republican governors say they're worried about the cost of medicaid expansion but since that expansion will be covered almost entirely by the federal government they're just flat out lying. this is really all about damaging the obama presidency. since the days of barack obama took office the republican party has made taking down his presidency its number one goal so there's no question that those twenty five republican governors have done this to sabotage president obama and his signature piece of legislation before bill care act as leaders bout of right wing sabotage is especially cynical when you consider the fact that those twenty five republican governors are essentially denying the people of their own states the right to use their own tax dollars medicaid like every other government program is paid for with tax dollars. tax dollars that come from people like you and me and then you know make it's way to pay for medicaid states put forth a part of the bill but in the poorest states the federal government covers most of the cost would be expansion would cover one hundred percent of

the idea behind obamacare is medicaid expansion is pretty simple states that except the expansion allow people earning as much as one hundred thirty eight percent of the poverty line to enroll in medicaid free health insurance in exchange the federal government pays one hundred percent of the cost of their health care for three years and ninety ninety percent of that cost every year after that for when obama care was first passed states actually had to accept the medicare expansion or else they'd lose medicaid funding what's. ever but the john roberts supreme court stepped in and gave republican governors the right to reject just the expansion. and republican governors of course followed republican john roberts is decision right to a tee. there have been a few exceptions a growing number mostly recently most recently ohio governor john case and have come to their senses and okayed the medicaid expansion but twenty five republican governors have yet to do so those twenty five republican governors have to put it bluntly screwed the people who put them into office the people who would get

but texas is among two dozen states rejecting medicaid expansion which will provide free insurance for adults with little or no income who cannot afford to buy coverage. >> by not expanding medicaid, i estimate that that is costing parkland about $30 million a year starting next year. >> reporter: in doctor's offices, the worry is that patients who buy low cost aca plans will face high out of pocket costs for things like lab tests. >> once you get that preventive care, if there is an abnormal lab or finding, what is the follow-up? will it be covered by that insurance company? >> reporter: another worry, the most affordable plans have narrow networks which could restrict doctors already seeing low income payments at clinics like this one. >> if patients were not drawn to plans, then we're pursuing those plans ourselves, we're trying to get enrolled into those networks so that we'll go to take care of the patients. is this is a unique moment where we haven't had to think that way before. >> a commonwealth fund study estimates that by 2022, taxpayers and provider news states that reject m

across the country in the nation's capital and in the 25 states that have accepted medicaid expansion under the affordable care act, hundreds of thousands of low in come americans are enrolling in health coverage while millions are eligible. the 25 that are refusing the expansion and not moving forward to do so tell us a different story. in those states nearly 5 million low in come americans who were supposed to qualify for coverage under the law will now be left without insurance. in some cases they will be left without adequate access to hospitals. at least five hospitals serving low in co-patients closing this year scaling back services mostly in states where medicaid was not expanded. the the reason, millions more americans would qualify for medicaid and therefore the hospitals would have to foot less of the tab for the uninsured. last summer when the supreme court ruled medicaid expansion to be optional, all that changed. now, instead of finally being able to access health care, poor americans whose governors and state houses are in many cases worse off than they were before. pat

lifetime limits, or some version of what we see in the state of arkansas, that was able to do the medicaid expansione actually placing the vast majority of those medicaid beneficiaries directly into the insurance marketplace. so i think what you're seeing is a lot of states who were currently at no trying to figure out, is there some kind of variation on that that could make it more pal atable in our state in the. >> i wonder if we're going to see two americas develop from the states that are saying no and those that are saying yes, the 2012 study from new england, the new england journal study of medicine, when states expanded medicaid and gave more poor people health insurance, fewer people died. so i mean, it sort of seems to be we're heading toward two separate realities where folks in the states that are getting to yes will have people living longer and being legtier than the other states. >> i don't know it's quite that simple to say that there are two americas or there will be two americas. if you look at the institute of medicine, there's a lot of factors that go into what really makes peopl

