tv Green Party Nominee Jill Stein Holds News Conference CSPAN August 24, 2016 12:14am-1:06am EDT
attracts more people. it is the least popular part of the affordable care act to be sure. but it does help to make sure that the marketplace has a greater balance of risk pool. host: i will give you an a in arizona. guest: it doesn't work. that's the problem. if the mandate really had teeth and it and people were seriously afraid not to buy insurance than we would have had a more balanced risk. guest: you would have wanted a larger find? guest: i would have wanted a more effective approach giving insurance companies the ability to sell insurance products that people actually want to buy at a price they are willing to pay. it has to be subsidized. na.t: let's hear from an caller: good morning. i'm a project manager at an
insurance company who is a participant in the affordable care act in arizona. i have not had worse insurance in my life than i have being the affordable care act even working for an insurance company. what impact did the supreme court have when it -- it did a couple of things early on. employers tothe put them off having to participate to a later time and they made some decisions about the states having to expand was supposed to be a part of this and many states were able to opt out of the expansion. what part did the supreme court play in those rulings that might have made the participation less profitable? she is raising a question about what happened with the first supreme court ruling.
in that case what she is referring to is a part of that case was the court held that the affordable care act's requirement that every state expand medicaid program was impermissible under the constitution. it converted what was a mandate to expand medicaid to a state option. most states like arizona have actually picked up on that option. 31 states plus the district of columbia have accepted this option. 19 states have not yet done so. arizona is a very interesting case. because the governor at the time, jan brewer, very conservative governor. she decided it was a good thing for the state of arizona to extend medicaid.
she had all the local chambers of commerce say it's a good idea and it's going to be very helpful in terms of jobs. arizona opted into expanding medicaid. we still have 19 states that haven't done so. . host: did you want to jump in? guest: that is really the only significant part of any of the supreme decisions that affected normal people. after the election i think we will see maybe all of the 19 states signing onto the medicaid expansion. especially if hillary clinton is cutted because she won't back the extra payment to states who do that. if it's not hillary clinton they may change their mind. host: we have about 30 minutes left. joseph antos and ron pollack are our guests.
you are stepping down from that position. guest: i have been at families usa over 34 years. i think the organization could use some young leadership. we're in the midst of a search process and i'm going to move on. i'm not retired. hoping to work in economic fairness beyond health care. host: we are talking about the health of the affordable care act. -- aca insert viewers insured viewers, bill is on the line for those who get their insurance through their employer. good morning. caller: when bill clinton became president, hillary tried to push through hillary care and republicans stopped it. becomes president
you have a republican president andcongress and senate health care costs went up 140%. by 2008 it was $12,000 a year. 05-06 in one year. 140% --are has gone up has health care gone up 140% under obama? it didn't become an issue until ronald reagan and george bush senior became president because the republican congress about -- sold out the medical community to the insurance companies. not-for-profit hospitals and medical centers. au used to have to have medical license to own and operate a medical facility. no longer.
now it is all owned by insurance companies. obamacare was so popular was because after you took 140% beating and republicans did nothing they were willing to do anything to stop that. then the employer was smart by dumped it on the workers. this lady talked about how bad her health care is now. let me give our guests a chance to respond. clear about the national statistics. he may be talking about his personal circumstances in new york. nationally from the mid-90's to about 2003 the average growth rate in health spending was about 8% year. the average growth rate in the
economy was close to 3%. we have seen that for decades. it is faster than we would like to see. then we have the great recession. everything slowed down. health spending slowed down. that happened before the aca. a lot of people want to say the aca is fully responsible for the slowdown in health care spending. it's not really true. we are coming back up. it is a big challenge. even these numbers that seem smaller are very large when you translate it into people's taxes and premiums. do have a problem and unfortunately part of the aca was supposed to slow down health spending. that was something that was put interest of
increasing coverage. host: ron pollack is shaking his head. a few things. bill was recounting some of the history about health reform. it goes back well beyond that. wanted to pass major health reform and wanted to include as part of the social security act. the american medical association was strongly against it so he jettisoned it in order to protect the social security act. in 19 49.an tried again the american medical association opposed it. ronald reagan got some of his public start right being a spokesperson in opposition to health reform.
