Moore and christina partsinevelos. And the president is signing an executive order to overhaul medicare today. Here is how he laid out the difference between his plan, and what 2020 democrats are offering listen. President trump almost every major democrat in washington is backed a massive government healthcare takeover, that would totally obliterate medicare. They want to raid medicare i think all socialism and among those who would be hit hardest by the socialistic takeover, are 24 million seniors, on Medicare Advantage. David so steve, are voters as skeptical of medicare for all as the president is . Well as a political matter i think this is a very very significant and effective attack on medicare for all. Just say to seniors, look if you put all of these other people on medicare its going to disrupt your own Health Insurance and weve shown and some of our poll ing thats a very effective counter to medicare for all. The problem is, im still wondering what republicans want to do to fix medicare because the system has gone bankrupt one way or the other, david. I dont think people are very concerned about that, steve you and i are concerned and a lot of people looking at the numbers are but i think people are very happy with medicare and particularly Medicare Advantage. I think this is genius politics, because it also goes back to peoples real distrust of obama and all of the lies that the democrats told people about obamacare and how you could keep your doctor, et cetera, so i think that this is an incredibly smart thing the president has done. I suspect well hear a lot about this. You used a keyword there politic s and thats exactly what it was today. Its essentially a rally for the president and you had people even chant four more years and we should highlight the fact that the president did rally against the fact early on in 2016 he would dismantle the Affordable Care act and come out with a new, entirely new proposal. Have we seen that thus far . No, not really. David we came close. There was one vote in the senate but here is the big issue hes putting to the forefront right now especially because it is a key issue for swing voters. Yes he was speaking in florida its his base but overall this is a, i guess a way for him to make up for the wrongdoings or the fact they havent really proposed a new healthcare policy david again they had a proposal, it was one vote short in the senate thats what stopped it from coming in. Lets bring in fox news medical correspondent dr. Marc siegel all so dr. What is the president s health plan exactly and will it work . Well david, its piece by piece. Its not one whole plan but ill tell you something he ended with the words Medicare Advantage in the clip. Medicare advantage is huge. Its expanding, youre seeing 1,200 more choices on Medicare Advantage this year alone, and decreasing premium Medicare Advantage 28 , since 2017. Costing less, more options, you got to like that and for seniors , more Price Transparency , less surprise bills and more choice so thats the privatization of medicare. Thats actually been extremely popular and has been making money for everyone and saving seniors money. I like that he said that and by the way i can not resist an opportunity here to say that medicare for all is not even medicare, because when you go to extend medicare across the country to everyone, and you knockout the employerbased healthcare system, youre talking about something that ends up being so highly regulated and restricted that its more like medicaid than medicare. Its not going to be the medicare that seniors no. David jonathan . Thank you for being with us doctor. Arent the republicans a little bit hypocritical here . If medicare is good if the president is fighting to save medicare, then to play devils advocate why not medicare for all, which is what all of the democrats are advocating for and the republicans say they love medicare so medicare is great, why not medicare for all . Jonathan i think the answer is that the medicare hes trying to save is the one with again, more private options, a larger Medicare Advantage, more and more expanded Medicare AdvantageMedicare Part d, which wasnt popular when it was first passed under the bush years, actually, it has gone down in cost as well , more options with part d, more privatization of part d, more choices and drug prices. Drug prices coming down. Again, its piece by piece here, and every piece i like. The price transparencies piece, the choices piece, the no surprise bill piece, so its not that hes extending the medicare as you know it. Its changing medicare into something thats more workable and lets not forget the most important piece of all, me as a practicing physician medicare pays me less. Medicare for all will pay me 40 less, not to mention what it will do for hospitals who are already used to eating it on medicare and getting less money, if they lose privatization, private Health Insurance, some of them are going to go belly up doctor i think thats the key point that you just made. People i say oh, medicare is cheaper than private insurance, thats because private insurance subsidizes medicare if you get rid of the private insurance then theres nobody to subsidize the cost of medicare, but i think that you made a really important point, that for all of the idea that trump isnt doing anything about Health Care Cost thats wrong. He has all of these programs