continued medicare payments for the world living with medicare advantage. oh my god, the scared someone might ask questions about how long home health patient should be or what you're paying for or cause the doctors to do talk to hospital about which device is cheapest. the government subsidy prices you get explosions and other people looking at the system what is happening slowly for the better and scares the hell and in the long run that will only be with vice providers and the comedies does remain in the world the great volume in lobby like crazy for higher prices. but more capital driven world they look for efficiency and that is the issue and if you ask local providers what they are scared of their scared of being driven in a bundled world where where we should be going. >> you had a question. >> [inaudible] [inaudible] >> well, it's a design issue again, some of these bills are 18 pages so there's a lot of detail and not that any of them were to proceed to markup and be enacted that they would stay as unspecific as they are but just looking at the med

why do we have that in medicare? that raises costs. we overpay the medicare advantage plans. recent analysis found we overpay them by roughly $13%. -- 13%. allow a buy in. have a competitive medicare plan. third put, reduce input prices. i can introduce lots of ways to do that. public funding for research for prescription drugs. lastly, very, very simple first step, how about lowering the medicare age of eligibility 64. that's very affordable. a lot of 64-year-olds are already on medicare through disability or on medicaid. a great down payment in my view. long and short, i think it's affordable, but we have to be careful how we get there. thank you. mr. mcgovern: thank you very much. mr. cole: thank you very much. miss grace is president of the i.n.s. actual of a public policy organization founded in 1995 to provide and informed debate over free market ideas for health reform. she's been instrumental in developing and promoting ideas for reform to transfer power over health care decisions to doctors and patients. she speaks and writes extensively about incentives to promote m

ask people, like medicare, she would give medicare for a one? a medicare for all we're talking about isn't necessarily the current medicare program. it wouldn't be the current medicare program but when you start asking people journey like that concept because they know that their parents and grandparents like their medicare. when you start adding things to them saying we just do one if you had to pay more? would you wantve to admit you to give up your employer-provided insurance? then support drops their were still in that forum to state what people like the slogan but they don'tor know what would go into a cheating that. >> host: we touched on, not people on medicaid. where are we with the states expanding medicaid coverage? >> guest: the blue states, democratic states were very quick to expand medicaid. the affordable care act allowed states, required states at that part was struck down by the supreme court and make voluntary. it allowed states to expand medicaid, prior to the aca in order to get medicaid had to be not only someone with a low

i am on medicare and i think medicare is wonderful. again, if you give everybody everything, we will go broke doing it no matter what it is, that's why we have issues with social security and medicare, medicaid. you have to take this in incremental steps because you are going to have to pay for it. host: how long have you been on medicare, bruce? caller: four years and i was on obamacare before that. host: appreciate you telling your story. i am sorry, go ahead. caller: and i still have your -- my doctors. host: thanks for sharing your story. let's go to charles in cincinnati who supports medicare for all. cincinnati, charles, you are on the air. all right, we will hear from bill -- charles, one more time, cincinnati? we will go to bill, canton, ohio. charles, are you on the air? caller: yeah. host: go ahead with your comment. i think medicare would .ll -- for all would be great take a look at bernie sanders, he is a good man. host: let's hear next from bill in canton, ohio. caller: good morning, c-span. it is canton, illinois. host: c

for current medicare recipients, medicare for all really means medicare for none. indeed, this bill is a socialist proposal that threatens freedom of chase. private employee health insurance would lose their plan. even if you like your plan, you really can't keep it. more than 150 million people will lose health plans they like, plans that they bargained for, and in many cases, plans they've earned through years of hard work. medicare for all throws it all out the window in favor of a one size fits all government-run health plan. we will hear from one of our witnesses, ms. grace marie turner, on the impact this will have on employer-sponsored insurance and the method by which roughly half of americans of the health care. i think people need to be aware many. he reviewed medicare for all and told a very telling story on the topic. dr. blay has shown the previous basic version of medicare for all would cost at least $32 million for the next three years. the majority has not told us how much this massive new program will cost, how they will raise the money to pay for