right -- i like to tell joe he is right periodically. seenve clearly increases in costs that preceded the affordable care act and after. really interesting is that even though the affordable care act did remarkable things about extending coverage to over 20 million people who didn't have health insurance we have our lowest rate of uninsured in the history of the country. at the same time one of the things we have learned, dhhs recently released data that shows in terms of the cost of health care that have really decelerated. are they where they should be? no. but they have decelerated. host: angelo gets his insurance through the affordable care act. good morning. good morning.
i think something you are not touching on is for profit medicine should be not only illegal, it's immoral. i don't understand how a ceo and all of these people in the insurance business -- if it was up to me there would be no more insurance companies. there would be medicaid for all, single-payer. it's that simple. why should you work your entire life and have one catastrophe come along and wipe out everything that you put away? it's completely absurd. i don't understand this. angelo's want to take comment. guest: he's right. everybody needs health insurance. we have to start from where we are. is a privateare
insurance system and a private health care system as well. those who argue against for aofit misunderstand that not-for-profit status is a tax status but they still have to make money. and they do. blue cross plans are not-for-profit. end of the't at the day make a substantial net gain over their expenses they will be out of business. aren't there cap's on how much the companies can make? guest: there are on how much of a premium dollar is spent on things other than providing care. it's called the medical laws ratio. to spend aty have least $.80 out of the dollar on actual provision of health care. theothers it's $.85 out of dollar. profitn't particularize but includes administrative
costs marketing and advertising as well as profit. insurers are not happy about that. they would like to have no caps on things spent other than care. it does provide greater efficiency to make sure most of the premium dollar is actually spent on care. guest: you have a different definition of efficiency than i do. among the several things in the 15% are patient management costs which i think most people in the especiallyuld agree for high-cost patients and people with chronic illnesses you need to be efficient to minimize the resources to produce a healthy patient. you need to have administrative costs. the patientsanage and the doctors. if you don't do that we're just going to blow through the money. guest: i agree.
the question that preceded this was are there some caps on profit. i think in a capitalistic system anyone in the marketplace wants to make a profit. in terms of using taxpayer dollars effectively we don't want our taxpayer dollars to go to insurance company profits. we want to make sure they go for good care. host: let's bring in a taxpayer from virginia. he gets his employer -- insurance through his employer. good morning. caller: thanks for taking my call. i live in virginia and work in maryland in a number of paid clinics. i'm not an owner. i get my insurance through my employer. i wanted to make some comments about the fact that i know we are talking about providing insurance to everybody which is great. i think it's a really good
thing. i have been involved with the ama. we have to find a way to pay for it. we pay into the hospital insurance trust for medicare is not going to cover all of those costs. the supplemental insurance is still ok. with regards to obamacare i think a lot of the insurance companies are pulling out the markets because they are not making enough money or they are losing a lot of money. continue to go that way because there's a lot of sick people out there and they are a lot bigger and they are going to stay a lot sicker and stay in the system longer. i don't see a good solution for all of that. with regard to direct medical cost i think the lobbying interests involved in the health care including doctors and insurance companies and
hospitals and pharmaceutical companies -- the pharmaceutical lobby is the strongest and they continue to churn out really big profit. they are taking the majority of the money. the weakest lobby is the doctors. host: let's talk about that. joseph antos. guest: anybody involved in business in the united states lobbies congress. that is not a surprise. insurancedes companies and doctors. they are all lobbying. and pharmaceutical companies as well. runcription drug costs around 15% of national health pending. they're not getting the bulk of the money. the bulk of the money is going to hospitals. it's about 40% going to hospitals.
