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>> glad to welcome julie rovner back to the "washington journal." she's the chief washington correspondent and want to get your reaction to president biden's yesterday on his remarks on loweringi the costs of socil security and medicare and strengthening those programs. what were your reactions to that? how did the president say he was going to achieve those efforts? >> this was a victory lap for the president. there were a lot of provisions in the inflation reduction act congress passed in august that will bring costs down for people on medicare take her for prescription drugs. there is a new cap on insulin and overall cap on how much seniors on medicare candy o to spin for the prescription drugs plus yesterday was a the government announced the medicare out-of-pocket premiums and deductibles for next year for 20233 and they are going don for the first time in more than a decade and that's for comfortp

good reasons we get into that is really nothing do with anything the administration did or didn't do or at least not directly. that was also good news to the president decided to take a swipe at republicans who have proposed taking a more stringent budget look at medicare and social security if they win control of one or more houses of congress. >> host: those comments and that recent news gives a chance to look at medicare and social security. how would you describe those programs now? >> guest: they are little bit different shape. medicare has problems because of the cost of healthcare. continued of cost and healthcare. the last couple of years have been pretty bumpy because of the pandemic, , because of hospital finances, because of people using less care and then more care. we are not sure what the trend is now although it seems to be going up.

social security is more a straight demographic problem whether there will be enough younger workers tor support all the older b baby boomers as they retire. >> host: in terms of t demographics, that's how we're splitting apart calls in the last segment. that would split them up in first hour when we're talking about sources getn medicare. if you are under 40 the number to call, 202-748-8000. if you are 40-65, it is 202-748-8001. if you are over 65 it is 202-748-8002. taking this conversation with julie rovner until the end of our program at 10 a.m. eastern. the president you mention taking a swipe at republicans in those remarks yesterday. what have republicans propose when it comes to strengthening these programs? >> guest: senator rick scott a florida who's heading the senate republican campaign committee has rather notoriously suggested

aperiodic sunset at medicare and social security that they would have to be affirmed renewed if they were to continue. i should point out these programs are examined by congress pretty much every year. congress makes changes, large and small but the programs continue on in less congress decides to do something else. that would be a pretty dramatic change. there been republicansat in houe at a suggested going even further. obviously neither of these programs can continue indefinitely under their current financing and that's one of the big issues that over arches almost everything i washington talks about when it talkshe abot the budget. the medicare part a trust fund has about six years worth of solvency, at which point it doesn't go broke but it would start to pay out more than it is taking in. social securityis trust fund is solvent beyond that but i cover medicare more than i cover

social security. >> host: this idea of a five-year sunset unless there's a renewal are the other programs that happens with? what is that look at such a massive program, what is that light compareds to these kind f yearly efforts to tweak these programs or at least to monitor them? >> guest: most funding has to be renewed every year but here's an example of something that comes up every five years are the user fees for the fda which are coming up this year. congress is on the edge of letting them lapse and having to send outs pink slips to thousas of prescription drug reviewers that everybody agrees should keep their jobs. they have come too a deal to renew this in the spending bill going through this week but again it's at the very last minute. congress likes to think at the very last minute. >> host: you talk about a bit of a victory lap. can we go back to the inflation reduction act and what that

legislation did when it came to medicare specifically and prescription drugs you just mentioned? >> guest: there were a couple of things. it reformed part d, the prescription drug portion of medicare that was passed with largely republican vote back in 2003. at the time there were limits on how much you would have to pay that when you got to what was called out-of-pocket catastrophic cap you had to pay 5% of your drug costs indefinitely. at the time 2003 it were not that many drugs, 5% of which would cause people a huge problem. that's not truein anymore. there are drugs that cost ten and 20 and $100,000 a month, and 5% of and 5% of those can be tens of thousands of dollars here a lot of money. one of the things the inflation reduction act did is that capped at $2000 the amount seniors will have to pay for drugs in a

single year. as i mentioned they cap insulin cost at $35 a month. democrats wanted to cap insulin cost everybody not just people on medicare but that was blocked by the republicans and they're able to do that for complicated budget rule reasons. one of the bigger issues the president glossed over is the government for the first time will be able to negotiate drug prices. at the beginning only a very few drugs, some of those expensive drugs. that doesn't start until 2026 but also drugmakers will be charged penalties if the increased the price oflt the drs more than inflation. so it's the very beginning for doing something that drug prices which when you look at most americans are among the top if not the top health issue for most americans right now. >> host: kaiser health news a great website to go to to keep track of all those issues, kh

