all medicare plans, whether traditional medicare or private, must, must offer all required medicare benefits. now, here's the kicker. if, in fact, there are some cuts made in medicare advantage, then these private plans, these private companies that are making $12 billion is their slush fund. maybe rather than cutting the benefits, maybe they will decide to cut their c.e.o. salaries from $12 million a year to to $10 million a year. maybe they will decide instead of three or four corporate jets, they only need one corporate jet. maybe they'll start reducing some of the profits that they're making, huge profits that they're making off of the taxpayers and off of medicare payees right now. so, again, if you cut the medicare advantage programs, i guess my friend on the other side say well, number one, they can continue to pay their c.e.o.'s $12 million a year salaries, they can continue the corporate jets, they can continue to have all their fancy buildings, they can continue to have all these outrageous profits, but they're going to have to cut medicare. that's what the other side is saying. wh

managed care or medicare advantage expenditures for medicare increased 21.3% in 2008. a higher growth rate than fee for service, it accounts for a much smaller service of fee for spending. most was due to enrollment. enrollment in medicare grew 6.7%. when you look at per enrollee expenditures medicare increases 6.8% compared to 5.8% of overall medicare spending per enrollee. looking at medicaid expenditures now you can also see that it deaccelerated from 6 .1% in 2007 to 4.1% in 2008. this was the slowest rate of growth since 1997 with the exception of 2006 when part d was implemented. the 2008 deacceleration was driven by a deacceleration in hospital spending and also due to budgetary challenges that were faced by several states that reduced medicare and -- payments to providers. also a temporary change in s map percentages caused a deacceleration in medicaid while the -- also medicaid enrollment increased 2.6% in 2008 following a 2.7% growth in 2007 as more people qualified for benefits in part due to the resefplgts and finally because the majority of job losses occu

the life of medicare. medicare is going into bankruptcy, but it would extend the life of it. that's an honest and correct score. the congressional budget office utilizes what it calls the unified budget. they scored the whole budget as to how it comes out, and the amount of money is increased to the government through medicare, and they score that as a gain, and then since the health care bill didn't take effect until -- benefits of it until four to five years later, that over ten years it would create a surplus of $132 billion. sound good? well, but i read the small print of the c.b.o. letter and the small print of the medicare letter, and the medicare man hold us, the chief actuary, that if you raise taxes and you cut spending in medicare, it will extend the life of medicare. we had a parenthetical line in there. he said, of course, you can't simultaneously use the medicare savings to fund a new program and claim it does both. you would be spending the money twice. how logical is that, but that's what th

for medicare.would seem that had the specter of the stigma is growing taller, whether they are eligible due to circumstances, seemed to becoming second-class citizens, and this is slipping away from the debate. i could go on for quite some time about this, but i wonder if anyone will address these issues of the dwindling pool of primary care providers and the stigma that some of these existing plants are getting, not to mention the stigma of the public plan. where are these providers going to come from with the ever- increasing cost? i will be happy to take my comments off the air. guest: with regard to state medicaid and cost, all those would be made newly eligible for the program through the reform. they would be enrolled in the states, but states would receive very high matching rates. so the government would be internalizing the vast majority of the cost associated with of the cost associated with those newly-eligible that really provides a great deal of support for the state on that. with rega

last year, medicare expenditures that were built in the state of florida were $96 billion, but medicarehat is in large part because of the efforts of everyone at this table. >> are we running out of time? i know our panelists will be around for a local wild. -- for a little while. >> i will take a look at some of these questions and see what i can edit or what is appropriate. i am ensure -- i am not sure we have that much time. i will shoot for one where the writing is clear. [laughter] how are cms career intermediaries involved in the process? >> one is through our work miami field office. we have staff on the ground in miami. one way is helping them understand the things we are seeing, debtor perspective so they know where potential leads might be developing. >> will cms outsource the fraud scoring? >> i am not quite sure what they mean, but we do use outside contractors to assist us. >> several panelists have mentioned that some of the beneficiaries themselves are involved in medicare fraud. what steps are being taken with respect to them to flag those individuals and work on fraud p