it's really hard to say where the costs can be cut back but it's clear that the incentives in most hospitals have systems is fees for service. if you don't provide a service you don't get paid. that is one of the fundamental issues. the way we pay everybody in the health system promotes the use of service is even when the services provide marginal usefulness. host: a couple of tweets. agreeing with ron pollack. aetna leaving the exchange is retaliation for the blocked merger with humana. a question. insurance companies complaining when the aca mandates that people must buy their product? guest: i don't think they are complaining so much about the
mandate. i'm not saying it's a popular thing. surveys.ok at all the the mandate is least popular of all the different provisions. insurers know that when they are prohibited from denying coverage to people who are sick or have a pre-existing condition they have to get healthier people into the pool. the mandate helps achieve that. joe raises a question is it done as effectively as possible. it could be improved. no doubt. part of important trying to make sure the pools don't have as much risk in them. let me say one other thing. this really goes to the future. those whowe've had are opponents of the affordable care act have really so far of
used to seriously engage in trying to improve the affordable care act as if it's an act of sacrilege. i think when hillary gets elected assuming she does i think it's really important some of the things we can do to improve these risk pools so we keep premiums down. here's an opportunity. for example the republicans really liked so-called medicare part d which is the prescription drug benefit in medicare. it has certain mechanisms designed to keep costs down. kindkes sure there is some of risk adjustment for those plans that have sicker people and they get some protection. so far republicans have not been willing to do that kind of adjustment to the affordable care act. my hope is that we can make those kinds of changes after the
election. i am puzzled why the democrats didn't put that in the first place. they do have those mechanisms but some of them expire. that was the democratic decision not the republican one. guest: i look host: forward to your support of our extending them. we have 15 minutes -- host: we have 15 minutes left in the segment. waiting in fayetteville, arkansas. good morning. caller: good morning. i have a question. createsrdable care act adverse selection for insurance companies because people are sick and that's who's going to buy the policy. why not just have medicare for everyone? hillary clinton is proposing lowering the age to 55. medicare operates at the least expense ratio of any of the providers.
that way everybody will be in the plan. we will be a big boy country. host: medicare for everyone. guest: medicare does not operate substantially less expensively than private insurance. one of the things people don't seem to understand is the medicare administrative cost runs through the center for medicare services. the social security administration does the bulk of the work in signing people up for medicare. that's where you go. the social security office. is expensivee up and keeping track of who they are is expensive. medicare administers the building. they pay the bills but they don't have the rest of it. you also have to look at the ratio of administrative costs per dollar spent on benefits.
a veryly you can get small percentage if you ignore many of the costs and then you say on a per person basis is very low. but the reality is that medicare people spend probably two or three times the money that operates through the private sector. it's not really true. one other point about hillary's proposal. this is a great idea for the aca. 55will transfer sick people to 64 into some program which will simply have higher subsidies. if you really wanted to do this you could cut through that and just give higher subsidies to people's 55 to 64. host: ron pollack. guest: we have not called about the so-called public option. the public option which is more akin to what hillary is proposing is that for certain
age groups they will have the option to buy into a public plan. i think that's a good idea. you are raising before that county in arizona. it would be a lot better for the people in that county if there was a public option so that if no private insurer was willing to provide coverage that the affordable care act is not the rest of opportunities to provide coverage for folks. i think there is going to be a debate about the public option. i don't expect republicans to support that. perhaps there is a compromise. the compromise might be in those areas where there are precious that there be some opportunity to increase the options by having a public option. host: caller on the line for those who are uninsured. joseph in delaware. caller: good morning.
thanks for taking my call. i'm trying to figure out -- i keep hearing this 20 million people covered. what is the difference between coverage and care? there are so many doctors here in delaware who don't want anything to do with the aca and i take care of my 80-year-old mother who is not affected by that. she's terrified by that. it doesn't really affect her. you are with aetna. you are good. i keep hearing this. no dr. in delaware will take aca. my mother calls it the bomber care.- bummer she's just waiting for her premiums to go up because no one is involved in it. i pay the extortion myself every year at tax time. would you like to comment on that?
