welcome to al jazeera america. i'm here in new york. here are the top stories at this hour. breaking news in washington state. boeing machinists rejected a contract proposal that would have secured the line of 777 july bow jets. >> according to the first official members. only 106,000 enrolled for health on the federal exchanges. some have been plagued with technical problems. the number is about a fifth of what was projected. fewer than 27,000 signed up at healthcare.gov, the federal website. >> tragedy at camp pendleton. the military says four marines

were killed wednesday morning whilst handling explosives. the cause of the accident is under investigation. >> the peace and relief efforts has ramped up. soldiers have been distributing rice and water. marines delivered 129,000 pounds of relief supplies and uss "george washington" is due this thursday. >> he was one of the federal bureau of investigation's 10 most wanted fugitives, whitey bulger faces assistancisentenci thursday and could face a life in prison. those are the headlines.

we will ask the leaders of the reform movement, luis geterez. why are atlanta area taxpayers footing the bill for a braves stadium when the park is one of the nicest in the majors. we begin with dismal enrollment numbers for obamacare. only one 06 ,000 /*,185 people signed up in october. only a quarter of those did it on the disastrous federal website, way below the white house prediction of half a million. the bigger blow for the president may be the defection of democrats who have tirelessly supported him throughout healthcare reform. many are calling for the president to honor his promise that people would keep their healthcare. democratic senator mary landrieu is leading the charge. >> let's fix it. let's, you know, mend it. let's not start over again. let's roll up our sleeves and get to work and work together to do that. >> for more, i am joined from washington, d.c. by bill

scneider, professor at george mason university and resident scholar at the think tank, third way. with us from los angeles, al jazeera america political contributor michael shore, great to have you back. bill, you said it last night, the democrats are now in full terror over the issues with obamacare. until now, they had shown pretty ruthless party discipline sticking to supporting the president. that cracked right open with president clinton and dick today. that's right. sam yellow johnson once said, the prospect of being hanged concentrates the mind wonderfully. the hanging is next year's mid-term. they are terrified the whole plan is going to fall apart, voters are going to be enraged, insurance premiums will go up. unless something is done to fix this, mary landrieu is next up for re-election. several senators are pushing hard to make changes in this

program very quickly. they are putting a lot of administration. >> michael, that was not the ones that were up for reelection next year. you have some liberal senators and congressmen who were th threatened calling for fixes and for something to be done about that obama promise that people doctors. >> yeah. one thing to remember, antonio, and bill is right, you see people who are up for reelection and you make the point that not everybody is up for rely, geoff america lee is up for reelection. there are some senators who are not in tight races is a better way of saying it. geoff merkley supported mary landrieu's ledge southlakes. the senate looking to protect their own. if the democrats are scared, this is how they are going to do it. one thing we cannot forget, though, is just because you have all of these democrats signing on to the legislation does not mean that harry reid is going to bring it to the floor for a vote and he ultimately is the one who is going to be a buck-stopping with harry once

again. >> some white house officials who went to meet with the house democrats and apparently things got pretty ugly. >> they certainly did. the house democrats got furious at the whitehouse staff. they feel they had been misled, that the white house has not been fully truthful or honest. you see that reflected in the poles. those ratings for the president for the first time ever, a majority of mirandize say this trustworthy. >> that's very damaging. what's happening is something that did not happen in 2009 and 2010. democrats passed the affordable carry act by a party vote. no republicans voted for it. when they had an equally large majority they didn't feel as cornered or threatened by republicans as they have been in the last fewer years. but that party discipline, which pushed this bill through without any republican support is beginning to crack. >> that poll showing that the majority of americans now think the president is dishonest has

to be hurting in all sorts of levels. michael, also hurting, we talked about it last night. we expected low everyonerollment numbers. while the enrollment numbers from the state exchanges were a little better than what had been reported, the numbers on the federal exchange were even lower than what the "wall street journal" has estimated. a total of 106,000 en rolled but only less than 27,000 on that federal website and now, they are talking about the fact that it may not be fixed by the end of the month. obamacare? >> what it's going to mean, i think we have to separate out what it means for obamacare as legislation between what it obamacare. i wasn't surprisedize to see 53 alaskans en volleying in obamacare and say the sky is falling. can you think of anyone, antonio who would have predicted many more numbers than this? i think what the white house has beforehand. >> how?