vo: if you're over 65, have diabetes and are on medicare... vo: ...call now and we'll send you a free meter. vo: it offers alternate site testing, so you can test on your arm. no more pricking your fingers. vo: and to make it even less painful, the cost of your diabetes testing supplies may be covered by medicare. vo: join over a million others who have chosen liberty medical. vo: call now and receive a free accu-chek aviva meter. vo: plus, for a limited time, get a free cookbook when you join. end tag vo: call the number on your screen. >>> 2009 oscar ballots have been mailed out. the nominees will be announced next month. >> jeremy and i already have some ideas of our own as far as what could get best picture of the year. for me it goes to "precious." i thought that the acting knocked my socks off. it's set in harlem in 1987. where precious is a 16-year-old african-american girl who's pregnant for the second time by her absent father. she's abused emotionally and physically by her mom who you see there played by monique. precious can't read

of medicare. whereas medicaid is for a group where there are probably fewer voters. that is one consequence why medicaid payments have lagged far behind even medicare. >> germans are always so critical of the system. they have a terrific system. the last 20 years they have been engaged in constant reform. i think that they have made their system better. the mix that you have now with about 10% with private interests are the most wealthy people. that is a nice match. in the u.s. we have maybe 20% on medicaid, although it pays for 40% of the births -- there's not enough public support to sustain that at a good quality. that mixture would work for me. >> i was surprised by this question that a lot of americans believe that the doctors can do everything. have you ever checked this fact against the sample of doctors? >> and that is next. >> thank you. [applause] >> think you, panelists. we will take a 15 minute break and then reconvene to talk about making policy. >> federal reserve catcher ben bernank

of what point when we have a serious conversation by medicare and long-term liability?ime in getting it done. i am committed to doing it. i've already gone over time. i will be happy to take your question of line. you can give me a call. thank you everybody. a [applause] god bless the united states of america. ♪ [captioning performed by national captioning institute] [captions copyright national cable satellite corp. 2010] ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ Ñi ♪ [playing patriotic music] ♪ ♪ ♪ ♪ ♪ ♪ çó ♪ ♪Ñi ♪ ♪ ♪ [playing "this land is your land"] >> after their meeting with the president, republican leaders spoke to reporters. we will here from john boehner, eric cantor, and mike pense. this is 10 minutes. >> while we are pleased that the president accepted our invitation and came to the baltimore today to have a dialogue with our members. i thought that the dialogue went very well. a lot of discussion about the solutions that we have offered to the administration and to our democratic colleagues all year, and the fact that we want to continue to find common ground. we're not always goi

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and if you're new to medicare... or rethinking your current supplemental insurance plan, these rates are competitive and could be worth a look. now that's the kind of help i like. call now for your free information about aarp... medicare supplement insurance plans, insured by unitedhealthcare insurance company. >> in the consumer alert, it appears that it does cost more to be able madrid the january issue of "consumer reports" found that items aimed at men and women can cost women more than 50% extra. according to the magazine, some companies to provide a decent reason, like making a shaving cream bottle less resistant for women to use in the shower. but most the time, the items are the same but have a higher price tag for women. >>> students arriving on campuses for the next semester usually find credit card companies offering them sweet deals for credit. but a new federal law requires students under 21 rto have an older adult cosign for the account could 2/3 of college students have at least one credit card and 25%

funding since medicare was created, the medicare rt prescription program?hat's right. >> was that the largest increase in medicare entitlement spending since medicare had been created to? >> yes, i think that was the largest increase, not is a the number seven increase over time based on the cost of providing benefits already written into law. in terms of the expansion of benefits, that was a very significant expansion, and it was and acted without any particular means of paying for it being identify. >> in fact, it was asked without being paid for at all, is that correct? >> yes, congressman. >> all that money was borrowed in effect. do you know how much of a tenured -- what does the part d prescription program? >> that's a good question. >> can someone give me a ballpark? 10 years from the time it was passed. what did 10 year cost? [inaudible] >> i'm not sure, congressman. the actual cost is coming below cbo's estimate, even for the below the as that of the office of the actuary at the centers for medicare medicaid services. but still a substantial amount