i think it's a sham. host: ron pollack was shaking his head. are lots of doctors accepting coverage through the plans and the affordable care act. joseph asked in the beginning about the 20 million. theree's referring to is are over 20 million people who were uninsured prior to the affordable care act who now have health coverage. that's a remarkable achievement. we have the lowest rate of uninsured in the history of the country. patientsre accepting in the affordable care act. there is a more difficult issue with respect to the medicaid program. some places doctors are not accepting medicaid patients. medicaid enrollees are getting coverage and they are getting care. kentucky gets her
insurance through the aca. good morning. caller: kentucky's plan is pretty good. the only reason i'm on it is i am disabled and in between -- i and nown employee plan i'm ready to get on medicare. now thatike to say people are having to pay for insurance they are going out and seeking treatments that they might not have sought out before. they are using their insurance because they have to pay for it. another thing i have seen it is we need to get the media out of health care. i'm referring to the advertising. i have worked in health care my whole life and come from a long
line of doctors. people see it on tv and they think they have to have it. a lot of these medications are very expensive. contribute tog health care costs, baby boomers are getting older. i told rand paul that when he was here in town speaking. host: thanks for the topic. guest: mary is right. when you have insurance you are more likely to go to the doctor. that's a good thing. on the other hand there is the question of access. what the previous caller might have been referring to is it's my doctor i want to see. i don't want to see a doctor i haven't seen before. that's an issue. fact is you have to shop around and your doctor may not
be in any of the aca plans. but some doctor will. her point about the population getting older, absolutely. this is something ron and i look forward to. the fact is health care costs are going to be rising much more rapidly as baby boomers age. host: stephen in maryland gets his insurance through his employer. caller: just a couple comments. i think getting 20 million more people on health insurance is a good idea. i think a better idea would be provide 20 million jobs where people can get their employment through work. lunge toward be a socialism in this country. the government is not a provider. this is not liberty and the provision of happiness. this is the pursuit of happiness.
i got a couple notes. i'm 65 and i have to write things down. $500 billion a year wasted in tobaccontry on alcohol jobs and obesity. we need to address that problem. i got tri-care for life. i was in the military for 20 years. the reason we can't have a military program for everybody is because you have an seo and officer oversight. if you sham you are thrown out. i have heard it costs $10,000 to have a child. a lot of people think babies should be provided through social programs. people don't realize it takes $250,000 a year to raise that child. host: we got your point. i'm glad steve has gotten
the benefit of tri-care. he's now going to get the benefit of medicare. we do want a safety net for people. we still have a private health insurance system for good or for bad. we want to make sure people don't fall through the cracks. between medicare and medicaid we take care of seniors, people with disabilities, people who are too poor to get health insurance. thing. a good i hope we expand that coverage so everybody who needs care can actually gain access to it. host: our last call is from jack in minnesota. you are on the joseph antos and ron pollack. caller: good morning. i googled in my trusty ipad what the ceo of united health care makes. here's what i came up with.
ceo stephenh care $66 million inme 2014. he took it in an eye watering $102 million in 2010. corporateone of the hierarchy in that company that are taking home of seen amounts of money. physicianlaw who is a works his tail off and makes it can't even be called a fraction of the. he does the actual providing. i was a dentist. i also made a minute fraction of that.
