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Some have pointed out will actually buy those products and leave the sicker people to pay much higher premiums in the existing risk pool. so it does segment the risk pool and will leave people with brie sk pre-skising condition in the. higher cost pool and they won't ultimately be able to afford their coverage. so that is the impact on the swrid m individual market. >> what more could the president do via executive order to obamacare as it is commonly known without congress' help? >> well, we've already seen expensive steps from the white house to undermine the upcoming open enrollment period ...

Can get a waiver just like, by the way, they can under obamacare -- >> it's a different risk pool. >> allow me to finish. under obamacare there's a waiver process in obamacare that allows people to get waivers. no state has done it. you can get waivers under obamacare. we provide -- >> rick, just to be clear, is your answer yes to that question, yes they can under write it the way they want and charge people with pre-existing conditions what they want, is the answer yes? >> the state has to get a waiver just like they do under obamacare, but they have to get a waiver from the secretary -- >> y...

Significant bump-up for medicaid, up to 25% because it is defined as a low poverty state. it would get carve-outs because it is a low density state. including is automatic enrollment from any alaskan native who has benefited from the alaska program into the medicaid program. these are changes that almost entirely involve alaska alone and the type of things that lisa murkowski has been very concerned about. the cost of care up there is extraordinarily high, the size of the state and the population density are obviously major problems, but there is no question about why these changes were made. ...

Louisiana could take these billions of dollars and establish a high-risk pool. it's a fact, which my governor knows, by the way, that 10% of the american people spend 67% of the health care dollars. 50% spend about -- no, 5% spend 50%. >> right. >> that ought to be the target. so you could take the money and set up a high risk pool for those folks and it would lower the premiums on the people who are not in the high-risk pool. that's just one option. all these studies that are coming out, unless they are clairvoyant, they don't know what the impact will be. >> fair point. the substance point i...

Inventive. we can look at the states and what they have done, some of which were squashed by obamacare. in maine their invisible high risk pool which obamacare put out of business is now seen as the policy to go forward. in indiana where they prefunded health savings accounts to lower income hoosiers to be empowered to purchase their own services they found cost went down and outcomes improved. we give it to the states. i'll finish how i started. i'm a doctor for 25 years caring for thoesz who didn't have coverage. it is my goal to continue to bring them coverage. i think this does a far bette...