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Payments they now get to take care of the uninsured and the -- in exchange, they're supposed to get the medicaid expansion. if they don't, they don't get either. >> this is the crazy bobbyin dal fight going on. if we look at the map of the states resisting it. these are states, particularly in new orleans and louisiana, this massive expansion of building hospitals and all of this sort of thing. but then not wanting to do the medicaid. there is so much more. i want to give everyone more time. everyone is hanging out with us. thank you jay angohh or being here and you dr. smitherman in detroit. ...

That is $20 billion a year. so if you're talking about the expense that the states will bear for example for the medicaid expansion, it's about $8 billion. $8 billion over ten years. actually, they're going to be getting -- we're going to be eliminating almost $200 billion in costs they currently spend on the uninsured by the state and local governments. >> dr. smitherman, one of the reasons i love having you on, it's like you're a wealth of information about what the implementation actually looks like. so jay, i wanted to ask you, what we heard the governor saying was well i just didn't have ...

You. we want you to sell policies that provide good value. we want to have people be able to make apples to apples comparisons among standardized products. that's going to drive prices down and improve quality. >> jay, before we open it up to the table, i want to hammer that home. this is the thing i've found most confusing around the fight of the aca. i get the partisan part. what i haven't been able to understand is why a private industry like insurance, would be against an expansion of its market that is underwritten by the federal government for the most part, private companies, insurance ...