people like medicare. should we give medicare for everyone? the medicare for all we're talking about is not necessarily the current medicare program. it would not be the current medicare program. people generally like that concept because they know their parents and grandparents like medicare. when you start adding things like would you still want it if you have to pay more, if you have to give up employer-provided insurance, support drops. we are at that formative stage where people like the slogan, but they don't know what would go into achieving that. host: where are we with the states expanding medicaid coverage? states, theluer democratic states were quick to expand medicaid. therefore the care act required states, but that was struck down by the supreme court and made voluntary. it allowed states to expand medicaid. to get the aca, you had to be low income, and you had to be a child, senior, someone with a disability you had to meet silo requirements. foraca set a national floor medicaid qualification at 133% of poverty. that is higher t

that's where medicare supplement insurance comes in: to help pay for some of what medicare doesn't. learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance company might be the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. ther

>> medicare is socialism. that is one of the attacks on medicare when it was passed in the '60s, that ronald reagan and others went after medicare as socialism. it's very, very popular with republicans and democrats. republicans defend medicare as much as democrats do today. i think it's a tricky -- i think for sanders, he has to figure out how he's going to pay for it. i think at some point that's going to be something that if he gets into the general election, he's going to have to have a stronger position on how he does pay for this. i think in the democratic primary. talking about ensuring all people, accessibility to affordable health care, that's something that's going to be very popular. how we get there is still up for debate. he has his position, and there are other candidates with other ways there. >> senator kamala harris supports medicare for all. von hilliard, you know that well. she has an event where you are in a couple of hours. she is somebody who has been supportive of this idea, right? >> i

people that contributed to medicare and the other thing is medicaid is different from medicare. i wish they would -- the people that are pushing medicare for all our confusing everything and

earlier today, the medicare trustees reported that the medicare hospital insurance trust fund is projected to be depleted by 2026. today, our system creates perverse incentives to deliver more care as opposed to care that is focused on preventing disease and improving health outcomes. we need to change the trajectory of health care cost growth and make health care more affordable. not only to make care more accessible but to ensure the solvency of medicare and medicaid. while some have called for a complete government takeover of our health care system, i believe in solutions found in choice, competition, and innovation. to that end, or innovation center is the testing ground for new payment and service delivery models that improve care and save taxpayer money. today's announcement creates innovation and primary care that has the potential to entirely transform our fee-for-service system which is about 65% of the medicare program into one that will drive value. primary care plays an essential role in moving us in a new direction. that is because primary care providers are at the center of

earlier today, the medicare trustees reported that the medicare hospital insurance sfufund is expected to be depleted by 2026. we need to change the trajectory of health care cost growth and make health care more affordable. not only to make care more accessible but to ensure the solvency of medicare and medicaid. while some have called for a complete government takeover of our health care system, i believe in solutions founded in choice, competition and in innovati innovation. to that end our innovation center is the testing ground for new payment and service delivery mode models. it has the potential to entirely transform our fee for service system, which is about 65% of the medicare program into one that drives value. primary care plays an essential role in moving us in a new direction. that's because primary care providers are at the center of our health care system. gatekeepers that manage health care conditions coordinate services across multiple systems and providers. responsibilities that have a direct and significant impact on the patient experience, health outcomes and the to

do you have both medicare and medicaid? do you have medicare? and are you losing employer health coverage? if you answered yes just once, you may be able to choose a new medicare health plan right now. call humana at the number on your screen to see if you qualify. and we'll send you this helpful medicare decision guide. the call is free, and there's no obligation. humana has over 30 years of medicare experience and offers a wide range of all-in-one medicare advantage health plans that include medical and prescription drug coverage and valuable extras like: a 24-hour nurse advice line. the silver sneakers fitness program. and mail order prescription coverage. all for an affordable monthly plan premium. and, in some areas, no plan premium. with humana, you'll get more than original medicare alone and have the peace of mind of knowing you're covered for doctor visits and hospital stays. plus, routine physicals and preventive screenings. and when it comes to prescriptions, in 2017, humana's medicare advantage prescription drug plan members saved an

