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The rates that doctors are reimbursed under medicare/medicaid are basically expire all the time. if they are let to expire overnight the rates they'd reimburse were drop by 25% and it would be madness. and so what you have to do keep kicking the can down the road where they have the doc fix. okay, another six months you get paid at your coordinate rates. that's the doc fix. michael steel, i'm going to say this. two predictions. there will not be an affordable care act repeal bill that gets out of both houses and lands an the president's desk. you agree? >> i think there will be. >> really? >> ...

Michael steel says one does. >> its's the control act after the debt ceiling stand off in 2011. it is an anomaly. it's not like republicans have restrained the growth of spending. me e my prediction is that we will see spending start to go up again. what do you think, molly ball? >> it is an interesting irony when you talk about these changes to obama care. whether it's the doc fix or repealing medical device tax which, again, that tax brings in revenue. that's going to increase spendsing. or, you know, getting rid of those medicare cuts. all of those things end up increasing the deaf sit by i...

Debt ceiling another must-pass bill, which they feel has the best leverage to against the president to fight what leadership wants to do. in april you have the medicare doc fix and may you have highway funds. these are must-pass bills cliffs if you will. with conservatives who think leadership is just rolling over for president obama can pick big fights and these divisions can rise again. jon: then there are the president's actions. he is talking about the possibility of more executive actions. that is not going to sit well with this newly-republican-controlled congress charlie? >> no, and it'...

>> we should say there's some unlikely allies getting rid of it. both states with huge medical device industry. >> we've got the fix coming up sometime in the spring. and i think that's a time where you can see something like a must-pass bill like the doc fix, something like that gets larded up. >> the rates that doctors are reimbursed under medicare and medicaid basically expire all of the time. and if they're actually let to expire overnight, the rates in which ther reimbursed would drop by 25% and it would be madness. and so what you have to do they keep kicking the can down the road and sa...

That industry will come out of this. but there is a lot of bipartisan support, partly because of that kind of lobbying. but also because of a symbolic effort to do something about the affordable care act. everyone says they want to fix it, want to tweak it, want to do something with it even if they don't want to repeal it. >> we should say there's some unlikely allies getting rid of it. both states with huge medical device industry. >> we've got the fix coming up sometime in the spring. and i think that's a time where you can see something like a must-pass bill like the doc fix, something like...