medicare, medicare is a driver of health care inflation in this country. and what ryan is trying to do is inject an element of market competition into health care that is not there now. medicare is a giant check writing operation. >> it's the most popular and efficient program in this administration. >> it's not efficient! no serious health care economists will say medicare is efficient. >> answer the question. >> medicare is a huge -- on the merits, is the path to prosperity a sound plan, that's his plan, for cutting the deficit? a sound plan? >> i think it's sound. i think it's courageous. and i don't think it's going anywhere for the simple reason, look at clarence and eleanor and their response -- [everyone talking at once] >> debate is another question. >> it's not fair to put the whole burden of deficit reduction on poorer people in this country. there's no revenue increases. hedon go after oil subsidies. he keeps tax breaks in place and adds more to the wealthy. it's not -- it's not a document. >> if you look at medicare -- if you look at the medicare reforms, an element of it is means testing. he's going to give more to people who are sicker why. are you give medicare

medicare is much more efficient than the private says mess another part in the reason why the ryan plan explodes you know we've tried this already we've got in the ninety's we had medicare plus choice and we've had very controlled always holding it let private corporations medicare advantage right now still and it turned out to be much more expensive than medicare so it really is the private health care system that is the is the program did the i know there was a lot of sturm and drang when the president basically said ok maybe the holes that they drilled into medicare where they could allow private health insurance companies to come in and fill these holes are costing us a fortune it's stupid we're going to get rid of them and of course the republicans i'll yell he's destroying medicare and actually what he was destroying was medicare advantage the corporate programs. how much more is there to go how much and how much corporate program is left in medicare that needs to be stripped out well the. the most recently passed health care reform would take care of a lot of that and. so. that's you know i think not the biggest problem the big problem is that you know the ryan plan would make that almost the entire thing gets rid of medicare as we know it right so that f

medicare. this budget ends the medicare guarantee for seniors. it doesn't reform medicare. it deforms and dismantles it because it forces seniors off of the medicare program into the private insurance market. and it does nothing as it dumps the seniors into the private insurance market to control the rate of increase in health care costs. and instead it transfers to the seniors all those risks and all those costs. seniors will pay a lot more while the insurance companies will get all their medicare payroll taxes, they'll get a bonanza out of this thing but seniors will be left holding the bag. if your voucher amount -- call it whatever you want -- is not sufficient to pay for the increased cost, you eat it. and we saw earlier the fact that by the year 2022 seniors will have to pay more than $6,000 above what they would have had to pay under the regular medicare program. if your doctor's not on a private plan that you could avoid, tough luck. this is rationing health care by income, nothing more, and i want to say something just to clear the record one more time. we keep hear

medicare. the current medicare structure is a structure that's going bankrupt. it's a source of health inflation. it involves billions of dollars of waste in medicare. we can go after that kind of waflt. we can stretch our health care dollar farther by doing these kinds of medicare reforms which basically says that younger people, medicare will work like the plan that i have as a congressman and other federal employees have. that's not a privatized system. >> woodruff: medicaid. you would turn over to the states more of the control and the costs for health care. people who are poor, who have disabilities, it would be a lump sum system but the total amount of money would be less. so why is that better? >> here's the problem with medicaid. it is a one-size-fits-all federally run program that is administered by the states. we have dozens of letters from governors saying give me the freedom to customize medicaid to meet my state's particular needs and problems. we're telling the states how they run this program and the program is not being run very well. it too is going bankrupt putting pressure on state budgets. it's growing as an unsustainable rate. we

medicare. medicare is one of the most important programs we have. it's one of the most successful programs we have. medicare's in trouble. medicare's going broke. c.b.o. tells us in nine years it's exhausted its trust fund. we need to save medicare. this budget doesn't change anything for anybody on medicare now and within 10 years of retiring. and it saves the system for the next generation. contrary to what the president proposed yesterday, he wants to delegate more authority to 15 people on a commission, on a bureaucracy that was created in his new health care law to do price controlling and rationing of medicare for current seniors. he wants these 15 people without a consent of congress, just to do it directly, to impose more price controls and more limitations on providers, which will end up cutting services to current seniors. we repeal this agency. we don't think congress should be delegating this kind of power and authority to unelected people to make unilateral decisions on senior health care. so we preserve, protect and save medicare for current seniors, those 10 years away from retiring, and then i