medicare down. many of those that boat are in favor of medicare. in -- with medicaid, there are probably fewer voters. >> i kind of like the mixture of having germany. they always feel it is a horrible system. they have been engaged in constant reform. it was a good system and it is still a good system di. that is actually a very nice match. in the u.s., where 20% of the people in medicaid pay for 40% of the births. 90 percent of the public system and 10% in the private system, that works for me. >> americans believe that doctors can do anything. >> that is next. >>[applause] >> we will take a 15 minute break and then we will return and talk about making policy. >> coming next on c-span, america and the courts but two interviews. following that, a look at 2010' s senate races and pulling. >> tomorrow, on washington journal, flint levirate, charlie cook and stu rothenberg and the daniel erickson. washington journal, live at 7:00 a.m. eastern on c-span. >> this week ron baxter od bexts guses internet

it is basically medicare. how do you pay for medicare? everyone of us under 65, there is a payroll deduction for fica. if you are 65, parts d medicare is a monthly premium. when we do the public option, how you pay? payroll taxes in your monthly premium which is similar to medicare. it is not funded by the government. whether it exists is a whether or not people participate. it has to be self funded, have the same financial is solvent and environment, and will only exist as long as americans want it. if you do not wanted, do not use it. no one will force you. benefits for the first district, 50,000 uninsured in this congressional district at about 660,000. 17 dozen 900 small-business is will be eligible for tax credits. -- 17,900 small businesses. it has a prescription drug benefit plan. i thought it was a giveaway to the pharmaceutical industries. basically, they pay their premium and once you hit $2,500 you fall into the doughnut hole. you're still paying the premium, but when to hit $2,500 it all comes out of your pocket. what to him a

the trustees of medicare say that medicare will go broke in eight years. social security will take somewhat longer. but both are on a path to insolvency if we fail to act. mr. president, it hasn't just been from the more liberal side of the spectrum that the criticism has come. also on the right. "the wall street journal," ran this editorial calling the debt reduction commission or the deficit commission a trap. they say it is a trap that will lead to higher taxes, to more revenue. so on the left and the right we have those complaining that if you move forward to deal with the debt, you're going to make reductions in programs and you're goi i think that's undeniably the case. if you're going to deal with this debt threat, we are going to have to make changes in the spending prowewewewewe are goine changes in the revenue base of the country. i would suggest for those who are concerned about tax increases, the first place to get more revenue is not with the tax increase. the first place to get more revenue is to collect what's actually owed. if you examine t

it is basically medicare. how do you pay for medicare? everyone of us under 65, there is a payroll deduction for fica. if you are 65, parts d medicare is a monthly premium. when we do the public option, how you pay? payroll taxes in your monthly premium which is similar to medicare. it is not funded by the government. whether it exists is a whether or not people participate. it has to be self funded, have the same financial is solvent and environment, and will only exist as long as americans want it. if you do not wanted, do not use it. no one will force you. benefits for the first district, 50,000 uninsured in this congressional district at about 660,000. 17 dozen 900 small-business is will be eligible for tax credits. -- 17,900 small businesses. it has a prescription drug benefit plan. i thought it was a giveaway to the pharmaceutical industries. basically, they pay their premium and once you hit $2,500 you fall into the doughnut hole. you're still paying the premium, but when to hit $2,500 it all comes out of your pocket. what to him a

>> i think we could do better on medicare fraud and medicaid fraud. there is broad there are providers to build four people or patience they never saw. and we could put more resources behind that. of that is actually done in the clinton administration when shalala was secretary. and it paid off. then it slipped -- slipped behind. it makes doctors very uncomfortable but it is very important. >> "60 minutes" has done some important work on that topic in the public space. we're coming up on one of our. we are done about thank you so much. [applause] >> ladies and gentlemen, over the last two days we have commented on the fact over the past year the global financial crisis has generated consensus here and abroad that the increase government spending of the last year was quite necessary in order to deal with severe long-term consequences of government response is. the point* was too little attention was given to the long term fiscal consequences of programs designed to do with the meltdown of the last year are so. i hope we have dealt with some of those qu

