tv Inside Story Al Jazeera March 27, 2014 3:30am-4:01am EDT
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>> yes, in our to choose insurance on the marketplace. >> kavita, isn't that pro pile the challenge from the very beginning. the people you most needed to sign up, the people you needed to find and educate are the hardest to reach period. >> that's been the experience even with children's health insurance program where there
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are still stumbling blocks to getting low income children involved . i would say the administration early on knew that was a challenge. those of us still in practice in treating patients we see this still on a day-to-day basis. >> michael weinberg, it's not too much of a stretch to figure that those are some of the people in this country who are least likely to vote. least likely to organize in any way that allows them to exert political pressures in states with very high rates of uninsurance you also had state governments that were not cooperating and probably aren't going to pay a political price. >> i think over time there will be a political price to pay particularly for those states that haven't expanded the medicaid program. this is something that the business community generally, the actual business community, not the ideological business community, has been pretty
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frustrated about. one, the hospitals need that money, two, the employers are paying more as a result of the under payment of public program. i think there could be a large political price to. >> i isn't that far down the road? the real effects some of the real effects that are projected for the affordable care act don't really kick in until you've got much higher levels of much lower levels of insurance. >> we've seen new enrollment in medicaid. this is one of the under reported stories. there has been private enrollment. there is a larger number enrolled in the statement medicaid program, these are people who were not getting compensation at all for the care
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they're receiving at these facilities. it's a critical issue for the healthcare system and privately held businesses carrying the weight for that. >> katherine carmen i don't want to put you in a position to answer a question that you can't answer, but is this something, are these people who are least likely to be well-informed given time are they more likely to be brought in to a greater level of understanding? is this something that with time for the life of the program you might see greater penetration? >> i think that there are things that we can do to try to improve their understanding of the program. and programs like the navigators and like your guest earlier from insure central texas, i think those kinds of things could really help people. we could try to find ways to make the choices easier for them so that it would help be more the level that they're prepared for. >> kavita patel what happens after tuesday, and how will we
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know whether you got the right people in the risk pool, if the numbers are going to work for the insurers. >> yes, we'll definitely, we're all waiting to see the final numbers. remember, we have to make sure that the people who enrolled then pay for the first month's bill. there is this whole debate as what counts as real enroll yeses and what doesn't. that will take time. the real test will be how many of those plans that are argued in the marketplace this year continue to offer plans for the marketplace for the following year because that will give a sense geographically did you do well in the risk pool? did your company feel like this was worth offering the insurance product? and something that i think is very fascinate something that we're going to learn a lot about people who did not enroll from some of the survey work that is going on like at the rand corporation. i think even more importantly asking people who did enroll why
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did you do it, and what were the reasons you got to that point. so the months between april, may, and june are going to be these huge crunch times for interesting data as well as how do we turn this around quickly to do something differently when enrollment begins in november. >> thank you all. good to have you on the program. that brings us to the end of this edition of "inside story." thanks for being with us. the program may be over but the conversation continues. we want to hear what you think about the issues of this or any day's show. you can log on to our facebook page or send yours thoughts on twitter. you can reach me directly @ray suarez news. see you for the next "inside story" in washington i'm ray suarez. >>
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>> welcome to al jazeera america. i'm stephanie sy, with a look at the top stories at this hour. authorities in washington state are getting a clearer picture of the aftermath of saturday's mud slide. they say they are still looking for 90 missing people. 16 have been confirmed dead, and search teams have found more bodies. some are taking comfort in the video, showing the rescue of a 4-year-old boy. >> the captain of missing flight mh370 is the main focus of investigation according to a high-ranking law enforcement official. the unnamed source says the pilot is solely responsible for
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