if we're going to advance healthh care reform, we've been working on reforming and managing care as hospitals and providers in this state for aong time f. much of the increase you - - the other big portion of that increase is we extended the program last year. over 150,000 additional people in the state who are not using emergency room as their family care provider, which is a good thing in all respects. >> let's stop for just a second basically a person who has been a recipient of medicaid for years since the program has started in iowa has had a represent, a health provider. under the governor's plan that program's being replaced with four private companies those recipients will now have to go to and decide wh which one they want to have provide their care at in itsel seems confusing when you break down - - in your question for you i have is okay let's take four people they each have the same heart ailment. >> in the same family. >> go one step further. they each have different mc o's providing their health care. what kind of snake ps nest sthalt for hospital across the state to have to div

he'd worked for the county, was a healthh inspececr. witnesses say when he arrived at loan at first yesterday, he got into an argument. then he came back 10 to 30 mites later with his wife. heavily armed. based on the witness description of farook's odd behavior that morning, police staked out the couple's house in redlands, ten miles from san bernardino. when this suv was seen leaving the house, police followed it and the couple began shooting out from the back of the vehicle. when the shooting was over, the two were found dead inside. farook's brother-in-law says the couple had a 6 month old daughter, which they left with farook's mother wednesday. claimed that they had a doctct's appointment. now, investigators are delving into farook's luf. they're -- life. they're looking for a motive. he recently went to saudi arabia last year, it appears. based on the timing, their initial assumption was he was there for t pilgrimage for devout muslsls. for the motive, that'ss a mystery still. authorities say this was clearly well planned. not on

women are not charged d re than men any longer for our healthh insurance. ande keep y yng people on our policieses until they turn 26. those are all really positive developments. but out-of-pocket costs have gone up too much and prescription drug costs have gone through the roof. and so what i have proposed, number one, is a $5,000 tax credit to help people who have very large out-of-pocket costs be able to afford those. number two, i want medicare to be able to negotiate for lower drug prices just like they negotiate with other countries' health systems. we end up paying the highest prices in the world. and i want us to be absolutely clear about makakg sure the insurance companies in the private employer policy arena as well as in the affordable care so that we are not being gamed. and i think that's an important point to make because i'm going through and analyzing the points you were making, martha. we don't have enough competition and we don't have enough oversight of what the insurance companies are charging everybody right now. >> but you diday those

secretety clinton, thehe partment of healthh and human services says more than 17 million americans who are not insured now have health coverage because of obamacare. but for americans who already haha health insurancece the cost has gone up 27% in the last five years while deductibles are up 67%, health care costs are rising faster than many americans can manage. what's broken in obamacare that needs to be fixed right now, and what would you do to fix it? >> well, i would certainly build on the successes of the fix some of the glitches that you just referenced. number one, we do have more care. we have ended the terrible situation that people with pre-existing conditions were faced with where they couldn't healththare. women are not charged more than insurance. and we keep young people on our policies until they turn 26. those are all really positive developments. but out-of-pocket costs have gone up too much and prescription drug costs have gone through the roof. and so what i have proposed, number one, is a $5,000 tax credit to help people who have very large out-of-pocket costs be a