jprogram penny tomorrow, the willis report up next. gerri: hello, and welcome to a very special edition of the willis report, we had such great feedback to our previous call in shows on obamacare, we're doing it again. we know so much more in just about a week about how the law is working and not working, have you been sending us your questions on tweeter, and e-mail, you can call in tonight. 1877-249-9626.

get dialing, this is the show friends, where you can get your questions answered, and sound off, government is not answering your questions, their hot line is busy, ours is open and working, here is talk to you president of american act forum. and michael levitt. heading up levitt partners. in salt lake city. our part of best medical aid team joining us later, dr. mark siegel. a question from carroll in kentucky. when is someone going to add up the subsidies that taxpayers have to pay. doug, a question about ultimate costs. everyone wants to know. the president saysed it. not just a web site but a great program circumstance it? >> well, what the president emphasize is you payless, you paying less, that has to come

from somewhere it comes from american taxpayer. is it will be new taxes, somewhere in the economy. gerri: let's go to michael levitt. talk about this issue further. what do you make of this? people out there are worried about the cost. where do you see the costs going? >> i think it is clear that like almost everyone entitlement it will cost more than it was estimated to cost. i think we're already seeing the beginning of that with the number of large employers who are beginning to offer their or suggestion their employees look at the echarge -- exchanges there is a good chance we'll see more people there than planned. likely to add to the cost. gerri: i believe -- -- we have a

caller? do we? john from washington. caller: i'd like to find out what the roll out has been for in the various state that set up their own exchanges? gerri: a great question. dr. siegel is joining us, what do you think -- how is this going in the states? i know that federal government's web site has not been that great. how about the states? >> in terms of people signing up. but you know secretary levitt said before is a key point to focus on. as people learn that their insurance they have is not going to stay in play. since 2010, they have to rush to state exchanges to figure out what policy they can get, they may find their premiums are not affordable. the question, state exchanges are they working better than federally run exchanges. gerri: go ahead.

i think it is purpose to recognize that state exchanges do not exist in a vacuum, they rely on some infrastructure that federal does. irs and t homeland security and the rest. they are paying price for being located with federal exchanges. gerri: a great point, michael levitt. an e-mail from mike in south dakota, what happens if i cannot afford obama care on january 1st? a lot of complains about the cost, what do you say? >> well, the administration would argue that there will be a subsidy for most people, which makes it more affordable. but without that, law also contains provisions where understand certain hard ships they can essentially allow you out of the mandate. they used it broadly and creatively to provide for that. we really don't know yet how

that will be applied on an individual basis. we're not at that point where they have been exercises that authority. gerri: that brings up a question that was addressed by tim huell's camp, last week, saying he coulds that -- he thinks it is essential that individual mandate be delayed a year, and he does think that president will do that, do you agree? >> i can see where the president said just waive it. during the course of this 3 years there has been nothing that administration has nat been willing to delay or give up to keep it going. that is a possibility. also important to remember a lot of people do the math and pay the penalty. if you are a young man, age 30, good health, you compare the cost of this cheapest brehm youp opremium.versus the pena they ia

no-brainer. gerri: not just $95, or 1% of your income that can add up fast. doctor? >> you still don't get health care, if you pay the penalty, you don't get health care, then you have a heart attack, god forbid, you are on the way to the hospital, you cannot sign up at that point, you can sign up within the strict framework of when policies are offered. gerri: good point, take tom in california, tom? >> yes, hello. gerri: tom your question. caller. i'm confused about december 15 deadline, and i hear american 15 deadlin15-- march 15. imnot sure if you have to adhere to december 15 or march. gerri: a great question it has been confusing, michael. what time do people have to actually be signed up? be able to prove they had coverage? >> to have coverage on january 1st, they have to have paid

