Medicare, Paul Bill, Senate discussed on A Public Affair


Aw, feasability and how to finance it. We'll be joined by economist Robert Pullen, the university of Massachusetts. Amherst he is the principal author of a report that's called economic analysis of Medicare for all also talk about how to pay for what's called the green new deal. Now, they're that proposal was voted down in the Senate yesterday, though, it wasn't a very serious vote. Most Democrats in fact, did not vote at all rubber Paulin joins us next on letters from politics. But first the news. Hello. I'm Julie candler with the BBC news. The British government is planning to hold a new vote on Brexit on Friday. But only on the withdrawal agreements that deals with the practicalities of Britain's departure from the EU that has to be approved by tomorrow. Otherwise, London will have to ask for another extension and take part in May's European elections. Norman Smith is at Westminster Theresa May today sought to breathe fresh life into her battered Brexit strategy after dramatic offer to quit last night failed to win over Auden, Brexit, tears, and the D U P reverse which this morning forced MRs may to shelve plans to bring her deal back to the Commons for third time in a so called meaningful vote instead in a move designed to buy time the government announced it would seek to secure parliamentary support for just one part of the deal. The withdrawal agreement a move which labor can. Condemned as a desperate ploy to keep her deal alive. The shadow Brexit secretary sa- kissed armor that would mean leaving the EU with absolutely no idea where we're heading that would leave us with the flying disciplined Brexit. It seems clear however that MRs may is determined not to give up on her deal. The authorities in Saudi Arabia have released a number of women detained last year. In a crackdown on activists. Yousef Taha has the story. Three out of the eleven women put on trial two weeks ago have been granted temporary release academic. I am Harib retire lecturer as easily Yousef and blogger Email enough. John have been freed following the second hearing of their high profile trial in the Saudi capital Riyadh. The are facing charges connected with campaigning for women's rights to drive and the abolition of the Saudi male guardianship system as well as contacts with foreigners. The court said the women would continue to attend the trial. Hearings until sentences are handed down the Turkish narrow has suffered another shop full losing almost six percent of its value incised as trading. President wretched tired earned one blamed the falls on what he called a plot by the United States and other western countries. Mark Lowen reports three days before local election in which his party could lose control of Ankara. And even stumble president add one has gone on classic attack mode. This time over the Turkish lira. He blamed recent volatility on a plot by the west, and he again called for a cut in interest rates despite stubbornly high inflation, it's all designed to galvanize his base whom he badly needs to turn out to vote, but with the lira plunging by a third in the past year in flation at twenty percent Turkey is now in an economic crisis having entered recession last year. World news from the BBC. The Mexican president Andres Manuel Lopez but dole has hailed as historic the vote by the upper house of congress to lift the immunity from prosecution of sitting presidents and legislators mister Lopez. Oscar dole said the Bill was part of his commitment to fight what he called the cancer of corruption in Mexico. The New York state attorney general has expanded a lawsuit against the painkiller mak- Purdue pharma, and it's wealthy owners. The Sackler family the tissue James is pressing new charges at the cyclists fraudulently transferred money from patchy farmer to their own accounts. Michelle Fleury reports in amended lawsuit. Multiple defendants were named in addition to Purdue and the Sackler family, but at a press conference, the new York Attorney General Letitia James cooled out the family which shows it's fourteen to the sale of painkillers. She said they moved funds to be out of reach from any potential recovery. But do is facing thousands of lawsuits over how it marketed Oxycontin. But only a handful of named the settlers Purdue and the Sackler vigorously denied the allegations. The news comes after Purdue and the Cyclades agreed to pay two hundred and seventy million dollars to the state of Oklahoma. An appeal court enchant has dismissed a case brought by lawyers to have access to social media. Sites restored the site's blocked exactly a year ago following a national conference, which recommended changes to the constitution to allow President Idriss Deby to remain in power until twenty thirty three. Critics said used social media to organize anti-government protests. The Vatican has explained why pope Francis was seen repeatedly withdrawing his hand from Catholic devotees trying to kiss it earlier this week video of a papal audience in the Italian town of Loretto showed the pontiff pulling back his hand from those attempting to kiss his ring. The Vatican says it was a matter of hygiene to avoid contagion when there were long queues of people BBC news. Good. Dan will come to letters in politics. Mitch rich the democratic house leadership yesterday unveiled its healthcare proposal to basically strengthen the Affordable Care Act. This came a day after the Trump administration asked a federal appeals court to invalidate. What's also known as ObamaCare in its entirety including twit include pre existing condition protections all subsidies and the expansion of Medicaid in a whole lot more. Basically, the government is asking the appeals court to accept a lower court's ruling that the is now unconstitutional in its entirety after President Trump used his executive authority to put the tax penalty that for not having health care at zero now several years ago, the supreme court in a very narrow decision ruled of the Affordable Care Act is constitutional based on Congress's taxing authority which was connected to this tax penalty for not having health care that was the cornerstone of the decision. But this court in Texas last year had ruled that because the tax is now at zero they're effectively is no tax, and hence, it is the law in its tired. He is no longer constitutional previously. The government said to believe that parts of the current healthcare law should be maintained. In fact, you may even recall that after this lower courts rolling the White House put out immediately a statement saying that