>> good evening thanks for being with us i'm joh joie chen it isa tough job. the president took his

affordable care act to texas. the healthcare policy to benefit many tex texans if the state ges behind it. the more americans know about it the more they will like it. a now poll backs that up. interest in enrolling is up 7% since september of even beyond it's technical problems obamacare's acronyms can be hard to follow. program to cut the cost of care for the very sick and how it works? here is chris bury. >> at 43 a a 43 alicia is happy to just breathe. stacked beside her are oxygen tanks. they took over her life and forced her to quit her job in 2005. >> that is when the out of control blood pressure and

diabetes and issues with my back aanda everything i couldn't stand, i couldn't do it anymore. >> she has a lot of medical problems and they severe. she is mor morbidly obese and that is in part connected to a continue drome of a heart and lu lung dysfunction not breathing deep yo enough it's created problems with her health. it's put her in a an unusual category. she i eligible for medicare . >> for the last couple of years it's been two weeks at home and two weeks in icu in the hospital. or two weeks here or a month there or a month there and a monday here.

and constantly trading hands wit with a nursing home. she is among 5% of americans that consume half of all healthcare spending. in 2010 that added up to $1.3 trillion. the healthiest americans, the onces thaonceones that rely then healthcare have les less than 2f spending. >> 'leash yea >> her own mother was diabetic until at that time i she had a fatal heart attack. >> wshe went to the hospital and, me and my brother are like she goes to the hospital all the time and she will be out. she never came out. she never came out. >> alicia started to follow her

mother down the same path. at one point wea weighing over 0 500-pound. 500-pounds. the ethe only thing i can do isk about my daughter. i feel like my daughter deserted me and she didn't try hard enough. >> and i don't want my daughter to feel the same way. >> it's been almost a year since then alicia is headed to and a point. with her prim primary care physician. she's ha she has a different model of care. an aco. it's a network of doctors and hospitals and providers that aims to reduce costs and improve care and all while tun turning a profit. alicia arrives at the university of michigan health center. it's

one of several aco's around the country. >> here is how it works. if the aco can give her a lower cost care they split the money with medicare and if they don't though thethey lose money. mid carmedicare calculates costs u looking at that group compared to another group that is not enrolled in aroun in an aco pro. at the end of the year the costs are compared. the aco has to be sufficient with the threshold. but has to meet quality tray matrix to have any sayings at all. the way to identify the cost to save costs is to identify those at risk. >> the idea is preventive care

at home instead of emergency care in hospitals. we know she was costing medicare or me medicade somewhere between 100 and $250,000 for 2011 and 2012. >> and hello. >> hello sweetie. >> now dr. stephanie hudson is the gate keeper for her her treatment. tell me about your healthy eating plan. she monitors who she sees. >> primary care is a team sport. the team consists of our nurses here and our social worker here knows her well and julia her care manager who she has had since december is an inter intel part of the female a team as we. >> back home julia is making a house visit. >> i will call them tomorrow.

>> she is one. special care managers assigned to super users like alicia to make sure that they have what they need to stay healthy. >> i did a lot of home visits for her to see what she had and didn't have. >> i have some vegan coo cookie. making sure she had meals. >> anything i need medically or not even so medically, anything i need period, i can ask her. and if she can't get it, she can give me a reference to get it. >> when alicia first arrived home she was unable to walk. she needed a whee wheel wheelchn a walker. she also needed a medical bed with custom sized sheets. >> with the complex care the follow up we do is imperative as to how well the patient does. >> did you draw your blood today?