for it by december. i think -- december 15, i think we'll see a lot of people window shopping durin this awkward period when things are not working, they are having trouble getting in, i think we'll see large numbers on the web site, toward the first of december, or mid december we'll see more significant numbers buying insurance. gerri: well, you know, doctor siegel, i've seen other deadlines, you have to prove have you coverage as of the beginning of the year but you could go add late as march 31 in some specific situations, what deadline should people pay attention to? should they just throw up their hands because they can't sign up. >> last point i'm going with it, best middle east about a million to 2 million will be able to sign up, but they need 7 million for this to work, i must

emphasis, 160 million are getting employer based insurance, they are in trouble because 27 new regulations are coming out under obamacare in 2014, that is what i'm worried about. gerri: all right, what do you have to say? >> key that people know they want to have insurance by december 15. the roll out has been terrible. i don't think it will be close to 7 million, the real issue will be which one million will they get, if they get sickest and most expensive they will have a problem. gerri: another detail that nags at me, as we converse about the deadline, it takes you a month to get coverage, two weeks for paperwork, and 30 days for companies to process this. so at the end of the day, you know you may say march 31 but it is really, well mid january or early february at the latest that you can really get going with this stuff, michael, do you agree? maybe the deadlines are not

clear? >> when we get to the end of the year, and if people have signed up, my guess is that administration will find some indication of administrative leeway that says, in essence, take care of people if they signed up we'll work it out later. i say that with some insight of having been through this. when medicare part b was rolled out. we went without a few bobbles and rocky periods in the first 6 weeks. and people started showing up for drugs at their pharmacy, my instruct of give them their prescription, we'll work it out later, it took us 9 months to work through a backlog. gerri: but this is a much bigger program. and it will have a hands in a lot of different pockets, more than medicare part d, do you agree, doug? >> absolutely, a much bigger

pug, but the insight is the right one, remember that administration has a huge amount of latitude in the enforcement of the law, that latitude is how they watch the businessman date for a year. they didn't get rid of it, they just said we'll make it a loewen force am priority, they can do the same with all else. gerri: all right doctor. >> let's keep in mind that medicare part d was more of a challenge, these are elderly who were learning how to use a computer for the first time, here the problem is supply side, they not get the actual thing they are offering right. gerri: thank you, doug, secretary levitt. and dr. siegel, you will be coming back. >> a lot more, more questions from e-mail, twitter, and facebook. call in with your questions, we answer what obamacare means for medicare, you won't want to miss, that stay with us. the american dream is of a better future,

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help the gulf when we made recover and learn the gulf, bp from what happened so we could be a better, safer energy company. i can tell you - safety is at the heart of everything we do. we've added cutting-edge technology, like a new deepwater well cap and a state-of-the-art monitoring center, whe experts watch over all drilling activity twenty-four-seven. and we're sharing what we've learned, so we can all produce energy more safely. our commitment has never been stronger. gerri: we're back with our panel, we're taking your questions on obamacare, you can call in, tweet, send us e-mail,

you can see how to contact us on the bottom of the screen, a question from george who called in with a question about congress and its coverage, george, are you there? caller: why congress believes in obamacare so much? why are they not setting an example by sign us up themselves. and president said it is the greatest thing in the world, why isn't he signed up yet. >> doug. >> law contains provision that says senators, congressmen and personal staff have to go to exchanges get obama care, remainder of federal government did not, they had a ruling said when they go, they get help from the taxpayer they usually get for employer sponsored insurance. that is easier shopping than other people will have. gerri: all right, doctor, to you, dr. seeing il siegel, a loe

say, hey, if it is good enough for congress then it is good enough for me but they don't want it. >> american people know that the congress did not go to doctor's office when they made this bill, they would have find out, what we've known, doctor shortage, access to care will be down, reimbursementing will be down. of course, congress is looking for a way out with a waiver from the president. gerri: michael to you, we were talking about health and human services secretary cat lean kathleen sebelius has been asked to report in front of congress, she tried to duck it said she will appear next week. where does the buck stop on this? president did not take responsibility today in rose garden when he spoke. what do you say? >> it is the secretary of health and human services responsibility to organize that