first regarding the rule of law, and second regarding the medicaid expansion. regarding the rule of law, i will be going into an exchange and that's how i read the statute, even though i didn't vote for it. i hope that it is replaced and those who work with me at our office will be going into the exchange. and i would urge other members, for example, senator reid, that as i read the statute, that is the rule of law. in answer to ranking member waxman, you indicated, and i certainly agree with this, that the president decided a transition policy. even though the statute as i read it has requirements that began on january 1, 2014. from the perspective, madam secretary, what is the statutory authority for the president to have announced the transition policy? >> sir, i think the statutory authority is the enforcement discretion which is available under the law to us and the president has asked us to our enforcement discretion, to not pursue penalties against insurers who would voluntarily decide to allow a transition of individuals in the market plan to continue i

so, undercovered, medicaid expansion.ve been focusing a lot over the last 2 1/2 months on the rollout of private insurance plans through the exchanges and obamacare, which were a disaster and are now less of a disaster, but you also have this other half of the insurance expansion, which is medicaid. and so, you're going get millions of people signing up under that, many of them most vulnerable people in the country, most in need of the expansion, but you also have 4.8 million people who should be getting the medicaid expansion who won't because governors have decided basically that they want to spite the president. the federal government would pay 100% of the cost of this program for the first three years and then 90% of it thereafter, and they're saying no just because they want to do anything to stop -- >> during the plan cancellation frenzy, this was my hobby horse. okay, fine, the people getting their plans canceled, i understand, that's frustrating and angry for them, but talk to people who are being denied medicaid

the second regards the medicaid expansion. i will be going into an exchange, that is how i read the statue. those who work with me and our office will be going into the exchange. members,rge other including senator reed -- this is a rule of law. to raking member waxman, you indicated that the president decided on a transition policy. even though the statute as i read it has requirements that 2014.on january 1, from your perspective, what is the statutory authority with the president to have announced this transition policy? >> the statutory authority is the enforcement discretion which is available under the law to us and the president has asked us to use our force the discretion to not pursue a penalty against insurers who would voluntarily transition ofw a toividuals in a market continue in that market plan. this diversity state regulators. they get the first call. they regulate the marketplace. there is no mandate to insurers. it is voluntary, but it allows them -- therom your perspective ability of the president to do that

nathan deal's refusal to accept medicaid expansion.t was held this year in north carolina, in which thousands came out to register. instead of dispairing over the antics, think about this. political scientist -- puts it, a blue georgia might happen much sooner than you think. joining me now, janice matthews. based in atlanta, one of the people helping to organize a new moral monday push in georgia. what is the plan here? what do you hope to achieve by bringing people to the capital and pressuring the governor? >> we hope to have the governor understand that not everyone is to the far extreme right like the comments that you hear from some of the congressional representatives. you know, what this really boils down to is what's fair? everybody deserves and needs to to be able to see a doctor. it's estimated that some 600,000 georgians would benefit from medicaid expansion and some 70,000 jobs would be created. jobs we desperately need. instead of forcing children to work for their lunch, let's put their parents to work. >> there is a big

the same thing with expansion of medicaid. some have chosen to do it. some have chosen not to do it. the ability to make those decisions is part of what many people favor with in the act. >> in addition to the discussion about renewing canceled policies, there's also been some discussion about extending this past the end of march to allow more americans to enroll in health coverage given the problems with the healthcare.gov website. what do you think about the wisdom of doing that? >> you are changing the rules after it has been set. what does that do to the actuarial calculations that are in place right now under the assumption that you would have a certain number within that pool? in the sense of getting more people in the pool, that has more than appeal. that is important to the nature of the pool. the larger the pool, the better chance you have of having perhaps lower rates because you will have the only people with health conditions but you will have healthy people in the pool as well. there is an advantage in doing it. i just do not know what the