medicare by hundreds of billions of dollars. the reality, if you look at the budget, all those medicare reforms that we made, including ending the overpayments to medicare advantage, including other reforms, to bring down the cost of health care during the next 10-your window, it looks to us like they have kept a very savings in their medicare -- in medicare that the railed against over the last couple months and years. in fact, that is the cause of the medicare number they have in the budget. the health care reforms enacted in the affordable care act, which they say they are repealing, they are not repealing all of them. they are keeping as far as we can tell the savings in medicare, and the savings that were made with the democratic majority in congress rec rit -- represent a significant amount of the funds available in medicare over the next 10 years. what do they do? the essentially and medicare as we know it. they do not reform it. .hey deform it they say you got to go into the private insurance market, and we will get a voucher will reduce value over time, and all the risk of increased cost in health care system will be borne by the medicare benef

medicare, they ration medicare. almost $10,000 per senior on current seniors. we are saying, don't do this to current seniors, get rid of the rationing board and don't delegate medicare decision making to 15 people appointed by the president with no congressional oversight. let the 40 million seniors in medicare be in charge of their medicare program. and more importantly, we save medicare, prevent its bankruptcy and what does the other side do? they sit by and watch the program go bankrupt. with that i reserve the balance of my time. the chair: the gentleman reserves the balance of his time. the gentleman from maryland. mr. van hollen: thank you, mr. chairman. i would remind my colleagues that the reason medicare was created in the first place was because the private insurance industry wouldn't cover seniors, that's what they want to go back to. i yield underwin -- one minute to the gentleman from massachusetts, mr. neal. the chair: the gentleman from massachusetts is recognized for one minute. mr. neal: thank you, mr. speaker. i rise in support of the democratic resolution. last week on the floor of the house the republican leader, eric cantor, asked a very importa

medicare. so will we see any kind of substantive changes in medicare at the end of the day? what do you think, doug? >> absolutely. the one thing the president said is that doing nothing is not an option. social security, medicare, medicaid, affordable care act, all those cannot survive to the next generation. so we will see changes, and if people don't like the changes that are on the table now in congress, they need to provide an alternative. >> susie: let's also talk about tax increases, doug. the president saying that he wants to see lots in the waive tax increases, the republicans saying that's a deal breaker. how do you compromise on something like tax hikes? >> we've seen this movie before. it's the same tax proposals that the president campaigned on, came into office talking about and then turned around and extended in the lame duck session last december. he's not going to raise taxes until after the election, and when it gets to after the election we'll see if he does it then. >> susie: a quick question to both of you. starting with you, dean. do you think that we as a country have moved closer now to the idea that we have to do something about our budget and deficit cutting? >> i sure hope not because

medicare. i talked to a lady the other day in my district. a newly egible medicare patient who canno find a medicare physician. cannot find a medicare physician. the program is broken and is unsustainable. the status quo is unacceptable. what we do is honestly and factually reform the program. medicare program. it is a guaranteed issue to seniors of this country through our program. so by completely repealing and defunding bm become cobama bm c simultaneously move from an era of debt, doubt and depair into a stable and secure future. mr. chairman, i'm honored to support this path to prosperity. >> thank you. now i'll yield two minutes to the gentleman from wisconsin. >> thank you, mr. chairman. i support this budget resution today and thank the chairman and members of the committee and the committee staff for all their hard work. one simple reason i'm advocating for this budget is we've got to stop spending money we don't have. it's a simple concept, if you only have $6, you can't spend 10. but that's what we do every day. every day where 40 cents of each dollar spent by our government is borrowed.

medicare that is we're going to go with the lower the profit margins margins on these private medicare advantage plans well the republicans keep that reform they're going to still lower the profit margins on the medicare medicare private events plans i.e. they're going to cut it. care and then they're going to tell people fifty five and younger sorry you may have been paying into medicare every working day of your life it's not going to be there for you instead you will go to a government exchange and you will get a you know a government approved plan which won't have any limits on what it can charge for your premiums won't have any limits on who they can discriminate against in terms of preexisting condition or age or is the eggs or anything else and will pay a set amount toward you or toward you or. your premium unbelievable it's amazing congressman we just have a couple of minutes very quickly i'm getting calls you know we do a three hour radio show every day and we have a message board over its common and we're getting slammed by people saying that president obama touches or harms medicare or social security is part of some kind of compromise of the republicans that literally people who worked the

