result. >> judith feder, a unit physician? >> no, sir.ou, gen >> is medicaid financially an? sustainable? >> i yes or no? sustainable? >> it is not -- it is about long-term care in large part, o medicaid costs are growing . slowly. many low-income people. >> based on reimbursement rates is unsustainable. >> i tholought you were talking about -- y >> financially and sustainable. >> would you agree with that?fiy >> i am not a physician but i did go to medical school. >> is medicaid sustainable? >> no. >> not in present form. expanding, it is not be there. >> even expanding -- i'm sorry, i hit the wrong button. so it is not sustainable. in the expansion will add to that in a number of ways. it could be if you informed it among the different lines. >> you heard the comments and what is your opinion in regards to this? are we not just chasi >> i recently published a book about medicare that details in 48 pages how the reimbursement structure of the program under pays physicians for care has led to poor access for those individuals and that is leading to poor health outcomes. the m

professor judith feder is a professor of public policy at the mccourt school of public policy at georgetown university and a fellow with dearborn institute. mr. edmund heiss of mire. i do that every time. welcome back. a senior research fellow for health policy studies at the heritage foundation and doctorow a., m.d. is a senior fellow at the manhattan institute for policy research. eshoo saw on the first panel pursuant to the rules of the committee would you please rise and raise your right hand to take the oath? do you solemnly swear or affirm the testimony you're about to give us the truth the whole truth and nothing but the truth? please be seated in left the record reflect all answered in the affirmative. dr. roy. >> chairman issa ranking member coming seven members of the oversight committee thanks for inviting me to speak with you today about the affordable care act. my name is opec right i'm a senior fellow at the manhattan institute for policy research in which the capacity i said conduct research on entitlement reform. i'm an advocate of market-based universal coverage. i believe