medicare advantage is a private program.they do not see themselves as a direct recipients. >> how can that be? [laughter] Ñi>> when the medicare point -- plan was set up, it tried to preserve the professional autonomy of doctors and hospitals and people view it that way. >> is a wonder. >> go ahead. >> i am mr. kaplan. no mention has been made of the employer-employee relationship and so much of the medical costs are the employee having an exclusion from income of the cost of plans paid by the employer. now at one time, these costs paid by the employer or taxes. -- were taxes. back in world war ii, when there was great price control and a shortage of labor, great pressure was put on the internal revenue service to come out with a ruling which excluded this from income. it was rather strange. because if the employer paid for your food or your clothing, that would all be taxed. but health care was taken out. that was a way of really attracting more labor back into the market. now what do you think the impact on costs would be

what happens in medicare? you cut my medicare. we are not cutting your medicare. the house bill we are preserving medicare. you still go to your same doctor, same hospital. the only differences are we eliminate the co-pays and deductibles for preventive care. diabetes, prostate, bone density, mammograms, we want to pay for it. we want you to get them. if you have prostate cancer there is a 95% chance of cure rate if we catch it early. if we catch it early we'll be saving money in the long run. you are healthier. taxpayers save money in the long run. we extend the solvency by at least five years. medicare trust fund, remember that doughnut hole? as soon as the president signs the bill, the house version, $500, doughnut hole starts at $3,000 as opposed to $2,500. we fill it in by 2016. medicare, one reason why i didn't vote for the bill, the largest consumer, purchaser of drugs in the country is the federal government for medicare and medicaid, department of defense, v.a. we can't use our purchasing power. your purchasing power to get a better deal on drugs. it's ag

because their mobility experts are also medicare experts. and that means the scooter store is your best shot at qualifying for a scooter that costs you little to nothing. hi i'm doug harrison. pay little to nothing out of pocket. how do we do it? we know what it takes to get you your power chair it's our strength. it's our mission. and we back it up with the scooter store guarantee. if we qualify you and medicare denies your claim for a new powerchair or scooter, i'll give it to you absolutely free. i paid into medicare all my life, and when i needed it the benefit was there for me. the scooter store made it so easy. i didn't pay a penny out of pocket for my power chair. the scooter store got me back out in the world again. talk to. there is a medicare benefit that may qualify you for a new power chair or scooter at little to no cost to you. >>> welcome back to "world news now." you watch any football this weekend? >> just a little bit. >> most of us did. for so many of us the new year's holiday is about watching football. as much as it is a

managed care or medicare advantage expenditures for medicare increased 21.3% in 2008. a higher growth rate than fee-for-service it accounts for a much smaller share of total medicare spending. and most of this growth was due to growth and enrollment. enrollment in medicare advantage grew 13.6%. when you look at per enrollee spending figures, actually medicare advantage increases only 6.8%, and that's compared to 5.8% of overall medicare spending per enrollee. looking at medicaid expenditures now, you can also see it decelerated from 6.1% in 2007 to this was the slowest rate of growth since 199 with the exception of 2006 when part d was implemented. the 2008 deceleration was driven by a deceleration in hospital spending, and also due to budgetary challenges that were faced by several states that resulted in reduced medicaid payments to providers. in addition, in part due to the american reinvestment and recovery act, a temporary chiang in f map percentages caused a decline in$e state and local portionç of medicaid. while the federal portion accelerated. also medicaid e

>> i think we could do better on medicare and medicaid fraud. there is a fraud.e providers who bill for people. patience they never saw. and that we could put more resources behind that that was then the clinton administration when donna shalala was the secretary she put a lot of effort into the fraud and payoffs and then it slipped behind it makes doctors very uncomfortable but it's quite important. >> 60 minutes dustin work on that important topic in the public space. but i think we are coming off on just about one hour here. i think we are done. thank you so much. [applause] ladies and gentlemen over the last two days we have commented on the fact over the past year the global financial crisis has generated consensus here and abroad to increase government spending of the last year or so was quite necessary to deal with some very severe long-term consequences government responses and so the point was too little attention was given to the long-term fiscal consequences of programs to deal with them all down of the last year or so, so i hope we have dealt with som