employmenttation. -- implementation, secretary sebelius has a big job. i've been in that job. i am not going to be directly critical, but i will say much of the problem started a year ago when administration chose to defer many of the rules that would define how this would work. -- many of final rules were not issued until september for an october go date. if is not at all surprising to me these problems are existing. i say in the context of the secretary, she did not make all those decisions herself, many would have been made at the white house. gerri: doug, what do you think there? >> think how differently it would have played out if congress and federal government, itself, were in this 100%. then the notion you could defer the regulations until after an election in which cases for

political purposes would have been unacceptable. we would have seen a different roll out. gerri: dr. siegel. >> there is a ball in the air that everyone is hinting at, i want po emphasis, the individual plan datmandate is contradictori think it was not given a pass because the whole government shut down was tied in with it now the president might kick the can down the road on it. gerri: we'll see, it an open question. a lot of people are bringing it up, will that individual mandate be delayed. tim huell's camp in congress is saying that, but we have a long way to russell in pennsylvania said, i am a 60-year-old male. my insurance will be dropped because i -- it does not meet standards, why do i need birth control, and pregnancy insurance, doug? >> you don't, that is the problem with the big sweeping

program, people are mandated not just to have coverage but to have coverage they don't need, in a world where you shop for a policy that fits your needs, and your family, that differs over a lifetime, you don't end up with this, you will see overpaying by some people who don't need that coverage to souq decide the -- to subdecide. that is if with obama care, a lot of subsidizing going on. gerri: a lot going on. president described the exchange as good. question e-mail from sheryl in connecticut, if obamacare implodes, will insurance companies still have to take those with preexisting conditions? >> they will, it would require an act of congress to change that piece of the lidge legislation, if obama care were

to quote fail, i think she is referring to fact that the exchanges would not work, and various parts would be disfunctional. it is a big complex insurance world. there are a lot of different ways for people to get insurance than just through the exchanges, many people will start to turn to other means. but to the point that provision would say, unless congress changes. gerri: to the phone, terry with a question about st. jude. caller: since everyone is covered under obamacare even with preexisting conditions, does that mean there will be no more health care charities such ass. >> yous and miracle and shriners hospital,. gerri: that is a great question. >> i think we'll need it more, our hospitals are in trouble because they will be forced to accept insurance that pays them

less, their bottom line will go down. that is really the big issue, i think that you can see more charity. but it is not part of obama care, this is outside. gerri: all right, just to remind people, 1% of people who tried to sign up in the first week were able to register, a very low amount, a lot of people asking me, over and over, and over. what is the impact. how will people on medicare, right now be impacted by obamacare. >> not directly. if you or medicare, you are outside of the obama care system, two big impacts will leak over, one is those who those to be on medicare advantage. you will have to deal with the failure of the electronics, second is that, i think the important thing, that has a huge impact on the way that medicine is practiced in america, practiced for people in obamacare and medicare as well.

we should care about the fact that some of the reimbursements may not be sufficient for headlights and other pro -- hospital and other providers to provide what they do. gerri: dr. siegel. >> i want to add, independent payment advisory board that medicare starting in 201 14, not going to directly restrict services i can order but make advice to what should be reimbursed. if they don't reimburse it, i can not order it. gerri: people call it the death panel. >> i call it rationing. gerri: thank you. thank you very much, doug and dr. siegel, we'll see you in a minute. we have more of your obama questions, but first we look at glitches on the exchanges, stay with us.

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gerri: well for weeks now we've been collecting you and concerns about obamacare, tonight for a third time our panel of experts answer your questions. you still have time to end us facebook or tweet or call us toll free 1-877-249-9626. but first, update on glitches playing the obamacare exchanges, president obama doing damage control saying that administration is working on it. in the meantime, he said you can just agree on paper. joining us now, joe, have you been talking to people in tech

industry about what is going on with obama care exchange. >> we know now that it was not properly tested. that is something with any launch of a beta site that is important. right now, the lines of code need to be rewritten are in millions, about an exchange that is 500 million lines of existing code. that is larger than normal largest bank size. this is a big challenge that a lot of i-t specialists and software engineers are saying, this was not adequately prepared. gerri: when you think about that is as much code as a bank, it is crazy. this is a huge site, very just amazingly big. and a lot of people saying, well the president said i could phone in and sign up that way, what did you find? >> president cracked a joke saying he they'd is 800 number, if call it would be busy, i did

