucracy to pay doctors and, of course, my cousin as an ophthalmologist in vancouver, canada, and as he says i find it amazing that the American People think it would be so wonderful if the government is paying their bills. He said do you know how long it takes the government to pay me and when my budget is done in no