18 Burst results for "John Paul Bill"
"john paul bill" Discussed on Sci-Fi Talk
"So he did something but they didn't like it for one reason that I have no idea why So Jimmy Doolan and one of the producers named John Paul Bill. The two of them together came up with some dialogue some Klingon stuff to say and gave that to mark Leonard. Who is speaker? He played the Klingon right? Normally spock's father but Mister Clinton. And then, and then he said the lines and that's the origin of Klingon there's maybe Six seven eight lines, what is I? Don't know if that counts as a line. And that's it. Now, there's actually more. Than, that, but you can hear it. So there's there's there's a scene during a sequence on federation lookout station or something where you see that cling Mark Leonard. On a view screen and he's says. About something that recorded all that in the Klingon dialogue that but you can't hear it really. So that sort of doesn't count. And what counts is, the is the is the basic basic stuff of Klingon his those half a dozen lines or so that you can hear very very clearly when he speaks and Jimmy Doing John Paul Villa responsible for that is amazing. I got to ask you about Kellyanne for short-track. treks beyond. Yeah. Insured checks out. To have had your hand in so many different incarnations of Star Trek and now discovery. Yeah. You know what's interesting about? Clinton. On discovery the season one of discovery yeah is very klingon heavy Oh. Yeah. Terms of the plot, and in fact, episode one, the the opening scene what goes on for seven or ten minutes or something entirely in Klingon. I didn't work on discovered for Klingon. All the dialoguing in Discovery was translated by a two people primarily a woman from Vancouver Name Robin Stewart and. A little bit also by guy in Indiana named Allan? Anderson. Both of them excellent speakers of clean and they're the ones who translated the dialogue into Clinton on. That's and that's what the actor said I think Robin. Robin. Wasn't there to coach the machine was on the phone or something all the time with them. So they did that. They didn't make anything up grammar wise vocabulary. Wise. That's all the stuff that I did. The day did the actual translation work wow I mean it sounded pretty good I'm it is very good. It's very good. The actors did did a really good job they they speak in in in in kind of Shakespearean way sometimes speak like this they in. The pronunciation is good at the and the the sentences, the grammar, and all that stuff is spot on how did you kind of approach count? Kellyanne was very different the whole structure of the language is different in discussions with the. Producers. They had a couple of ideas what county and should satellites I gave them a few samples. They suggested two things in particular. One is they wanted helping to have cliques. Languages in southern Africa yeah absolutely and things like that. I wasn't so sure. Readily, the actors will be able to bruce them so I put in what one clicks. So they make any kind of like that. That's fine..
"john paul bill" Discussed on Medicare for All
"About politics can help. Emergency can't wait brought up theoretical face about better well never ever thought the we have been reporting daily in this matter of medical. Ross denison position. I mean you have a right to come to my house and conscripts do believe in slavery I am Benjamin Day. I'm Stephanie Nakajima. And this is Medicare for all the PODCAST for everybody needs healthcare except for DNC chair Tom Perez for supporting the rapist. Who taking over his party coming in with some soft takes. Tell me why so. You may have heard Tara Reid. A former aide to Biden. She has credibly accused him of sexually assaulting her in one thousand nine hundred ninety three. And I've just been watching in horror as big me to figures like Alyssa Milano and our party leaders. Who were really you know outspoken about the allegations against Cavanaugh? And have you know heralded? This whole believe women Harvey Weinstein and everything. They've they've been either silent or dismissive about the allegations and tom perez. Who is the chair of the DNC and sort of therefore like this leader of the party? He has the power to signal whether or not. The Democratic Party is going to unify around a candidate in especially in light of these allegations. It might be might be good to reassess that and just yesterday. He said you know he didn't make any mention of what she had had said and she said that he said that he expects Democrats to unify around Biden. Yeah I mean we know that this is gonNA come up in the general elections. Obviously trump of all people. I mean it's hard to imagine him using this but you know he's going to use this right He even remember he you know he had brought like those Clinton accusers too when he he gave his speech. I mean he's this is gonNA become an issue. I think it's a terrible mistake for Democrats to like head there Stick their head in the sand and suddenly like abandoned their principles Just because you know this is The candidate that they're relying on to to win this election. Yeah exactly I mean not only. Is it morally bankrupt to dismiss these allegations? But it's also just bad politics. I mean if you're more moral compass like relies on you know. Do we need this person to win something or not? Then you don't have a moral compass. Turns out well. Fortunately the Medicare for all moment keeps rolling. Yeah so let's talk about the news of the week. The fight for having a relief. Bill that actually addresses what is going to be a massive health insurance crisis on So we had a bill introduced by Representative John Paul and Bernie Sanders in the Senate and then just Today actually as we're recording this this'll be yesterday as you're listening. Nancy Pelosi and House Leadership Democrat leadership in the House came out with a different proposal. We haven't seen language yet but this is clearly going to be the two kind of competing visions for next relief bill from the Democratic side so far icy silence from the Republican side. We don't even know if they're going support another relief bill at all Although I think the pressure is just going to become a hard to avoid once all of this unemployment leads to lack of insurance soon So the basic overview. Let's let why don't we start with the Sanders? John Paul Bill since that came out. I What they've proposed these of course are the lead sponsors of the Medicare for all legislation in the House and the Senate And this is not a medicare for all proposal. But it's kind of a stopgap proposal during the credit crisis. So what they've said is that Medicare should cover everyone who does not have health insurance And that Medicare will cover all co payments deductibles and cost sharing for everyone else. That's where people who have private insurance who have public insurance Like Medicaid or the Veterans Administration Or Medicare for that matter And that that will Last in effect until a vaccine is widely available to the public And the thinking of course is that we literally just cannot address this pandemic without everyone having access to healthcare Otherwise everyone who slipped through. The cracks of the healthcare system is going to be Is going to be unable to access. Care avoiding care when they need it and more likely to spread The contagion so Stephanie. What do you think about proposal? That came out of Japan. Senator Sanders Office. Well when I first heard about this proposal I thought it was perfect because it gives us a way to sort of expand public health insurance and it also fulfils the moderate concerns about allowing people to stay on their health insurance and all the stupid rationales for supporting a public option versus Medicare for all and that has always been the moderate case against Medicare for all right it's too disruptive maybe amid Medicare for all is in theory better but people are just so happy with their private insurance. Who Am I? Who are we to argue with them? And maybe they need a chance to try it out. And that's the impetus behind the whole public option. And you know they always say that. The of course. The goal is universal healthcare. But what the pathway. How do we get there? You know the details matter well. Here's your chance you know. Millions kicked off their insurance by no fault of their own at a time. When it's not actually safe to go outside but as far as I know no other members of Congress besides Sanders and Paul have supported this plan. Yeah I don't even know if it's been you know. They've barely rolled it out. It just came off the shelf. So we're us. The movement are going to have to build support for this bill. And you know it's interesting because this plan is kind of like some of the competing plans that you know. The centrists who were running for president were running on This doesn't resemble like the Biden plan but it is kind of what like Baidoa Rourke was was backing. It's a little bit like will cover everyone with the public plan. But we'll keep somehow the private health insurance in the workplace health insurance And I think the reason it's important to acknowledge why this is not a replacement for Medicare for all it needs to be. Temporary is the cost right. The the downside of doing it this way is that you don't get most of the savings that you get from Medicare for all system which really comes from like simplifying the system and you're cutting out all this administrative waste hospitals and doctors only have to deal with one pair they don't have to deal with fifty different payers. And that's how Medicare for all works by creating although savings you can afford to cover everyone else afford to have no co payments and deductibles. It is much more expensive to do it. This way to keep the private insurance companies in their keep all this complication waste in the system and expand coverage to everyone But I think you can do it temporarily as a stopgap measure And so I think it would be a good stepping-stone and people we literally cannot address this crisis with more and more people losing access to health insurance so I think it'll be an interesting fight. Yeah and it could arguably be even less expensive than giving subsidies to private health. Insurers who who made just end up pocketing. Well obviously we'll end up pocketing the profits but also will not be actually giving out any care outside of probably a lot of corona virus care because people aren't actually going to the doctor for anything else right now that's a fact that's not arguably that's it would definitely be cheaper to cover people through expanding medicare than it would be through throwing money at private insurance and on that note. Stephanie do you want to give us the lowdown on the Pelosi proposal? That came out today so brave New Nancy..
Progressives propose Medicare for the Uninsured
"Let's talk about the news of the week. The fight for having a relief. Bill that actually addresses what is going to be a massive health insurance crisis on So we had a bill introduced by Representative John Paul and Bernie Sanders in the Senate and then just Today actually as we're recording this this'll be yesterday as you're listening. Nancy Pelosi and House Leadership Democrat leadership in the House came out with a different proposal. We haven't seen language yet but this is clearly going to be the two kind of competing visions for next relief bill from the Democratic side so far icy silence from the Republican side. We don't even know if they're going support another relief bill at all Although I think the pressure is just going to become a hard to avoid once all of this unemployment leads to lack of insurance soon So the basic overview. Let's let why don't we start with the Sanders? John Paul Bill since that came out. I What they've proposed these of course are the lead sponsors of the Medicare for all legislation in the House and the Senate And this is not a medicare for all proposal. But it's kind of a stopgap proposal during the credit crisis. So what they've said is that Medicare should cover everyone who does not have health insurance And that Medicare will cover all co payments deductibles and cost sharing for everyone else. That's where people who have private insurance who have public insurance Like Medicaid or the Veterans Administration Or Medicare for that matter And that that will Last in effect until a vaccine is widely available to the public And the thinking of course is that we literally just cannot address this pandemic without everyone having access to healthcare Otherwise everyone who slipped through. The cracks of the healthcare system is going to be Is going to be unable to access. Care avoiding care when they need it and more likely to spread The contagion so Stephanie. What do you think about proposal? That came out of Japan. Senator Sanders Office. Well when I first heard about this proposal I thought it was perfect because it gives us a way to sort of expand public health insurance and it also fulfils the moderate concerns about allowing people to stay on their health insurance and all the stupid rationales for supporting a public option versus Medicare for all and that has always been the moderate case against Medicare for all right it's too disruptive maybe amid Medicare for all is in theory better but people are just so happy with their private insurance. Who Am I? Who are we to argue with them? And maybe they need a chance to try it out. And that's the impetus behind the whole public option. And you know they always say that. The of course. The goal is universal healthcare. But what the pathway. How do we get there? You know the details matter well. Here's your chance you know. Millions kicked off their insurance by no fault of their own at a time. When it's not actually safe to go outside but as far as I know no other members of Congress besides Sanders and Paul have supported this plan. Yeah I don't even know if it's been you know. They've barely rolled it out. It just came off the shelf. So we're us. The movement are going to have to build support for this bill. And you know it's interesting because this plan is kind of like some of the competing plans that you know. The centrists who were running for president were running on This doesn't resemble like the Biden plan but it is kind of what like Baidoa Rourke was was backing. It's a little bit like will cover everyone with the public plan. But we'll keep somehow the private health insurance in the workplace health insurance And I think the reason it's important to acknowledge why this is not a replacement for Medicare for all it needs to be. Temporary is the cost right. The the downside of doing it this way is that you don't get most of the savings that you get from Medicare for all system which really comes from like simplifying the system and you're cutting out all this administrative waste hospitals and doctors only have to deal with one pair they don't have to deal with fifty different payers. And that's how Medicare for all works by creating although savings you can afford to cover everyone else afford to have no co payments and deductibles. It is much more expensive to do it. This way to keep the private insurance companies in their keep all this complication waste in the system and expand coverage to everyone But I think you can do it temporarily as a stopgap measure And so I think it would be a good stepping-stone and people we literally cannot address this crisis with more and more people losing access to health insurance so I think it'll be an interesting fight. Yeah and it could arguably be even less expensive than giving subsidies to private health. Insurers who who made just end up pocketing. Well obviously we'll end up pocketing the profits but also will not be actually giving out any care outside of probably a lot of corona virus care because people aren't actually going to the doctor for anything else right now that's a fact that's not arguably that's it would definitely be cheaper to cover people through expanding medicare than it would be through throwing money at private
"john paul bill" Discussed on Sports 600 ESPN
"John Paul bill the field to the sideline though which is what a playing G. daughter name radio network Ian book these seven yard touchdown run with twenty nine seconds left the Irish would make the extra point a tab survived a scare from Virginia Tech twenty one to twenty the victory for Notre Dame Ian book on that game winning drive is really just to trust in each other keep doing what we were doing because I thought a line is a great job issues did unbelievable and I thought that by Kong's awesome too it was in and winning touchdown was capped off after eighteen play eighty seven your drive order Dame head coach Brian Kelly well that was a great character building wind for our football team proud of them they adored a lot this week and had their character tested and they responded happy for those guys they again found a way to win a football game which is very difficult especially the way they did it Notre Dame bounces back after their tough loss to Michigan one point victory over Virginia Tech Irish should now would twenty straight games against unranked opponents thanks for joining into sports center all night on ESPN radio and ESPN app I'm John Ryder let's give more scores and highlights from around college football the big twelve number twenty two Kansas city Kansas.