call it was busy, this is a high volume time. but if you look at it, you can apply by paper, and by phone. but if you look at vast majority of americans looking to do this, it is more convenient on-line, there is major blockages, i looked at 36 different exchanged. i called almost 40 states, in total most multiple times, they are all saying they have same information blockage ori execution blockage or both, this is a huge work in progress. gerri: doug, jump in here, react to what jo said, i have to tell you, 634 million for what? >> yeah. it is past disappointing, three years in the making. 3 quarters of a billion will do afters, it just does not work.

rail does cap out on the program, president spent the day trying to say this now the just the web site there is a product, it is a good product, he started touting it. people have to be skeptical. this is the only piece they have sign, they are thinking, my, the whole thing is not going to work. president said things that i thought were misleading, ha. gerri: that is a very good point, bring in the doc. i think a lot of the sign ups they are touting are medicaid people. >> they are, you are right that is 9 million on top of 7 million, jo made great points, state exchanges are not doing better, i bet you have better luck to get world series people at fenway park. >> cheaper too. >> that web site works. gerri: have you talked with anyone at the other end of the

line, anybody to answer the question. >> there are people on the other end of the line, i have had multiple conversations and states that go well, the new york state department of health has been very good about getting back to us, giving us their numbers, but they crime up slowly, frustration is not just our end, those trying to sign up but also on the end of people trying to make it work. >> i think there is a person point, irs has been in business for a long time, we know what people call for tax advice they get the wrong answer, a shockingly large number of times, i have been afraid from the beginning they start describing circumstances they have, they will not get the right answers. >> i thought that federal

government was not anticipating dollars exchanges, they thought that state would rally to the cry of obamacare but states are running away. that is part of problem. >> i think in the end, as much as we know what the problems are, maybe we don't be the, tent it is about getting people signed up. what has to be done, who needs to be brought in to fix it to make it accessible. gerri: i think that people they hired to do this are not up to the task, they say they are bringing in best and brightest, it should be easy we know the number of people going to web site is down about 88%, fewer people going up, we have to wrap it for now, thank you, jo, doug, sr. seeing ill, we'll see you after the break, our question and answer session continues, get in touch with us, we want to answer your questions. peace of mind is important when you're running a successful business.

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gerri: welcome back to ou third special obamacare call in guide. our panel of experts back, tom scully is joining us now. welcome to you all, let's get started with a caller, debra from new mexico. caller: how can the individual physician offices, be expected to provide healthcare for millions of new patients, many who were previously uninsured? gerri: good question. >> that is the billion dollar question, the answer is, they can't. you are taking same physicians, there is a huge doctor shortage,

on top of that, you pay them less, expenses go up, you will be ale not to get in on time, we saw that in canada, whether they went to single payer, there will be more of a wait, in massachusets the same, access to care will go down, unless they handle the doctor shortage. gerri: tom skull i. >scully.>> there is a huge doctr shortage. i think the problem with the bill, we're providing care to a lot of people who are not lower income. gerri: it is going to be soic expensive, are they up to the task of what they have been asked to do? >> they made a lot of mistakes, to be honest. they made a lot of mistakes, im surprised. it is a big agency, they made a

mistake with the central contractor for the i-t contract, i thought they would have been better prepared, they are not, they are licking their wounds. gerri: how do you look at it? who should take the responsibility on their shoulders right now? >> head of hhs, kathleen sebelius' responsibility. she delegated it to cms, they made a huge number of mistakes. i think that pressures they were under in the administration contributed. the president should have i think have done more to acknowledge his administration made mistakes today. he would have been much better served if he talked about what went wrong, when it was likely to get fixed. instead of dodging it, and saying look that is just the web site it is a grit product. this is the -- a great product. this is the issue, if it is a great product, you have a insurance policy, you show up,

