there is always the talk of what you do with medicare for all, medicaid for all, medicaid buy-in. these are things democrats seven talking about. and heling has come down gives them a new sense of urgency. the last election was about people protecting pre-existing conditions. democrats ran on this and won on this. they will want to tackle this, whether or not republicans in the senate -- that's another story. they support pre-existing conditions but it depends on what comes out of the democratic house. host: is there one particular idea that can pass the democratic house and the republican senate and be signed by the president that would resolve these problems we are seeing? really -- i think that would be a challenge. i think getting the parties to agree on health care is a tall task. if there was some way that weryone could say, yes, support people with pre-existing conditions and we want to protect people who have existing conditions, that may be a policy but it depends on what the policy looks like. so far there has not really been anything put forward that everybody can suppo

. >> with that bill presented in congress with that medicaid buy-in and among those who propose a buy-in but it is already in place and that allows for an easy transition for people who may not be ensured or cannot afford the coverage of our program that is already established and works well the other b benefit you have a public option you can also use the market so you can use that mechanism by which medicaid may be offered on the exchanges that also brings down prices from the competition. >>host: florida go ahead. >>caller: socialism is dying around the world global capitalism and obama wanted to move further to now we cannot tell them what to do with their body men women and children you use the word mandate u but it is just ridiculouslo because if you took away socialized medicine it would become competitive again and then they would pay the right price but with medicare they use five times what they paid in and that's usually during l the last year of their life so how was this good when you keep pushing socialized medicine cracks england is trying to get a visit down to 18 weeks y

guest: the bills presented in congress, there are a number of buy in options, medicaid and medicare. senator chris murphy, and others have proposed a buy in. one of the nice features is that you have a program in place with rates set, and it is provider networks. it is an easy transition for people uninsured or unable to afford coverage. another benefit of it is that, when you have a public option you are also able to use the market to compete. a lot of this mechanism, something like medicaid might be offered on the exchanges, that could also bring down private prices by offering competition. host: george in ocala, florida. caller: hello, everyone. socialism is dying around the world, taken over by global capitalism. obama wanted to move further to it. women tell us not to tell them what to do with their bodies. he told us what to do with our entire bodies. you are using the word mandate. why not use the word dictate. it is ridiculous. if you took away socialized medicine, medicine would become competitive again. doctors would have to pay to write prices. in medicare, people use five

some are for medicare buy in and some are over 55, some are medicaid buy in, some are public option. we have to da lot more on health cile. itbe a major issue in 2020 and i believe democrats will get the best health care for the most people. >> where are you? do you think you should spend more time fixing the affordable care act or launching a new proposal? >> we have to undo the decision. we have a republican president and senate. they spent a lot of time sabotaging health care.st that's the fob. after that, democrats, as we did in 2018 rather successfully will make health care a major, probably the major issue in the upcoming campaigns and as we acs in conand we're going to force the republican colleagues now that this decision has sort of lifted up their hypocrisy to choose a side. are you for the american people, working people for more and better health care or are you going to continue to cut it? same with trump. same with president trp. >> i know you're careful putting your view here now that you're the leader of the senate conference there, are you going to support medicare f

guest: the bills presented in congress, there are a number of buy in options, medicaid and medicare. tor chris murphy, and others have proposed a buy in. one of the nice features is that you have a program in place with rates set, and it is provider networks. it is an easy transition for people uninsured or unable to afford coverage. that,r benefit of it is when you have a public option you are also able to use the market to compete. a lot of this mechanism, something like medicaid might be offered on the exchanges, that could also bring down private prices by offering competition. host: george in oak hollow, florida. caller: hello, everyone. socialism is dying around the world, taking over by global capitalism. obama wanted to move further to it. -- womenl us not to do tell us not to tell them what to do with their bodies. you are using the word mandate. why do not use the word dictate. it is ridiculous. if you took away socialized medicine, medicine would become competitive again. doctors would have to pay to write prices. people use five times what they pay in. one third of that is

medicare buy-in allowing people 50 and up to buy in. expanding medicaid. but those things as we've mentioned would be really difficult to pass through our public incentive and get approval from trump. there are possibly things to shore up aca that they could maybe push through. >> jonathan, some of the republicans who are part of the lawsuit against the affordable care act, they campaigned on protecting preexisting conditions. what is the political risk for republicans if they pursue new health care legislation? >> there's a huge political risk here. there are notable exceptions to that rule. you've got gosh hauljosh haul i attorney general for missouri. they would point to him and say he didn't suffer for it. the major issue for democrats was protecting preexisting conditions in which democrats picked up about 40 seats, historic wave election that they haven't seen anything like that since watergate. this is a huge risk for republicans. when they say they want to protect preexisting conditions, they haven't found a mechanism. they've basically eliminated