"john paul bill" Discussed on KOA 850 AM
"Three eighty five eighty five we've got full lines we had a lot of text coming in so we're gonna get to your reaction let's go next to. okay it's Hayden Hayden Europe next year on Broncos react how are you today. not bad are you guys doing tonight we'll find takes the call. yeah Hey yeah you read I tweet about how I thought that the the frustration we were seeing was more about yeah five game but it was about three there you go hi good to eat. the way I feel is that I think what a lot of Bronco fans myself for worried about if you remember like in twenty ten to twenty eleven went right before she will go out and there was almost a sense of a relevance right like people weren't really even the raiders and chiefs and Chargers were getting up to the Bronco games is just kind of another game and I feel like throw boggle country to dance and I talk to that the kind of general feeling I get is that they're worried about just kind of fading into irrelevance again I understand that really sucks but I think that's why there's such a just a visceral backlash with it. I currently great call yeah I think is a great call but a good great tweet I think that I don't think that this team I think it's to tell to for that we go back and look at those teams there was a dearth of talent to certain areas now you could say that this team **** because it got. but I don't think that anybody should look at the Denver Broncos roster and say well this is a bottom tier team. they needed a permanent solution a quarterback absolutely do they need to upgrade along the offense of line sure. I do any more athletic inside linebackers and a second or third corner yes they do by the way to mother possibly the see the game he had today. I topic I should've been cornerback three from the from the jump. Bobby was out there everywhere breaking up passes making tackles me to huge third down right at all yeah get involved next man up there stepping up in in the in the place that kind of scale yada back to put him in there man as he stepped up yeah and and begin rubber Callahan was planned eight day expected Callahan to be the quarterback of city signed him in free agency for that here's the one that we got full last will get these guys here's the one thing I want to say that that if you want a negative if you want something to pin on John L. A. you could talk about draft classes over the last two look very good you could talk about getting the quarterback whatever I think the one thing that I would pay on them is that they invest too much money and too much hope in players with a history of injury. and it doesn't usually work out for. back to the phones Paul Europe next year a Broncos react right the bridge between Albright three oh three seven one three eighty five eighty five what's up all. I was just gonna say that about the tight end we'll be back with a lot of hope on cutting that were hurt but actually my my number one point was. the deep that were running last year this year is a total different schemes the vet yield moral but the the don't hi keep your eye on the quarterback make turnovers prepare a bomb Miller all these guys were told to leave back then the way John Paul bill did defense now we back them could block like the it was we're not going to hide no. games on you when a man up very much in the mouth and we don't have to do quite not then and you know they they took the Green Bay Packers in two thousand fifteen and help others who was game ever seventy eight yards hello Darling they beat up Brady baby they were bullied back then that's what the damper. and are you being we're not used to being there not only not not not this try to hide in shadows the shuttle to try to pick up bald when they were bullied they were taking all the way from just like Green Bay the ball away from fat no offense they you with the ball he went in there got blown to get from them all right thanks for the call Paul and I actually is a lot of that agree with and there's a there's something like Aaron Rodgers quotes I can't wait to read some of these to Chris Harris junior tomorrow night when we he joins us about four while you're sitting next to Chris when you do that I'm set on the other side because because because I want to I want to see the and then so it's really for the entire defense because there's a level of frustration that they haven't had any sections is not Chris Harris is fault that's not what he's being tasked to do but the turtle right this the first time in fifty years the team has had zero sacks and zero turnovers in any games in the first three games is first time it's happened right so eight yeah I I mean they're Rogers today so there's a clear this is jerseys ever been. if there is a lack of pressure. Rogers he did have to come office is spot a few times true okay he was a drag to the ground many times there were three or four plays in the first half when they were close yeah they just do this could get hands on it I mean he's he's a tough core back to bring that anyway that early on in the game did you notice that they did be getting a hand on. just when I was watching the **** of the watch I think the caller about how you talk about the tight ends yet officer tackled office of guard right now they've got injury problems like that yet a corner with a history major problems you invest a lot of money in the Broncos obeyed investments like that over the years guys with an injury history and it has not worked out for them traditionally back to the phones and then we will get the tax line here just a moment generate your up next here on Broncos react right never spent Albright how are you. good how are you know we're good takes the call. well my work about some positive I thought a day we didn't see any penalties from durable. Philip Levi he played like a beast today like he does. owning going no yeah we scored even the red zone. I feel like we're getting better every week and we don't have to be patient because all the teams that happens it's just gonna take time each completely agree end and I think that's really a call I mean you're right I think with your polls other it wasn't a perfect game for your polls he gave up the sack and on that run play the outside with right with Freeman yeah. get hemmed up with dish they shot Hamilton trying to get me I guess it's at the edge in many wild up just running down the line blocking no one and it was so I I look couldn't help but shake my head I mean there's still some things but. we talked about this this week and I sort of hate saying this about professional football player but we're kinda grading a bit on a curve now when it comes to Kerr bowls there's a okay can he play adequately could he not sink this team and I don't like I want a higher expectations you'll maybe by the end of the year or maybe even halfway through the season maybe I can raise my expectations but today I would you date you have the penalties today we don't that's a great story don't occur which is great how it is did we set the standard no penalties Garrett not be seated guarantee that standard yes he did they are passes for today who is that it this is a bill that is great your car because you can't because you just detail other two very important moments in the game where you don't play well there are other I mean there are things we can find that everybody you know messed up on it so that it sort like that's our biggest online I'm going to grade the entire game right now just all I see is that the baseline for gear polls that as at all with that that for me sounds like Slimer it for right now the baseline is don't be a liability let's start there once you meet that standard then let's start saying that you know that the start moving towards excellent so let's all before we walked that crawl walk run. that was the crawl they will establish the walk them will establish the run and then you can establish the pun your website that you notice the pun dot com now Forrest your up next year brokers react right at words **** but all right three oh three seven one three eighty five eighty five what's going on. hello forest. yeah sorry. you know. all right you know I do thanks for you guys thanks for doing what you did you guys are great All I Want to say is is the that the conversations about John Elway and the conversations about black girl it's just that it's kind of silly to me I would take John Elway over achieve team who are the one that the Superbowl and I'm forty odd years you know then then any other GM slack though you guys keep talking you can if you get the point over and over is that a seventy percent after reading it correct me if I'm wrong but will it ever since the Peyton manning area era I think we've had we've averaged about four intersection the game with the right your points and then they they only have so far with that one I mean I'm still do the guy the guys performing is legit it I'm not a football expert I'm not a depressive our expert but if I if you if I were to ask for one thing from the football guys they they give me a couple of sacks give me one turnover game and and and you've got what we had in our on our Superbowl fifty super bad Superbowl run I mean it these games are nail biter yeah this team is awesome we're just missing a few of those little things that I don't know how to do it you know it I'm the kind of guy that I look at this stuff but from from my lack of football history I say you know what they Garibaldi yeah I think this film shot. thanks for the call for spurs hate that is good. look it's almost like the anti Superbowl fifty season. we're all the breaks with the Denver Broncos way the one that you mentioned this earlier with a with a record number of games bye bye slim margin one score but it's the other way around them not getting those breaks other side of that coin this is still a good football done that since is to book our team is a good football team effort the conversation we've been having about the last couple years and some of the frustrations and maybe that bleeding over into the season and an understandably like these Broncos fans have been here through all of it Vic Fangio just got here Joe Flacco just got here were saying Hey it's not necessarily fair to judge all that on these guys but your Broncos fan you're entitled to basically carried over whatever you want but the fact is there something he brought up that I want to just really quickly echo. they weren't competitive in multiple times just two years ago when after they got off to a three in one start they get bears by the giants in prime time they get shelled shut out by the Chargers on the road never they started that that they Wednesday got shut out they got embarrassed on Monday Night Football I think it was against the chief for the tide turned over the ball five times to give about fifty points to the eagles on the road you knew then how bad it could be this team isn't that bad it's not it's not even competitive football team and I still think that they can get the five hundred better personally but that's that's just me we will look at that but five hundred and so but in three weeks to be five five well I I think that I think that the caller made a good point though like Joe Flacco is light years better than what they've had to fly we're not mistaking Joe Flacco for Pam homes anytime soon all right so let's stop holding this there is is he able to be core competency in executing the offense he's a whole lot better than that Voltron of soccer to that we've had the last couple of years and in Paxton wage and Brock Osweiler the ghost of case Keenum and the ghost of Peyton manning and and you know all these guy Trevor city and then all these guys we had there just guys is better than that he's not Pablo homes was able to execute the office of the copper level and if the defense starts coming together and starts getting the sacs and turnovers and the office quick shoot themselves in the.