the reason is because the providers take a huge haircut to the parasitic insurers. takes the way the patient a big haircut to provide these bscene amounts of money. the cost of all the paper shufflers to have to and eric a the labyrinthine idiocies of in thestem we have united states. it is rotten. it needs to be changed. there are better systems in the world. in europe they have better systems. they pay half the money we do and get better outcomes. host: that's jack in minnesota. 30 seconds each. jack has the belief that if you go to england you will get better care and it will be cheaper. it will get cheaper in terms of
what you paid directly to health care but your taxes will be much higher. it's a very difficult calculation to make. as far as high corporate salaries are concerned, that's true. for majortrue hospital systems. look around. the doctors are not getting paid millions of dollars. unless they own hospital systems. . that's true. i would say we are reaching a turning point in the turning after thehat sometime elections this debate about the affordable care act is going to come to an end. my friend joe is going to have an epiphany about working so that with democrats we can actually build on what the affordable care act has done , make it better. we who support the affordable care act will work with people like joe to strengthen the legislation in such a way that it really works for all
americans all across country. you are right. i think the next administration if it is democratic will be a lot more amenable to coming up to the hill and talking to republicans. the: joseph antos is with american enterprise institute. ron pollack is with families usa. the executive director. >> washington journal live every day with news and policy issues that impact you. coming up is the morning, staff attorney for the aclu national about project will talk the recent decision to and contracts with private prisons. and the deputy undersecretary will walk us through the federal patent and trademark process as well as the latest challenges to protecting until actual property. our frontline on magazine
segment, talking about his recent feature on then-secretary of state hillary clinton declining to go after boko haram because of past donations made to the clinton foundation by nigerian billionaires. live at 7 a.m. eastern wednesday morning. join the discussion. thursday marks the 100th anniversary of the creation of the national park service and american history tv will be live from arlington house in virginia to mark the occasion. that is at 7 p.m. eastern on c-span3. we have been talking to members of congress about the national parks and we asked tennessee senator lamar alexander which special -- which park has special meaning for him. alexander: the great smoky mountain national park. because i grew up there, because i live there and i really love it.
it is the most visited national park in the country. most people do not know that. it has nearly 10 million visitors a year compared to western parks that sometimes have two or three or 4 million. it has more trees, different kinds of trees than all of europe put together. all sites -- sorts of wildlife. 80 years ago when it was formed there were 80 black bears and now there are 1600. i see two dozen wild turkey in my backyard. i like the fact that can walk out of my house and walked two miles to conservation property the great smoky park which includes the highest mountains in the eastern united states. i like the stories about the people who live there. unlike the western parts which were built out of land the country already owned, the great smoky's were created in 1934 from land that north carolina and tennessee gave to the country.
people were moved out of the park and the park bought their land. those of us who live around there feel like we own it because it used to be ours. there is a sense of ownership about the smokies even though people come to the park from all over the country more than any other park. there is a special sense of ownership about the park there. important to preserve sites like this? senator alexander: to preserve the part, and to allow these great trees to grow back. all locked but after 80 years it is such a lush area, so much rainfall that they are growing back. and then the family stories, the people who live there. i remember in the 1980's when i
was governor i took a walk through the park on its 50th or 60th birthday and i stopped to owenbee. was allowed to live in the park although it was created in the 1930's. he was the last man who was allowed to live in the park. people died, know other lived in the park. he was very reclusive, a couple of supreme court justices try to see him and he would not see them and he allowed me to come like, wesaid something have not had many governors in this part of the state. he said we have not had many that did not steal, either. heard -- t i hate heard nothing on you yet. rolled up and out into this -- apn o a piano in.
i played the piano and the symphony played. the fiddle sounded like the old back pipes that the scottish people used to bring into the to editors ago. being able to do that on the 50th and 75th anniversary of the park with thousands of people listening was a big thrill for me. >> our coverage of the national park server centennial begins on on washington journal. later american history tv marks from arlington national cemetery. live at 7 p.m. eastern on c-span3. obamatuesday, president visited parts of louisiana affected by floods. the town of zachary north of baton rouge he spoke about the affected communities and efforts to provide disaster relief. this is half an hour.