that's where medicare supplement insurance comes in: to help pay for some of what medicare doesn't. learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance company might be the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. ther

while medicare and specifically medicare for all have been the subject of a fierce political debate among democrats this year, each, administration officials to the program is also increasingly vulnerable. with health and human services secretary writing in a statement, and set up trying to expand medicare into a universal entitlement that even covers wealthy americans of working age, we need to fulfill medicare's promised were senior seniors. >> the american people want and we are going to deliver a medicare for all single-payer system. >> bernie sanders headlines a larger field of contenders who pack some form of medicare for all with sanders specifically advocating a single-payer system. >> they will hurt your social security so badly. >> according to the report the news is equally bleak for social security and forecast of the funds could be depleted by 2035 and that could lead to reductions and payouts to retirees and other beneficiarie beneficiaries. >> the real concern that social security office is like the one behind me is that with so many baby boomers nearing retirement age and

traditional medicare, traditional medicare program has a 2% overhead meaning two cents of e every dollar goes to overhd , , $.88 goes health care. for private healthth insurance companiess including profits, te overhead is over 10%. that is an enormous amount of money when you're talking about the leadads of dollalars in health-care spending. that is one way much of public health care system is far more efficient than a privatized, fragmented system like we have now. juan: to follow-up on that, in terms of how this would be paid for. clearly, there would be some kind of i would assume a payroll tax and we're looking at right now most americans, it is hard to tell what most people pay because you are dealing with premiums and a dr. bowles and co-pays -- everyone has employer plans and contributions. what would it look like in the paycheck of -- of average americans of medicare for all were instituted? have you been able to cost out what it would mean of a general cost of the avaverage woworker? for one moment, and i will address that directly, that we are already pupublicly financing abou

that's where medicare supplement insurance comes in: to help pay for some of what medicare doesn't. learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance company might be the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. ther

a medicare supplement plan helps pay some of what medicare doesn't. you know, the pizza slice. it allows you to choose any doctor, who accepts medicare patients... and these are the only plans of their kind endorsed by aarp. whew! call or go online and find out more. whew! - (phone ringing)a phones offers - big button,ecialized phones... and volume-enhanced phones., get details on this state program. call or visit and accessoriesphones for your mobile phone. like this device to increase volume on your cell phone. - ( phone ringing ) - get details on this state program call or visit >>> house democrats are demanding answers from william barr who missed today's deadline that they set to turn over the mueller report. they are threatening to issue subpoenas as early as tomorrow. who wins this face off? joining me now is barbara mcquaid and matt miller and msnbc justice and security analyst. first to you barbara, who has got the right to see this unredacted, if anyone and will the house democrats have their way with subpoenas if he doesn't turn it over soon. >> i think it's importan

a medicare supplement plan helps pay for some of what medicare doesn't. call unitedhealthcare insurance company today to request this free decision guide. and learn about the only medicare supplement plans endorsed by aarp. selected for meeting their high standards of quality and service. this type of plan lets you say "yes" to any doctor or hospital that accepts medicare patients. do you accept medicare patients? i sure do! so call unitedhealthcare today and ask for your free decision guide. oh, and happy birthday... or retirement... in advance. i felt i couldn't be at my best wifor my family. c, in only 8 weeks with mavyret, i was cured and left those doubts behind. i faced reminders of my hep c every day. but in only 8 weeks with mavyret, i was cured. even hanging with friends i worried about my hep c. but in only 8 weeks with mavyret, i was cured. mavyret is the only 8-week cure for all common types of hep c. before starting mavyret your doctor will test if you've had hepatitis b which may flare up and cause serious liver problems during and after tre