>> well, i think that's a great point. i think they are going to have to listen to what the senators are going to say to them, listen to what harry reid is going to say to them tomorrow and respond to that and by coming out andsponding and saying, listen. we blew it here with this website. we told that to you. the website now has the capacity of listing 25,000ams at once. we want it to be able to to get up to 50,000. the numbers are higher for people who actually went on, if you look at the california numbers. a lot of people went on to try and stop, and a lot -- try and start the process. a lot of the problem is also coming, antonio, from the -- there is a little bit of lackadaisical approach to this on behalf of americans who say, wait a second. the website is not working. i am not going to deal with this. i am not going to waste my day until this website is up and running. there have to be assurance. listen, we will get it done by december 1st or december 15th. whatever that is, every day it's getting up and running, and we want to keep they legislation. we want to work with the senate

as well to fix the problem of the promise. >> bill, do you agree with michael, though? there are reports that the 106,000 number, the people who have signed up is even questionable because there is some argument that it's not really a full enrollment, some haven't paid. some of the insurance companies don't consider that number to be accurate. so, there are supposed to be 39,000 to meet the original plans. how does this work? >> have you ever gone shopping on the web? you put something in your shopping cart and then you just don't buy it or you put it off? and it's still in your cart. they are counting people who put a healthcare plan in their shopping cart but haven't paid for it yet. we don't know if those people are actually going to enroll. about a third of that 106,000 are in california, who enrolled on a state website which is working very well. that's about a third of the total. and it's in one state. it's a big state. but it's in one state. look, what the add miles per hourstration has to do, number 1, is come up with a new plan, not a new affordable care plan but a new plan for exactly how they are going to fix it.

people don't want to hear more apologies, more explanations. they want to hear exactly what the plan is to fix this thing and stop drawing red lines, stop saying it's going to be fixed by november 30th or december 15th because every time the add miles per hourstration draws a red line, it just falls across that red line and nothing quite happens. they've got to be very cautious about that. >> putting those dates up for public consumption has not beg terribly smart and we will have to see how this all develops and we will call you guys back to talk about it. appreciate you coming back. bill scneider and michael shore, thanks. >> meanwhile, hopes that an immigration bill will be signed into law any time soon have taken a major hit. house speaker john boehner today said he will not allow debate in congress this year on reform. >> firstly i will make clear, we have no intention of ever going into conference on the senate bill. i want us to deal with this issue. but i want to deal with it in a

common sense, step-by-step way. >> joining us is democratic louis guiteerez. thank you for joining us again. before we talk about immigration, we have been talking about the disappointing obama care of enrollment numbers, the heated meeting between the white house and concongressional democrats today. some of your colleagues in the house are concerned obamacare is going to be a big problem for the re-election campaigns next year. where do you stand on what needs to be done? >> look, i think they have to really come back with solutions. one of the things that we did understand if you had a substandard healthcare policy, you weren't going to be able to keep it. i don't think that was what was communicated to the american people. so, it seems to me that, you know, if you had a plan and you liked it and it was a bad plan and you liked it, it should have been grandfathered in. >> that's the only way it makes sense to me to say if you like what you got, you get to keep it. i think we are going to have to

and the plan. now, listen, that doesn't -- that does not mean we are going to give up on the millions and millions and millions of american citizens and people who work a hard every day that need healthcare. i think we can fix it and we should fix it. you can't have the president of the united states saying one thing and the reality being is difference. >> you sound like former president clinton on this. let's move on to immigration. last time we optimistic. you felt like there was a bi-partisan ground, as well to get a bill passed. how did we get to this point where it's not going anywhere? >> i was optimistic. i think this is far from over. antonio, you know as well as others we don't deal in the time photograph years. we deal in legislative calendar. there is 13 and a half months to

this congress before it adjourns on january 2nd of 2015: i am disillusions that the speaker and others in high ranking positions will not take action. today we had a meeting of the judiciary, and what i said is, so what? so what if we had a hearing? you are not going to get anything done on security until we deal with this in a comprehensive manner. that doesn't mean we can't do it step by step. but the question is: where are all of the steps? what are we going to do with agricultural workers, for example, two million, back-breaking, hard-working people. >> right. >> that's what speaker boehner is talking about doing, a step by tep thing. >> my only point to the speaker is that's fine. that's as good as no policy. look. i have seen this movie before.