their self insured patients or accept new ones that get covered on the exchanges or through medicaid expansion. >> physicians can expect seeing more patients coming into their offices with health insurance and a lot more covered through medicaid, because the expansion is one of the biggest parts of the insurance expansion in the affordable care act. >> that's a problem for doctor as millions get covered. many physicians restrick the number of medicate patients they accept because of low reimbursement rates. >> it comes down to how much am i going to be paid and am i going to have the autonomy to practice the way i want to practice. >> look to thens right. >> a brooklyn based ophthalmologist said private insurance for a full eye exam will reimburse at rates up to $150. medicare pace him about $145, for the same procedure, medicaid pays only $63. obamacare is supposed to bump up those payments for two years to encourage participation, but the problem has had delays. >> primary care and medicaid are going to have to go up 73% nationally. in new york, they to have triple. >>ine though private ins

first regarding the rule of law, and second regarding the medicaid expansion. regarding the rule of law, i will be going into an exchange and that's how i read the statute, even though i didn't vote for it. i hope that it is replaced and those who work with me at our office will be going into the exchange. and i would urge other members, for example, senator reid, that as i read the statute, that is the rule of law. in answer to ranking member waxman, you indicated, and i certainly agree with this, that the president decided a transition policy. even though the statute as i read it has requirements that began on january 1, 2014. from the perspective, madam secretary, what is the statutory authority for the president to have announced the transition policy? >> sir, i think the statutory authority is the enforcement discretion which is available under the law to us and the president has asked us to our enforcement discretion, to not pursue penalties against insurers who would voluntarily decide to allow a transition of individuals in the market plan to continue i

the medicaid expansion is only going -- >> it is a blue state and it is a dard. don't blame republican governors. maryland is a prime example that it's a disaster. >> the people making only up to 138% of the poverty line that would be able to access care and can't, it matters for them. >> the cbo says 30 million americans will be uninsured. that's what cbo says. another broken promise. all right, emily. you'll live with it. >>> coming up, a softball interview of the century. president obama sat down with his number one fan, his number one cheerleader. is he in a cheerleader's outfit? brent bozel will break it down. first fast food workers are striking saying the minimum wage is too low to live on. would a pay hike hurt the strug thing economy and how much are you willing to pay for a cheeseburger? you have been voting for the video of the day. option two is the grand prize winner in the hhs pro i love obama care video contest. ♪ don't need a lot of money ♪ to stay young and healthy ♪ we just want to make it more fair ♪ ♪ with affordable health care as a business

. >> reporter: now, david plouffe said yesterday on abc that when it comes to medicaid expansion, it may not really work very well until 2017, after the president has left office. now, the white house stressed today he was only speaking about medicaid, not the broader law in terms of the success rate. but the bottom line is medicaid expansion is a key part of this law. this could be an attempt to start scaling back expectations when other democrats want to see progress by the end of 2014 in those midterm expectations. >> ed, thank you. >>> back when the website went online for the first time, october 1st, we gave correspondent peter doocy the job of testing it out. and despite his best efforts, it has not gone well. tonight peter has an update. >> reporter: today is the biggest internet shopping day of the year. and websites for america's largest online retailers have been working just fine. but what about the new and improved healthcare.gov? so the white house says they have now doubled the capacity of healthcare.gov so 50,000 consumers can simultaneously shop. right now it's midday

to be a part of this expansion, leaving millions of their citizens without health care. >> that is absolutely true. what is your opinion of states that use this to expanded medicaid program? >> my opinion is that i'm sad and disappointed in this includes other states that do expand. the expansion research shows the urban institute and how much in the interest of state this expansion is. i believe it is only political opposition to this law that is depriving these citizens have access to care in the states. >> by not participating, are they leaving for them at different resources that could be used for their citizens? >> they are. >> a lot of these citizens are getting sicker and sicker and sadly some of them will die early. >> we know that. that is essentially that the lack of insurance has been found to kill. >> wise expansion an important component of the affordable care act? >> well, we have a big hole in the process and this includes disabled order dependent individuals. in that hole is a vestige of an old-fashioned welfare system that these people would get coverage through their jobs and they don't get coverage through their jobs. they are left out of emplo