that give people more choices, allow people to opt out of obamacare, and it sounds like what youre describing is very much an extension of that, of let people have other options to reduce cost. I think also, can i just weigh in . I agree that were talking about political issues here, right . This is probably the number one issue, healthcare coming in in terms of policy, for 2020. I just think that this is an incredibly brilliant piece because trump is going to run against socialism. What is more socialistic than medicare for all . And as he starts talking about medicare being under threat from that, i think all of those older voters who by the way already vote republican generally speaking, they are going to be incentivized to come to the poll s. This is, i mean, i hate to say it but nothing is going to be done now that does not, we dont talk about through the prism of the 2020 election and i think what you said is absolutely right. The more you can draw contrast between medicare and medicaid and all that. And lets not forget the money is coming out of the taxpayer pocket, 30 trillion in transition fee, start asking a working class person about that, whether they want that, and then the medicare that the senior has , and doesnt end up being the medicare they end up with and i forgot to mention, generic drugs being approved at an unprecedented rate which is finally flattening out Prescription Drug prices. The president supports Governor Ron Desantis in florida in terms of importing drugs from canada because they are cheaper. Do you support that as well . I do support that but i like better and ive said it here on this program, i like better the idea of export taxes. I dont want to have to play catchup, because the problemly is we cant vouch for the quality. And were already having problems with contaminates getting into Prescription Drugs coming in from other countries where weve been talking about that all week with zantac, and the Blood Pressure medicines i use. I like better export taxes to prevent the drugs, to prevent countries from gouging us in the first place. Having said that if we cant get there, i think with ehave to do something to even the playing field. But thats being encompassed in the u. S. Mca then . Absolutely. Is that . Absolutely and i believe it would be acrosstheboard, with private insurance as well. I dont think it has to be only medicare. One of the things we always forget is when we talk about negotiating were only talking about medicare and of course medicare negotiating acrosstheboard is going to decrease quality and well lose innovation that way so im not supporting medicare negotiating all drug prices. David jonathan . Doctor, the president also made a big point of emphasizing that republicans will protect individuals right to have healthcare even with a pre existing condition. Previously only democrats had talked about that. Do you see any unforeseen consequences, doesnt that essentially constitutionalize healthcare as a right, if anyone can get a Health Insurance even with a preexisting condition . Jonathan i think the president has been pretty connell on this. I think hes always backed, well for the most part backed preexisting conditions but let me remind you theres another way to do this other than making everybody buy into obamacare, onesizefitsall. Thats that theory that in other words if you live in the desert you have to pay the same for Flood Insurance as if you live on the coast. I dont believe tax im a person that believes if you have a chevy we want you in the poll but we dont want you paying a ferrari rate. Here is what im saying. David good analogy. Let me translate that, david loves analogies and metaphores. Let me translate that into healthcare terms. It means high risk pools and instead of subsidizing a onesizefitsall insurance, let the government pay for people who cant afford insurance, give them some policy, and reinvent high risk pools this time, properly funded. David ive got to ask steve a question because the president was clear today he made a case to the people out there, to the voters saying look, it sounds nice to have all of this free stuff, whether its medicare for all, or Student Loan Debt excused or whatever it is, but it just cant happen. There arent enough taxes to pay for how much that would cost. You just youd have to tax everybody 100 in order to pay for it all. Do you think that message will get through . I know it got through to the seniors he was talking to. Will it be through the majority voters . And liz is right. Democrats understand that this issue of medicare for all is around their neck and its not going to work politically and david, the doctor gets an a in economics today. Youre fantastic on this stuff. You got it perfectly right. David all right i want to end by saying that the pony express is not federal express. [laughter] the government can face it. I like that. David another metaphor from the doctor. Well forget healthcare, food, or clothes. The infuriating details of where way more of your hard earned money is going, and is it being put to good use . Thats next. Announcer fidelity is redefining value with zero account fees for brokerage accounts. And zero minimums to open an account. At fidelity those zeros really add up. Maybe ill win saved by zero groans hmph. food grunting menacingly when the food you love doesnt love you back, stay smooth and fight heartburn fast with tums smoothies. Tum tumtum tum tums when youre looking for answers, its good to have help. 