medicare program, look what happened. this chart will tell us. when we get rid of medicare when this republican plan, if it had its way, ends medicare, we're going to see this very impact coming upon our seniors. we will go back to the pre-1965 years. look at this, this is the current medicare program where benefits for our seniors enable them to avoid oftentimes the out-of-pocket expenses. it is forecasted by independent groups out there, not by partisan thinking here in the house but independent bodies are suggesting that it will double in the early years in terms of what is expected of our seniors, digging deep floor their pockets and by the year 2030 it's forecasted triple what they are paying today. this is another way to provide savings for the sole purpose of investing those savings in millionaire, billionaire tax cuts, in oil company handouts, in corporation relief. this is an effort here. it is a reverse robin hood. it is going after the middle class which is the strength of america, give that middle class its purchasing power, give our middle class seniors their medicare program, let them have dignity, let there be a quality of life, le

medicare not eliminating medicare. that's what's scary. eliminating medicare for seniors, threatening social security, and not providing an innovation program to create jobs. jobs is the issue and we need to create jobs in this country and we haven't seen it coming forth. i praise the president for his mature approach to the situation and encourage others to fall in line. thank you, mr. speaker. i yield back the balance of my time. the speaker pro tempore: the gentleman's time has expired. for what purpose does the gentlelady from florida rise? ms. brown: one to rend. the speaker pro tempore: without objection, so ordered. ms. brown: thank you, mr. speaker. my name is congresswoman corrine brown and i'm from the great state of florida. the home of clawed pepper. he was the -- claude pepper. he was the champion for senior citizens and the elderly. and he would be so appalled by the billion that the republicans are bringing to the house floor tomorrow. gutting and privatizing medicaid and medicare in order to pay or give tax cuts to millionaires and billionaires

medicare. >> hands off our medicare. >> reporter: this time it's the democrats' turn to blast republicans over medicare cuts. a web ad running against more than two dozen republicans warns votes to, quote, end medicare, will force seniors to find new lines of work. >> you missed a spot. >> reporter: one older gentleman -- >> did someone call the fire department? >> reporter: -- is being shown forced into a more creative profession. so-called mediscare strategies keep coming back because they work. older residents vote and don't want anyone touching medicare. neither do voters overall. 78% from the latest abc news/"washington post" poll say they oppose cutting the program. any hope for a solution may have to start in the senate where a group of six senators is working to produce something they hope both parties can agree on. >> medicare cannot continue the way it is if we're going to survive. >> this is a defining moment and we've got to decide as a nation, are we going to do some things that all of us would prefer not to have to do, or do we wait for the roof to cave in? >> reporter: the time line for any sor

right now we're having conversations about medicare as if medicare is the problem. medicare is a recipient of the expenses of many industries -- >> look, i understand that. so the question is, spirit affordability is the answer spirit and the affordable care act doesn't satisfy you that it will maintain affordability, and, therefore, you need to keep the option open to sell and be involved in these products in the future, is that really get? >> may i help with that? >> the gentleman's time has expired. the gentleman from new jersey, mr. post grow is recognized for five minutes. >> thank you, mr. chairman. >> mr. rand, you are a tax-exempt private corporation, private association, yes, sir. >> mr. chairman, i have a couple of questions for you, mr. chairman. i'd like to know whether or not we think, or you think that there are specific laws that have been broken here with regard to this tax-exempt organization, is that one of the reasons, or the reason why we are having to think? >> that's an improper parliamentary inquiry. >> oh, it is? my second question to you is this, wha

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medicare have gone on much longer than that. we were going to have problems with medicare because medicare spending was growing way more than than was sustainable, and on top of that we have the baby boomers who are starting to retire, and they'll double population on medicare. >> woodruff: but on balance, it would save the taxpayers money? it would specify what the amount would be. it's been compared to the notion of having defined benefits versus defined contributions in terms of pensions. an amount would be set-- could decide whether the amount that congressman ryan said which was the growth of the economy or some other amount is a right amount, but that would be the amount that would count for the spending by government. people would have a variety of plans, and that limits the government's obligations. >> woodruff: and thus would lead to lower government spending, chris jennings, is that right, on medicare? overall? >> sure it would cap what medicare pays for health care for seniors. and the issue really is capping doesn't contain costs. it just shifts costs. and the real challenge of our health care delivery system is not

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. >> here are the obama reforms on medicare and medicaid. reforming medicare beginning in 2018, roughly seven years from now, there will be a hard cap on coverage costs. reforming medicaid, a single rate for all states. projected savings, president obama claims that over 12 years his program will nearly $500 billion. >> let's look at these real clear metrics. taxes obama plan, raises tax $1trillion. by 2023 ryan's plan cuts taxes but 2.3 trillion.