ObamaCare would remain emplaced while the case works its way through the courts. So yesterday was a perfect opportunity for the Democrats to bring their own proposal out on healthcare in they have in. Again, it mostly is to strengthen way is already there with the Affordable Care Act, but what was missing from this per puzzle. Perhaps is one of the most talked about issues concerning health care in the last year, and that's Medicare for all. Even though such a proposal has vocally been backed by a number of democratic presidential candidate. It was not a part. Of what was released yesterday by the democratic leadership? Of course, a big issue over Medicare Medicare for all is how do you pay for it? Well, that's our topic today. And joining me for that conversation is Robert Pullen rubber. Poland is distinguished professor of economics at co-director of the political economy research institute at the university of Massachusetts Amherst, and he is the principal author of a report that is called economic analysis of Medicare for all he joins me on the telephone Robert Pullen, always a great pleasure to chat with you. And I thank you for taking time to talk with us today. Very happy to be rock. Thanks. All right. So this study that you did basically how how to pay for Medicare? And then what what what are them, even we'll get into this the macro and micro economics of having Medicare for all we're gonna dive into all aspects of this report. But let me begin by just asking might you say here is that this report is based on. The proposal the Bill that Senator Bernie Sanders put out in two thousand seventeen for Medicare for all. Roughly speaking, but as we also say right up there at the beginning that, you know, the the general principles and the the issues apply. More broadly and attacked. I have been working with the opposite congresswoman Julia Paul on her Bill as well, which which varies from the Sanders. Bill, but the basic financing issues don't really change too much from this Andrus, delta the giant Bill. I mean, I guess our other proposals out there about fading into it or even buying into Medicare. My understanding is Representative John Paul's proposal, which has over a hundred sponsors in the house of representatives. That roughly though is is the same. As is Bernie Sanders. Yes. Where were you surprised before we get into the economics of all this that it wasn't a part of what came out yesterday in the democratic leadership's proposal? Well, you know, I know that. The. Leadership is very wary of getting too strongly behind Medicare for all. Despite the fact that I don't know how many six seven presidential candidates have all endorsed it. The. Congressman woman Pelosi is. I guess cool to the idea. I did make a presentation in January to the Senate Democratic caucus and Senator Schumer was I would say no open and not necessarily supportive, but not hostile either. So it's a matter I guess of chipping away, and certainly is long is the best thing to we have for chipping away is, you know, public support and people are hearing from about the giant Paul Bill the initiatives and the organizing around it and Sanders spill insert certainly Senator Sanders from his two thousand sixteen campaign and his current campaign are really advancing the idea, and so you know, the the intensity of interest. I think is going to continue to increase, and I can't help. But think the difference of of the dynamics between what's right now. Happening in Washington. And again, the democratic leadership having its proposal not include Medicare for all. And what happened really over the past decade here where we are broadcasting from California with a single payer Bill. And I know this is something that you have followed firstly because you also did an economic analysis of the California Bill, but what happened in California as long as there was a Republican governor who is Arnold Schwarzenegger at the time. The single payer Bill seemed to get through the legislature. Every year was vetoed by Arnold Schwarzenegger. Once Jerry Brown came into office. I it became a much more challenging process. It never got to his desk for a veto to Jerry Brown's here in Washington. You would think if you want to use the same sort of dynamic even to push the idea knowing that the Senate is not going to approve it knowing that you have a president who's not gonna sign it into law. You think this would be a time you could actually push in congress for Medicare for all? I think that's a that's an interesting analogy. I myself. Well, as you mentioned, I got involved in the California initiative in two thousand seventeen when Jerry Brown was governor had it so happened. I've also known Jerry Brown for twenty five years. I I was hoping that Jerry Brown would be more open to the idea, and I did have some conversations with him. And I said, I think we can show how you can finance this in a practical way. And anyway, it wasn't something. He wanted to take up. This is despite the fact that literally the day after I made a presentation to the democratic caucus of the state Senate in may two thousand seventeen the they voted with a two-thirds majority to pass Medicare. Well, it's called a healthy, California. So it passed in the Senate, and then Jerry Brown, basically, I think behind the scenes made it clear that he wasn't going to sign it. And so that the opposition and the assembly or California assembly just kind of block. The initiative altogether. All right Medicare for all. I'm sure it's title says everything you need to know about Medicare for all means everyone's in everyone, you know, you you get Medicare. If if you if you are a at the very least a citizen of the United States, perhaps a naturalized person as well did does. But is there a better explanation to make it real what Medicare for all means? Well, you know, they're obviously it's just a phrase so people can bend it. And I, and I think something is of that is happening with various presidential candidates, but working for me the Sanders Bill the giant Bill or what we traditionally think about with single payer healthcare. His the idea that every resident of the country, or if it's just a state every resident gets healthcare gets is guaranteed could quality healthcare. There are various specific features. But I think the general principle would be to get to say, you're guaranteed. Good quality healthcare, basically means that there shouldn't be any financial barriers to you get good quality healthcare. So that means there shouldn't be any deductibles or co payments..

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