Page 14 - Payer System News Today : Breaking News, Live Updates & Top Stories | Vimarsana

Texas. >> and it is optding out. that's right, you would expect to get them to great to expand medicaid. instead governor perry said no, we're not going to expand medicaid. that means the system will cost more because people will wait until things get serious. they go to the emergency room. it costs more. the people in texas will stay pay taxes to ensure people in other states. it makes no sense whatsoever. zbr it makes political sense if he says you're a poor person in texas. obama care has done nothing for you. he stood in the way of it happening. >> it's not just poor people who want this. ...

Make apples to apples comparison. and that should drive down prices. but it only works if everybody helps the system. an enormous number of people logging own and buying insurance. if it's only at the moment where i'm like, uh-oh, better get my insurance. how do we make sure they all sign on? >> there are a couple of ways. the affordable care act provides funding for knave gators which are people and organizations that help people sign up through the system. most importantly, as i said earlier, the insurance companies have to sell through the exchanges. they can't afford not to. this is a huge...

Pluralistic system. i think the good news in the aca is the pluralism of state-by-state approaches to cost we're seeing around the country. it's exciting, oregon with community care organizations, massachusetts is trying a global cap. arkansas is pushing bundled payment to the limit. it's exciting to see what they're going to do if their new state legislature lets them proceed. maryland has an all-payer system, they're going to experiment more with. vermont may go single payer. we're going to see quite a bit of learning in the next few years as these states struggle with cost reduction. >> tha...

Clearly delineate what would president obama do, what has he done under his health care act to medicare in terms of cuts in medicare spending? what would -- what would ryan do and what would romney do? can you delineate among the three so people now on medicare are facing tonight next couple of years, will see what their choices are? >> how much time do we have? >> you can do it quickly. so, what obama does is he keeps medicare broadly as it has been, but makes important changes to it. it remains a single payer system. if you're over 65, the government pays for your health insurance. but he ma...

But romney -- aligned himself with the ryan brand, but not specifics? can he get away with it? ezra klein is a msnbc political analyst -- david, i want you to do something nobody's been able to do in the last couple of days. clearly delineate, what would president obama do, what has he done under his health care act to medicare in terms of cuts and spending. what would ryan do and romney do? can you delineate among the three, so that people now on medicare will be seeing what their choice is? >> how much time do we have? >> you can do it quickly. so, what obama does is he keeps medicare broadl...