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medicare card, i realized i needed an aarp... medicare supplement insurance card, too. medicarene of the great things about turning 65, but it doesn't cover everything. in fact, it only pays up to 80% of your part b expenses. if you're already on or eligible for medicare, call now to find out how an aarp... medicare supplement insurance plan, insured by unitedhealthcare insurance company, helps cover some of the medical expenses... not paid by medicare part b. that can save you from paying up to thousands of dollars... out of your own pocket. these are the only medicare supplement insurance plans... exclusively endorsed by aarp. when you call now, you'll get this free information kit... with all you need to enroll. put their trust in aarp medicare supplement insurance. plus you'll get this free guide to understanding medicare. the prices are competitive. i can keep my own doctor. and i don't need a referral to see a specialist. call now to get a free information kit. plus you'll get this free guide to understanding medicare. and the advantages don't end there. choose from a rang

medicare and medicaid, which many believe are the biggest debt drivers. reforming medicare, beginning in 2022, roughly 10 years from now, medicare would pay a portion of the premium for private health insurance plans, chosen by seniors themselves. the operative word is private health insurance plan. reforming medicaid, making a bloc grant to the states. projected savings, chairman ryan claims that over 10 years his plan will cut nearly $800 billion. president obama, eight date laser, april 13th, delivered his counter-plan for long-term debt reduction. that plan is titled shared prosperity and shared fiscal responsibility. >> i will not tell families with children with disabilities they have to fends for themselves. >> here are the obama reforms on medicare and medicaid. reforming medicare beginning in 2018, roughly seven years from now, there will be a hard cap on coverage costs. reforming medicaid, a single rate for all states. projected savings, president obama claims that over 12 years his program will nearly $500 billion. >> let's look at these real clear metrics. taxes obama plan, raises tax $1trillion. by 2023 ryan's plan cuts taxes but 2.3 trillion

medicare supplement plans let you keep your own doctor, or hospital that accepts medicare. there are no networks and no referrals needed. help protect yourself from some of what medicare dollars in potential... out-of-pocket expenses with an aarp... medicare supplement insurance plan... insured by unitedhealthcare insurance company. call this toll-free number on your screen now... for this free information kit, including this... medicare guide and customized rate quote. >>> welcome back, we are behind the scenes at lucky strike bowling alley in manhattan, we'll meet the executive chef, chris pat, is the man behind -- good to see you. you make fabulous food here, not typical bowling alley food. this is healthy, delicious food. most people they think bowling alley, they think beer and vending machine and maybe some cheese fries. so how is lucky strike different? >> we have everything available from buggers, sliders, fries, to salads, vegetarian, gluten-free. >> cool. >> gluten-free at a bowling alley. what are we making tonight? >> grilled chicken sandwiches on whole wheat ciabeet, with house made tomato jam, avocado. >> take our ciabatta. keep going. you like the chees

medicare supplement plans let you keep your own doctor, or hospital that accepts medicare. there are no networks and no referrals needed. help protect yourself from some of what medicare doesn't pay... and save up to thousands of dollars in potential... out-of-pocket expenses with an aarp... medicare supplement insurance plan... insured by unitedhealthcare insurance company. call this toll-free number on your screen now... for this free information kit, including this... medicare guide and customized rate quote. >> kristen: good morning. it's 4:43. live look, all clear. interesting wild weather in the south bay right now. hail, quite a lost it, some showers this morning. be prepared. lisa argen has the weather for the home opener for the giants coming up. >> fasten your seat bills. a transit director got the bombshell for raising fares. director dave snyder suggested golden gate bridge tolls should be raised 5% per year over four years. marin independent journal says the district district toll manager says it could be easily collected from electronically. >> and the board overseeing caltrain is putting off a decision over fare hikes. they face a $30 million deficit. t

medicare, cuts to medicare. i go to the doctor now. i am lucky that he takes medicare. medicare pays $49 for the visit. tors do not take medicare in our area because it pays so little. my father died at 83. we could not get insurance for my mother. since he never paid social security, she had to pay full price for medicare, and then get a supplemental, and then she still went broke at 89 with the large drug costs. the ceo of united healthcare common two years ago, got $1.2 billion -- a package. there was a discrepancy in the paperwork. he got $800 million for a retirement package. how do you justify that and my rates keep on going up? tell me how you can justify that. if i spent $200 for my supplemental insurance, medicare should be insolvent. guest: thank you for the question. it is very important to let seniors know -- first of all, the current health care bill that the president passed in the last congress. that bill is why your decisions -- and i have heard from my constituents, doctors do not want to take medicare. there is nothing in health care bill that injures our doctors will be paid a good ra