"john paul bill" Discussed on The World of Phil Hendrie
"Believe that if I played, you know, my says. My Steph is powerful enough. That if I did, if I did just fly, you know, flop, it flop it, what does that mean? Slop, phil. I don't want to have this conversation. I should've asked I to, I don't wanna embarrass him gray. But yeah, if I if I when I'm not saying flop it as I'm not seeing flop. My pain is don't want to have this conversation. All right. I'm just saying. He said he, he awhile. How about that? You think your husband is wracked? I didn't say he because I think it's a she. She said that he she said, she doesn't want to talk about it. Yes, she doesn't want to talk about it. All right. But I think you'll Lisa captive comments office fan when When I say. I say, I would walk by says, well, okay, we just it was LOP. Out. Your sexuality would flop out. Yeah. If I if I played it out there, I Chris. Thank you very much. Thank you. And you believe that Margaret would sleep with you. What a hell of a thing, she's a wife in a mother. All right. I'm sorry. But you know she I didn't bring it up at all. Phil was the one that encouraged it my apologies, Margaret. I'm sorry is fair. I don't mean let me say this Haley, there's you're talking about me other day, general, who's that guy on TV on Paul Belmondo Vilma? That guy is ups. At least he is what you think of yourself. What are you talking young? Paul Belmondo is one of the greatest actors of all time talking about the actor. I mean the character, he played me breathless. Oh, yes. A psychopath. Yes. Okay. So you think. They think Chris, you are psychopath that you have. No feelings for anybody except yourself and the character, John Paul. You actually I didn't see the one as you on Paul Belmondo. See so Richard here. I did. Yeah. Oh, the Richard Gere version of breathless is another garish, sloppy Hollywood rendering of French cinema. Classic Richard Gere while he was good will never never come up to the level of John. Paul, Bill Mondo. I hear you're talking about me to be crystal get you a minute. We'll never come up to that. All right. Margaret, that's fine. I believe you. I thought Richard Gere's performance in breathless was pretty good. Also good about it. It just you know, the guy was a frigging psychopath. Maybe not a full on saga. But look like that dude, the character that Richard Gere played barn burner daylight. Who said that to me? I didn't great. I'm sorry. You hold on. We're burn daylight, you sit there Toubon John Paul Beaumont, the Mondo pill bundle for Christ on a crutch. All right. No one cares. But no one cares. Got I'm gonna do the hey Chris how're you doing? To is what's again, all take over man. Anyway. But your name's bud digman by with Chris. Hi, phil. Hendrie. Let me ask you a question. The music's on. What's going on with that music? Are you filming? We're not right now. The whole reason why you understand I do until film and the reason why I have this music plane. We have it playing on via vast question million times. You answer. You gotta play it all term, like it's almost like something you need. Well, all right. I mean I had on in lieu of just poppin like biogra- some because, you know, I do perform in many, my film, and while this music playing it allow I can sustain. You know, I mean, I guess, I guess, say a boat, not a bone. I said, say that, but I sustained. I can you could sustain an erection. Yeah. While plays. I'm saying ration. Action. Okay. Okay. Yes. So you're walking around there with. You're walking around there with a heart on all the time. Well, this music plays, it, it's not just me. You can have any of the actors that work in Chris Norman knockoffs Norman. My name's Chris. Morton, whose? Your name is Rex rod. I thought. That's right. Anythi actors that play in a restaurant film have to be ready ago at mess notice. That's why we keep playing this tune. Yeah. You know..
"john paul bill" Discussed on POLITICO's Pulse Check
"There is a good possibility that it will lead to pay cuts in the healthcare industry is that responsible for union leaders argue for well what we know is that we're taking pay cuts now by having to cover more and more cost even as healthcare providers were actually having to pay more out of pocket expenses. And as I said we. We don't just advocate for ourselves. We advocate for our patients. We have Kate for even nurses and workers who are not who don't have a union, and we know that for them. They even get socked with, you know, much more of the cost, and we see the those that absolutely have no healthcare whatsoever. And how much that costs when they're brought in and there's so much sicker. This system. Just doesn't make any sense. We're actually an all of us are the ones that are absorbing absorbing that cost. So, you know, I think that really it's important to have a much more broader thorough assessment and for nurses. It comes easy because that's the kind of care when we are taking care of our patients. We are. We always have to do a very thorough broad assessment of the patient's illness injury. What brought them in. I'm thinking about the legislation. There's the Bernie Sanders. Bill that's been advanced in the house Representative Pramilla John Paul who sat where you are sitting in front of a microphone on this podcast a few months ago to talk about her efforts. Is there anything in that Bill that you would call out Bonnie as a significant advance for nurses? Oh, absolutely. I mean what I will say with Representative Jaipur calls Bill. It is the most comprehensive Bill today. And what it does impetus is it takes the cost incentive out of the spear of delivery of care, and for us as registered, nurses, that we can't have anything calm, but tween us and our patient, and what we are trained and in develop expertise to deliver so nurses, go to nursing school. They don't go. To become rich. They actually go to be, you know, they actually want to deliver the best possible care to the patient. And they can't do that. If there's something trying to incentivize that care. So in other words, if we don't look at penalizing our patients are taking punitive measures. We know that we're engaged in education with our patients education about their disease process education about how to take care of themselves when they go home, and we know that and I just wanna make sure when you when you're talking about getting the cost incentive out of health care. I think we we referencing or the experiments that Medicare is doing on value based care value base care, right incentivizing. You know, this is this Bill would outlaw those those men who weren't experiments, correct? Because it in healthcare, those models have no place, really. They and differently. From a lot of folks and health care. They say those models are necessary to make the system more efficient to test. New ideas. You disagree efficiencies. Don't maximize actual care so efficient sees for who is it officiency for billing practices to maximize profits. That has nothing to do with care. And in fact care will suffer. The Bill, and we're caregivers. The Bill also includes nurse to patient ratios. John Paul's Bill in the house. I don't believe Bernie Sanders. Bill in the Senate includes those ratios, but that's something that your group has argued for nursing unions have argued for for years. Why are those ratios necessary? Oh is so important in every piece of health and safety legislation that we do whether it be workplace violence, safe patient, handling staffing ratios staffing, and when I say staffing. Well, educated expertly trained staff are key to keeping us all. Health healthy and safe. Right..
"john paul bill" Discussed on C-SPAN Radio
"And prior to joining CMs, she was secretary of health and human services in Virginia under the leadership of governor Tim Kaine Maryland received her bachelor's in nursing and a masters in health administration from Virginia Commonwealth university next. It's my pleasure to introduce another former CMS administrator on today's panel, Tom Scully and Thomas services, the vice chair of the policy Tom served as the administrator of CMS for three years under President Bush and currently is a general partner. Whilst Carson Anderson and Stowe he previously served as president and CEO of the federation of American hospitals for several years, and we're privileged to as I said have Tom serving as vice chair of our board. He. As an attorney received his data from Catholic university. And finally, and certainly not least we will hear from Mark Miller. Mark is executive vice president of health care at Arnold ventures. Where he leads the organizations work to lower the cost to improve the value of healthcare. Mark has more than thirty years of experience developing and implementing health policy. He was previously the executive director of the Medicare payment advisory commission med pack and held leadership positions at the Congressional Budget Office and the office of management and budget. He holds a ph in public policy analysis from SUNY Binghamton, and so thank you again to all of you with that. I'm going to go ahead and turn it over to Karen pellets to get started. Thank you. Karen? Thanks, sarah. And good morning. Everyone morning to my friends on the panel. It's great to be reunited today. I brought packet of slides which are not going to be broadcast so apologies, and I'm not going to go through all of them. But I thought I would just go through a little bit of background to discuss this issue and set some context and talk a little bit about the bills that we're then going to spend a lot of time discussing today, the first light in your packet is just a reminder of where we get our health coverage today about half of us in the US. Get our coverage through work our own job or or a family members job about a third of the population is already covered under public programs primarily Medicare and Medicaid a small number of us buy insurance on our own and then some are uninsured. And while that sounds pretty simple. I would. Remind you that there is a huge amount of variety within the simple chart. They're literally millions of different group health plans in the United States. Thousands of non group plans are even thousands of private Medicare Advantage plans within the Medicare program there's been become a large component of private coverage within that program and the fifty state Medicaid programs are all a little different. So depending on which particular plan you're in. You're what you have what it costs you. How it works is a little different from all the others. And and we move around a lot. So even blowing out the candles on your birthday cake can change the coverage that you are for and so changed what you're covered for. And and and how that works for you. Also, just reminder about the uninsured. So we still have over twenty seven million uninsured individuals in the United States a little more than half of them on paper eligible for some help under the ACA. They're eligible for Medicaid or chip or they're eligible for tax credits in the marketplace. But they're not signed up. And that is I think reflection of both the adequacy of the subsidies are available particularly in the marketplace. They go up to four times poverty, but really they start to run out at about two times poverty, and it can be very complicated to sign up for the marketplace. And of course, there have been drastic cuts in funding for outreach in for imprison enrollment assistance, and then the Medicaid programs also have in a number of state, spin adopting barriers to eligibility work requirements and other other requirements, and then the other almost half of us aren't eligible for any financial help at all. And sometimes. Now for any coverage. They make too much to qualify there in the family glitch in. So they don't qualify for subsidies in the marketplace immigrants aren't eligible for anything. And then we have a couple of million people who still live in states that have not expanded Medicaid for poor adult. So to the extent that we are focused at all on expanding coverage. I think keeping an eye in these policies that we're going to look at what do they do to expand subsidies and what they do to expand or simplify eligibility. Those are all going to be important things to keep an eye on the next chart. It's gotten a little out of control. This was sort of trying to drive picture of all of the different kind of policy goals that these proposals aim to address and I'm going to have to redo this because no one can see it anymore. But, but I think most of them not all of them are very focused on expanding coverage or getting a universal coverage. Many of them are focused on improving. The affordability of what people pay out of pocket for healthcare their deductibles co pays their surprise medical bills. There's a lot of interesting cost containment in expanding. The use of publicly established prices for doctors, and hospitals and other providers. And and a lot of other goals as well. And then some are very narrowly focused just to sort of address specific shortcomings or problems that are going on in the marketplace. So we really have a range of stuff going on. And as we talk about all of these proposals. While they aim for these goals there are also trade offs. And I think we're gonna spend most of this morning talking about the trade offs. But to the extent that public plan coverage replaces displaces other coverage that can that can cause a problem for people or caused concerns for people. Definitely there could be a lot of winners and losers in terms of what healthcare providers get paid, the private insurance industry could lose jobs and wages and revenue. We could see a different roles larger role for the federal government different roles for state government. And of course, to the extent that we shift the financing of healthcare into public programs that would inevitably involve some sort of tax increases. So now you can start the clock on south this polish. Kaiser family foundation, I'm just quickly. I want to go through the bills that have been introduced so far and we're at eight, and I think there's going to be two more probably within the next couple of weeks. So right, congress likes to think things through by trying on lots of different things. So we have and we've tried to separate them at Kaiser in our brief and in our side by side there's detail about all of this on our interactive side-by-side on KFI dot org. There are two bills that would establish a federal national Medicare for all program. The sand spill in the Senate John Paul Bill in the house. There are three bills with I think two more coming that would establish a federal public plan option for some or all people. That would be based on the Medicare program. But it is not the Medicare program. It has Medicare issue, and we'll talk a little bit more about that. There are two bills that would allow older adults in the marketplace. Those fifty and older the option of actually buying into the Medicare program itself. Not a new public plan the Medicare plan, although there would be some things that would change for them. And then finally there is legislation to allow states to expand and modify their Medicaid program in order to create a state public plan by an option for people. So. Medicaid. Sorry. Oh shame on me. Okay. Don't tell Diana. Did that? All right. So just to quickly March through some of the key components of these categories. So in the Medicare for all proposals. These are the plans that would be about getting us universal coverage, and you will hear it said it is true. There are lots of ways that you could get to universal coverage. But all of those transitions that can cause disruption and confusion and a change in your coverage. You wouldn't have those there would just be a single Medicare program that you would always have..