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You know medicare wont cover all your medical costs, so call now and see why a Medicare Supplement plan from a company like humana, just might be the answer. David well they say the only things guaranteed in life are death and taxes, but a shocking new study by the duran o of labor statistics is revealing just how much we all have to pay average americans are now shell ing out more for taxes than they are for food, clothing and healthcare combined. The study says that on average, americans paid over 18,000 in taxes, but spent just under 15,000 for their basic needs, in 2018 so are we getting what we paid for . We know the answer to that. Actually i looked at the numbers and i find them sort of hard to believe because we have a very graduated very progressive tax rate in this country and we know that half the country is paying no taxes at all, at least no income taxes so honestly, its skewed by what the wealthier are paying. David federal income taxes. Okay, im sorry what the wealthy are paying i think really skews the numbers but then i have to say david i also said to myself, what are we getting from government . Were getting security, were getting utilities and in terms of local taxes and so forth and all of these things and the answer is i dont know that were necessarily paying too much in taxes. I know thatll shock you. David what hang on. But, i do think it means we all want to be a lot more demanding about how the government spends our money, and no one really is. We dont really want that. How do you do that . Well i think that you have to get voters worked up about the efficiency of government, what the government waste and all of the things that we yell about but nobody really votes that way. You know . If you live in a high tax state, david, those taxes are even much higher than the 18,000 david tell me about it i live in new york. Thats why people are moving to the low tax states but the other thing is when its a federal income tax burden from the middle class thanks in part to the trump tax cut is actually pretty low. The biggest problem for middle class, you know david what the number one federal tax that americans pay today . David what . Payroll tax. And so i think if the republican s are going to do a middle class tax cut, tax 2. 0 they might want to look at shav ing that payroll tax, which is a big burden. And in taxes, just in large have gone up before the 1920s, taxes as a percentage of gdp were never above 5 . They havent been below 5 since that same era, since the progressive era they are above 40 now. Thats money out of the pockets of not only every working american, david but also every potential investor. Those are jobs yet to be created and money out of peoples pockets and if you want a free economy you need to cut taxes get government out of the way, were going in the wrong direction for the better part of 50 years in this country. I want to just define steve youre talking about middle class. A pew research and i figured somebody would bring it up. Middle class is 52 of the American Population falls into the middle zone making on average 78, 442 the latest numbers for 2016 however lower class which is concerning because 29 , onethird of the American Population falls moo that category. They are only making about 25, 624 so its everybodys point, when you have to pay these taxes , clearly its a larger portion of their lower class income; however david i would hazard a guess by the way that very few of those in that income bracket are paying anything. Im not going to go into that but the concern maybe we need to raise too is the aging population, and the need for even more healthcare, and how thats going to weigh even more on the system too, so this is something we obviously have to think about in the medium and to long term as its weighing heavily. David let me push back on liz for a second because im shocked to hear to say we may be getting what we deserve or were not getting what we deserve but we should be paying that much. What about the message to democrats who are proposing to tax more than what weve seen . Okay, i think the answer is polling shows, weirdly, that americans are fairly content with how much taxes they pay. Not necessarily the most wealthy or at the bottom end but generally speaking im sure you looked at these polls over time, americans feel that its about right and i would kind of agree with that. I think when you Start Talking about huge increases to wealth taxes, and hugelyhigher income taxes and so forth, the wealth tax would mean some people are paying 100 of their income to the government. Thats outrageous, and there are incentives and so forth. David jonathan very quick. Havent we been conditioned over generations . The size and scope of government has grown so much. Thats why taxes are so high. David we got to wrap it up, gang. Good discussion. Were going to be talking about this more, no doubt. Agriculture secretary sunny purdue, out with a big warning for the future of family farms, a fifth generation Wisconsin Dairy farmer is here to sound off, coming next. As a struggling actor, i need all the breaks that i can get. At liberty butchemel. Cut. Liberty mu. Line . Cut. Liberty mutual customizes your Car Insurance so you only pay for what you