medicare and the like. let me talk specifically about medicare, the plan to block grants -- guest: medicaid. host: yes. excuse me. and then medicare program also has fundamental changes in the way it's administered and it's medicare i want to focus on. 17% of your district over 65. how are you going to take the medicare message back to them? guest: medicare is reaching the point, in a few years, where it's spending more than it's taking in. we've reached that point this year with social security, which is also important to seniors. and the way the ryan plan is looking at this is to offer people choices, same as members of congress or federal employees have. you can choose from a menu of options for plans. you add more to it. nowing currently about 10% of medicare recipients have the fee for service plan, and they also pay out of pocket for it. what we're looking at over time is the main things that are going to have to change here in the ryan plan versus obama, is we have to change how medicare functions day-to-day. a senior who goes to the doctor and says i have this problem with my hip, maybe they have surgery or something else,

no change occurs to medicare for anybody who's on medicare or ten years away from retiring, and for future generations, what we are proposing is a personalized medicare, a medicare system that works exactly like the health care i have as a member of congress and federal employees have. it would look like the prescription drug benefit or medicare advantage. so, we already have these kinds of ideas in practice. i mean, the prescription drug benefit came in 40% below cost projects because it harnesses choice and competition. we want comprehensive medicare plans available to seniors that they can pick from and have competitors compete for their benefit it works for federal employees, to the prescription drug benefit and it saves medicare. >> but let me ask you, is tax reform a more doable thing next year than entitlement reform? >> i don't know, because the president gave us a budget that didn't deal with any of the drivers of our debt, it doubles the debt in his first term, triples at the end of his budget. corporate tax reform i think -- i'm a member of the ways and means committee as well -- that is an area where i think everybody agrees it's hurting

right now we are having conversations about medicare that medicare is the problem. medicare is a recipient of the expenses of many industries. >> understand that. so, the question is -- >> affordability is the answer. >> and the affordability care act doesn't satisfy you. it's going to maintain affordability and therefore you need to keep the option open to sell and be involved in these products in the future, is that really it? on of remic the gentleman's time is expired. the gentleman from new jersey mr. pascrell was recognized for five minutes. >> mr. rand, you are a tax-exempt corporation from a private association commodus sir. >> i have a couple of questions for you mr. chairman. i'd like to know whether or not we think or you think that there are specific laws that have been broken here with regard to this tax xm organization. is that one of the reasons or the reason why we are having this hearing? >> that's an and proper parliamentary inquiry. >> oh it is? >> my question is what laws do you think have been broken since we look at policy and we are not looking at corp

medicare over to the state. the president said no way. >> i will not allow medicare to become a voucher program that leaves seniors at the mercy of the insurance industry. >> reporter: so what would the president cut by 2023? defense spending, $400 billion, rethinking the u.s. role overseas, energy, infrastructure spending, education spending, obama pet projects, cut $770 billion. health care, $480 billion saved by obama health care reform. medicarend medicare, $300 billion saved over ten years, no details. and for now, no change to social security. spending cuts and tax hikes, the president's vision of shared sacrifice. i'm steve handelsman, nbc news, washington. >>> it is a messy end to a messy case that has cast a shadow over former giants slugger barry bonds for over three years. as nbc stephanie stanton reports, a federal jury found bonds guilty of obstructing justice, but couldn't reach a unanimous decision on whether he lied about taking steroids. >> reporter: strike one for barry bonds who was convicted on one count of obstruction of justice. after the verdict, an upbeat bonds and his attorney said the game is far from over and they plan to fight the conviction. >> i mean, it was certainly a seriously contested trial and here we are and counts one, two and three, there is no verdict. >> reporter: the jury deadlocked on the remaining three counts of perjury that bonds intentionally lied to the grand jury about using perfor