they are going to use enforcement. here is what they want to do. 2 million people, two million foreignhands in this kuntz try, most of whom are undocumented who pick every piece of produce. we know who does it. not american citizens. what are we going to say? sign up for this program, go back to the country you came from and then we might invite you back? >> the republican approach to for agricultural reform. what do you mean we might invite you back? you are already part of our society. you are an integral part. what they want to do is invite new people so that they are disconnected from the community did in which they live in. we can do this piece by piece. but each piece has to have some integrity to it. >> if nothing is done this year, you are talking, yeah, sure, this congress lasts until january, 2015. but next year is an election year. your allies on immigration reform said that if the deal is not done by very early next

year, it's dead. >> here is what i believe. i believe it is never over. today, the speaker of the house went to breakfast and two beautiful young dreamers, one from california, i believe, the other from phoenix went and stopped by and made him visit for breakfast. you can't get away from the millions and millions of americans who want comprehensive immigration reform. whether it's the speaker having breakfast, lunch, or dinner, we are going to be there. you cannot put a civil rights, a human rights struggle within the context of a legislative calendar. it doesn't quite work that way. in other words, our community is not going to simply say, oh, you mean speaker boehner said there is no time to get it done? well, why don't i just get home and you call me when it's time? 1,100 people deported every day. somebody dies at the border every day. there is a woman sexually harassed, intimidated, raped every day in america.

there is just too much harm that is occurring given our broken immigration system. people are here fighting each and every day, antonio. they are here today. they are not giving up. it's indesstructible, the will. it's not going to end. so they can end. they can say that they are not going to do anything. that doesn't mean we are going home and packing bags and saying we are going home. let us know when you are ready to work. >> you mentioned young women acosted nicely acosted the speaker during breakfast at a diner, and they pushed him about, deported. >> good. i am happy you have it. >> it wasn't skraer clear there. he basically said that he has made it clear every day since the election that it is time to get this done. so, what do you think the next step is going to be? >> i think the next step is that the republican party has to present their plan. democrats have presented their plan. there are over

190 democrats and a few republicans that have signed on to hr 15 which is basically the senate bill with some modifications on boarder security. already signed on. you don't like that bill, give us the alternative bill. but let's move forward. don't give us an alternative bill that criminalizes 11 million people. here is part of what the republicans want to do. seems like every time they lose, they want to win again. we saw it on healthcare. we won when we passed it. we won at the supreme court. and we won in the referendum last november 6th and they still want to overturn alabamacare. >> on that part, you are losing with the american people. on the other hand, immigration, you are probably not losing with the american people. seems like a majority wants some sort of reform? >> i think a majority of people want to get this done. my point is, so what do they want to do? they want to now take sb 1070, the address show me your papers law, two-thirds of which the supreme court said was unconstitutional and the other third, which is under review,

and they want to put that back in legislative language to give local police enforcement the power to be immigration agents. let me tell you something, the last thing we need is to put a police officer doing immigration work. >> that's the work of the federal government. you want to do comp prehencei immigration reform, let the police go out there because there are millions and millions and millions of people who want the police and want to have that bond with the police. we don't need to find distractions between police work going out and getting criminals in our neighborhoods. >> i know you are going to stay on top of this. efforts? >> thank you. >> look forward to talking to you again antonio. >> thank you for talking with us. luis getteres, appreciate you joining us. >> looting and violence on the rise. toronto mayor rob ford gets a public scolding for past sins as he admits buying drugs. despites drugs and drunkenness, will he get to keep his job?

hermellaar gaw tive. what's trending? >> a nude study by the aclu profiles non-violent offenders serving life seboliths. it's so bad one judge says system. what do you think? join the conversation on twitter at ajconsiderthis and on our facebook and google plus pages. >> every morning from 5 to 9am al jazeera america brings you more us and global news than any other american news channel. find out what happened and what to expect. >> start every morning, every day, 5am to 9 eastern with al jazeera america.

