dr. zeke emanuel, author of "reinventing american health care how affordable care act will improve our tearlae complex, unjust, expensive, error prone system." doctor, thank you for being here. i think that is a pretty unambiguous title about how you feel about things. where do you think we stand right now? four years after passage of the aca, we are in a very good spot. the exchange is about to end. the first open enrollment, projections are by end of monday, we will have 6.5 million people enrolled, just off what was projected originally, and that is pretty good, considering for two months, the federal exchange didn't work in there. some state exchanges that still aren't working. we have got, ak sthael grectual improvements in quality. hardly trumpeted. declines in hospital infection. decline in errors like early c sections that aren't for medical reasons. so, the, you know, quality has been improving. and then, cost has been flat for the last three years. matter of fact, people on medicare, medicaid have not seen real increases in their premiums. and so, i think we are in a very good spo

dr. zeke emanuel is the former white house adviser on health care, also the author of a new book with an illuminating title, "reinventing the american health care." dr. emanuel, thank you so much for being here. i think that's a pretty unambiguous title about how you feel about things. where do you think we stand right now? >> well, i think four years after passage of the aca, we're actually in a very good spot. the exchange is about to end its first open enrollment, the projections are by the end of monday we'll have about 6.5 million people enrolled, which is just off what was projected originally, and that's pretty good, considering for two months the federal exchange didn't work in there. some state exchanges still aren't working. we've got actually great improvements in quality that have hardly been prump etted at all. declines in hospital infection, decline in other errors like early c-sections that aren't for medical reasons, so the, you know, quality has been improving and then cost has been flat for the last three years. as a matter of fact, people on medicare and medicaid have n

dr. zeke emanuel has a new book out on health care in america. a behind the scenes look at drafting the affordable care act legislation. zeke joins us now. we're thrilled to have him. good morning to you, zeke. >> nice to be here. thank you. >> lots of questions from this book and in the news. let's start with the news and i want to get to some of the issues in the book, very provocative views about what the future will look like. on the merits of where we are today, given we just had this announcement yesterday, at least parts of obamacare will be delayed again through 2016. >> i think it's a minor part. this is private insurance plans. people who have been on them continuously can hold them for a couple of more years. it affects, according to the rand think tank less than 500,000 people in america. i just don't think this is a major part of the bill. we get wound up in a few very important stories and some people who find that they can't afford new insurance or don't have -- haven't explored the exchange. >> let's talk about that transformation

dr. zeke emanuel, thanks. book is "reinvent iing american health care."l russell simmons will join us in a few minutes. we will be right back with more "morning joe." ♪ i don't know if we could have found all the services we needed for our riley. for over 18 years we've helped people take care of the things that matter most. join today at angieslist.com and his new boss told him two things -- cook what you love, and save your money. joe doesn't know it yet, but he'll work his way up from busser to waiter to chef before opening a restaurant specializing in fish and game from the great northwest. he'll start investing early, he'll find some good people to help guide him, and he'll set money aside from his first day of work to his last, which isn't rocket science. it's just common sense. from td ameritrade. humans. even when we cross our t's and dot our i's, we still run into problems. namely, other humans. which is why, at liberty mutual insurance, auto policies come with new car replacement and accident forgiveness if you qualify. see what else comes stand

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dr. zeke emanuel, former obama health policy officer and author of "reinventing american health care." sir. i hope you're an lbj fan. >> i love it. it's great. >> let's start right here with something that goes to the politics of this, and then of course i want to get you on the policy as well. first the latest nbc news/"wall street journal" poll shows something pretty interesting. take a look at this. 48% of americans would rather vote for a democratic candidate who supports fixing and keeping the aca compared to 47% who would vote for a republican supporting repeal. and that's in of course what has been an arguably rough midterm environment for democrats. do you think, do you argue that part of what's happening is the facts are catching up with the most negative horror stories about the aca? >> yeah. i think it is the case that people are beginning to realize there are some benefits here to the affordable care act. young people can stay on their parents' plan. people can get on medicaid. millions of people can get coverage through the exchange even if they have a pre-existing conditi

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