in.org. can you talk briefly to remind viewers what kaiser health news and its relationship to the kaiser family foundation? >> guest: yes, we are andelai editorially instituted project of the kaiser foundation. neither our affiliate with kaiser permanente which we share a relative long time ago so we are not a bridge and we can help you with your hmo problems, i'm sorry. we do analysis in journalism about health policy. >> host: always helpful to do that. from the kaiser family foundation their analysis of the inflation reduction act just one sentence from a very long report on it. they say the cbo estimates inflation reduction act medicare inflation related rebates will increase medicaid spending by $15.7 billion over a ten-year period. explain what that means and put that in context trek to medicare or medicaid?

>> host: i apologize. medicare tragic you have to read it again. cbo estimates inflation reduction act medicare inflation related rebates will increase medicaid spending by $15.7 billion over the next ten years tragic yes, all right. that has to do with the rebate rule. it's complicated. you probably don't want to know. it had to do with congress getting budget credit for canceling something everybody agreed need to be canceled. it was a trump administration proposal and it was basically who getsmp to achieve the savins from doing it. >> host: kaiser family d foundation is kff.org. kaiser health news is kh in.org and her phone numbers will put on the screen for you and julie rovner here to take those calls. bonnie integers is up first on that line forn those over 65. good morning. >> caller: good morning.

i was wondering, not wondering, you know, just i thought social security, medicare was paid intl from people who work here they take it out of their paychecks. isn't it illegal to give that money to people who don't pay into it? >> guest: you have to be eligible to get social security or medicare. you can buy into medicare. there's a number of people who didn't pay socialme security tas while they were working, notably a lot of state and local employees who didn't pay federal salsas pretty but the pay they did on pension systems. you w can pay for medicare parta which is a part that comes to you, that you're eligible foror for if you paid in the requisite time, i believe 400 calendar quarters or ten years. again social security you don't get -- there are many ways to become eligible or payment some

social security but generally, yes people are working, it's those taxes, social security and medicare tax that goes to pay the expenses of people been collecting social security and medicare. in general. part b, that's why there are premiums paid for out of the general revenues, and the premiums part d, again there's a subsidy that people pay their own premiums for that coverage. >> host: down to the lone star state, chris, the life of those under 40 years old. good morning. .. about demographics. it is interesting you segmented today's audience by demographics. as a millennial my first question is what should i expect from social security and health care being that millenials will

soon be larger in population then baby boomers? how might that affect the system ? even though millenials will surpass baby boomers population wise they might not vote -- it is much different expecting them all to vote in those same numbers. do you have any jot baby boomers and then the second largest generation and the millennials and kind of compare and contrast that it seems like -- take a question. obviously, this is something

that democrat graphers study pretty quickly and baby boomers are large in terms of numbers but span of years. i'm a younger baby boomer and i have not retired yet. there's many who are in their 80s so baby boomers eventually we will all die off of old age and the millennial wills have to worry about who will work and support them. really thell demographics are a matter of making sure that there are enough working people to support the people who are retired. there are a lot of millennials that are worried whether medicare and social security will be there when they reach the age of eligibility and that's something that washington will have to cope with. there's probablyin going to have to be changes in how both programs are financed, particularly on the healthcare side and the social security side. it is going to be continuing political issue, pretty much forever as long as these programs are aren't.

hawkeyes thein status of theaca since the joe biden administration? jot status ofaca is as strong as ever andha something in the inflation reduction act -- >> watch the rest of this program if you go to cspan.org. live now to tallahassee where florida governor ron desantis is giving an update on hurricane ian. the storm made landfall a short time ago with maximum sustained winds approaching 155 miles per hour. live coverage here on cspan. >> a category 5 hurricane and 155 miles an hour winds are incredibly dangerous. there'll be debris in the compare flooding powerful enough to move cars around. please, do not be outside during this storm. if you're in the southwest florida counties, you need to be sheltering in place. don't forget that