medicare, medicare is doomed, as we know it. not by mr. ryan, but by mr. arithmetic. it just doesn't work anymore. and, therefore, when he proposes essentially what the bipartisan commission on medicaresed more than a decade ago, premium support, which is no matter what mr. hollen said a moment ago, essentially what every federal worker has from the man to delivers your mail to harry reid who delivers stuff. >> but it's not what seniors have now. i mean that is the big change. it's important to under, you are correct, in 1998, john breaux and bill thomas proposed the idea of ending medicare where it now exists where the government pays your doctor for services instead of providing you funds to go buy private insurance. that's what we're talking about. no other significant democrats, between then and alice rivlen ever endorsed the idea. whether or not this is a good idea. there's no question this is a fundamental change. it basically ends medicare as it now exists and replaces it with moving people into the private sector to rely on private insurance. >> you said it's not what the seniors have now. everyone now on this is unchanged. no one over 55 has a stake here. >> what about the f

medicare supplement plans let you keep your own doctor, or hospital that accepts medicare. there are no networks and no referrals needed. help protect yourself from some of what medicare doesn't pay... and save up to thousands of dollars in potential... out-of-pocket expenses with an aarp... medicare supplement insurance plan... insured by unitedhealthcare insurance company. call this toll-free number on your screen now... for this free information kit, including this... medicare guide and customized rate quote. ♪ [ female announcer ] why choose between delicious or 100 calories? ♪ with yoplait delights, now you can finally have both. ♪ it's the perfect parfait, with two indulgently rich layers of chocolate and raspberry yogurt and only 100 calories. yoplait delights. get rid of the "or." >>> welcome back. 4:48 on friday. if you are heading to the east coast, boston, new york, d.c. 58 in seattle. 52 in portland. 90 in phoenix. look at st. louis and chicago. 49 in chicago. yeah, you look at the severe weather threat in yellow. it runs from dallas through st. louis to chicago. possibility of bumpy weather across the country today. flight tracker abc7news.com will track

medicare supplement plans let you keep your own doctor, or hospital that accepts medicare. there are no networks and no referrals needed. help protect yourself from some of what medicare doesn't pay... and save up to thousands of dollars in potential... out-of-pocket expenses with an aarp... medicare supplement insurance plan... insured by unitedhealthcare insurance company. call this toll-free number on your screen now... for this free information kit, including this... medicare guide and customized rate quote. >>> well, here's something that's no surprise to those of us who drive every day. gas prices, they're up again. the average price of a gallon of regular is now $3.68. that's up nearly 9 cents in the past week. this is the highest amount since september of 2008. prices could keep rising with oil also at its highest level in 30 months. >>> overseas markets are mixed this morning. tokyo's nikkei average fell 1% today. hong kong's hang seng rose 1.5%. and in london, the ftse opened slightly lower. on wall street, the dow rose 23 points yesterday. the nasdaq ticked down less than one point. >>> toyota plans to put the brakes on production in north america. the auto

medicare. seniors would receive medicare coverage from private insurance companies. >> medicare itself literally covers up all government spending at the end of the day. we can't sustain that. we've got to get medicare solvent. >> the proposed changes to medicare would not affect current beneficiaries or workers 55 or older. >>> a reaction to a decision to try to confessed 9/11 mastermind and four others in a military court is mixed. most republicans are applauding the decision, a stunning reversal of administration poll sichlt -- policy. the american civil liberties union says this is not justice. eric holder, attorney general, said the move is necessary. >> reporter: holder pledged to prosecute ksm and four al qaeda co-defendants in a civilian court just blocks from new york's ground zero. but congress bowing to public pressure barred transfers of guantanamo bay prisoners to the u.s. holder did not hide his frustration. >> i know this case in a way that members of congress do not. i have looked at the files. i have spoken to the prosecutors. so do i know better than them? yes. >> reporter: the

medicare part a and heartbeat. medicare part a is for hospital coverage. -- medicare has several parts, but the main parts are medicareand medicare part b. what the commissioners are talking about doing is combining those deductibles, so that he would have won a combined deductible of about $550. so you would say that is a lot less, that will benefit seniors. but what is it really important to remember is they would try to reject what seniors to have some skin in the game. -- they want seniors to have some skin in the game. they want them to play more of front -- pay more up front. most seniors have supplementary coverage. what it does is help to cover some of the additional costs and co-payments, the deductibles, what ever cost sharing there is in the plan. from the first dollar that a person pays, you go to the doctor for the first time in a given year, and you have the bill. then you call on your supplemental insurance to start paying right from the first dollar. the concern is that this tends to lead to greater use of health-care services, and perhaps someone argue, and necessary services. the seniors just do not