"john paul bill" Discussed on Radio Free Nashville
"They don't do a performance single surgery. They've never taken anybody's temperature. Well, maybe they've got a nurse in the in the office. Next to the executive dining room where the private chefs come in and prepare the lunches for the CEO's who make eighty million bucks a year. I mean, you know, but. L as Alexander, Cossio course says said in response to the CEO of United Healthcare say, oh, this is going to destabilize a system if by stabilize he means disrupt for profit insulin schemes because the discovering scientists freely gave away the battened because he didn't want us to price gouge lifesaving medicine than. Yes. And she says, it's it's Representative John Paul's Bill mind, but I'm proud to cosponsor Medicare for all. This is a OC Alexander Causey Cortez. The director of Bernie Sanders is staff Warren canals. He he says he's really not concerned about the feelings of health insurance executives. He says whether the United health CEO likes it or not we will no longer tolerate a system allowing him to make eighty three point two million dollars while Americans go bankrupt. When they get sick the greed of unitedhealthcare's killing Americans together, we will end it in our first hour. We were asking the question we still are in this hour. What do you think is the worst thing that Donald Trump has done since he became president or the Republicans who enable him for that matter given that tomorrow the bar report or the bar censoring of the mullahs report is going to be revealed to all of us. And we will discover what we didn't know. And what we still don't know. Because Bill bark, you know. Back in the day back in the nineteen eighties. William Safire, probably one of the most famous op Ed writers of my generation of you know, of the eighty the seventies the eighties nineties William Safire referred to him in the New York Times repeated lamb you if you're a subscriber of the New York Times, you go back and read these articles in the early nineties repeatedly referred to him as cover up general bar. Because you know, he was the cover up man for for George. Herbert Walker Bush when George H W Bush wanted takedown Noriega because Noriega new or the dirt was buried right on Iran, contra and George Bush wanted to to to arrest him you wanted to bury him. And he didn't have the legal authority to do it. I mean, we we can't go into another country and just arrest people. And so, you know, the the Bill bar at that point in time was not the attorney general he was the number two. He was the assistant attorney general the attorney general ordered an analysis of whether it's legal to go into Panama and arrest, our Ega and turns out the Justice department came out with a with a fairly robust reports. Say no, it would be illegal. But Bill bar said, no congress. I mean, literally to congress said no, you can't see that report. I'm not gonna show it to you. But I will give you a summary of the principal findings and my summary is it's just fine for the FBI to go into Panama arrest Noriega. In other words, what what President Bush wants President Bush can get. Any kept this report buried for three years before finally came out that he had lied through his teeth to congress Bill bar, Rachel Maddow, lay this out on her show last night. And I'm just astonished that literally every single hour on MSNBC the top of the news is not that story. I mean, I reported, you know, in in slate in common dreams and in alternate on story, I reported several months ago when Bill bar was being considered as attorney general I reported that in ninety two he covered up the Iraq gate investigation. This was an investigation by congress into whether the Trump and the Reagan and Bush administrations were illegally selling weapons to Saddam Hussein in Iraq. It was called a rack gate. And Bill bar covered that one up which is what got you know, William Safire, so bet on a shape that he was calling him cover up general bar. And then and then, you know, in in two in nineteen Ninety-two, he covered up the Iran contra investigation. He deep six that. And now he and and then I didn't even know that he had covered up this other this, you know, of that he had basically lied to congress about a report that wasn't even a classified report. It would have been easy for the Justice department to turn this over to congress. But for three years, they hit it. How long is it going to be able to hide this? So we'll see so number one. We've got this insane greed on the part of the United of United Healthcare and these other health insurance companies in quotes. By the way, politico is pointing out that United Healthcare has lost thirty dollars a share since Bernie introduced as Medicare for all Bill. Good. United healthcare. See Steve Nelson says we are advocating heavily in very involved in the conversation. There's they're fighting politically this is a company that gives millions of dollars to politicians, and they are fighting Medicare for all. They are buying your politician as we speak. The remarks were leaked to the Washington Post said part of it is trying to be thoughtful about how we enter the conversation because there's a risk in seeming like it self-serving g thinks so. I mean, this is just shocking. And then we've got you know, Bill bar preparing to gaslight us tomorrow. I'm telling you don't expect to have any major revelations tomorrow because this guy Bill bar has been a professional cover up artist, including lying to congress. Since the nineteen ninety s. He was attorney general once before and when he was attorney general he buried the the Iran contra investigation by advising George Herbert Walker Bush at that point in time, the special prosecutor, Lawrence Walsh. Had subpoenaed. President Bush the f- the elders campaign diaries that we're shown whether he knew about Iran contra, whether he knew that they were giving weapons to Iran in order to hold in order to release or hold hostages. It was about to come out. And George Herbert Walker. Bush went to his attorney general Bill Barnes said how can we how going berry this thing and Bill bar said, oh, it's really really simple. All you have to do.
"john paul bill" Discussed on WRIR.org 97.3FM
"To voiding the expansion of Medicaid and most states Democrats welcomed the about. Face girding themselves to defend the SEA, which remains popular we turn to pull song a board certified radiation oncologist co chair of the campaign for healthy, California is also on the board of physicians for national health program, and he's our healthcare. Correspondent welcome back. Paul. Great to be back. So why do you think the Trump administration did this? We are. Now seeing reports that there has basically been an internal battle within the White House and those seeking to overturn the entire ACA, basically prevailed with Trump, and he has now decided it's a good idea to get rid of the entire act. Well, from what I heard as you mentioned, there was this internal battle. But I think it was really led by Mick Mulvaney. His chief of staff as well as several other hardline people in his administration that have really given. I think the Democrats have reprieve from the mullahs report. So, you know, the Democrats were obviously reeling from the findings or the lack of findings and just when it looked like things were starting to become dire. This news came out. And what's really surprising about this is the more people are learning about it is that within the administration, the health and Human Services Secretary as our as well as the attorney general Abbar themsel- himself were both opposed to what the Trump administration has wanted to do. When given that in the midterm elections. The number one Google term prior to the actual midterms the day before was healthcare. I believe that. This is an issue that is actually gonna come back to help Democrats at a time where they were really starting to feel somewhat depleted and depressed because of the Mahler report. So the attacks on Obama Care are sort of an order fashioned approached by the GOP, right? I mean, it's kind of passe now for the GOP to continue to harp on this not wondering if the party is United with Trump because it seems as though Trump has made a political calculation that attacking ObamaCare would benefit is reelection efforts. Well, it's not clear because Kevin McCarthy the Senate minority leader yesterday cautioned against going down this route his district is certainly benefited as much as any district in in California in term. Of the number of people that have gotten healthcare either through the Medicaid expansion or through premium subsidy. So I think that this is this is gonna be a big big issue internally. What was really telling is that not only are they trying to support the Texas attorney general and in in this lawsuit that really was trying to dismantle the pre existing condition component. The Trump administration is taking one step further basically say throw the whole ACA out. But but like before there is no replacement plan in place, and that's where I think health and Human Services Secretary as are saying before you do this. What are you going to replace it with because I think he recognizes that this would be a big disaster. So let's talk about specifically the Texas case last December a judge ruled in Texas, a specifically around the pre existing conditions aspect of this is basically where insurance companies. The Obama Care one of one of the best things about ObamaCare was that it did away with allowing health insurance companies to discriminate against people based on so-called preexisting conditions, any healthcare issues that they all ready had could not be used to raise premiums or deny treatment. It was a very popular part of the ACA because it seems it doesn't matter what side of the political spectrum you're on. It's it seems to make sense to not allow that. And that was the part that he Texas judge invalidated where does that aspect of the easiest stand right now. Well, so that was a texture Jim validated. It, but then when it went up to a higher court ruling that was overturned, but that is what is being appealed right now, and what Sohan precedent about the Justice department, basically taking the side of a plaintiff to overturn in existing law in the United States. And again that was the limited scope about Bill, and and make no there's no question about removing that protection would be disastrous. But what the Trump administration is asking for is one step further not only removing the protections of against pre existing condition discrimination. But throwing out the entire Bill entirely, which includes taking away the cap on lifetime deductions and things of that nature that so many people have benefited from our we know that the Trump administration had been trying to mess with Medicare. Kaid pushing Republican legislatures around the country and states around the country to begin posing work requirements on Medicaid programs. And we also just heard on Thursday are really Wednesday. I believe it was that are judge invalidated work requirements in states in two states, Arkansas and Kentucky saying that. That was not what Congress's intention was for the Medicaid program, but ObamaCare loud, the expansion of Medicaid is there a link between the Trump administration's work pushing for work requirements under Medicaid and the Medicaid expansion under ObamaCare, obviously, there is some political retribution for that. But I think what's ironic about the Medicaid work requirement that they're trying to push is particularly in the red states. The majority of people who are actually on Medicaid are working many of them. Are working one or two jobs. Unfortunately, they're working for companies such as wal mart and others whose wages are so low and who don't provide health care benefits that they have to take Medicaid as a result of of other situation. So you really punishing sort of their base of people that are benefiting. It's everyone thinks that it's just takers who are too lazy to work better on Medicaid. But the majority of people have one or two jobs. So the Democrats have welcomed this fight because they believe that they can win this political battle given how how important healthcare is how much Americans have value it. It's one of these things, of course, where once Americans have some have a good government benefit. They usually want to keep it, of course. Obamacare isn't exactly a government benefit, but it's set of regulations on private industry. How does the leadership of the Democratic Party as far as your plan on fighting back against this attack? And how does that impact the fight for Medicare for all an truly government's program to fund healthcare question? So on the first example one is that they have been saying they want to strengthen the Affordable Care Act. And obviously, this is an assault more. So Ben in the past because it's now in the courts, but as a result, congress is sort of sitting on the sidelines right now waiting to see what happens in the courts, most legal experts predict that this will be the existing Affordable Care Act will be upheld. And they actually look at perhaps supreme court Justice. John Roberts is being the deciding vote, but they do believe that the Affordable Care Act will be upheld. And this Texas lawsuit will eventually. Be