they need that medicaid expansion.are beginning to speak out to say it is foolish, governor deal for you to just for political reasons, to deny georgians the medicaid expansion. >> as these things begin to work, the pressure's going to mount. i'll leave it there. we'll be all over this clearly as we move forward. congressman frank pallone. >>> still ahead, news on the george zimmerman case. >>> and 11 months ago, this teenager died under mysterious circumstances. tonight, new questions about the funeral home. why were his organs removed from his body? that's next. [ male announcer ] if you suffer from a dry mouth then you'll know how uncomfortable it can be. [ crickets chirping ] but did you know that the lack of saliva can also lead to tooth decay and bad breath? [ exhales deeply ] [ male announcer ] well there is biotene. specially formulated with moisturizers and lubricants, biotene can provide soothing relief and it helps keep your mouth healthy, too. [ applause ] biotene -- for people who suffer from dry mouth. pr

about half through medicaid expansion, where you're getting more news on the latter front. wyoming governor matt mead say he is not going to recommend on friday that wyoming extend medicaid coverage. that becomes the 25th state, i believe, all with republican governors. can i ask you a question that i haven't been able to figure out, and maybe this betrays my own ignorance? what happens to the people who would have qualified for the medicaid expansion in these states? can they get on the exchange? will the subsidies reach down to their income level to cover them? what happens to them? >> they can. so, you know, above 100% of the federal poverty level, the subsidies would apply. and then under that -- it's in states like texas where there is going to be a gap between what the medicaid program currently covers and that 100%. and so, there is, unfortunately, going to be -- you know, we talk about a donut hole in the medicare part-d program. we're going to have an unfortunate, undesirable doughnut hole of people who couldn't get access to coverage. just so you know, there's a lo

think about it, it is $250 billion a year in medicaid expansion, in the subsidy structure, that's basicallybeing paid for by people on medicare, through medicare cuts, and a lot of tax increases. if you want to know what the bill is really about, people in their most honest and candid moments will admit it has taken $250 billion a year out of taxes and medicare and moving it into the medicaid expansion and the subsidy structure. this other premium subsidies are also occurring between young and the old, but it is a massive, massive income redistribution. >> it is not fair to say that they're not getting a better health care plan. that's the challenge with the individual markets today, to act like it is a good plan -- people have good systems. the challenge now is not really insurance for a lot of people. when you get sick, it is not their premium. that's the concern. >> i thought we would settle it today, but we're not. an interesting discussion. please come back, both of you and thank you for coming in this thanksgiving holiday weekend. >>> will the website, what about other problems with t

the very people who need life-saving drugs can't afford them, could use the medicaid expansion.see the aids activist community expand medicaid? >> that is actually a very good question and would be very smart for the aids activists, aids community, to push in that direction. look, the idea that you have governors across the country who are saying no to giving their citizens access to health insurance. they're saying no. they're not accepting any help from the federal government to make it possible for people to get -- to get medicaid. it's unconscionable. and the only way i think -- for governors who hear the message is if people do what, say, the dreamers are doing on the mal in washington. hunger strikes, civil disobedience to make it clear, hey, we have paid into this system. now it's time for us to get something back. >> doesn't sound like it's politically smart either. here we are, jonathan capehart, aisha moody mills. thanks to both of you. we'll be right back. ♪ no matter what city you're playing tomorrow. [ coughs ] ♪ [ male announcer ] you can't let a cold keep you up t

the benefits, the tie in for our states here in tennessee, we are not pursuing medicaid expansion.e have a federally run exchange, which again, because of the step down the legs in implementation of the marketplace, that keeps people out of the marketplace, and minutes active, especially information to make the good decision about getting insurance . if you could speak about the impact of tecate expansion, what that would do -- of medicaid expansion, what that would do to a state like tennessee, like a mississippi were the wages are depressed, and what that would be for small businesses. guest: in tennessee and every other state, small business owners need to get educated about what is available to them. you talk about making sure that small business owners are informed. that is absolutely the case. we have resources to help with that. we urge small business owners to talk to their brokers about that. medicaid expansion -- it is absolutely true that basically the states that have chosen not to take the medicaid expansion are leaving a lot of money on the table that will come in and