there is always the talk of what you do with medicare for all, medicaid for all, medicaid buy-in.hese are things democrats seven talking about. and heling has come down gives them a new sense of urgency. the last election was about people protecting pre-existing conditions. democrats ran on this and won on this. they will want to tackle this, whether or not republicans in the senate -- that's another story. they support pre-existing conditions but it depends on what comes out of the democratic house. host: is there one particular idea that can pass the democratic house and the republican senate and be signed by the president that would resolve these problems we are seeing? really -- i think that would be a challenge. i think getting the parties to agree on health care is a tall task. if there was some way that weryone could say, yes, support people with pre-existing conditions and we want to protect people who have existing conditions, that may be a policy but it depends on what the policy looks like. so far there has not really been anything put forward that everybody can support

we've seen on the ballots in november, we saw several states have expansion in medicaid so we think all of those things lead to a buyng for us on unh. >> thanks for the question and joey, this from don in white bear lake. boston scientific, what do you think of it as a long term stock five to ten year holding >> that is a tough one, but it is $39 back in october about 34.66 right now. all the medical device names have pulled back i like most of them. i think boston scientific will be okay. i think up side is limited to about a 40 dollar stock. other names i'd favor would be edward life sciences, i like baxter and striker but they have all come down. and my favorite is pki, that is $77. and that has been a loser. medical devices themselves longer term i think are okay >> and ron in fargo, gilead. what do you like of them >> a little too speculative for us but it is all about rate of change they had been -- they have seen sales decline since 2015 a lot of people are expecting this to be a trough for them hopefully that is the case they are very strong in the hiv market however, i believe that it is just pure speculati

medicaid expansion was still operative and 38 states and the district of columbia. millions of people were buying insurance. all of the other reforms we had done for the employer sponsor market. the reforms in doctors, quality improvement, all of those were still standing. we are a lot of the aca still standing, even though the mandate had been toothless since passage of the tax law. so judges saying it is essential that everything falls apart is simply an overreach and a distortion of the actual facts of how the affordable care act works. unlike 2010, when we do not actually have the affordable care act working, in 2018 we had it working and we understand it is important. mandate. have that it is not the essential thing we thought it was in 2010. david: on the legal side, let's put aside the question of whether chief justice roberts would uphold the constitution when there was not really a tax. the supreme court will decide that. ,et's get back to the question in this day and age, is the individual mandate material to the affordable care act? are you saying it has not affected people's enrollment as a practical matter? dr. emanuel: correct. it is essential. it is important. i would rather

medicaid expansion is popular. that's not going away. in the end, part of obamacare will be saved. this could be a great opportunity for looking at the other big piece. again, high deductible. forcing people to buyhem. now they're not being forced. they're not going to buy it. so offer alternatives. the trump administration started going in the right direction by offering plans that were skinnier plans for a year or -- >> neil: what about the millions that have coverage right now? what will happen? >> they're going to keep it. if it's declared unconstitutional, republicans will have to come back with a plan and the democratic house, they have to come back with a plan that saves coverage for pre-existing conditions, saves the medicaid expansion and offering more options, more choice, more transparency. >> neil: in the end, isn't that a victory for those that wanted government-run healthcare? that train has left the station -- >> and we read about that in the "wall street journal." yes, this train has left the tracks. millions are using this. billions in subsidies in place. those aren't going away. i don't think this law can be overturned. >> neil: do your patients use the affordable care act? >>

medicaid plan. basically what it forced them to do in the individual market who could lease a for this. the government compelled them to buysurance policies that effectively were overpriced for what they needed and the entire thrust of the president's arguments. and it provides for things that they don't necessarily need. >> if you are watching right now obamacare still exist. please register and senate. the same five justices are still sitting on the court. it's their decision that will be the same. but what i'm struck by is the republicans that are rejoicing in this and that people wanted to maintain pre-existing conditions. a number of republicans went out there next relied about their long-standing position on pre-existing conditions in order to get people to vote for them. what this judge has and is called all of that work that those republicans who were smart enough to pivot into question because what are they going to do now. >> they lied about it. they are on the record. that they want to repeal and replace obama care. they will have another plan. we always wanted to protect the pre-existing conditions. after you l