dismissed once and for all, but Democrats are using this as a way to pivot away from looking at Medicare for all prior to the announcement that the Trump administration was going to instruct the Justice department to stand on the side of Texas. You already had speaker Pelosi saying that they were going to focus on more ACA based. Improvements. One was perhaps increase the subsidy support. One was also right in regulation to overturn any pre existing condition situation that was overturned. So that's where the Democrats have pivoted now for those corporate Democrats who were never going to support Medicare for all this gives them a convenient excuse to focus on the attack at hand. But I'm wondering if you think that's Trump's real goal because of course, Medicare for all is something that he knows as popular and his desperately being trying to attack as a radical socialist plan house of other Republicans, and is this a way to distract from the Medicare for all fight, which potentially could be a winning a political battle for Democrats. Like, you know, Bernie Sanders what he's now running democrat. But usually an independent. So so it could be, but I would say that if you look to the news two days before the White House announcement you're ready saw speaker Pelosi saying that they were gonna put Medicare for all on the back burner to focus on strengthening the Affordable Care Act. So I don't think that this was necessary. Surly a deliberate attempt by the Trump administration to remove Medicare for all from discussion. I think that most political experts would say given how healthcare was such a defining issue in the midterms that this is somewhat damaging for Republicans to now introduce this and have to focus on healthcare a leading up to the presidential elections. But, but I don't think that this is the reason, and and and I think Democrats will gladly use this as an excuse to pivot away from Medicare for all in terms of those Democrats who. Are are much more corporatists. But I don't think this was necessarily the the intent of the Trump administration. Now, the democratic leadership and Nancy Pelosi. Have already tried to go on the offensive legislatively. Right. They introduced a Bill on Tuesday that would strengthen protections for people with preexisting conditions. But also lower premiums. I mean, that's one of been one of the achilles heels of the Affordable Care Act, which is that if the wasn't able to effectively keep premiums low enough and within reach of a majority of Americans who should have really benefited from having healthcare the didn't have health insurance before. Right. Yes. And one of the things people should realize is even though it was called the Affordable Care Act the insurance industry in the pharmaceutical industry had such influence on the writing of this Bill that there was no insurance rate regulation that was actually written into the Bill or pharmaceutical drug pricing control. And those are the two areas that are coming back to really bite the American public, and that are really leaving an opening for Donald Trump to say the Bill is flawed and falsely claim. He's going to bring down prescription drug prices and people like you warned right from the start that that the the weaknesses of the Affordable Care Act would of course, ended up being its downfall. Whereas if there had been a Medicare for all Bill in place that would have been much harder to dismantle it again people once they actually get used to having a real government benefit usually will defend it. So some of those same people who rely on Medicare once they hit sixty five might have been attacking the Affordable Care Act or any attack on the insurance industry. How is the fight for Medicare fraud going though because that is so critical, right? You have a lot of democratic presidential contenders. For twenty twenty throwing their weight behind it in a pretty important shift in the debate. We see the Democratic Party going left word and something that we didn't ima-. Agean would be possible just even a year ago. We're now seeing Medicare for become immune stream talking point. Absolutely. And I think if you look back to the presidential primary two years ago or two and a half years ago. You had people in the Democratic Party saying Medicare for all would never happen. And then prior to the midterms your head President Obama saying he thought it was a good idea. You now have numerous co-sponsors of Senator Sanders Medicare for all Bill in the Senate, and with Pramilla John Paul's Bill in the house, you have one hundred seven cosigners you have a Medicare for all caucus. You have public.
"john paul bill" Discussed on C-SPAN Radio
"Courageous women that I worked with in the house of Laura Jan Schakowsky. Who like you like me like Noah are trying to find a way to get to what you just described. And so I'm excited that there are so many options out there. Yes. As president. I would find the quickest surest path to get there. But every single person as a human rights as a condition of their existence is able to get the care that they need cots in the same way that schools are. So so the reason I use the word guaranteed is because you mentioned the rising cost of your premiums. We meet people who have copays after insurance has kicked in that they cannot afford. So it has to be guaranteed has to mean that you can afford it now, whether that's absolutely free for everyone upfront at one point or another we are all going to have to pay for it. So I don't think any of this is going to be free. But I want to make sure that costs is not an object to obtaining your care your prescription or taking your child's therapist, build up dialogue. I haven't read. Although I haven't read. John Paul's Bill. So I look forward to being able to do that. And then give you an answer on on on that. Thank you. Thank you for being here and asking the questions. Yeah. Way to get to healthcare. What are you willing to give up? Well, I I think that becomes a discussion. I think you ensure that the perfect is not become the enemy of the good, for example. You could expand Medicaid today in those states like Texas that refused to do so bring millions more into the ability to see a doctor or or their prescriptions. That's an important step in the right direction. You can introduce Medicare especially in the rural communities only have one or two insurance competing for your business. That will not only drive down cost and open up selection. But that will guarantee that people in rural America are able to get those are initial steps that we have to take to get to the ultimate goal of universal guaranteed. High quality healthcare, then let's take those steps. My position is that we get there as quickly as we possibly can. But that's going to necessarily involve talking to people who may not agree with us today bringing them in uniting the country around the goal, and so having conversations like the one that we just had is is a big part of this campaigning across the country listening to everyone not just to Democrats to make sure how we find the consensus to accomplish this. That's all part of this thing. Senate led by. Like how much it's possible. Fishermen whether. I think we have to begin with the premise that will work with anyone anytime anywhere, including necessarily Mitch McConnell. He represents the citizens in the state of Kentucky in for as long as he's our Senator. And as long as he is the majority leader then than somebody that we were going to have to work with now. Listen, don't agree on everything. Very disappointed in some of his tactics. But if we just write people off all together, then I think we can diminish our expectations of being able to get something done. So I hold open the will and the effort to work with anyone anytime anywhere. There's a question Becky about citizens United. Get big money out of healthcare, and lobbyists. Big money out of. I agree with you. So not only do we not take any money at all from from anyone not only do not take any lobbyists money in this campaign. But if we're going to be successful all the things that we're talking about we're going to have to get it out of our government's all together. Our government is. Our government is captured it's been corrupted social interests, revive the elections and the outcome. So anything confronting climate change, universal guaranteed. High quality healthcare partnering with rule America to revive rule America's gonna take people not corporations people not cats. Time Iowa has ten percent of people worked for I worked for United health through. Right. We feel like we do. Good work. You do. Every day like that. Other issues people are very ill. You're they don't go five ks and things like that. So how how do we balance the private sector and the John with health insurance and so forth with that need for if you don't care? Yeah. So one of the things that we just talked about a Bill introduced by congresswoman Jan Schakowsky. And congressman Rosa loro allows those who have employer based insurance to keep employer based insurance if that is what they prefer. But it also ensures that every single American those who already have insurance, and especially those who do not can immediately enroll in Medicare and see a provider if there is a transition from private employer based insurance since your question, we have to be prepared for that for the retraining for those who currently have jobs today that may not exist tomorrow. But I want to be very clear in the plan. That is most exciting to me those who have employer based insurance are able to keep it. And that means those who do the work to ensure that those insurance policies are honored are able to keep their jobs. Panacea. I mean, we have twenty million people I Medicare Advantage in the United alone. Right. And so it's it's not everything free everything people who pay for health insurance about Medicare. Even none of this will be free nothing that we do free one way or another all of us will bear the cost of just want to make sure that that cost is born in the most progressive way possible. Meaning that those who have the most pay the greatest share of their income and also their wealth, which is something that we don't talk enough about in this country to make sure that everyone else is. Okay. And when everyone else is okay, they're going to be able to perform at a much higher level produce much more for this economy as well as himself and their family. So we all have a mutual interest in getting this figured out. So. More time for for two more yesterday. Question seems limited research. Focused. I've seen what? Disadvantage kids. What is your? What would you? And. So in Texas schoolteachers are working a second or third job, which means give their full focus to those kids in the classroom kids who despite those teachers meager earnings there in some ways supporting not just school supplies sometimes providing hot meals, sometimes buying the set of close to the kid growing has one pair of jeans one Fisher where every day of the week so paying those teachers a living wage and educators with whom they work the school. Bus drivers cafeteria workers, janitors. The counselors librarians of therapists that is how you get kids to perform better in that classroom. Also investing in complete schools. So it's not just the education, not just a free and reduced breakfast and lunch, but it's also mental health and primary healthcare in the schools. Those kids are ready to learn they may not be getting it at home and to your point the navy in a different home every single night of the week. They may be sleeping in the back of a car waiting to be there for those kids or VERA consigned to a. Life of limited options, and poverty, and that cycle will repeat. So the investment of front maybe a little bit expensive on the front side is gonna take massive over the long term, but it's also related to healthcare related to a living wage not just for teachers, but for everyone so all this can be part of making sure that we lift those kids. So thanks for what you do. Let last question. China. So. So the question for for those who didn't here's what what are we going to do about China? China has manipulated the markets game, the international system of trade, and there should be consequences. And we must hold them accountable. But as one of your former governors shared with me when the United States ever gone to war, military war or trade war without allies. That's precisely what we're doing against China right now, we've alienated the European Union, alienated are traditional allies and trading partners. And we're going in this alone. And the terrorists that we have produced reciprocal that are going to point you are already hurting farmers and ranchers and producers in Texas in Iowa throughout the country. Thirty percent of what we grow in. This state is bound for foreign markets. When those markets close even temporarily are we have these reciprocal tariffs. That means that fires in those markets like China. I'm going to buy their soya beans or whatever they buy from the United States somewhere else, and they may not return to this country. So we're doing deep, and I would argue lasting damage. Right now, we need to hold China accountable. So we need to do it in a far more effective way than we have. Thanks for the question democratic Texas.
