let's join a surgeon at mount sinai help and our old friend betsy mccoy, author of "beating obama care betsy, there's a lot of interesting stuff in this gao study. if you're a 30-year-old in reasonably good health and you're making $35,000 a year, you don't qualify for any subsidy you have to pay $2,039 for the worst plan out there and they will not sign up. >> the worst plan is a plan with a $5,000 deductible. so that young man who is going to write a check for over $220 every month will get nothing back. how many months before he says before writing a checks to the obama exchange, let me mike a car payment. one of the thing is the default crisis because the assisters who are going to coax people to enroll in these plans are getting paid in most states $58 per enrollee. never mind whether the enrollee is capable of paying the premium every month or intends to pay -- >> who is tpaying it? >> the state exchanges. >> state exchanges? >> the federal ones, too. just like the mortgage bankers who encourage you to signed up to -- >> 35 grand is not a lot of money. they're not going to get an

joining us is betsy mccoy author of "beating obama care," and how do you beat with with the nfl, nba,ents to join it. >> they don't have the sports stars. they decided to stay on the sidelines. >> for now, for now. >> yes. the librarians, appropriate and refreshing, the fact is that librarians are purveyors of information. people go to the library, and, you know what? who else reads this other than a librarian with plenty of time at the desk? you know what? as refreshing and appropriate as it is, and i don't think there's any money involved, that's not come to light, it's really diverting attention from another less appropriate, n., down right unethical way to conduct outreach, and that is what's happening, for example, in california. the department of health and human services made a $921 million grant to the state of employment. first, they said they could have the money, passed a law saying voter registration was part of the exchanges, and then they made 48 grants, a handful going to health care organizations. the naacp got 600,000. >> right. >> nciu got 2 million, and aflcio got 2

betsy mccoy read the bill.robably the only one that will. >> it's supposed to make medicine better. turns out that may not be the case. what you need to know before you get your next check up. and david ortiz is raging mad, even smashing his bat in yesterday's game. what's behind it coming up. [ brent ] now steve's looking pretty good so far. [ herbie ] eh, hold on brent, what's this? oh, that's the new nissan. there's no doubt, that's definitely gonna throw him off. she's seen it too. oh this could be trouble. [ sentra lock noise ] oh man. gotta think fast, herbie. back pedal, back pedal. [ crowd cheering ] oh, he's down in flames and now the ice-cold shoulder. one last play... no, game over! gps take him to the dog house. [ male announcer ] make a powerful first impression. the all-new nissan sentra. ♪ are you flo? yes. is this the thing you gave my husband? well, yeah, yes. the "name your price" tool. you tell us the price you want to pay, and we give you a range of options to choose from. careful, though --

that became part of the betsy mccoy death panel and everybody just ran for the hills rather than trypursue that form. >> old people should depend on medicare. they like that program. he will not get rid of it realistically. if aetna tried to do that, they would go after that, too. >> a different point there in terms of how the politics get in. it is almost impossible -- >> not quite. to take an example, there are medicare. that mimic medicare says if the drug is fda if thed -- congress says job is fda approved, they have to pay for it. various state laws mimic it, especially when it comes to cancer drugs. even if one drug cost eight times as much of another drug, to be licensed to sell insurance, private insurance, in that state, you have to pay for drugs. i do not think you get rid of the politics of this if you get rid of medicare. >> i say we cannot get rid of congress. [laughter] that is right. what i am proposing is not that we get rid of government supports. creatingrence is, by more of a market in routine services, we create other .ncentives we try to balance it. the reality i

that became part of the betsy mccoy death panel and everybody just ran for the hills rather than try to pursue that form. >> old people should depend on medicare. they like that program. he will not get rid of it realistically. if aetna tried to do that, they would go after that, too. >> a different point there in terms of how the politics get in. it is almost impossible -- >> not quite. to take an example, there are state laws that mimic medicare. medicare says if the drug is fda approved -- congress says if the job is fda approved, they have to pay for it. various state laws mimic it, especially when it comes to cancer drugs. even if one drug cost eight times as much of another drug, to be licensed to sell insurance, private insurance, in that state, you have to pay for drugs. i do not think you get rid of the politics of this if you get rid of medicare. >> i say we cannot get rid of congress. [laughter] >> that is right. what i am proposing is not that we get rid of government supports. the difference is, by creating more of a market in routine services, we create other incentives

betsy mccoy. what do you make of this exchange problem?exchange plans pay doctors and hospitals less. they are reluctant to sign up to be part of these exchanges and that is providing access problem everywhere, not just in a poor state like mississippi. in california, it's reported that cedar sinai refuses to participate in any of the exchange plans, so people who sign up for those plans have to drive right by cedar sinai and go to a bargain basement hospital. in maine, hospitals and doctors said no way we are going to work for so little money. people who sign up for exchange plans there may have to drive 100 miles to see a doctor. >> this was to help people without insurance, poor, people without access to health care. >> in addition you see insurance companies refusing to participate. one reason is that they see a default crisis ahead. this system is coaxing young healthy people to sign up for health insurance. even after subsidies they are going to write a check for $150 to $200 a month. they are going to write that check $150, 200 a mo

cancer on d have hip replacement the month before they're going to die and that became part of the betsy mccoyeryone just ran for the hills rather than try to pursue that kind of reform. >> isn't that the point? isn't it relying on medicare to discipline the practice of care? >> when you're talking about old people and you don't like it, but old people depend and will depend and should depend on medicare and they like that program, everybody in the country likes that program. you're not going to get rid of it realistically. if aetna tried to do that, they would go after aetna, too. >> making a different point in terms of how the politics gets into this, it's almost impossible to extricate politics. >> not quite. to take an example, there are state laws that mimic medicare. medicare says if a drug is f.d.a. approved, congress says that if a drug is f.d.a. approved, they got to pay for it. congress says they can't negotiate the prices for it either. various state laws mimic that, especially when it comes to cancer drugs, that even if one drug cost eight times as much as another drug and they hav