it is due to medicare and medicaid programs that has grown as of this expanded medicare coverage.with the public health care spending trend. in private, it has been growing at a interesting rate. taking a look at greater detail of the spending trend we want to focus on two dozen 6 2007, 2008. -- 2006, 2007 2008. you can see the medical beneficiaries ever given a prescription drugs. you see the impact of strong growth due to the medicare part the program. we also see where these to pay years and return to their normal growth. you see a divergence in to the state where federal spending accelerates in-state local spending slows again. that was mainly due to the a a r ka. personal health-care spending growth as segregated into a couple of broad factors such as price and non price. that includes population growth use and intensity of services as well as revenue from non patients and rep -- operating costs. examining health care spending in this way can get spending in other areas. the non price factors were displayed in the red portion of this exhibit. there are of recessions where you

we talk about the medicare cuts.t of people do not understand that when the medicare bills were written decades ago, many of the health care opportunities that we currently have are not even a part of medicare. they are costing patients hundreds of millions of dollars. they're costing the united states government hundreds of millions of dollars. because i am a respiratory therapist, i will speak directly to that profession. we all know that lung disease is the fourth leading cause of all medical diagnoses. when you look at the reimbursement of medicare on those types of patients, a respiratory therapist cannot provide care to a health care -- of home care or nursing home patient because our services are not reimbursed. only the services of a physician or nurse. i have been a therapist for 25 years. if i go teach a smoking cessation class to chronic pulmonary disease patients, i am not reimbursed by medicare. not only is there an issue of medicare spending and cuts, where there are cost-saving ideas, they are wiped ou

by medicare, since medicare pays less, they'll get less money. it's also slippery slope.k there's a concern that it could mor much into a signal. it's natural. i think medicare have been an very effective influence program. i like the idea of more people being able to take advantage of it. i don't think this is going anywhere. they drop -- they planted this idea. it's just -- there seems to be too much opposition. i don't think it's going to be in the final compromise. but we'll see. with regard to the employees, they favored the clinton bill, then they changed their mind about it. you mentioned ideology, the best answer that i have is entrepreneurs don't generally tend to like the idea of government involvement in anything. on the surface, you think they'd like to get out. >> i can tell you we do a meeting once a year, 100 ceos, large companies, different industries. we had a group of them in washington a month ago. two things were clear. there was enormous efforts to reduce health care cost. many of them had served on various panels for the business round table et ceter

in fact, if we qualify you for medicare reimbursement and medicare denies your claim, we'll give you your new power chair or scooter free. i didn't pay a penny out of pocket for my power chair. with help from the scooter store, medicare and my insurance covered it all. call the scooter store for free information today. call the number on your sc host: could switching to geico 15% or more on car insurance? host: does charlie daniels play a mean fiddle? ♪ fiddle music charlie: vo: geico. 15 minutes could save you 15% or more on car insurance. ,,,,,,,, today is a special day. today, we gather as a nation and as an international community to recognize the selfless decision of one of the most influential women of our time. she's been recognized by religious figures, and politicians around the world. to us, she's just rachael, but to the rest of the world she's the woman who, after having one too many drinks, chose not to drive home buzzed. here today to honor rachael is the family whose lives she spared.

medicare may be not the best in the world.ion did not do nothing. >> let me answer your first comment. i practice medicine 6:00 the morning until 9:00. >> that is not good. >> the problems we have should take a full-time senator. >> let me tell you something, i worked 20 more hours than you do a week. if i practiced three hours of medicine on my own time, when you are in bed, that should not be a problem with you. [applause] this is the thing about me practicing medicine. the positive thing about me practicing medicine is that it to reconnect me with real people, not politicians and lobbyists. [applause] and i get to see real problems of real people that i get in my mind. so when i am in washington, it is not an esoteric. it is about real people. one of the things that our founders thought and believed and wrote was that we ought to have a citizen legislators, not a career professional legislators. [applause] as to your second point, bush did not create the oil industry problems. >> [unintelligible] >> no, congress did not fix

we have a lot of seniors on medicare advantage.reimbursement in order to be able to see seniors. çour reimbursement, if you compare it to other parts of the country because of the system that pays on the basis of volume rather than quality, many areas are -- our reimbursement is half what it would be in high-cost areas. çso, in the legislation, the senate bill, i was able to get a measure included to get changes in net. under the measure i included, good, quality plans and medicare advantage plans that hold costs down would be eligible for extra reimbursement. in case somebody wonders is this a special deal for organic, this will help or again -- this will help oregon, but it will also help the entireç country becaue of instead of rewarding medicare providers for being inefficient, it will reward them for holding costs down. boosting the effort against fraud is absolutely key, as the question suggests. the single most important medicare reform that could be çput in place is a new reimbursement system that no longer rewards inef