people talk about medicare, medicare insurance, medicare for all, the united states government is not an insurance agency, number one. if the united states government determines we need insurance or whatever, it goes to inch current -- insurance companies prayed i have always paid for my insurance. in high school i got a job. it was not a fancy job, but i had the union insurance and i have union insurance today. some would say i am insurance poor because i have medicare, medicaid, whatever, social security plus my insurance i actually planned for in the past. it's all about impeaching trump, it's not worth it. it is not worth trying to impeach the guy after all of this because we don't like him impeached clinton. they went after clinton because they did not like him and he got impeached for a ridiculous idea of him having sex and this woman -- spending all that time impeaching trump. see trump,d to do, i nancy pelosi, and schumer together. they like each other and when you see these people get together like that, trump being a republican and democrats -- they always talk about democra

that's where medicare supplement insurance comes in: to help pay for some of what medicare doesn't. learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance company might be the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. ther

medicare and advantage ppo and trending with the active, early retiree and medicare tire res. again early retiree population the risk scores are upwards. for trio when you look at the data. it is based on limited data. it is a baseline, not pulling too many insights off that as yet. also, just to note when we see the medicare scores we present in this report, they are also a lot higher than you would think. that is because we have the commercial model for genir rating the risk scores so we are using a commercial model on the medicare population. having checked against the medicare model and the watson market scan database for benchmarks. from the u.s. norm our medicare risk scores are lower. working to see if we can get to western or california norm to get a sense how we are looking there. i wasn't able to have that for the board meeting today. we will bring that back. on page 4 you see the same sort of trend. here we are looking at perspective risk scores. this is a predictive score. again, based on the summary statements this is where we see slight reductions with our city p

that's where medicare supplement insurance comes in: to help pay for some of what medicare doesn't. learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance company might be the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. ther

that's where medicare supplement insurance comes in: to help pay for some of what medicare doesn't. learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance company might be the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. ther

that's where medicare supplement insurance comes in: to help pay for some of what medicare doesn't. learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance company might be the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. ther

a medicare supplement plan helps pay for some of what medicare doesn't. that could help cut down on those out-of-your-pocket medical costs. call unitedhealthcare insurance company today to request this free, and very helpful, decision guide. and learn about the only medicare supplement plans endorsed by aarp. selected for meeting their high standards of quality and service. this type of plan lets you say "yes" to any doctor or hospital that accepts medicare patients. there are no networks or referrals to worry about. do you accept medicare patients? i sure do! see? you're able to stick with him. like to travel? this kind of plan goes with you anywhere you travel in the country. so go ahead, spend winter somewhere warm. if you're turning 65 soon or over 65 and planning to retire, find out more about the plans that live up to their name. thumbs up to that! remember, the time to prepare is before you go on medicare! don't wait. get started today. call unitedhealthcare and ask for your free decision guide. learn more about aarp medicare supplement plan option

one of them is pointing out, this is not medicare for all. medicare is quite generous. why? because politicians tend to be nice to older americans because they vote a lot 678. this is medicaid for all. there's not going to be the money to make this program work in any way other than the most minimal standard. paul: and dan, i think we said four other democrats at least have endorsed this, elizabeth warren, kirsten gillibrand, so there's going to be a signature of the democratic campaign. >> it is. and to me, it's fascinating. i honestly don't quite understand why professional politicians like them are getting so deeply behind bernie's idea because as we've been pointing out here, it's fundamentally a phrase, it's a bumper sticker idea and as kyle described, yes, it polls very well when it's just put out there as a bumper sticker but the moment you ask people and the polls have shown this, half the country has private insurance. when you're told this will eliminate your private insurance, support falls into the 30s. the details of medicare for all are very hard to sell. now,

i think medicare for all is the analog toward repeal and replace. it is a great slogan, sounds simple, sounds easy, it is very, very complicated and when you dig in to it, it is talking about how the health care system has been challenging for a lot of people to navigate. it is too expensive, we obviously need to make things work better and focus on what is working, and how we make it better rather than trying to go the other way. but it is an important reflection of where we are right now. christopher: your organization does support the aca. you think ahi -- do you think ahip and other medical insurance companies have done a good job backing up the aca? it has been criticized during all the turmoil of repeal and replace and it seems ahip was quite on that. matt: i don't think there is any organization that has tried to make the aca work since it has been the law of the land. when you think about all the investments our member companies had to make to try to build a new individual market, to help states expand through the medicaid program, particula