"john paul bill" Discussed on WCPT 820
"Of all of that discussion that I think is so important is Julia Bascom and Julia has a long history in in activism as well as writing and I saw just give you the highlights here. She is the executive director of the autistic, self advocacy network. She's also a done were organizing and activism work in her home. State New Hampshire served on a number of councils there. She edited and contributed to a book called loud hands autistic, people speaking, it's an anthology of writing by autistic people, and I've gotten a lot out of reading it. And she also serves on the disability equality index. Advisory board. And a number of other advisory boards and groups as well. And she's been looking at this issue as well. So first of all Julia, thanks for coming on the program. Thank you so much for having me. It's a pleasure to be here. So let's drive. I let's jump right into it. What are long-term? The debate is coming around the issue of what we call long-term support and services. What are what is that? So long term supports and services are just the services the supports for daily activities that disabled people need help with in order to live and work and be in our homes at is. So some examples would be the personal attendant helps your grandma get out of bed and get dressed and get started in the morning. The job coach for young men were down syndrome, helping him. Learn new tasks at his job. The roommate who helps me stay focused and not walk into the street while I'm running errands, just people helping us call dot and live our lives. So really if we think about healthcare is in medical care as helping us lead the fullest possible lives. It's really part of our healthcare. That's what it sounds like. So so the people who get this with Scipion, I guess we can call them L as. Who would that be would be anybody who needs help? Yes. It's it's a lot of people with developmental disabilities. Like me you saw people people with disabilities. People with physical disabilities who don't have enough independent movement to do things by themselves on a lot of aging adults. It's pretty common to need more help as you age you acquire disabilities and people have mental health disabilities as well. I also should say that preference in the disability community is to have a civic type of Al called home and community based services, and those are services just like in the name that you got in your home and community as opposed to a nursing home, technically when we talk about LTS SaaS. We're also talking about things like nursing homes and other institutions, but there's a big preference. I services in the community. So this is just humane because this. Yeah, this is, you know, of course, if you give somebody care in their home around their family, their friends familiar objects things that make them comfortable that so much better than than forcing them to go into an institution or someplace where they're not. It's not home. Right. So it's really a civil rights issue. If you remember the folks the protesters who got arrested and Mitch McConnell's office two years ago during the ACA repeal fight, those were disabled people who use community based services long-term support. Services, and they were protesting because that Bill would have cut those services. It's really about. Can I get out side? Can I live the life? I wanna let can I exercise my rights to life liberty and that preceded happy. It's really basic, right? Absolutely. I completely understand. So thank you for that clarification. So now, we have this whole conversation about Medicare for all. I talked about it in my introduction that we have a debate about it. We have a movement for it. We have a new Bill. Spearheaded by Representative Pernilla giant Paul that covers a lot of things that have not been in previous proposals except perhaps that Bernie Sanders Medicare fraud proposal. But. It's a pretty comprehensive Bill. How does it do in terms of long-term supports and services? Is it do you think it's an improvement over what's been proposed before? Do you think it goes far enough? Yeah. I think it's a big improvement. Whenever we're talking about Medicare for all or universal healthcare. The disability community always gets excited, but kind of wary because we know that Medicare as it because it's right now doesn't actually cover all of that is paying for Medicaid. So we look at the bills the last version of this Dell I'm just had sort of a sentence saying that Medicare for all but include homework community based services, but not really any detail. And those details really matter to us 'cause it's our lives. This version has been designed a lot more thoughtfully there's a real attention to what what do these words mean. How would that program be implemented? What would people's rights the I think there's still a lot more to do? But it is a big improvement. It's also different from the standard. Spill on a couple of really important ways. The Bill in the Senate right now that was introduced in the last congress talks about Las. But it keeps it alone in the Medicaid program, which means that you have to qualify for Medicaid, which means you have to live in poverty in order to qualify for these services. It's still a very narrow set of services and at center gates us out from everybody else. It sort of takes the this program that provides for really vital needs a isolates it to Justice able people which makes us really worried thinking about the future the program. Having the whole Bill. Go further has been really helpful and pushing that conversation forward, and I should say that we're also had a productive conversations with Sanders. Staff about how they can bring those two bills into alignment going forward. So hopefully, we'll be able to see those million moves the needle forward. Yeah. You know, what you're saying? Julia is so important because the notion of of separating out one category of of person and having them come under different administration process in this case, one run by state versus federal government, and it makes it creates vulnerability, right? It treats one group of people as if they're not the same as everybody else. So it creates a kind of discriminatory mentality that's contrary to civil rights mentality. And you know, I've I've felt for a long time that one of the problems with our healthcare system is is that it separates people by their types of conditions in situations. And even for example, you know, I'm mildly hearing impaired that's treated differently than other forms of bodily impairment. So we've got to have a system based on unification rather than separation. So I get exactly what you're saying. So what about a Representative John Paul's Bill does he think he goes far enough are there still improvement further improvements that could be made? I think I think all the health care bills that have been introduced have great things. And then things that could use more thought so like in terms of LTN sausage. I Paul Bill. There are couple of things I'm still keeping my eye on one is the transition time. So the giant how bellwood move us all over to Medicare for all in two years, which sounds great. But the frustrating reality is that folks with disabilities. And especially folks who use LTS are the folks who fall through the cracks like we really live and die by tiny little details, and we just see over and over again that whenever you try to change the system that supports us, even if it's a small change, let alone a huge chance for me. If you try to do it in two years people by it's it's really frustrating. But our lives are really depended on infrastructure being able to exercise my rights requires some planning and some funding. So two years just isn't enough time. If you're trying to combine changes in payment with changes in the program, you probably need something more like four to six years China. No, one wants to hear politically or you need to think through is there a way to pay for everything we're doing right now changed the payment. And then changed the program. They also the giant Bill also uses global budgets. Pledge for disabled people is basically just another word for block grant, we didn't like it. When the Republicans are proposing yet in two thousand seventeen we don't like it. Now, a global budget, basically gives you a healthcare provider steady amount of money right to provide healthcare services and the giant hall Bill explicitly. Says that homecare agencies and other providers that services would also have these global budgets, and that's scary because state will people are expensive and sometimes especially when people are living in the community. We have unexpected needs. And we need to make sure that our needs can always be Matt. And that their providers never going to have to say, well, I could serve you in the community. But now, maybe you need a ventilator or something like that. And that's too expensive. I don't have money in my budget. You're going to have to go somewhere else. You're going to have to the nursing home. There's fixes for their release mechanisms that can be dealt in. But we need to spend some time thinking through what those would be and how to implement them. The last thing I find is just the eligibility. Criteria is still a little narrow it kind of favorites physical disability, and it's not gonna work quite as well for people with cognitive disabilities. Developmental disabilities mental health disabilities. But all of these things are things that I think we can keep talking fairlawn thinking through as we move forward in general. I think there are three different universal healthcare. Does right now they all have strengths and weaknesses. I'm really excited to see all three of them come out and get reintroduced this congress, so they can really have a robust discussion in this country about what healthcare is gonna look like and be what what else he s looks like how we support disabled people what we can be doing better. I think there's still a lot of details to work out. But I'm excited to get started. No, I think you're exactly right truly. I think that's such a great attitude to bring to this. Because I think it is exciting. And I tried to dilute to that in my introduction. I do think this is a conversation. We need to have. I think it's a chance for us to reinforce our understanding. For example, what I also to. How psychiatric and cognitive challenges are sometimes treated differently than the most obviously physical or one kind of physical disability treated differently than another. And I was also by the way living in Berkeley, California. When. This. One that began really people start talking at least in my awareness, many years ago for the first time about making disabled people visible making these APL people part of the conversation understanding the needs of disabled people and this to me is a chance to extend that as well. While we have this debate about Medicare for all. So I guess I would I would close with this where can people find out more about your work in about this issue? And maybe get involved. Shirt. So there I think three or four main things people can do the first thing is they should reap it and about what they think about it. And they should read the other bells Representative the putting forth the Bill that Senator Sanders is putting forth and just think about them process that. What about partners the Senate Republic? Representation has a really good website. It's Medicaid dot public wrap dot org. And they have a really good entree point into what else s means and all sorts of different policy issues, and they have a whole page about the different health and foreign policy proposals and us, so that's a good place to go. If you want more information. In general, folks, should reach out to local disability groups like arc chapter or Senator independent living state DD councils and just make sure that local disability groups are involved in your health Justice work in in your activism. That's a good way to make sure you're not missing anything. And finally if you want to just go online. On Twitter, the hash tag crept. The vote is a really good way to find disabled people talking policy and politics online, including some folks in Berkeley. But just a lot of folks all across the country talking about a lot of different policy issues. I'm gonna talk about healthcare quite a bit. Well, that sounds great. And by the way, I'm the I'm certainly going to check those things I would encourage listeners to as well. So I just say to folks remember, this is a national conversation. We're having this a chance to participate. Learn and share your own experiences too. So Julia Bascom executive director of the autistic, south advocacy network. Thanks for your great work. And thanks for coming on the program talking about this with us. Thanks having you bet and we will be right back after this. I'm Richard RJ has cow. And this is this hour..
