hi, everyone. welcome to on the money. i'm becky quick. more than five years since obama care became the law of the land. what does it mean for your care in the future? no job too small or strange. the company that will walk your dog, fix your sink or just about anything else. it's pairing up with an internet giant. holy cow, there is a new movement that says pasteurizing milk is unnecessary. what's behind the heated might ov -- fight over raw milk? if you're getting a tax refund, what should you do with your chunk of change? "o "on the money" starts now. >> this is "on the money," your life now. becky quick. >> i'll be back with the rest of

the show in a minute. first, some of the stories in the headlines this week. >> thanks, becky. here's a look at what's making news as he head into a new week on the money. disappointing jobs report for march. 126,000 jobs were created last month, well below expectations. the fewest jobs since december of 2013. the unemployment rate was steady at 5.5%. bad weather, stronger dollar and falling oil prices are at least, in part, to blame for the slowing growth. the markets were closed on friday of the holiday-shortened week, but started off with a thud on wednesday. stocks rebounded on thursday. mcdonald's is hoping its workers will love it when it comes to the workplace. they're joining big companies raising wages. they'll increase hourly pay by 10% and offer paid vacation to its 90,000 workers. if you're wondering what ben thinks about things, you don't look far. the former fed chair now has a

twitter account. at ben bernanke. he plans to tweet about economics, finance and sometimes baseball. now, back to becky with the rest of the show. >> michelle, thank you. it has been five years since the affordable care act, also known as obamacare, became law. obama cited the cleveland clinic for efficiency and controlling costs. dr. toby cosgrove is president and ceo of the cleveland clinic. thanks for being here. >> pleasure. >> it's been five years. what have we seen so far. >> interesting things across the country. health care inflation has come down, at 2.6% last year. quality metrics go up. we've seen 13 million new people enrolled with coverage. so i think from those three standpoints, we've seen a success. >> what grade would you give the program overall at this point? >> we don't know.

this is a long-term project. one of the things we have to do is keep costs down and we have to sustain it. as more and more people come in and we have an older and older population, it's going to be more difficult to do. we will see the effectiveness of maintaining the cost controls and health care. >> that's been front and center for cleveland clinic. how much did you strip out in costs? >> we're about a $6.5 billion organization. 2.5 years ago, we looked at what the future will mean to it. we planned that we had to take out $1.5 billion worth of costs, about 20%. >> wow. >> in the last 1 months, we'8 m taken out $500,000, sending it into reducing the cost for our patients that we provide. so we can reduce the costs of radiology exams, reduce the costs of lab tests, et cetera. >> how do you do that without giving up anything in terms of quality of care? >> that's the $64,000 question.

what we've seen is we've gone to care pass. care pass take the very best of a -- how you do a procedure, take care of somebody, and standardize it. that takes out the variation. as you take the variation out, you improve the quality and reduce the cost. we've seen, for example, in orthopedic surgery, everybody doing the same thing the same way. we've seen lower infections, lower blood transfusions, lower cost, shorter stay in the hospital and less cost. one of the things we've seen is reduction in venture capital going into devices in pharmaceuticals and a jump in going to the health care it. to help drive the consumer and give them more access to health care. >> one of the things, one of the rolls you play is not only as a doctor who is leading the cleveland clinic, but also an employer. how many employees do you have? >> 43,000. >> you've been working for over a decade at really trying to make sure your employee base is

healthier, too. one of the thingios you did was stop hiring smokers in 2007. >> we did. the incidents of smokers is down to 5.5% of our employees smoke. we put a push on food, exercise, and we've seen the average weight of the employees of the cleveland clinic come down overti overtime. it's been successful. >> what are you most excited about in terms of new technology, new discoveries when it comes to medicine right now? >> i think one of the exciting things we're doing is we are taking care to the patient. we've done this in a number of ways. we've made access easier. same-day appointments and we see about a million same-day appointments in a year. >> when you say same-day appointment -- >> you say, i want to be seen today. they get an appointmenappointme. 98% of the people who asked for one got one. we improved the access that way. we've reduced the waiting time in the emergency rooms to 12

minutes. >> wow. >> on average. of all of our hospitals. we have put all the charts on mobile apps so that you can read your what's called mychart. we have 2 million people who can read what's on their chart. we are now reaching out even further. we have a mobile stroke unit. if, in fact, you have symptoms that suggest a stroke, we dispatch an ambulance that has a cat scanner in it. pull into your driveway, cat scan in your driveway. if appropriate, you can get your treatment right there in the driveway, which decreases the time, the treatment and saves brain tissue. that's one of two in the country. the second thing is, we now are having virtual visits. people are going to be able to have a visit to their doctor on their skype or tablet or their iphone. we're now seeing people who have postoperative visits. they can get their checkup with their doctor without ever coming

back to the hospital from home. >> you can check my tonsils where i go ah, holding you up to it? >> if you still have tonsils. >> i do, actually. >> what we want to do is say, look, this is what we're actually headed toward, is seeing patients any time, anywhere. where we are, you should have access one way or another to medical opinions. >> dr. cosgrove, thank you very much for joining us today. >> it's my pleasure. up next, we're on the money. if you have a chore that you're dreading, hire a taskrabbit. is saving your time worth spending your money? later, milk does the body good, but what about raw milk? there is a movement that says yes. regulators are having a cow. right now, take a look at how the stock market ended the week. the pursuit of healthier.