such? >> oh, my ghoid. od. she will say don't worry about it i will call and reschedule it for you. she is mother hen stays on me, yes she does. >> alicia's healthcare costs have dropped dramatically in 2011 medicare paid 215,000 therefor$215,000 forher care. in 20 together they paid $289,000. this year it's much less. >> 2013 she has had one hospital stay and no nursing home and that was about three days long. >> if you would have known me a couple of years ago, i guess you could say you could see death all over me. >> alicia is now able to get around her apartment with the help of a walker. she and those on her care team

have taken many steps towards lowering her medical costs while improving her health. alicia has come a long way since doctors tol told her a few yearo they had given up on her. >> you don't want to hear that. you can't figure it out. you can't figure out where the infection is coming from. and if your blood pressure keeps going up you can have a stroke or a seizure and all of this other stuff you are about to. togo meet your maker. >> have you got a lot of good stuff from the farmer's mare death. >> for the past month she has been on a weight loss program and so far she has lost 100-pound. dr. hudson closely monitors her diet. >> i still manage to stay away from sugar. >> in five years i see alicia walking into the exam room

without a wheel care or assistive device and without a trech and smile being and laughing like she always is. >> in the shor short term she is hoping for gastric bypass surgery. she hopes to get rid of the oxygen tanks cluttering her livingroom. but for now she is grateful to be home and out of the hospital. >> i can breathe now. >> correspondent's report introduced us to the aco. and now we turn to jeff gold goldsmith . we want to streamline care an protect the outcome, what is not to like? >> it's not clear that you need to reorganization the entire healthcare system to do what you

haerd in thheard in the story. it's an inspiring story. the physicians and the team that work around them that work so hard to accomplish the good works that you saw there, just don't earn enough our get enough of our health systems' attention compared to the people that do the spectacular high-tech things. so you think perhaps it's a bad dole for the providers? >> no, the way this program has been net. implemented it's been cumber ssome and costly to set . >> there has been a lot of administrative busy work that has gone with it. even the o. tha organization that you height highlighted didn't generate any savings and dropped out of the program. >> interesting. super users consuming soup of

so much of our healthcare resources . >> how can we strike a better balance so we are not using up so much healthcare. >> there was a significantment called ambulatory care and you track down the folks like a leibovicwho are introuble like alean yeah alicia is. i think we need to figure out away to focus our healthcare systems o on people that are really in trouble. and do it before they arrive in the image room. -- emergency room. >> is there a concern that weire are forcing people into a managed care system. >> i don't think anyone wants to be in and out of the emergency room and constantly in trouble

and in danger of lose being their lives. their -- losings thei losing th. >> i don't think it's an imposition to offer help to a person drowning as alicia clearly was. let's talk about the notion of there being bumps in the road and the early development of this. what we are looking at in michigan is a pilot. a trial . will it be an effective way to resolve the conditions of the super hughes users in healthcare. >> be i think so. this agency is full of a lot of incredibly well meaning hardworking people. but there are just not enough of them. it's not clear if they are organized well enough to actually pull this off. i think there are a lot of prom nicing idea here. whether they are being executed

are witwith the focus that wille them to scale up to the whole . >> jeff goldsmith appreciate you being with us tonight. >> you bet. and when we return. san al jazeeraics clu -- an al jazeera exclusive. poisoned with plutonium. more often how al jazeera brought it to light after the this is the 900-page document we call obamacare. it could change costs, coverage, and pretty much all of healthcare in america. my show sorts this all out. in fact, my staff has read the entire thing. which is probably more than what most members of congress can claim. we'll separate politics from policy, and just prescribe the facts.

>> they say they did it because they were trying to protect my children. they didn't protect my children, they traumatized them. >> fault lines examines why so many native american kids are caught in the child welfare system. >> any time they see a social worker its like seeing a police officer. the immediate response is, "they're here to take my kids". >> from the indian perspective who sees this in terms of history, this is as about as adversarial as it gets. . >> the explosive results of an investigation developed by one of al jazeera's top investigative reporters bears stunning evidence of the death of yasser arafat. nine years after his death a swiss scienc scientific report s the presence of 18 times the level of radioactive material

pe pulomium on his remains. the also joining us is our american tonight senior correspondent sheila mcvicker who has covered the region extensively and lived in the region and knows the players very well too. we are going to start with you curtis is it confirmed and is iteitclear how much evidence ise he was poisoned with pew loan yum in this report there was 18 to 36 normal values of pulonium in his skeleton. >> that is pretty conclusive. if you think of the options air