. >> today's push is all about the success of medicaid expansion. 26 states and d.c.age while 24 states all run by republicans or republican legislatures have declined the expansion. i also want to point out these stats the white house just released. if all 50 states were on board, 5.4 million uninsured americans could gain coverage. eight in ten of those would pay less than $100 a month, all of which would save states $10 billion over the next decade. so my question, congresswoman, is what are we doing to get that message out there a little more? >> first of all, i think we need to get the message to those 24 states. i think it's quite unconscionable as you pointed out those are states with republican governors who have refused to deal with medicaid expansion. and then one -- and i say unconscionable because imagine, imagine not being able to provide an opportunity for affordable health care to millions of people. you know, we all take an oath of office. we uphold the constitution and indeed what we have a responsibility to do is really to be caring about what's goin

medicaid expansion for tort reform? who knows, but there is no negotiation. one part passed this. it was you, minority, no way, we're passing our bill, we're going to reinvent the wheel here, and now the wheel is screwed up. what you're saying is 100% not true. i was in the white house and was there when republicans were called for meetings. republicans were solicited for advice. there were republican ideas source in the health care bill. someone at this table thought that was a good idea at one point. so the difference here is that it has been rare in american history that the opposing party has been so opposed to some massive change to government that they don't even show up to have a conversation. once it's put into law, all it does is root for failure. >> and that's why the politics -- in the hoppers. >> wait a second. having a fair amount of bipartisan -- i think that is a total mischaracterization. boy about the white house ever. and the fact is it's very dangerous to pass really large legislation by a very narrow margin. it didn't happen with civil rights or social security

in this morning's "washington post" democrats are using medicaid expansion to paint governors as hostageo a national tea party agenda. in your opinion is the health care law going to be the determining issue when it comes to control of congress and those governorships in the coming elections? >> well, it certain low will ly very, very important. if i were a republican governor and i'm in a state where the federal government is paying 100% of the cost for expanding medicaid, i have tens and tens of thousands of people in my state who could get health insurance in many cases for the first time in their lives and i am denying them that opportunity? man, i would be very, very worried. but i think that's one issue. the other issue, obviously, is the economy. high unemployment, growing disparity in wealth and income in this country. >> vermont senator bernie sanders, great to have you on this morning. thanks for your time. >> thank you. >> absolutely. >>> after the president's speech on the economy this morning, he's going t stop by this afternoon's white house youth summit. the goal is to eng

. >> new ones that get covered on the exchanges or through medicaid expansion. >> i think the first thing that is physicians can expect is to see a lot more patients coming into their office with health insurance, and a lot more of them are going to be covered through medicaid. >> affordable care act. >> that's the from doctors are millions are covered under the healthcare law. many restrict the patients they accept because of relatively low reimbursement rates. >> practice the way i want to practice. they are typically far below both medicare and private insurance. >> book lynn based an toll meteorologist whose is also president of the new york society, says private insurance for a full eye exam will reburst him at rates up to $150, medicare pays him $145, but for the same procedure, medicaid pays only $63. >> they are going to have to go up by 73% nationally, but in new york they have to triple. >> doctors remain am bilent about whether they will even take that insurance. in new york, 44% of physicians say they plan on sitting out the first year. 33% say they are not sure if they will p

expansion. certainly, with respect medicaid among we have seen in recent years a large majority of plants for their existing population ine chosen to put them managed care arrangements. in the course of the conversations around the new expansions in the states that have chosen to go with a different strategy, and with those that have chosen to expand, again, the states have thought out and are looking for opportunities to essentially organized and paid for services in a different sort of way. you might imagine with the increase, if we looking at 8 million people coming in successfully into medicaid expansion in the coming year, that there will be greater pressure on the states to look for those opportunities. the enrollment to the exchanges and the exchange-based fans lent itself for insurers to look for insurers to look for methods to finance care any more efficient way. one way might be the way to construct their networks. the point he made earlier that we are only beginning to see what these plans are going to look like, the rates they're going to be, how they are going to organize services, wha

he also refused to take part in the medicaid expansion.he tweet also received a litany of angry responses on twitter, including some who said rucho should step down. >>james: the search continues for an animal rights activists suspended after suspected and multiple vitamins and the bay area. the fbi says daniel san diego is suspected of planting bombs at a emeryville biotech company and at a nutritional products company and pleasanton in 2003. the fbi has released these images of san diego, showing what he may look like now. a $250,000 reward is being offered for information leading to his capture. >>: no outage is too small and the anonymous tips will be accepted. over the years tips have place san diego and a bottle, san rafael, santa cruz and even our path in massachusetts as low as germany, spain france and italy costa rica and bolivia. the our abc partnership with seven those is given us a live shot from santa clara where we have a fatal accident rate will have more on that and just a moment. [ male announcer ] some things are simply

