host: douglas holtz-eakin is the former director of the congressional budget office.e is also the president of the american action forum. he joins us this week to discuss a report that finds health care spending has jumped up from the historic lows of recent years. is that jump something americans at should be concerned about right now? guest: absolutely. if you look at the foundation of our federal budget problems, if you look at the concerns about wages and not rising in the united hates, all of those are linked to health care spending. the big federal spending programs are the affordable care act. the biggest compensation costs employers have are there health programs. if premiums go up they can't pay as much. to see the spending jump back up and the way that it has is really concerning. host: was this jump expected as a result of millions of people joining the ranks of the insured through the affordable care act? is this something that was budgeted for, or unexpected? guest: it is the classic horserace. the affordable care act is something that unquestionably was

tom: douglas holds aiken, -- douglas holtz eakin, thank you so much.g up, a conversation with the vice chairman of the federal reserve. stanley fischer, then alan greenspan. a very blunt and direct alan greenspan. "bloomberg surveillance" from new york city and are nearly -- and our news bureau in washington. good morning. ♪ tom: good morning, everyone. we welcome you all worldwide to washington, d.c., for a special "bloomberg surveillance" this morning. brennan and vonnie are in new york. i am in washington. we look at domestic and international economics. really looking forward. many good questions, particularly to stanley fischer. i will sit one of those in at the top of the hour. let's look at our single best chart. here's brendan greeley. brendan: the dow jones reaches down gently as if the moving away.es .13% that was the friday close. this is the subject of our single best chart. this is something technical analysts look at that shows the breakdown in momentum, a sign that an asset's best days are behind them. joseph writes about equities for "b

douglas holtz-eakin will be talking about this all morning.ur take away on the jobs number today? >> it is back to what will presidential candidates talk about? they have to talk about any quality issues. you have to get people to word, the difference between being for and not poor, have skills in the labour force, we see skills sets all the time but none of the works unless you have more rapid topline growth and we have to change the play book. the playbook is not working. maria: surprise this did not come up last night. charles: you mentioned the skills gap, jesse jackson will be on my show tonight, silicon valley and other industries to hire more blacks and hispanics but it is about a skills gap in this country, 5.3 million job openings, almost a record and it is up 100% from a lows and people cannot qualify. it is not just stem jobs. it is middle skills, plumbing, driving trucks. a lot of that people can't pass a drug test. the fact of the matter is we have an education crisis in this country. if we want to be a player in the global econom