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wouldn't it wouldn't it be great if you could hire someone to do a chore you've been putting off? well, you can. you can pay a taskrabbit to outsource jobs, from assembling furniture to house cleaning. who are they, and is the money you spend worth the time you'll save? leah busque is the taskrabbit founder and ceo. thank you for being here today. >> thanks for having me. >> what tasks are in the highest demand? what do people want someone else to do for them? >> the majority of tasks we see in and around the home, home services categories, like handyman, furniture assembly, house cleaning, personal assistance, shopping, deliveries, groceries, those things. we see all sorts of variety of tasks as well. like help me plan my daughter's first birthday party. >> how did you come up with this idea? were you a busy person who

needed help at home? >> i was a software engineer at ibm for seven years. i was at home in boston at the time. it was a cold, snowy night. i was out of dog food. i thought, there's got to be a better way for me to get this dog food. that really was the origin story of taskrabbit. four months later, i quit my job to build the first version of the site. >> i understand this need. i face it a lot myself. who are the taskers? how do they find taskrabbit? how do you vet them? >> we have about 30,000 taskers across the u.s. in the uk. we're also open in london as the first international market. top 15% have committed to this as full-time job opportunities. they're doing two to three tasks a day. they're cashing out anywhere from $6,000 to $7,000 a month. the vast majority, about 85% of the taskers, will do this in free time.

nights and weekends. about 80% of the tasker community do have college degrees. they come in about 4,000 applications every single month. we put them through a vetting process that includes a background check, orientation program. >> how much does it cost to get somebody to do something? let's say i want someone to clean out my refrigerator or maybe clean my garbage cans, which i hate doing. >> one of the things that i'm most proud about are on platform at taskrabbit is we allow our taskers to set their own hourly rates for every single category that they can be hired for. hourly rates range from $20 to $150 an hour, depending on the job. >> whoa. >> some of the handyman taskers are really earning a nice living wage at $150 an hour. >> some people are doing this and just this? >> that's correct. there's about 15% that are committed to this full time as a source of income. >> give me an idea of a $20 job,

$20 an hour job, versus $150 an hour. >> well, a typical, easy task might be to do a shopping and delivery. i actually just was on taskrabbit this morning ordering some food and groceries and some extra things that i needed around the house, because i've been traveling all week. i have a tasker coming by for $20 an hour to basically fill the groceries and replenish the house for me. >> that's awesome. >> something a little more expensive might be a handyman job, where you're mounting a tv, which is the integration that we're actually running with amazon, which we're really excited about. that might be upwards of $150 an hour. >> how does the partnership with amazon work? >> we're excited abili ed about. something we've been working on with amazon for the last few months. rate on the amazon check out flow and process, you order a tv, you'll be prompted if you want insulation and you'll be able to choose the tasker you work with, that comes into your

home and finishes the job. it's as easy as that. >> what is the weirdest task anybody has ever requested? >> one of my favorites was a woman in chicago who accidentally dropped her keys in the lake. the tasker that helped her with this job was actually a certified scuba diver and brought his scuba gear and found the keys in the lake. >> that is awesome. leah, thanks for joining us today. >> thanks for having me. up next, we're on the money to heat or not to heat. that is the question when it comes to milk. why some people want to do away with pasteurization. if your tax refund is burning a hole in your pocket, watch before you spend. we have information about the best way to put your money to work. people with type 2 diabetes come from all walks of life. if you have high blood sugar, ask your doctor about farxiga. it's a different kind of medicine that works by removing some sugar from your body. along with diet and exercise,

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raw milk. those words either curdle in your mouth or make it water. no matter what you think about it, there is a growing movement to legalize its sale on a state by state basis. even though the cdc, fda and american academy of pediatrics opposed its consumption for health reasons. joining us now is pete kennedy. thanks so much for being here today. >> good to be here, becky. >> what exactly is raw milk? what are we talking a about the? >> milk that is not pasteurized and not processed in any way, and it's direct from the cow to the consumer. >> pasteurization is simply a

process where the milk is heated up. i know we started with this back in the 19th century. it was a way that it was thought to end disease. it's been credited with ending typhoid fever and scarlet fever. why this movement to get rid of it? >> what was happening back then was a lot of the dairies moved into the cities. they were in unsanitary conditions. they were using by-products from distilleries to feed their animals. at the same time this was going on, there were still plenty of dairies producing raw milk in the country and weren't having any problems overall. the health problems were concentrated in the urbanization of dairy farming around that time. >> we have had 81 outbreaks linked to raw milk just between 2000 and 2012. those have been primarily in states where you are allowed to

sell raw milk. >> well, first, i'd say you can say that almost about any food. any food where it's legal, more people will be consuming it. it's the law of average, is you would have more outbreaks. >> obviously, things have gotten better. you are talking about better conditions for the milk cows. but if you're talking about the potential for any outbreak, what's the advantage to raw milk versus pasteurized milk, where you won't have that potential problem? >> couple things in response to that. first of all, pasteurized milk has been implicated in outbreaks as well. there's an incident last month or the month before where ice cream made with pasteurized milk was implicated in several deaths. i think people mainly drink raw milk for the -- they like the taste, number one. number two, they do believe in the health benefits.