>> i think that what we are seeing every day is governors actually considering the medicaid expansion, some as you say in new york, california, others adopted very early on. we were pleased just her day that the governor of iowa and dictated an interest in moving ahead on medicaid expansion. the governor of pennsylvania recently also indicated his interest in doing the same. so we are working actively with states around the country. i think it is enormously difficult for consumers in states where there is no medicaid expansion, they hear about the opportunity for affordable health coverage only to find out that they earn too less to qualify for a tax credit in the marketplace and really they have no viable option at all. that i'm told by our navigators on the ground, the people in community health centers, is one of the worst conversations they can have in this time. >> we spoke with the governor of kentucky the other day him and he explained to us kentucky, generally a republican state where it is working really well, where you have a governor who is a partner, who wants to see it wo

be part of the expansion leaving literally millions of their own citizens without health care. >> absolutely true. >> what is your opinion of states that refuse to expand their medicaid programs? >> my opinion of the states, i am sad and disappointed for their citizens, citizens who need care and are contributing to paying for care through their taxes in other states that do expand. the expansion research shows from commonwealth from urban institute how much in the interest of states this expansion is and i believe it is only political opposition to this log disk depriving these citizens have access to care and the state of needed revenue. >> by not participating there leading significant resources on the cable that could be used for their citizens. >> they sure are. >> a lot of these people are getting sick and sicker and some will die. >> the institute of medicine found lack of insurance kills. floor of protection is if you are not the parent of a dependent child or disabled or old you are not eligible for coverage in most states. that hole is a vestige of an old-fashioned welfare system that assumes these people would get coverage through their jobs. they don't ge

about 70,000 of them will not take medicaid patients. under the expansion of medicaid is a big part of obamacare. the big reason california pays even less than federal medicaid reimbursement rates. richard pollack found that the other states doctors get $76 in office visit. in california they get $24. other states they get 500 to $700 for tonsill he can toe my, in california they get $160 a lot of doctors say it is not worth it. the other problem, obamacare will be more thousands people on medicaid. it is expanding medicaid to make more people eligible for it. more medicaid patients, fewer doctors that could be a crisis. melissa: california isn't alone. new york state medical society, 44% of the doctors said they aren't participating. 33% say they aren't sure. is it fair to say it will be a nationwide problem? >> it will be nationwide problem but particularly acute in the bluest states. melissa: why? >> states expanded medicaid over the years to irresponsible levels. they don't have a lot of flexibility to turn down the spending. only thing they can to do t

how much -- how many of those people have signed up for the medicaid expansion? of the 69,000 that we have so far, 38,000 have enrolled for private insurance plans and 31,000 for medicaid. >> so 38,000 are on the private insurance plan. of that population, does the same thing hold where there's a lot of people in the younger demographic and the 55 to 64 cohort? >> it is. we have roughly 55% of our enroll lees come into private insurance, which is among the highest if not the highest in the country. >> why do you think you had a much bigger number sign up than you expected? who set the original expectation there? i'm curious. >> well, i think one is we may not be the best people at projecting in our state. maybe we're a little bit too conservative new englanders. number two is i think that our marketing campaign, which really focused on making sure people didn't leave money on the table, has worked. >> finally, kevin, how much is it going to cost connecticut for that medicaid expansion? >> i'm sorry, could you repeat? >> how much is it going to cost connecticut for