"john paul bill" Discussed on WCPT 820
"The voice of something bigger and better than Medicare fraud Medicare for all is is a great vision. But we're always going to need to be improving and refining. What we do in the area of health. Our next guest is graded in this topic. I always enjoy talking to him Tennessee Faust is an advocate for single payer healthcare system is a member of democratic socialists of America goes around the country talking about single pair. If I recall correctly, he's getting a master or has gotten MPP or something like that in in public policy related tale. And he's got a book coming out. And I'm looking forward to reading comes out in August. It's called health Justice now. So I talked to be great a great time to catch up with with the new bells coming out. So first of all Timothy files, thanks for coming back on the program. Jay, thanks for having me back. Oh, it's always great to have you. So. Not too many heavy metal folks are also single payer advocates that I know of. So it's it's good synchronicity. So let's start with this. We got Pramilla giant Paul's. Del Representative Paul with more than one hundred co sponsors, which to me is mind blowing considering where Medicare for always adding congress has proposal couple three years ago. So we've got a new Medicare for all Bill out. There you been diving deep into this issue for a long time. Now, what's your reaction to the Gile Paul Bill? It's the first good single payer Bill contemporary era. It takes off all it. It's. Astonish Louis strong Bill. I think boxes for single air cannon must be don't do everything a lot. There's a lot of gaps. Still a lot of things I'd like to see resolved. And finally gets the fundamentals right? It does much better than I think Sanders is old Bill and the process by which it was written the coalition. Was assembled to to write the Bill, of course, bills aren't enough. You can't eat a Bill. A Bill mode actually cover your healthcare costs. So still a lot more to do. I don't I don't think complacency around. John Paul's Bill makes sense. But it's a it's a good Bill. And it's finally a Bill I can point to and say, yeah. That single pair. Yeah. I think that's a great point. But. I guess what? Let's start with this. Let's start with what's good about it. What's a step forward? From what we've seen before? I before most is the inclusion of long-term support and services and community based services for older folks people's abilities that was relegated to Medicaid under Sanders is Bill Azabu closed-door conference in January. It's still going to be relegated to Medicaid and the new centers Bill who had heard that might be changing, and that's fundamentally unacceptable. On moral, or or more level or any sense of integrity? Long-term care is where some of the most pernicious harms in private healthcare. It's a place for a person with disabilities to go Di basically their warehouses, not caregiving facilities instead of people at the discretion of conservative or reactionary state. Instead of a guaranteed federal payments for home based care. You'll be pleased. No, we're doing an entire segment on this week's program just on long term support and service. So yeah, we think that's a big a big big deal too. So. Morale's? It does. Right. I with that was the big change for me from birdie global global budgeting. I think it's good I understand. But some critics the Bill. This is a good conversation to have don't agree with removing the prohibition on for profit providers that senators Bill had I think that the global budget with the restrictions on what funds can be used for. That is if you received money from the single payer. It can't spend it on prophet marketing advertising or campaign donations or union Boston. I think that. Poses a pretty tight stranglehold around. Are. Around providers fundamentally like no single air. Bill will make healthcare not a commodity. Let's air Bill or running down. I think giving a single payer the tools to really grapple with the problem for product provision is a is a good first step, and let me give you my thoughts on that. I was privy to some of the discussions kind of orbiting the writing of this Bill if not directly evolve, and you know, I guess where I come down by the white your thoughts on to is that while it does not prohibit profit making entities from being a part of this system. I think it's structured in such a way might get in trouble here by Lennon talked about the weathering way of the state. I think it leads inevitably to a withering away of the prophet sec for profit sector and healthcare because there's really no reason for capital to be involved in the delay. Of healthcare if it can't take profits from it. And since it's the profit taking itself. That's immoral. I guess I get the political logic between structuring it. But I'm wondering if you have a different thought about it. No. But similar I think whatever you can do to make it most easy to I think ultimately need to nationalize industries. And this this paves, let's put some cobblestones in the road to maybe one day realized that I agree if this makes it less appealing for per capital to get involved. The health care. And I think that's great. Yeah. Okay. Then I think we're on the same in the same place on that as well. One of the things that I think the Sanders fell did as well. But the giant Paul Bill does and spells out is it eliminates co payments and deductibles. And that to me is a big deal. But it's also getting pushed back from the centrists, whatever you wanna call them. They're not really politically in the center if you look at the polls, but but the establishment figures wherever you want to characterize him. I think it's getting pushback from people were saying well. No other country completely eliminates co payments and deductibles. I'm curious. Whether you know, a if that's completely true. I know most other countries have some form co pays or deductibles and be what your thought is on how to respond to that. So I understand the argument for some forms of Coca Cola is. And and and cost sharing. I understand a good example is if you have to drugs and one's a generic and costs one dollar and one's name. Brandon costs one hundred dollars. Maybe you put a copay on the name brand to incentivize folks to go with cheaper one. If the two indiscriminately it'll be very expensive. Scenario and in that circumstance. I guess I understand having a local. Fundamentally cost sharing is a regressive tax is a cost for being sick. That's most directly affects people have less money. And I'm not interested in including that migration of healthcare model. I think a lot of the problems like we understand that like American healthcare utilization isn't higher than other countries. Right. We have higher utilization and high cost low value procedures that we have low utilization across the emergency room and basic procedures. So I don't think we're going to see like a run on the banks that we if we were moved copays are actual problems of costs come from unit costs actually, this is like pretty widely regarded as being like just a basic truth. Our costs are high because our prices are high. And so that's like the the fretting over do we have copays. This is inconceivable or whatever. Midwest mentioned two things one. I don't think we try to build a single payer. That's as good as other ones try to build the best Bethlen possible. I think we certainly can bear having no copays you're starting with no copays and to the actual grams needed assault road costs on don't happen utilization. They happen the unit costs, and that is once again a corporate and for profit institutions about. Yeah. I would agree with everything you said there I and again, we're talking with Timothy foul. About Medicare for all. And I would add to it as you know. And I was part of the health economics and health insurance world when this was received wisdom, there is incorrect received was and there was a RAND Corporation study. For example, several decades back that seemed to suggest that that if you introduced cost-sharing into employee benefit health insurance plans that it would cut down on unnecessary use of medical services. That's pretty much been discredit. And even that study showed that it also cause people not to use needed medical services. So there's an notes scenario launder which copays and deductibles don't discriminate against people who are wealthy, for example. The case of that teacher who died recently because she couldn't afford. One hundred and twenty dollars for antibiotics. So there's no scenario under which people don't suffer and die if you have copays. So what sort of abstruse theory or ideological? Attachment would lead us to be. So divorced from humanity to introduce them. If we have done the research economically, and we don't have to have them. So why have them I I guess that's what I would add to we maintain this belief is specious belief that humans are rational consumer is in the healthcare. Marketplace we understand what is necessary Siri care am I shop around, and that's as you mentioned in the rand study and dozens of times since then proven false. We just don't really know what we need we go to the doctor when we think we can we can afford it. No one's like humans. Don't know what their own low-value care is. And they're not the ones who target people you targeted to reduce it or whatever. Inflicting a bunch of people. Just don't seek healthcare whatsoever. Just like you said. Clearly optimal. And I think immoral. State of affairs. The the only other person, I know besides myself that uses the word sub optimal in daily conversation. But by the way, I've mentioned this on the program before. But in this context is per I'm pretty informed. Reasonably informed on this subject. I recently had minor surgery. I was in terrible pain just out of curiosity. I went to buy shirts website to see what they said about it. And the two things were ask your doctor whether there are lower cost alternatives. Like, you're gonna do that when you're doubled over in pain. And the other was ask your doctor how much it's gonna cost. Like, they know like, they know. So I did just to play it out. Right. This smart shopper scenario because I hate it so much I thought I'll play the game. I asked my doctor how much do you think it will cost and he's had talked by office staff. I went to the office, and how much do you think it will cost? We don't talk to the hospital. I went to the hospital. I said, how do you think it will cost? They said ask your doctor. So this is like a relic. Reasonably informed guy, couldn't get an answer. And by the way, I got a half the-for figure Bill for that. Even though I supposedly had quote, unquote, good employer based insurance. So that's the system we got now. That's this system. We want to get rid of now at this moment in time. We're waiting for the Bernie Sanders bell to drop there's going to be more debate more discussion about that..
"john paul bill" Discussed on Progressive Talk 1350 AM
"It is time for Medicare for all. Is this a bold and ambitious plan damn straight? It is because it has to be the scale of our healthcare crisis is enormous and our plan has to tackle the deep sickness within our for profit system. Here's the thing if we can end slavery. If we can give women the right to vote if we can send a man to the moon, then God, we can do universal care. Congress member. John Paul's Bill would expand Medicare to include dental vision and long-term care while making the federally run health program available to all Americans. It would eliminate health insurance premiums co payments and deductibles while changing how healthcare providers are paid. Robert Weisman, president of Public Citizen says the legislation would eliminate nearly five hundred billion dollars in waste spent annually. I'm bureaucracy inefficiency and excessive corporate profits political observers say the Bill is largely symbolic given the Republican held Senate and White House, but will likely play a major role in the twenty twenty presidential race. Well, for more we're joined by congress member from Paul of Washington state, welcome back to democracy now, congress member Paul, so let me ask you the question usually people say how much does this plan cost and who's gonna pay for it? I'll turn it around. Did and ask you how much does the current system cost who pays for it? And then how is the system going to be funded, and that's why I love democracy now because you are about making sure we get the truth out to people. Thank you, Amy for the question our healthcare system today 'cause eighteen percent of our GDP in ten years. We're going to be spending fifty trillion dollars on our current healthcare system. And here's the thing. It's not like we're spending all this money, and we have better outcomes than the rest of the world. The United States is last among all of our peers in infant mortality rates in inch maternity maternity mortality rates. We are last in terms of our life expectancy, we have the lowest life expectancy. And so here, we are the richest country in the world, and we are unable to provide health care for everybody at how you know. Right now, we pay double what other industrialized countries pay for their healthcare. So my plan says, let's take. The existing very successful Medicare system that already exists for seniors. Let's expand the kind of coverage that it offers because that's the biggest complaint about Medicare doesn't cover things like dental vision, mental health, substance abuse, some of those critical pieces, and then let's extend it to everyone in the country same doctors, and hospitals, but you would actually be able to choose and not be limited by insurance companies that say this hospital is in network that hospital is out of network, those kinds of issues, and you won't have to have five different insurance plans. So what we do is. We say the government is going to pay for the for for all of this. And in the end, we want to make sure we're containing the cost. So we changed the way that hospitals are paid. We take on pharmaceutical drug pricing because that is a huge issue we negotiate. Now, we allow the Medicare system to negotiate just as the VA does. And we for the first time include long term services. And supports which is very important for our community that has disabilities in our elders who simply cannot afford to live with dignity. Congressman for right now. Most Americans who do have health insurance of their health insurance is paid for either. By the premiums, they pay out of their their paychecks every week or that their employers pay sometimes a combination of both. How would the funding of the system change under under Medicare for? All. Right. So exactly I mean, right now, the federal government already pays for about two thirds of the total healthcare costs because we have Medicaid and Medicare which are already part of the federal system the rest of it is either people who have nothing or people who are covered by employer healthcare. What we are saying is that there's there's about half. It's about six hundred billion dollars that employers are paying for their healthcare for their healthcare for their employees that money just a portion of that could come towards the single payer system because these four profit insurance companies are continuing to hike up preview. Premiums not only for families, but also for the employers so enormous amounts of waste that are going towards a for profit insurance system that is more interested in their profit than patients in addition to that will need a little bit more money, and we think that's very doable. By by putting a wealth tax on the wealthiest. There are a number of ways to pay that last little bit that would be required. And in the end, we would have comprehensive care that really would serve every single American, and we would save with my Medicare for all plan at least two trillion dollars over the next ten years. So this is this is a big plan. It's an important plan. And really it's about saying healthcare is a human right? It needs to be available to everybody not just to the wealthiest because as you said thirty million thirty million Americans who are uninsured. And then on top of that at least forty million who are underinsured can't pay their premiums. Don't get the care. They need one. One in five Americans that literally does not take their pharmaceutical drugs that they are prescribed because they can't afford them. Let me go to Alex's are the secretary of health and human services, speaking at CPAC, not quite as long as Trump did for over two hours, but CPAC the conservative political action conference. He was asked about Medicare for all the threat is an immediate and complete government takeover of health care. There are at least being transparent this time about what they're about.