almost all of our pay comes from medicaid and medicare. and so we are dependent on the public payers, what they pay is what we get. that's not the way traditional supply and demand works. we are in a very different world than a lot of the other parts of the health sector. secondly, our framework argues that we have to recognize long-term care work force as a distinct, but related part of the health sector. because every time we work on health care reform, health care work force reform, the eye goes toward hospital and ambulatory and primary work force, the long-term work force for the most part has been an afterthought and we have to and we're beginning to see this with the elder care work force alliance, but specific attention needs to be paid to this long-term work force if we are going to develop this over the next 20 years, particularly with the aging of the baby boomers, where we're really going to see some significant more demand in the future. the third is we have to be responding to new philosophies and models of care. we cannot do

with that being said the expansion includes higher taxes, includes medicare cuts. it also at the end of the day, according to the congressional budget office, does very little for most people in this country to actually reduce the cost of their health care insurance. in fact, what we've seen through the studies that have been done by the c.b.o., the congressional budget office, by the c.m.s. actuary is for most americans they are going to see at best their health insurance premiums stay the same and if you're in the market, go up. the health care bill is an example of this runaway federal spending. in the latter part of that debate, we got a response from the c.b.o. to a question that was posed by the senator from alabama, senator sessions, with regard to how the accounting is done on medicare. because one of the arguments that we heard throughout the course of the debate is that it would extend the life span of medicare. in fact, when the c.b.o., the the question was posed of them: what happens with this additional medicare tax and these medicare cuts that would b

we need to move forward in terms of other reforms in medicare to make sure we extend the life of medicareforward. also, as part of this reform, we close the doughnut hole in the prescription drug care program. host: on the democratic line. laurel, maryland. caller: i am a democrat and i am satisfied with what the president is trying to do. what i want oall of our representatives to remind people is the budget before him did not have the love of the wars for the double you are talking about they keep on talking about cuts in the budget. they are not even adding that picture money. i was for the public option. i have a pre-existing condition, lupus. i had to have a kidney transplant. no, i am not dependent on medicaid, but i also have bluecross blueshield. these people that have medicaid, medicare, and they do not want to help anybody else that is the point i want to get over -- that is the point i cannot get over. guest: with respect to medicare, it has been a very successful program. it has kept millions of seniors from falling into poverty. we need to do everything we can to preserve and

let me talk about medicare. medicare will be broke in eight years if we do nothing. right now we give -- we give about $17 billion in subsidies to insurance companies through the medicare system -- your tax dollars. but when we tried to eliminate them, suddenly there were ads on tv -- "oh, obama is trying to cut medicare. i get all these seniors writing letters: "why are you trying to cut my medicare benefits?" i'm not trying to cut your medicare benefits. i'm trying to stop paying these insurance companies all this money so i can give you a more stable program. the point is this: none of the big issues that we face in this country are simple. everybody wants to act like they're simple. everybody wants to say that they can be done easily. but they're complicated. they're tough. the health care system is a big, complicated system, and doing it right is hard. energy. if we want to be energy independent -- i'm for more oil production. i am for -- i am for new forms of energy. i'm for a safe nuclear industry. i'm not ideological about this. but we also have to acknowledg

if those dollars were used, which were saved from medicare, to shore up medicare in some manner, a medicarereserve fund or something, that basically be paying down debt, could you give us a thumbnail estimate as to how much that might help correct the structural problems we have? >> i can't do a quantitative calculation in my head. but your logic is certainly correct, senator, that we estimated $500 billion in medicare savings over the ten-year projection period. and increasing amounts over time. that amount we have not separately quantified. >> let me try to combine the question. if you didn't use it to expand the government, but you used it instead to try to shore up the medicare system by reducing the debt, wouldn't that significantly, have a significant positive event for medicare, but also for, because it would make it more solvent theoretically. but also for the debt situation? >> yes, senator. if you use those same savings to pay down debt, that would be a significant improvement in the budget outlook. >> there has been a lot of talk about the fact that t.a.r.p. money is available to