doctor says i'm too biz to see you, and bi bussey to see you. >> to doug's point, president made points, how about a real apology, how about the buck stops here. and why is kathleen sebelius? mia . gerri: people are calling for her resignation. >> would not be inappropriate. gerri: peter from north carolina your question. caller: i am a licensed while insurance agent here. all my policyholders have gotten their notice as of december 31 they have to find other coverage. a few have asked about the prescription coverage in the exchanges, i have been able to find out almost nothing, no one is talk about this important benefit. i found out maybe the plans, the exchanges will cover one drug

merclienper client. do any of you know anything about this? gerri: a great question. >> he is making a great point, i want to say, from a medical point of view, one drug per class may not do it. i have someone on cress tor, they have a side affect i need lipitor. you need choices within the class, in case someone has a side affect. he is right, they have one drug. >> you can't have it both ways, my problem is cost, 400% of poverty, 62% of americans get subsidy that is crazy, you can't give away everything, you give away -- we're subsidizing too many people, i don't have a problem with tells people you are getting everything you want. >> i agree but you should have some choices, i have to have a

second choice. gerri: you see how difficult this is. >> and this is why it is more than a web site. the web site is how you find out what is available. how tight the network is for your healthy care, how you find out the formula for your drug program, people cannot find out, so the whole thing can plagued by an inability to do the shopping that is important. gerri: delay the mandate. it will be a bigger question, thank you, tom, doug and dr. siegel. >> still to come, how do premiums get paid under obamacare, our obamacare q&a continues with a look at how the new law impacts your taxes, stay with us.

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special users guide to obamacare, answering questions about what this law means for your taxes. welcome to the show, good to have you back dominico. a caller in. anthony from new jersey your question. caller: my question is, i'm retired. i collect -- i mean, i'm nervous. gerri: don't be. caller: okay, i'm on medicare. and my union pays for my supplement. now am -- i don't pay anything for this for that supplement. do i have to -- from my understanding i h on that money. gerri: great question, what do you say? >> it is unfortunately not a black and white answer, you are not involved with obamacare, you you are covered from the union, and obamacare, but your within plan could be deemed as a cadillac plan, a lot of unions are fighting this, if it is deemed that way there could be a 40%

surcharge tax on that cadillac plan, we do not know whether yours is or is not, it possible you may have to claim it as taxable income for the union pays a tax for giving that you benefit, we don't know ye. gerri: anthony are you there? i have to tell you, this is really going to get under people's skin, dwayne in georgia. caller: hello, miss willis, 3 real quick ones, irs they say that they -- if you don't apply the penalty will be taken out of your refund check. if you claim zero all year, then now you climb one, then you do not get no money back on your check, how do they take the -- how do you pay the penalty? and second question. is if you are 26 years old, you can stay on your parent's policy, until you on are 26, what happens when you 26 years

old, and one day? and you are unemployed? or your parents lost their jobs and they lost their insurance? gerri: let's take them the first two. dominico. >> the first thing is once you are over 26, age you or your own, then that is where you are required to go to exchange, and buy insurance. now thing to remember for most americans it have you insurance no problem, if you don't, and condition afford it, if you -- can't afford it, if you are under federal poverty line, you can actually get it for free, this gets confusing between 2130130,and 400% of federal povy line, they will help you pay for that insurance, try to get on the exchange and see if you can get a subsidy. you can avoid penalty you will be helped in buying insurance. gerri: i want to mention, thank you dwayne for calling in, a lot of people are asking the

questions you are asking. a well the. people saying wait until the exchanges get straightened before you apply, "consumer reports" saying wait a month, it is a mess. i think those are words of wisdom. dominico, another issue that is penalty for people who do not apply. so, it is 95-dollars or 1% of your income. if i am warn bust, and a -- warren buffet and i make a billion dollars -- it is 1% of that. >> like this man, if you are under that poverty line, you are not penalized. if you are within that risk $ 95 per year or 1% of your adjusted income. gerri: cap? >> average of bronze plan across the country, we don't know what that number. is somewhere 3 times national

average ofs bronze plan. gerri: we don't even know what it is. >> hypothetically if is is $1500 there is a cap with a 1% they will not allow will to be penalize bofd thaized above tha. gerri: we don't know what it is, this is so much in the law, so confusing, even you, you are an accountant, you can head it but you can't figure it out either. >> i spend hours, a lot was written in the dark behind closed-door, they didn't even know the legislation they were passing, congress did not know, they are figuring it out as they they. unfortunately we're sitting here with a deadline. gerri: thank you, interesting stuff, we'll be right back.