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desperation as hundred to violence in some areas of the philippines. eight people were killed in the town of alangolong where a warehouse wall collapsed as looters dragged off 100,000 bags of rice.

in tacloban where much of the city was flattened, stores and houses have been looted. thirsty refugees has dug up water pipes hoping to find something untainted to drink. the city administrate offer told reporters the looting wasn't criminal. it was simply self preservation. elsewhere in tacloban, some 3,000 people gathered at the airport hoping to be flown out on one of two philippine air force trans ports. only a few hundred refugees, mostly babies, the sick and injured and elderly were allowed to leave on the planes. for the latest, we go to manilla, the capitol of the philippines and gloria steal for the u.s. agency for international development, usaid. gloria, thank you for joining us. i know you were in tacloban on tuesday. there are reports that the situation there has has gotten close to anarchy. >> well, no, i was in tacloban and, in fact, a lot of the

situation has improved. with food beginning to enter there, it was in fact because of the desperate need for food and water, but yesterday has calmed down a lot. >> we are seeing u.s. planes. >> we expect that -- we expect it to continue that way. >> we are seeing u.s. planes going into there 24 hours a day. they are going in at night. they are bringing in a lot of supplies, but there are reports that even government officials and rescue workers have very little to eat and very little to drink. >> that's right. that was because it was very difficult. as you know, it's an island, and they were cut off. but now that airplanes are able to come in, we have 10 c-130s and six ospreys that have been able to come in. of course, singapore, i think, has sent in an airplane and so did other countries like australia.

so it's dropped significantly since last reporting which shows a lot of chaos. >> we are hearing reports of stench from the bodies and we were seeing enormous lines at the airport of people hoping to somehow get off on any plane to get out of there. still, while things are improving, it's still quite a desperate situation. >> that's right. it is a desperate situation but it is improving. we brought around 150 machine and women and children there is a continuous movement now. i think things will begin to ease up. >> the aircraft-carrier -- >> also, for -- yes. sorry. go ahead. >> the aircraft-carrier, george washington and its battle group, that's really the force of america coming to help. it still hasn't gotten -- it should be there in a couple of days. that will make a big difference?

>> no. it will arrive probably today or tomorrow. did is coming in. that will make a big difference. it will be bringing one of the things it will be bringing is water purification systems. that will provide water for the entire city every day. >> and you have worked if the philippines before served with usaid's bureau for africa and the bureau for global health. have you ever seen anything quite this bad? >> no. no. this is really the first time i have seen it. i actually am based in washington. three years ago, i was september here to be director of usaid. there have been many disasters since i arrived here the last being december last year but nothing compares to this disaster the. >> thank you for joining us. i wish you the best with your efforts to help these people who desperately need it. thank you very much. >> i'm sorry? i can't steele. >> thank you so much, too.

>> switching from a horrendous natural disaster to what appears to be a political train wreck, rob ford has embarrassed himself and his city with wild words and wilder acts including taking illegal drugs. as al jazeera courtney keeler reports, ford mixed apologies and defiance as he stood for hours before toronto's city council for what ford called a public flying. >> have you purchased illegal drugs in the last two years? >> yes, i have. >> toronto's mayor rob ford made meeting? >> he stood in a way and blocked my path in a way i have never council. >> you are too much, buddy. >> i would ask -- >> dr. ford, please. >> i would ask that he apologize. >> his brother, a council member defended him and launched member. >> it's a question, a simple yes or a no. has he smoked marijuana?

>> a 5 minute recess was called. mayor ford moved toward the counsel member but his brother stopped him as the chambers erupted in boos. >> it it was the first meeting of the city council since mayor ford admitted to smoking crack cocaine last week? >> have i tried it? probably in one of my drunken stoopors. that was followed by this video of him in had a drunken >>. >> most toronto city council members want him to take a leave of absence. they have no power to make him do so unless he is convicted of a crime or stops coming to work for a long period of time. >> i am not an addict of any sort. so i am not quite sure why you are saying i need help. >> is there some way that you can explain to us why you don't want sense? >> there is no need for me to take a leave of absence. >>