i mean, there have been studies in europe indicating that raw milk can be protective against allergies and asthma. >> just for people who are at home deciding what to feed their kids, the cdc does say that small children, infants, are more susceptible to food-born illnesses than other people. i wonder, would you feed raw mill tk to your infant child? >> absolutely. started feeding him raw milk at 11 months. as far as the cdc and fda go, i mean, these are agencies that have let products such as msg, high fructose corn syrup, genetically modified foods all on the market, that many people think are detrimental to health. >> pete, thank you very much for joining us today. we really appreciate it. >> okay. up next, a look at the news for the week ahead. if you're one of the three in

four americans expecting a tax refund, got plans? should you splurge, save or invest? tough call.

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you're not just looking for a house. you're looking for a place for your life to happen. zillow for more on for more on the show and our guests, go to our website, otm. here are the stories coming up that may impact your money.

the measure of the strength of the services industry. tuesday, we have credit data. wednesday, the federal reserve releases minutes from the committee meeting last month. also on wednesday, american airlines and usairways will merge when the faa issues them a operating credit. you can try on a watch by appointment. on friday, samsung launches the galaxy s6 and edge smartphones. the tax deadline is drawing near. if you want a refund, now is a good time to make plans for the chunk of change. joining us is sharon epperson to talk about your money, your future and tax refund. >> the irs says three in four americans get money back each year, and the average refund this year is about $2900. that's a lot of money you can either spend, save or invest.

>> pretty much savings and putting money away for a rainy day. >> paying off the credit cards. >> we're trying to be entrepreneurs, so we need extra cash. we're going to save it up and use it toward the business. >> i don't have any specific plan for it right now. >> many taxpayers see their refund as a windfall but diseit better to have a plan. >> what should people do? >> one of the things you want to think about when you're figuring out, should i save it or spend it, is look at what you have to spend it on. look at what your big expenses are. for a lot of people, it's debt. you might want to put some of the money toward debt and pay it down. this winter, a lot of unexpect ed maintenance projects from the storms. >> how do you figure out what percentage you should save and what percentage you should maybe splurge with? >> i look at the 60% solution. it's something that says your income in general, and use this

for the refund check as well, no more than 60% of the income should go to committed expenses. that's anything that you have to pay every month, including debt and including your mortgage, all taxes. 20% should go to long-term savings, like retirement, saving for your child's education. >> 20% is a lot. >> it's a lot. and 10% to short-term savings to make sure you have an emergency fund so you don't go into debt and rack up credit card debt. the other 10% is fun money. >> i know i spend probably more than 10% on fun money. i know that's one of my problems. but 20% is a lot. >> 20% is a lot. >> for savings. >> i'm talking about long-term savings. retirement and college. >> if i withhold my weaker impulses and don't splurge and decide to save, are there places that are good investments? something i can do with it? >> good investments, putting it in your retirement accounts. that's a good investment. putting it away for your child's education, 529 plan, another great place to save. think about where you might want

to invest for the short term. make sure it's liquid but getting a little something. a money market account might come in. >> the 60% rule, is that 10% of my gross or 10% of the take home. >> gross. >> wow. >> this is all based on gross. >> all right. i have work to do. >> it's a lot of work but it's good to have a plan. try to get there and if you even start at 10% and work your way up, you're starting at a great place. >> what are you doing with your tax refund? are you getting a refund? >> i don't know yet. i haven't finished my taxes yet. full disemployclosure. >> you haven't finished yet? >> i don't want to get a refund. that's giving the government your money. i want to adjust my withholding if i get one and make sure the next time around, i don't get this refund. >> that's the smart way to do it. i know i should be thinking that and not letting the government hold my money for free for the year, but i hate paying tax bills at the end of the year on april 15th you're not expecting. i am getting a little money

back, just a little. >> just a little bit. making sure you have the right withholding is the key to doing that, making sure you don't have the big tax bill or refund. you're in the middle. >> are you doing your taxes this weekend? >> i am. it'll be fun. it's a long weekend project. >> have a wonderful weekend, despite that. >> thank you. >> thank you, sharon. >> sure. that's the show for today. i'm becky quick. thank you so much for joining me. next week, how picki ipimpi ride will be as easy as clicking print. piwe're on the money. have a great weekend. ...is as easy as it gets. wouldn't it be great if hiring plumbers, carpenters and even piano tuners... were just as simple? thanks to angie's list, now it is. start shopping online... ...from a list of top rated providers. visit angieslist.com today.

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