gerri: we dedicated this hour to answering your questions and talking about your concerns over obamacare, we're back with our team of experts. welcome all, we'll take a question from bridget in california. caller: two things. love your show. i want to know why nobody touched on this. okay? two weeks ago to regular fox program. they had a guest speaker. he said that the -- i looked it up. the company used to create obamacare, is not an american

company. programmer used were in india who created it. using java script. is this administration, and president obama, if were so gung he on getting country back on its feet financially and concerned about american people why not use an american company to get it done here on our own you know ground. gerri: doug. weigh in on cgi not from here. >> this was noted moment that contract came out, not only were they not a u.s. corporation, they did not have an unblemished of success, this is among many ofs ironies of this administration, this is supposed to be the tech-savvy administration. there are a lot of mysteries. gerri: and doug, you heard that fixes that were going on this

weekend, surge irony irony, to jerey in waco, texas. texas. gerri: i think we lost her. she has this question, with dr. siegel, i want to ask, what happens, january 1st or 2, people go flooding into the doctors? >> they will have a problem. if they have the new insurance, they will find that networks are shrunk, and doctor they are used to seeing is not taking it. if they go to an insurance room, if they get a new medicaid card, they are twice likely to use er unnecessarily. >> i can total imagine. a twitter question from denise. for dr. singer, how do i find out if i can stay on my current

private chunks, a lot of people wondering will i be dropped because of obama care. >> you either will get a notification from your insurance company telling that you policy has been modified to comply with the aca requirements a basic benefit package. adding things you may not want. or, it will tell you that it is discontinuing that policy at the end of the year, ander couraging yoand encouragingto buy youoy pa policy. >> all right, we're so tight on time. thank you to you all. we'll be back with a wrap up with doug. stay with us. when we made our commitment to the gulf, bp had two big goals:

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>> earlier i went out on the street to see if the obama mandate should be delayed. a lot of problems for people signing on. what do you think? >> i don't think that they should be delayed because a lot of people are missing out on health care. helping afford health care through my company, that they should actually have the opportunity to have good health care. >> no corporation unveils the perfect system and no government, especially this one will unveil a perfect systems either. it is a dysfunctional government on both sides. >> of course it should be delayed and repealed. >> why is back? >> anti-capitalism. >> you think it will be? >> not with this congress. no way. >> absolutely not. >> why not? >> i think if saddam were ready to go. >> we are trying to get into a part-time workforce.

my wife is a registered nurse and she knows what's going to happen. >> it will be bad for health care and it's bad for people who want a personal relationship with their physician. it's not a good thing. gerri: here we have douglas holt eakin. that for doctors, bad for health care, the president says it's a good product. how do you react? >> is not a good product of the economy and economic growth, it's not a good product for full-time jobs. it's not a good product for health care. the limited networks that people are going to get, if it's such a great product for health insurance, show me the carfax. [laughter] >> well, that is true. i have to tell you that i was listening today, and i was desperate to say that the buck

stops here and it's my issue. what you say? >> it is his problem, but the buck doesn't stop there. neil: gerri: thank you and we will have a great night. >> president obama defends his health care program today in a speech from the rose garden. the president obama didn't take responsibility for the failed rollout, nor did he take any questions. obamacare isn't working. i am lou dobbs. good evening, everyone. president obama says that there is no excuse for the problems that have plagued the obamacare website. during an afternoon speech from the rose garden, flanked by a more human props, this time