president obama: tell me one everybody is all lined up. we have another member of congress here. to begin with, i just want to say thank you to the outstanding officials behind me who has been on the ground working 24/7 since this flood happened. it begins with outstanding leadership from the top, with the governor john bel edwards, and we very much appreciate all the outstanding work he has
done, his better half, first lady of louisiana, i know has been by his side every step of the way. we are grateful for her. i know they have their own cleaning up to do because the governor's mansion was flooded as well. in addition, i want to acknowledge senator bill caskey, senator david bitter, representative cedric richmond, the mayor of baton rouge kip holden, and somebody who i cannot brag enough about, one of the best hires i have made as president, the administrator of , has doneg fugate such an outstanding job not just with this particular incident but has really rebuilt fema so that there is a change of culture and that everybody knows that when a disaster happens,
fema will be on the ground cooperating with state and local officials rapidly and with attention to detail and keeping the families who have been affected uppermost in their minds. we very much appreciate everything craig has done. it is hard for craig to be here, by the way, because he is a florida gator, and he has been seeing a lot of lsu t-shirts passing by. i had a chance to see some of the damage from the historic floods here in louisiana. i come here, first and foremost, to say the prayers of the entire nation are with everybody who lost loved ones. we are heartbroken by the loss of life. there are also people who are still desperately trying to track down friends and family. we will keep on helping them every way we can.
as anybody who can see just the streets, much less the inside of the homes here, people's lives have been upended by this flood. local businesses have suffered terrible damage. families have, in some cases, lost homes. they have certainly lost possessions, priceless keepsakes. i was just speaking to a young woman whose husband died shortly after the birth of her second child. talking about how her daughter was trying to gather all of the keepsakes she had in her bedroom that reminded her of her father. that gives you some sense that this is not just about property damage. is is about people's roots.
you also have a situation where there are a lot of kids that were supposed to start a new school year, and they will need some special help and support our a while. sometimes when things happen, it can seem like too much to bear, but i want the people of louisiana to know is you are not alone on this, even after the tv cameras leave. the whole country will continue to support you and help you, until we get folks back in their homes, and lives are rebuilt. the reason i can say that with confidence is because that is what americans do in times like this. i saw it when i visited this place, when i came down here as a senator after katrina. i saw it when i visited new orleans for the 10th anniversary last year. i know how resilient the people of louisiana are, and i know that you will rebuild again. what i have seen again today proves it. i want to thank all the first responders, the national guard, all the good neighbors who were
in a boat going around, making sure people were safe, showing extraordinary heroism, and in some cases, risking their own lives. governor edwards, the city, the parish governments, they have all stuffed up under incredibly difficult circumstances. i just want to thank the people on this block. as i was walking down, one woman at the end, elderly, she was on her own. she had just lost her daughter. a young man next door was helping his father but also offered to help out that neighbor, so that she could salvage as much as she could and start the process of rebuilding. with respect to the federal response, a week ago, i directed the federal government to mobilize and do everything we could help. fema administrator craig fugate arrived a week ago to help in that effort. homeland security secretary jeh johnson visited last week to make sure state and local officials are getting what they
need. to give you a sense of the magnitude of the situation, more than 100,000 people have applied for federal assistance so far. as of today, federal support has reached $127 million. that is for help like temporary rental assistance, essential home repairs, and flood insurance payments. fema is also working with louisiana around the clock to help people displaced by floods find temporary housing. any louisiana family that needs help, you can find your nearest disaster recovery center by visiting fema.gov or by calling 1-800-621-fema. 1-800-6epeat that, 1-800-621-fema or
fema.com. -- fema.gov. federal assistance alone will not be enough to make people's lives whole again, so i'm asking every american to do what you can to help get families and local businesses back on their feet. if you want to help, governor edwards put together some ways to start at volunteerlouisiana.gov. the reason this is important, even though federal money is moving out, volunteer help actually helps the state because it can offset some of its costs. obviously, private donations are going to be extry