medicare. and, let's take a look at that. >> stahl: well, medicare for all-- it's not only being pushed by some members of your caucus, but also some of the presidential candidates. and it is allowing the president to say you're all socialists. >> pelosi: do you know that when we did med-- when medicare was done by the congress at the time, under lyndon johnson, ronald reagan said medicare will lead us to a socialist dictatorship. this is an ongoing theme of the republicans. however, i do reject socialism as a economic system. if people have that view, that's their view. that is not the view of the democratic party. >> stahl: speaker pelosi is now the most public face of the democratic party, its most successful fund-raiser, and the agenda-setter. >> pelosi: what are democrats for? we are for the people. >> stahl: she works tirelessly, always on the move-- in three- inch heels-- at 79. >> bella: i like that. that one's a corgi. >> stahl: even when she takes time to visit one of her nine grandch

they are lining up in support of "medicare for all," so-called "medicare for all," which is very risky, budget-busting, shoves everyone into one size fits all health care system. i know for republicans in congress, we created the children's health insurance program. the medicare part-d, the prescription drug program. and we created the medicare advantage program that 20 million seniors depend upon. all of those are wiped out under "medicare for all." even if you love the plan you have there at work, it is banned. so i really worry for americans, when your life is on the line, do you really want washington, do you trust washington with that decision? david: i encourage people to spend about a week in a hospital in england, public hospital in ending hand see if you like it. compare it to any hospital in the united states. i think it compares badly. will republicans though, have a clear message about health care going into the election going into 2020? >> yes we will. we are one, strongly opposed to courts, opposed to courts taking away your preexisting protections, we're against democrat

medicare x is medicare, a medicare produced policy that you can buy on the exchange. that's the x. so medicare would develop a policy that would cover all of the obamacare essential health benefits, put it on the exchange beginning in communities in this country where there's only one offering on the exchange to create instant competition and within time, it would be on every exchange in the country and also on the small business shop exchange. because medicare doesn't have to cover a profit, pay shareholders, pay fancy salaries to execs, advertise on the evening news, set up a distribution network, et cetera, pay state and local taxes. it would be a more affordable policy and people could purchase it if they want to -- they could use their obamacare subsidy if they qualify for one to bring the premium down further. >> this is not medicare for all. >> that's right. >> how does it work specifically? >> the difference between this and medicare for all is that the medicare for all proposals are single payer systems. the government would finance health care and insurance. instead, this

it's sort of like medicare. why the heck we're not allowing medicare to negotiate drug prices, it's all politics. of course we should. at least we negotiate some of it in medicaid right now. the consumer gets the benefit of the rebates. still not enough. you want to give more power to people, and that doesn't -- i listen to what gary said about pharmaceutical industry. i agree with part of it. part of it i don't agree with is -- gary, i'm sure you're watching. a lot of what you said i agree with, but we don't want to destroy them. they got to operate under the philosophy of pigs get fat and hogs get slaughtered. the most important thing is the great development. you saw about the development of the drug for alzheimer's. two companies spent a lot of money and it came up empty. at the same time, we need to have transparency. that's the order of the day, transparency, transparency, and transparency. in medicaid, in medicare, in the entire health care system, value-based, that's how we have to change. more medicare

that's where medicare supplement insurance comes in: to help pay for some of what medicare doesn't. learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance company might be the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. ther

of medicare. >> now, i think that establishes the problem, or i hope so, and the next question is, how to resolve it. i think i'm going to can walk through a few options here, but i for sort of wanted to touch on -- to serve, the overview of kind of what we see as some of the keys to addressing this issue. first, i think it is important, to take patient out of the middle when these happen, i think it's unrealistic to expect patients to be selecting the anesthesiologist, or their emergency doctor, i think that is -- i think we are talking about a solution, you kind of want to take them out of it, and leave it between insurer, hospital, and provider. i also think it is important to become printed. so, a number of states, especially older laws on this issue, really, only address the situation in emergencies, and for emergency services, i think it is important, this is clearly a problem, not just in the emergency setting, to be broader than that. similarly, some older state laws only address this in h