we don't know how much of that is medicaid expansion, which is part of the affordable care act. there may also be some folks who as they say have come out of the woodwork, knowing that it's time to sign up. they may have been eligible all along, but now they're signing up. the medicaid is going better than the paid enrollments. but the paid enrollments is really the key to this because that's where you really need to expand the risk pool. and if young people stay away and wait for a long time to sign up, it really makes a much more difficult market for the insurers and for the program itself. >> obviously, lots of issues, a lot of problem spots. going into 2014, what's the key thing you're going to be watching for in health care? >> i think the key thing we're going to watch is to see what kind of mix we get in terms of the enrollment. clearly you're not going to get the huge numbers, but what's even more important then, because it's a smaller pool, is that you have a wide and diverse group. again, that you have the healthier people signing up, not just the people who are going

so you get the middle class to pay for the medicaid expansion?>> well that is a big part of this goal of the president's health care law is to get young, healthy people, to buy much more insurance that they need or want or will ever use to pay for other people's coverage but sure looks like those young people are not going to be signing up because they have seen through what the president is tried to do here. i think all across the country people are being hit with higher premiums, higher deductibles. front page story today in the "wall street journal", that the deductibles on average are much higher, over $5,000 per person if they buy the least expensive of the policies on the exchange, the so-called bronze exchanges. people that are going to do comparative shopping are going to find this health care law that president obama has offered them is not a good deal. many people feel they will be pay more, getting less. i was back in my medical office in wyoming last week. people, patients i talk to are afraid they're not going to be able to keep thei

and those by law did not adopt the medicaid expansion so which makes it worse but not as big of a problems where they have not adopted. >> f fredericks in think you for being with us. tracy: added the stock market flying to new highs wear shed to be investing? we will talk to a panel of experts. are you fed up with lightning? buckle up. is about to get worse. ♪ [ enge revs ] ♪ ♪ [ male announcer ] the mercedes-nz winter event s back, that's just right for you, no matter which list you're on [ santa ] ho, ho, ho, ho! [ male announcer ] get the all-new 2014 cla250 starting at just $29,900. just by talking to a helmet. it grabbed the patient's record before we even picked himp. it found out the doctor we needed was at st. anne's. wiggle your toes. [ driver ] and it got his okay on treatment from miles away. it even pulled strings with the stoplights. my ambulance talks with smoke alarms and pilots and adiums. but, of course, 's a good listener too. [ female announcer ] today cisco is connecting the internet of everything. so everything works like nev before. tracy: in fox business alert unti

another report by national center for policy analysis, claims in one state alone, arizona, medicaid expansion will cost taxpayers about $1 billion a year. emanuel stressed he still believes enough young and healthy people will sign up to pay into the system and help balance it out urks. >> i think there will be a fiscally safe budget. >> usa today recording that scores of people dealing with this glitch and not being able to get insurance before the december 23rd deadline to enroll. >> ed on the north lawn. thank you. >>> some people think the revamped health cacare.gov look better. but looks can be deceiving. >> there is a new future at healthcare.gov that puts premiums and deductibles or out of pocket expenses on the same screen, so the prices are easy to see but hard for some to swallow because the average deductible is now 42% higher for the most basic bronze plans than the deductible of similar plans before the fgt took effect. now some experts say sticker shock may hit sooner. >> people who use medical services frequently will be the most affected by the out of pocket cost. if you are v

. >> president obama's former advisor david pluth made a bold prediction about medicaid's expansion. >> it's a fact. it may take until 2017, almost every state in the country will run their own exchanges and expand medicaid. i think it the work well. >> is that right, states like kentucky, where they work great. mississippi next door has few sign ups and prices are different. in kentucky, they are lower than mississippi. with politics push other states to say we have to get on board and set up exchanges to help the constituents, whether they'll demand it. >> i don't think a state or govern nor listens to david pluth. he's good at the politics. he's saying states like kentucky, where a governor says we'll have a state-based exchange not just through the federal and we have success, it will make it difficult for some states where some said, "no, we are not going to be part of a state-based exchange, we'll stay on the federal. as soon as you have your constituents and residents and state doing that, it will be give for you to say, "no, no, we'll be more expensive and not give you as good