farafat killed himself with it which means it's not a murder or something else caused his death. they are i never going to rule 100% pulonium decase every 108 days. they cape came up with that confidence level is remarkable. >> this came up regarding your discussion with his widow. this came to light because of your work with her to find out what was in his clothing. >> that is right joie. two years ago we initiated a investigatio investigation in a film called "what killed arafat" we had received a bag and it was inside of that bag they found high levels of

radioactive pe pulonium 210. a urine stain from his underpants when he checked into the hospital. >> based on that they recommended a exhumation of his body and that is why we are standing here. the swiss had participated in the exhumation and they brought the skeleton back and did the tests and that is where they found the pulonium in yasser arafat's skeleton. >> is it clear who did this or why? >> well joie i'm continuing the investigation after this. we are is not stopping here. i don't want to prejudice what i'm going to do or reveal any of the theories i'm following. >> there will be a fourther further investigation and is there is a criminal investigation at this point? >> there is a criminal investigation in france.

the french police were in rah ramallah last november when yasser arafat's bo body was unearthed. we have not seen the russian report and we have not seen the french report which is, of course, subject to too you. judicial cree hsecrecy. >> sheila mcvickers joins us now. you have covered other news with pepewpulonium. we wouldn't be thinking of it if it were not-for-this case. he was a russian agent and got asylum in the uk. he was poisoned with pulonium.

his assumption was and the assumption of of many people that he was poisoned by the agents of the ar russian state. it comes from a weapons program or from a nuclear power producing program. and so the assumption was that because pulonium 210 had been used, very effective poison with no previous cases of it non knoo have been used as a fo boy sew t it was a state actor. if arafat's death is linked to pe pulonium 210 there is some state actor some where. there is a long list of suspects. >> there is a long list of suspects? there are many countries that could be producing this. >> there are many countries that are producing it and there are many people that wanted arafat

dead for one reason or another. air fa arafat said he survived 40 assassination attempts. >> there were conversationings in the prime minister's olfson oolfson -- office on how they would like to get rid of him. he had business dealings with shady characters and there are those in the palestinian security services and those that could have access to him that wanted him dead. >> it's a long list. >> i know clayton is going to continue to follow on that as well. thank you both very much. >> from one shocking investigation to another. now one that involves torture an murder and elite american soldiers. >> a new exclusive report by rolling stone magazine links a u.s. special forces team to war crimes in afghanistan in a

remote part of country. matt akins joins us now. let's talk about what you have learned here. >> what is the most disturbing evidence that you cover. you have a tremendous amount of detail in your report. what is the disturbing evidence that this did take place. >> the disturbing fact is these den men who are tak taken by the special forces and disappeared while they are operating in this region. it's proved beyond a reasonable doubt that the the u.s. did round them up. the men disappeared and the locals say the men's bodies appeared buried outside of base.

and how can the u.s. bear responsibility and what happened to them. >> that is a disturbing shot. is there an explanation or motivation as to why it had been dob done. all of these evegetable events e after. they had deep roots in the area. they felt they were besieged by the enemy and these men that they took into custody are guilty. >> what happens? is isn't there an investigation into all of this? >> according to the u.s. the allegations were they first were november of 2012. and despite the fact that the u.s. military categorically dough nightfully responsibility and any involvement in these killings and disappearances as well as instances torture up

until july as the bodies were taken out of the ground. and then the military opened a criminal investigation in july. but it raises the question of who knew about these ins dpechbtincidentsbeforehand. and if one member of the chain of command above this unit wasn't coughing i covering it ud they have had a willfully negligence blindness. >> we are talking about an elite team and special forces. is there any indication it's more widespread than this particular base. >> i don't think it was a rogue soldier going out and shooting is up a base. this is a pattern of deaths and custody that we have seen since the beginning of the war. there have basketball been inves by congress and the u.n. into these abuses.

and there has been little accountability and little over sight. and what will happen in afghanistan going forward when the war will move into a covert and special forces and cia driven pace. >> appreciate you being with us "rolling stone" reporter matt akin thank you for being with us tonight. >> my pleasure. >> ahead the campaign promise new york city's new mayor elect has promised a new policing policy. on inside story, we bring together unexpected voices closest to the story, invite hard-hitting debate and desenting views and always explore issues relevant to you.