it is the first proposal, medicare, people like the idea of medicare but medicare is a system that will drastically change when you take it and put every american in and do a 1-size-fits-all approach. heather: when you get into the details that is one not so good stuff comes out. thank you for joining us, we appreciate your time this morning, have a good day. maxine waters chairs the house financial services committee, she is the chair but she seems to have forgotten a big part of her job. >> what are you guys doing to help us? >> the government took over lending in 2010 or so to stop lending. heather: out. carly shimkus here with reaction to waters at latest gaffe. ♪ lightning and thunder ♪ thunder ♪ - in a crossfit gym, we're really engaged with who we are as people and making everybody feel welcome. ordering custom ink t-shirts has been a really smart decision for our business. i love the custom ink design lab because it's really easy to use. they have customer service that you can reach anytime. t-shirts help us immediately get a sense of who we are as a group. from the moment

that's where medicare supplement insurance comes in: to help pay for some of what medicare doesn't. learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance company might be the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. ther

medicare is great, but it doesn't cover everything ...only about 80% of your part b medicare costs. a medicare supplement insurance plan may help cover some of the rest. learn how an aarp medicare supplement insurance plan, insured by unitedhealthcare insurance company might be the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? these are the only medicare supplement plans endorsed by aarp because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. you may choose any doctor that accepts medicare patients. you can even visit a specialist. with this type of plan there are no networks or referrals needed. also, a medicare supplement plan... ...goes with you when you travel anywhere in the u.s. call today for a free guide. connell: really was a busy day on capitol hill today. attorney general bill barr grilled by congressional leaders at a budget hearing as you might expect kind of turned into a

underpaid by medicare and medicaid. it has been the hospital's incentive to take advantage of the cost per service fee to pay for things such as executive compensation, capital expenditures and to finance for sure future acquisitions to give the more leverage to push back against private plan negotiations. this war started in the mid-80s and it proceeded through the 90s with insurance companies consolidating and getting the better of these negotiations. the counter reaction was that the hospital system started to consolidate to deal with and negotiate with more aggression and the trump card was buying more than 50% today approximately 50% of the physicians are now employed by large health systems. let's -- if you own the physicians and facility you can control price. insurance consolidation started by drg when the hospital consolidation and today the price for both is out of control. the question is how do health systems get away with driving pricing services? for product that have little to no relationship to their act

there is interesting data around medicare for all. it is not necessarily an indictment of health insurers per se. i think it is really a bigger reflection of our health care system and what we see with respect to affordability. i think medicare for all is very much sort of the analog toward repeal and replace. it is a great slogan, sounds simple, sounds easy, it is very, very complicated, and when you dig in to it, it is really talking about how the health care system has been challenging for a lot of people to navigate. it is too expensive, we obviously need to make things work better and focus on what is working, and how we make it better rather than trying to go the other way. but i think it is an important collection of sort of where we are right now. christopher: your organization does support the aca. do you think ahip and other insurance companies and the insurance companies have done a good job backing up the aca? it has been criticized for many years now, and during all the turmoil of repeal and replace and it seems ahip was

there are no structural changes to medicare. there is no cut to medicare. medicare continues to grow each and every year. the president also committed to the american people that he was going to attempt to lower drug prices. many of the reforms within medicare that generate savings simply because the federal government pays for the drugs of seniors, is because we are trying to lower and we have proposals to lower drug costs. >> that's so interesting, that you would want to predict, you know, usually, when we do budgeting, it is really not dynamic, and we talk about, that you're predicting, that the is in fact, going to end up lowering these drug prices, you build that in, and therefore, cut medicare by the projected amount that you think is actually going to be saved. mr. vought, did president trump acknowledge that he was breaking a key campaign promise when he supported the cuts to medicaid, and then turn it into a block grant? >> we do not believe that we are breaking the commitment to medicaid in the least, that medicaid spending, in addition to where w