i am going committees. >> when asked if more could confident? >> you don't know if people are videoing this or that. there. new york. >> for more or mayor rob ford, joined by former good morning co-host kevin newman who is the anchor of kevin newman live. what a circus today. was that the words of rod ford on display or is there more to his story we don't know about? >> no. well, i mean who knows? i mean there are still things in the police investigation or whatever. when you think you have heard enough that he admits to smoking crack today, he says, actually, i have bought drugs whilists mayor of toronto. then they released some police interviews with some of the mayors top staff here. they are concerned about drunk driving, that he downs like a micky of hard liquor and them

then he drives, that he might have been con sorting with profit tutsdz. every day you think there is a surpassed. >> despite these problems, he can stay on as toronto's mayor until his term ends. he certainly lost support. his popularity has dropped dramatically. he was a fairly popular mayor because he had done a pretty right? >> you are absolutely right. one of the things he has done is brought the city's finances into check. if you could -- if you could draw some sort of comparison to the sort of politician he is, he is a bit like a tea partyer in drawers. he doesn't think much about the liberal elites that run cities or in the media. brand. a populist. it swept into power. he did better than anybody thought. then all of the stuff started to unravel. there was knock to say that it was causing him any harm politically.

the day after he admitted to smoking crack cocaine, his approval rating went up four %. there are new poles showing it's starting to core road people's respects for him and the vast majority, three-quarters of tore onts toneians say deal with this issue. it's not only harming you physically but the reputation of our city we say awegressive behavior. mayor ford's brother, doug, is on the council. he helped calm his brother down at one point. what are they like as a team? >> they are bully boys. the city is being run a bit like a frat house. anybody who has experience with an addict in their family, most of us have somebody or know of somebody. what the city, what this country and now what all of north america is going through is that pattern. there is rage. there is sadness. there is frustration and then

there is the guy at the center of it who stands up today and basically sizi don't have a problem. well, he needs an intervention and he is not getting it from his family. he is not getting it from the political supporters that are left around him. he is starting to get -- watch what's happening with his popular support in the city. but even today, when city council stood up there and almost did an intervention, the guy was one of his strongest supporters, even he couldn't convince him to go get help. >> you are right. it's a tragedy we are watching. >> you are right about his family being supportive and not doing the intervention. the question, though, is that, as you bring that up, we have all been exposed to it. we have all understand that it's a disease. so doesn't he deserve some forgiveness at least if he is willing to do something being it, which of course as of now, he isn't? >> no. suf probably watched intervention on t.v.

you know that you need everybody aligned against you before you deal with it. right now, that's not what's toronto. >> he seems like the anti-canadian, kevin because, you know, i hate to deal in stereotypes but you are all known as being very nice people, very pleasant, you know, sometimes, certainly not like rob ford. >> no. you know what? if this is how we have to seem interesting, i would rather be boring and nights. >> how will you compare him to some american politicians who have tried to brazen out their problems? mayor barry had a crack problem that was caught on video at one point. we saw what happened to former san diego mayor bobvillener who tried to stay on despite the fact that he ended up pleading guilty to sex crimes including battery? >> he is probably most like the former mayor of san francisco, dogging it out to the very end. but as your reporter pointed out, there is no way to get the

mayor to leave office there is no way to do it. the only way he could be forced from the office is if he's -- i mean, he can be a convicted toronto. he has to be serving in jail. the only reason that that's a consideration is because he's locked behind bars and can't cast a vote. >> that's the technical reason. at this point, there is not much that can be done. he has to come to this, himself. right now, it's not there. now it's time to tee see what's trending. >> antonio, an article on our website takes a look published by the aclu. they found more than 3,000 inmates in the united states are serving life sentences without the possibility of parole for non-violent offenses. almost 80% of them were convicted of non-violent drug

offenses, things like possessing a track pipe or having traces of cocaine in clothing pockets that could only be detected in, in lab tests. 20% were convicted of non-violent property climbs like stealing tools from a shed or taking from anna department shore. judges doesn't have a say. they had to follow mandatory minimum guidelines. the studies gets into the racial disparity among the non-violent offhanders for life. now, to your reaction, viewer al bellso calls this slavery. melissa says it's easier for people to be thrown away than rehabilitated or given redemption. read more on the website america.aj.com. antonio back to you. >> thanks. are we getting enough bang for our buck when it comes to healthcare? could we save money on healthcare by spending it instead on social