>> now a snapshot of stories making head linings on america tonight of the up in maine the southport land community issue. the tar sands transport was narrowly defeated of the it would take the thicker

production through maine. >> bradly byrne defeated dean young in a congregationary primary. he moves onto a special electionen the 17. and in virk. ken cuccinelli and it was hard fought and historic. the parties that controlled the whitwhite house us a lost. >> the first time since 1999 new yorkers elected a democrat mayor. deblasio cruised to a victory over lhota. >> he is an outspoken progressive. he voud to raise tacks on the wealthy and greater rights support and that include an end to the controversial police policy, "stopnd frisk" a corner stone issue in his campaign. >> there are hundreds of thousands of new yorkers who have never experienced stop and

frisk. >> i have talked to dantes about the possibility that he will be stopped. parents all over the city are having that conversation with their kids. >> last week a an appeals o cout stopped the practice. the stop and frisk program had been ruled unconstitutional. r indirect profiling. it would reteenly stone blacks and his panicses if they had been white. >> arabaarablast year new yorkee stopped half of time of and last year nine out of ten times they did it police didn't find any reason to charge the targeted person. >> new york city city council member

juamane williams joins us now. thank you for being with us. >> i know were a big supporter of the campaign. >> thanks a lot for having me. i'm excited w to have a few mayr and i'm ending a 12 year term ad it's done a lot of things and we have not done a lot of things we like and and haven't stopped a t of bad things from happening. the junctio judges rudolph rudod an --ruling has not been over t. i believe we will win the appeal and more than likely the mayor elect will drop the appeal making it moot. >> you think he will act and is there any time on that? has he made any promises "my first day in office" or anything hiklike that.

>> he was clear in the campaign. the way that police stop people using the stop and frisk tack stictacticand it's unconstitutin al and we never wanted to prevent the police officers to stop them from keeping the community safe and it keeps the police officers savsafe of what we want to stops the profiling of the students and he got that h and he spo ecabouspokeabout that and i belt will be as quickly as it can. >> will that be as an executive order? >> i hope i if hopefully he wile appeal. hopefully mayor bloomberg will come to his sense and drop it before. i was a co-sponsor with brad lender and we look forward to that being won in court and also

being dropped. >> how much do you see like mr. bloomberg who says he would have to have stop and frisk. >> the worst thing is the inagent to realize when they are just wrong and they're terribly wrong on this issue. it's been repedation from all levels. about it's from city council or whether it was a federal judge that rules again them and whether there is the immense mandate that came from yet's election, much of what came around the stop e. question and frisk abuses that were going on on. and the arrogance of this administration and going to be the they can that is remembered when they could recognize us for

making mistakes and make no mistakes, the mayor bloom berg and the administration is the primary reason that bill deblast deblaso was able to capture what the city needed and needs moring forward. >> i have to ask you it's part of his identity and he has mixedrace children at home. he how much of this is really person ebpersonal to him? have you talked to him about that? >> i think everything he has spoken about you believes. in you look the his history and and the things i has done in his political life these are all aggressive. wove a white male running for mayor is having a conversation

about what to do if the police stop him. that is not a conversation i would have with ply mother. i have had more conversations about that with my mother than the drug dealsers or gang bankerses. >> he would can't have safer streets and we have to have those things for our city to move forward the way we need to. council member thank you for being with us. >> thanks for having me. >> a gather ran enclave in dill chill in chile. we vest i visit a an ekey what happens when social media uncovers unheard, fascinating news stories? >> they share it on the stream. >> social media isn't an after-thought, it drives

discussion across america. >> al jazeera america's social media community, on tv and online. >> this is your outlet for those conversations. >> post, upload and interact. >> every night share undiscovered stories.

on techknow, our scientists bring you a sneak-peak of the future, and take you behind the scenes at our evolving world.

techknow - ideas, invention, life. in 1962 they formed a colony for expats in chil in chile. our latin american editor visit the what is known as the dignity cool colony. >> in the foothills of the andes in central chile an enclave of german immigrants tries to erase their unspeakable past. martin is in charge of the bakery. like everyone he speaks with a heavy being a

accent even though he was born here. before we were separated from our siblings we didn't have a job o ant and didn't get paid. now i have a job. >> i am ha happy being a waiter here. we are part of the world now and i'm happy and free. >> the original name was the dignity colony. today the 140 square kilometer enclave is trying to remake then themselves into a tourist colony. >> i it was set up by paul schaffer. 300 believers left war torn germ germany to chillily.