"john paul bill" Discussed on C-SPAN Radio
"Homeland security secretary Kirsten Nielsen will be testifying on Wednesday before the house homeland security committee about border security. Our live coverage Wednesday at ten AM eastern. This comes as the Senate is likely within the next week or so to vote to terminate president Donald Trump's national emergency declaration, which would send more money towards building a border wall between the US and Mexico. The house has already passed the Bill if the Senate does it will likely be vetoed by the president. Well ahead of all of that today customs and border protection. It's holding a news conference. They say about quote, the large uptick pretensions along the southwest border. That's the start at one PM eastern. We'll have it live on C span radio up next a portion from this morning's Washington journal, a conversation about the concept known as Medicare for all with to guess. Joining us here in studio is Joe Antos of the American Enterprise Institute who serves as a healthcare and retirement policy scholar. Also joining us from Boston, Dr Adam Gaffney of the group of physicians for a national health program. He serves as their president and to both of you, gentlemen. Thanks for joining us. Thank you. Dr Debbie, Dr Gaffey, let's start with you. When you hear this concept of Medicare for all what what appears in your mind. And what do you think of been has been introduced here in congress, or at least some of the ideas connected to this concept introduced in congress? Sure. Well, the concept of Medicare for all is not an especially complicated. One in the name itself, it's Medicare so I- universal program on that's currently for seniors that we would apply for all meeting every one of the nation. But a key additional point. I would make is that we think is improved Medicare for all. So this is a program that would expand Medicare to every one of the country, but that would make it a much better program by for instance, making the benefits comprehensive including things like dental care that Medicare does not currently cover as well as improving Medicare by eliminating cost barriers to care things like copays and deductibles. So that's the basic concept of Medicare for all. And there is now as you mentioned a Bill in both the house and the Senate Medicare for all bills that would create just systems to the United States. This is an is referred to a single payer as well. And it's essentially universal health. Care system that will provide comprehensive benefits without financial barriers of care to the American public, Mr. Mantos same question to you. Well, I think this is an aspiration as opposed to reality. I think that's the biggest problem the. Sounds great for everybody to have complete coverage for absolutely everything at no direct out of pocket cost to themselves that costs money that costs a lot of money. The the Bill that was introduced last week isn't fleshed out enough to have a guest at another. But Bernie Sanders Bill which is somewhat similar comes in around thirty three trillion dollars over ten years. That's a lot of money. That means that we're going to have to tax the same people who are getting something that they believe is free. We're going to have to tax them very very heavily. So in the real world, nothing is free. I think the real question is what can we do to improve health insurance for people and improve coverage without breaking the Bank, Dr Kathy then to this idea of costs, especially as you see it as an expanded type of proposal. How do you pay for these kinds of services? So we are already paying for this Medicare for all we were already paying for it through premiums taxes, copays and deductibles. I think the thirty something filling in dollar figure that Joe pointed to is from a think tank trying to think tank study which actually found that overall it would cost money we'd have new taxes overall healthcare spending as a nation would fall by ten to two trillion dollars over ten years. So we are already spending this money. We're already spending it through premiums copays and deductibles. So we're not talking about increasing the amount of money we spend as a nation healthcare. We're talking about financing it in a smarter way. So that people pay into the system, according to their knee, the means, and they get the health care they need in terms of their means needs rather. So long story short. We're already spending this money and don't forget two-thirds approximately two thirds of American healthcare spending already. Financed by taxes. So we're talking about having to talks finance the remaining portion, which is a much smaller number than many people think we can't afford the status quo is the reality, Mr. sticks things stream student places. Our guests has said what's wrong with them? The idea of expanding these type of services if money's already there so to speak. Well, the money isn't already there. Let's let's take Representative Jay of Paul's Bill. She adds something that even Bernie Sanders wouldn't do which is that she would cover all long-term care services. At no cost to to anyone. There was a provision similar not not quite similar to that. But there was provision like that in the Affordable Care Act. It was it was abandoned by the Obama administration. It was clear that except for a little budget trickery. This was going to cost a lot of money. And that was that was a proposal that required people to pay for it. Here's a proposal where you don't pay for it. And and so you're not going not only going to. Have expenditures that are already being made by by people by the Medicaid program. But but you've got also substitute a federal program with federal tax dollars for the kinds of services that don't get paid for now. Now that might be a great thing is you could do it. But but an awful lot of long-term care is provided by the family. It's not monetize. When you monetize that you've got a huge fiscal problem. Guest are going to be with us until nine o'clock. If you wanna ask them questions about this Medicare for all concept, if you support this idea, it's two two four eight eight thousand if you oppose it two four eight eight thousand one you can make comments on Twitter at C span WJ, Dr Kathy when it comes to the legislative proposal from Representative John Paul, I think the idea is to automatically shift people into this Medicare for all period for two years. How what would that do to the existing system that already that already have that we have in the United States? Well, the existing system produces enormous waste, and we need to do better. The administrative overhead of private health insurance. Plans are always cited as a greater than ten percent. The administrative overhead of Medicare traditional Medicare is kosher to two percent, the waste that our current system poses is enormous, and we can do much better. Let's also not forget that the twenty nine million people who remain uninsured of this country. This forty four million people who are underinsured meaning they have insurance, but there are copays deductibles are so large. They can't afford to get the care. They need that is not a sustainable system. The other funny thing about this discussion when it comes to cost is that it's often stated that we could not afford a single payer system. Get the United States has a uniquely expensive healthcare system. And we don't have a single system the systems that do have single payer systems spend much less than us. So there's a real paradox here that that that's that's frankly. Confusing. Now, it is true that healthcare is very expensive. But the fact is we all need it. The reality is is that there is no long-term car coverage in this country, essentially. Except for Medicaid, which requires you to essentially become impoverished before you can have access to it. That is not a good system. So yes healthcare is expensive, but it is already expensive under the status quo and financing it publicly will in fact, make it less expensive will in fact increase the efficiency, not the reverse, Mr. answers. Well, I think that's kind of interesting that folks who support Medicare for all like to talk about administrative expenses administrative expenses are probably ten percent of total national health spending. Where's the real inefficiency is is in the delivery of healthcare? It's it's the way we use healthcare services. We have expectations that that are far exceed what I think citizens in Britain and other countries have about what kind of health care, should they get how quickly should they get it? You know, can they go to any doctor any hospital in the country? Yeah. That's that's the general view in this country. We're not good at standing in line. And and that's an issue. That's an issue. So so, you know, the fact is that we're our healthcare system here with Dr Gaffney, we're gonna healthcare system. That's going ninety miles an hour down the road brick wall in front of us. And the problem is that transition from ninety miles an hour to stop this brick wall is pretty painful, and it's going to take a lot more than two years and a lot more effort at a lot more thought than I think has been presented in any of these bills. Let me give you a specific to both industry answers you start. I what happens then to private insurance. If this system that represent J Paul is is actually comes reality. Well, other Representative John Paul's a program private insurance would essentially disappear. She does have a provision in there that says, well, if you want to contract privately with a physician or anybody else for that matter for services that are not covered by the national plan. Go ahead. But of course, virtually all services will be covered by the. National plan. So that's that's pretty much the end of that system. That. That I take the key here is again, it's that transition. It's saying to people you can't keep the health plan. You you now have even if you like it you're going to move into this other thing, maybe it's better. But maybe it won't be better. It will certainly be more expensive, Dr Gaffey you because you're a physician, and you have other physicians that you represent what about this idea of private insurance going by the wayside. So everyone, I know cares about the doctors and hospitals. They go to they care about the drugs. They can obtain that they need very few people care about whether their healthcare company is Cigna or Aetna or United health. There's very little brand loyalty to private insurance companies in this country. What people care about is access to doctors, hospitals and medicines. That's what they care about. So these these this idea that there's going to be this painful, switch from people to say goodbye to signal at no one cares. They care about their health care, not their health insurance company. So yes, it is true to respond more directly to your question is true. That for instance, Representative John Paul's Bill would cover basically all healthcare services comprehensive benefits. So they wouldn't be need a significant need for for.
"john paul bill" Discussed on Vox's The Weeds
"And so that is like a baseline of of the potential constituency for a yeah, I mean part of this is a benefit for the elderly by also think I have seen especially if the repeal fight, a more active and influential lobbying effort from the disability community, particularly around Medicaid repeal in two thousand seventeen you know, there's a group I covered a decent amount called the little lobbyists that worked with a lot of young children who rely on long-term care so kids who need around the clock aide who need an aide to go them to school. I saw those communities. Who had been doing work before this no doubt, they became very activated around the ObamaCare repeal push were a constant presence up on Capitol Hill. And I think that's part of what's going on here too. I mean, I agree part of this is about swaying an older constituency, but it's also a health Justice thing like we're also dealing with people who have disabilities who need some kind of support who are not elderly, but just to do their job or to go to school be a student. This becomes a really tricky area that usually, you know, the kids I was covering all these benefits were covered through Medicaid. But a lot of them. You know spent a lot of time on waiting lists to get those benefits, which is obviously a huge drag on their parents productivity on the entire family. So I think that's like a health Justice element of it. That's going on as well. When you look at the giant, Paul bell. When I look at the John Paul Bill, it just feels like fuck it. Let's do everything like let cover every single benefit. Let's get there as quick as possible. I was pretty interested in this idea to transition in two years, which just seemed you my view pretty unrealistic of a vision in Representative John Paul's view, she felt like it was necessary..
"john paul bill" Discussed on KOMO
"Three super romero komo news agreement over the legitimacy of charter schools has once again landed in front of the supreme court of washington state's schools funded by public dollars attorney paul laurence argues charter schools are not subject to the same level of supervision as traditional schools former state attorney general rob mckenna makes the case in favor washington state's voters and then the legislature at both voted to charter public schools has options available to our state students the state's highest court now has to decide whether it's constitutional to fund charter schools with public money seattle congresswoman pramilla j paul leading an effort to stop the construction of any new immigrant detention facilities or the expansion of those that already exist here's komo's bill o'neil the congresswoman's bill would also dedicate forty five million additional dollars to aruba giant paul calls ineffective oversight of the existing facilities does this tell the facilities okay we're coming to investigate you now coming to see if you're meeting the standards and so you see a giant cleanup essentially right before the inspection happens the measure faces a very bumpy road in the house where many republicans including speaker paul ryan strongly support president trump's vision when it comes to immigration policy all of those things make sense he was extremely reasonable in putting those pillars out there john paul's bill would also cut the department of homeland security's daily detention quota in half colonial komo news new study from redfin shows seattle and tacoma are both among the top five most competitive housing markets ranking fourth and fifth respectively in the nation and tacoma more than half of the homes on the market or selling for above asking price the top three most petted housing markets san jose san francisco and oakland komo news time to thirty four aaa traffic every ten minutes on the fours marina rockinger what are we dealing with we.
"john paul bill" Discussed on KFI AM 640
"A thousand dollars down you john paul bill losers you can i have the money i told you i want this morning yeah now you have to give that back no we will talk about the crazy story out of paris riverside county with the thirteen children some of them adults who apparently were being held captive in their own home by their parents we don't know how long but we got a few new things to tell you since the story broke yesterday afternoon on her show fascinating but meanwhile it's time to talk about the illegal aliens in the sanctuary cities because there is some amazing news today i may get two aroused watching this story there is a new department of homeland security secretary her name is sir it's christian christian and his christian krkirstj and besides it's like kirsten with a j so it's christian christian nielsen beautiful woman oh blond hair again debbie here this always with someone in the stories always oh she's very attractive and long blond hair doesn't she have long blond hair yeah he does isn't she very attractive she is the what do wrong from the outset thousands sixties bureaucrat so she has to wear you regret from looks like a hillary clinton of clinton she is a very tough woman and she testified before the senate judiciary committee and they wasted time for a while as to whether trump said they i guess she was in that meeting is whether or not trump said bleep whole country she said it's now bleep police summer some of the senators are saying what was bleep house i how many people were in this meeting i apparently hundreds within the arms that has dirty immigration deal for the dhaka people the dreamers she was that she was there there too and she said she and remember specifically what he said and he said he spoke frankly and with strong language and and there's this the senator from new jersey corey slugger obsessed dog now i know yet cory booker when it what do we have the audio cory booker when after you eat we do have listen yet before we get into the the guerrillas could part listen to this as a warm up cory booker is this senator from new jersey and.