determining using some sort of subjective interpretation of their policy as to whether or not your particular report was actually abusive, because if it doesn't contain language that specifically threatens you directly or is targeted towards you specifically, they may not consider it abuse. they may consider it offensive. and in that case they just recommend that you block that person. >> i don't want to minimise this, because i mean, there's some really horrible things that are on line, and it's not - it's not just twitter, what has happened through social media and the anonymity of the net is

that you see websites, hate-filled websites targetting all sorts of groups, popping up. there has been a huge number of those that exist as well. i'm phill torez. coming up this week on techknow. san francisco's bay bridge, an engineering marvel but this is earthquake country. >> how close are we to one of those faultlines? >> now inovation, that might change everything. >> how safe is this building? >> earthquake inovations, >> where would you wanna be if a big quake hits? >> techknow sunday 7:30 eastern on al jazeera america >>. if the u.s. has the world's best train did doctors and the best andlatedest advancements in treatments, wehy are we falling on some crucial health indicate orders. half of spending in u.s. goes to

5%. most chronically i will . symptoms get treated but the root causes don't. we are spending almost 15th of the country's gdp on healthcare. 50% more than norway, the second biggest spender in the world. for all of that, america's life expectancy doesn't crack the top 20. the new book, the american healthcare paradox, why spending more is getting us less tackles the issue in striking detail. doctor elizabeth bradley co-authored the brook. she joins us. she is a professor of public health at yale. dr. bradley thank you for joining us. as we mentioned, we are spending more than almost -- more than any industrialized nation on healthcare. we are getting less. now, you argue that the problems that we are spending tilths on what you referred to as non-medical determineants of health. can you explain that? >> we really try to argue that we are expecting a medical care

system to be addressing the social, the economic, environmental, behavioral determine ants of health causing our major health inequitties, yet we are expecting a medical care system to address them. this is an expensive approach and it's not that effective. >> you write we could learn something from other current trees, scandinavians have better results on infant mortality, maternal mortality. what exactly are they doing better that we can learn from? >> one of the things the scandinavian countries do is take a wholistic look at the picture of health. they think about the social services they are providing patients. they think about the medical care. they budgeted them together in one pool. they can decide which is the best service to give this patient to get their their best health. we have very separate silos. we have a medical care system

and we have social services. we don't plan them together. we don't budget them together. we don't holt them accountable for the same health indicate t this ends up costing a lot, creating redundant services and. >> you point out in effect, they are spending and hours are flipped. we spend much more on healthcare than service services and they do the opposite. about a half a dollar on social services. if we go to scandinavia, every dollar they spend, they spend two on social services. overall, we spent the same amount. we just allocate ours differently in the states. >> they are very, very well educated.

if we were to flip that kind of spending, would it work here? >> no question. we have to do this, our reforms in an american way. we can't just take something that works in scandinavia and expect it to work perfectly in the united states. never the let's, there are pieces we can learn from other countries. they do this in the public sector. that probably wouldn't work in the sglujs. we need to engage and involve our private sector as well. but the fundamental idea of understanding what causes health -- and it's not just medical care. >> that's something we can learn from sand navy i can't if we could embrace the determine ants of a healthy population, we would be smarter in how we spent our dollars. >> hour engage a private sector? to hem with housing? at what level? and how do you insent vise the private sector to do so? >> already, the private sector is very involved in our healthcare system. more than half of the healthcare

dollar is spent within the private sector organized by the private sector. and when we look at housing and education, again, we have a mix in the united states, a healthy mix with public sector programs t the idea is, however, to integrate some of these social service programs that are about housing, about education. nutrition with healthcare so we can look at the whole picture and really try to serve people with the 70s they need, not just always medical care. >> chicago tried experiment where they spent more on public housing and public assistance to impressive results with a relatively small group. healthcare spending in a variety of groups ended up going down significantly as were the er visits of these people who got extra money to have better housing and better social services. at a time when we have seen social spending on entitledment