chile. it was a torture se ten sen center during the dictatorship. >> docome this way it was a torture chamber. 36-year-old win fred will tell anyone who asks, that he grew up in hell. behind the facade of a happy german community children were separated from their parents at birth and beaten and drugged and and forced to work 16 hour houra day and sexually abused. >> this was a regime that was in full view of the chile and german authorities authorities. authorities. he built a powerful protection network that

kept him free from prosecution. >> judge and important people were visitors at the coo colony. this was years after chile had returned to remockerysy. remock -- democracy. they came and went as they pleased from this air strip. for more than 40 years before and after the dictator ship, the colony operated as a state within a state. >> the colony was a criminal and pedophile organization. an inte intelligence service ths run as a secretary. it was a concentration camp and abuses. lloyd licenc london was the firo press charges against schaffer. >> in 2005 he was tried and sent to prison. it was not until earlier this

yearlieyearyear his police acomt to jail they beaten and forced to the gates of hell. >> now even though the gates are open people have chose to stay. >> all of our lives and sacrifice are here. i have nothing else i am trying to throw out the bad and keep the good and i feel this is my place too. >> some are outraged that their trying to turn this into a bavarian resort. today he is a la francophonie. awyer and convinced 120 victims to sue the german states for sun suffering. we

accompanied him to germany. vernon has been diagnosed with post tramatic stress disorder. the lawsuit is compensation. for 4 43 years i lived under a system of slavey. that broke me. instead of sending them away they sent them back to schaffer. >> winfreed argueness that the german constitution on lions gate bridgelions gateobliges thesta s where they could. the same is true for chile where very much victims that are struggling to sur0 as thei survs on on their own of the people like win freed's father who is one of the original settlers who still

lives in the colony that became a symbol of impunity. >> this is al al jazeera latin america editor is joining us now. you told a wonderful story. did people not know. >> people did know. they tried to bring it to the attention of the police, but paul schaffer had such a web that he was able to either by them off or threaten them. and in fact some people were killed and now presumed were murder by schaffer to keep all of this quiet. and with time he had a lot more influential more influence in higher circles. especially when he used the colony as a secret concentration camp. they

conducted experiments to see how much people could take. and after that this continued to happen. the chilean state was com complacent. >> is it throug true that the we story has been told now. >> or is the other shoe going to drop. >> there were thousands of secret files that were found by the prosecutor when he left the colony that kept tabs on about everything that went on in there. >> these files are now under lock and key. they have not be been revealed. we don't know what they say, but there is speculation that they implicate people that are prominent in the political stokes economic circles in chile.

and we know that weapons were made and chemical weapons and serene gas kir during the pinot ce. years. people who come forward, do they want to be, at coupl some pointu have been victimized by this treatment you would want to hide away and forget the chil well wg happened. >> a lot of people didn't want to come forward. it was difficult to make these films and the one hour documentary we made on the colony. many people are ashamed and embarrassed and they want it all to go away. but it doesn't. they all tell me not don't do they suffer the physical ailments from the hard labor. many of them have herniated disk

and from cervical problems from due to working at from the age of seven. and little by little winfreed was able to get them to come forward and talk about this. especially the young ones. >> a wonderful story. >> thank you. >> and coming up here on "america tonight" young at heart. amazing and risky life staying operations in iraq with children at the heart of it. hurricane sandy. and for many, loss of promised financial relief. now, one year later, al jazeera america investigates:

>> finally with increasing 0 lenviolence in ironing the iraqs a dangerous place for foreigners. busbut there are solve of some e working there. jane reports from basra. but we want to warn you some of the images are quite graphic. >> there are lot of iraqis with

broken hearts. but this baby was born that way. >> on this day he is just 17 days ol old. he is one of 5000 children born every year with serious heart defects in a country with hardly any ability to treat them. but he has also been lucky. >> he was born born just 3w-6 aa visiting cardiac team arrived. started by some 20 something-year-old officals. cody is one of them. i wanted to help people in the city. there he helped with water and sanitation when he ran across a child that needed heart surgery he and a friend started raising money to send kids abroad for treatment. >> after doing that for several years iraq was able to progress and we were able to bring in

medical teams to train wil loca. and by doing that and not exporting the problem to other countries we are were able to focus on the healthcare. >> here in iraq where the memory of american occupation was still fresh. they called their group, preemtive love. >> we named our organization that for a reason. ottawas a play or spin on preemptive strike. we want to be nobody for loving first and not hitting or juan du fuca straiting first. tha first --

it's a grassroots organization that has big results. more than 800 children have been operated on. they are partnering with a tennessee organization that brings in pee pediatric surge surgeons of in the next few days they'll see over 200 children that haver in seen a proper diagnosis. >> others are needing surgery that is not done in iraq. without the operation h he could die, but he also could die because of it. >> the children's size makes the margin offe of error tiny. you can make a little error in a 12-year-old and it doesn't bother them. you make anke error in a 7 week old you may have a dead baby of the.

>> his heart foundation has operated on 6000 kids around te world. the lasting impact is to tryin' local surgeons to do what he does. faced with the responsiblity of an infantastic' infant's beatine violence in iraq doesn't scare him. >> he does a heart by pass with a tube of fo gortex. >> it takes five hours. over two weeks the nurses and doctors will operate on at least 21 children. >> we have looked at ike a iraqa place that needs a great deal of help. that is one of the reasons that we have decided that we'll spend as much time necessary here. whether it's five years or seven years or ten years to build the programs around the country for them to be necessary to take care of their kids with heart disease.

>> for the first time they have a cardiac ward funded by the iraqi government. but the iraqi staff need to learn how to run it themselves. >> we are totally isolated from the world. no contact outside and no one knows coming in insite. and this awful needs times i think the in art will be better. >> but for now the hospital relies on the visiting doctors and nurses. behind the stories is the 23450u cardiac sen tir. -- boo hind thesbehind these doors is a kard cardiac team. that means thousands of children with heart problems don't get treatment and a lot don't live very long. in the hallway parents wait with

their children it for a chance to see a foreign specialist. not all of them will. without cirquery 80% of children with heart d defects guy at the age of 1. andwhrrchlt the other conwalk to school like movement kid and he dropped out in grade one. in the hospital ward he practices his nutsancend he wants to become a doctor as well. >> i used to cr cry when i watched kids go to school and i couldn't. there are other kids that ride with their fathers in their cars. >> kids that walk around while i stay at home and do nothing. >> his mother has waited ten years for this chance. >> hwhen he was born he was always crying in pain. the doctor says he has a whole in his heart. >> they said you have to cake

him abroad, but i didn't have enough money. so i cried and went home. now at age 1 17 he has that changes. there are more urgent cases than him and it's not clear he are get them so many time. >> some the doctor created a new wall wl for his hearted. her heart has been completely beekind of twisted and row kated backwards. others because they are the kind of surgeries that iraqi doctors should be able to soon do on their own. the surgery will fix a whole between two chambers of her heart. the doctors study years for this. but it takes hundreds of operations to qualify to perform the surgery. the iraqi surgeons start this one and dr. novak finishes. of it.

the surgery is successful, but her mother still worry. >> in a country like iraq it's not just the surging that is lacking. almost everything in the intensive care unit or recould you havery unicouldyou have -- s tobacco taught. the doctors say he is zing well. he is not out of the woods yet it's a first of three surgeries that his father needs. boil ill why is is in -- while he while he is in intensive care his mother waits in the waiting room. that is it for us on america tonight. if you would like to comment on any of the stories you have seen here tonight aljazeera.com and/america tonight. please join the conversation on

>> this is al jazeera. >> welcome to the news hour i'm in doha. who killed yasser arafat. there is an international probe after the scientists say he was almost certainly poisoned. >> odevidence of a massacre of e government is accused of killing civilians in the afte african republic. >> they rat raid the offices ofe