programs grow so dramatically in the united states, how can we afford it? >> i think so the question might be how can't we afford it? if you think about that experiment, you look at some of the other housing first activities in the united states. you look at the impacts of food stamps, et cetera, these often pay back. stronger comic activity also, we are starting to see in the chicago studi offsets in the healthcare dollar. it's so exciting. we visited four different companies in the united states. some of which were doing similar activities. trying to think hard about when i discharge a patient from the hospital who i know is going to only just return back in the emergency room if jo do some case management or provide housing or get the radios shoes, et cetera. i am going to spend more in the hospital. we looked at some of the hospitals that this tried to

integrate they were saving a lot of money, up to $30,000 a patient for some of the comprehensive services being given to people. >> you think the immediate savings can actually make the difference so there doesn't have to be an actual increase in spending on these non-medical determine ants of health? >> that is the cogseptember. in fact, we would never advocate that more money needs to be spent in social services or more money in healthcare. we just need to spend smarter. we need though not be doing redundant things and we need the medical care system to really recognize maybe there is a different approach here if it's possible to coordinate with housing, education, nutrition, transportation, there are ways in which we could save the healthcare dollar. i can't it can work. >> do you think there is the political will, though, to make it look as we see the huge obamacare? >> one of the exciting things that's tucked within the aca is a platform by which all people

get insured. it's explicit where the costs are being spent and power is given to medical care providers to be rewarded based upon whether the population they are caring for is actually healthy. if we implement it properly and we align the incentives of the medical care system with health, not just giving more healthcare, but actually creating health in the population, i think we can do this with exactly the regulation we have and the spending we have. >> a lot of thought provoking ideas in the new book. it's called the american healthcare paradox. dr. elizabeth bradley, we thank you for your time. >> thank you. >> recently we brought you a story about a company called fantex that involved selling shares in nfl players. there is an update to that story. we go for that back to hermella. >> last night, they announcedar ian foster. they paid him $10 million for 20% of his future earnings.

on our show, kevin ruth called his business plan crazy. >> the way that this investment is structured is totally crazy. i mean not only are you bettingar yan foster will have a good career. you are betting the company, profitable. >> it looks like ruth had a point. a day after that, et cetera having back surgery that will keep him out for the rest of the season. following the news, fantex said they are postponing the offering. they will continue with the offering in the future. we will keep you posted. >> incredible story, hermella. you love your pets. do you love them enough to buy them pet wine or even pet adult toys? i am not kidding.

al jazeera america... >>introduces... "america tonight". >>a fresh take on the stories that connect to you. >>grounded. >>real. >>unconventional. >>an escape from the expected. >> todd's datadive wraps its arm around pets. one in 10 women say they love their pet more than their partner. about a third said they loved

their mate about the same as theirpet. the research comes from a british animal welfare group. about one in six women let their pet sleep in the bed with them and nearly as many considered getting a tatoo with their their pet's name. one reason for the love, the unconditionable love they get back. women reward that love with some serious pet gifts. there is a comfortable kitten box to let your cat hang out on your desk. you can become bowlingual. a machine that may claims to translate what your dog's bark languages. i love my dog but give me a break. how about a leash for your bird? it's a leash but they probably charge you more. who would buy a stroller for dogs. some do but isn't the whole point for the dog to walk? incredibly, there are adult toy did for dogs. i am not kidding, and no, we will not show them here. the labor department says americans spent more than

$61,000,000,000 on their pets in 2011. the average household spent more on their pets than on men's clothing, telephone land lines and alcohol but if they are not buying booze for themselves, they can get pet alcohol. that's right a japanese company produced neon new vo wine for cats. there is no real alcohol in it but we are guessing pet owners lost some brain cells before they bought it. coming up, why are atlanta taxpayers being asked to pay for a new brave stadium when they just got one for the olympics. >> every morning from 5 to 9am al jazeera america brings you more us and global news than any other american news channel. find out what happened and what to expect. >> start every morning, every day, 5am to 9 eastern with al jazeera america.

>> audiences are intelligent and they know that their

. . pressure is mounting on the white house to prevent americans being dropped by their health care fans. a fraction of those eligible to sign up for obamacare have done so. >> typhoon haiyan has claimed thousands of lives. it's feared disease could lead to more death. >> three students have been shot outside a high school. police say the three boys may have had a run in with the gunman last