for medicare.e stigma is growing taller, whether they are eligible due to circumstances, seemed to becoming second-class citizens, and this is slipping away from the debate. i could go on for quite some time about this, but i wonder if anyone will address these issues of the dwindling pool of primary care providers and the stigma that some of these existing plants are getting, not to mention the stigma of the public plan. where are these providers going to come from with the ever- increasing cost? i will be happy to take my comments off the air. guest: with regard to state medicaid and cost, all those would be made newly eligible for the program through the reform. they would be enrolled in the states, but states would receive very high matching rates. so the government would be internalizing the vast majority of the cost associated with those newly-eligible individuals coming into the medicaid program. . once the culture of the community changes in terms of the notion that there is an expectation

we talk a lot about the medicare cuts and i think what a lot of people don't understand is when the medicares were written, x-amount of decades ago, many of the healthcare opportunities that we currently have are not evenwo# therefore costing patients hundreds of millions of dollars and costing the united states government hundreds of millions of dollars. because i'm a respirator therapist i'll speak directly to that profession. example, we all know that lung disease is the fourth leading cause of all,drg medical diagnosis but when you look at the reimbursement of medicare on those types of patient as respiratory therapist cannot provide care to home care patients or nursing home patients because our services are not reimbursed. only the services of a physician or nurse. i've been a therapist for 25 years and if i go teach a smoking sensation class to a chronic obstructive pulmonary disease patient, i'm not reimbursed by medicare. not only an issue of medicare spending and cuts but yet, where there are cost saving idea they are wiped out completely because they, if you look at assisted livin

medicare -- that goes away. also, this business of creating massive new government-run health insurance exchanges and allowing businesses to not offer health insurance to their employees if they just pay and 8% tax to the federal government is going to create an incentive for you are going to see, by some estimates, maybe a hundred million americans could lose the health insurance they currently have with their employer. it is not because the government would make the employer dropped their health insurance regan -- health insurance. i think our remember the president's saying nothing in this bill will make you give up the insurance you have through your employer. i would say respectfully, it is awfully hard to keep the health insurance you have at your place of employment if your employer cancels it, and in this tough economy -- it is tough all over in this country. businesses are paying 12% of their payroll on health insurance. if the government says you can cancel it and just pay 8% and send people to the gov

medicare part d is not being cut.the two different bills add additional money for pharmaceutical drug coverage but why would an hiv or aids patient qualify for aids care it would be if they were on disability primarily for those under 65. what's fascinating of our science to treat hiv and aids where we're able to keep people remarkably healthy. we turned it from a deadly acute illness into a chronic one that people can be healthy with. and live on with. but because of the inability to get insurance coverage especially if you're self-employed or needing to get an individual coverage, the preexisting conditions make it so these patients can't get coverage. the only way they get coverage is if they actually file for disability and no longer work anymore because of their illness. so they don't get treatment. they do get ill. they then file for disability and we're now into this roundabout where we lost the productivity of a significant part of the population where our science is able to help them. the prospect of this hea

medicare.lass citizens, and this is slipping away from the debate. i could go on for quite some time about this, but i wonder if anyone will address these issues of the dwindling pool of primary care providers and the stigma that some of these existing plants are getting, not to mention the stigma of the public plan. where are these providers going to come from with the ever- increasing cost? i will be happy to take my comments off the air. guest: with regard to state medicaid and cost, all those would be made newly eligible for the program through the reform. they would be enrolled in the states, but states would receive very high matching rates. so the government would be internalizing the vast majority of the cost associated with those newly-eligible individuals coming into the medicaid program. . @@@@@ @ @ @ @ @ @ @ @ @ @ @ @ @ and i think what we're able to discern is that the more individuals are made eligible for medicaid and other programs like it, the less the stigma is there. for exam

and the health care and how they plan on cutting medicare part d? i believe hiv/aids has come a long way. since 1980 but now that they cut medicare part d1 is your take on that? >> guest: hiv/aids patients care is a microcosm. medicare part d is not being cut said two different bills add additional money for pharmaceutical drug coverage but why would they qualify if they are on disability under 65. what is fascinating the science has reached the point* we are able to keep people remarkably healthy and turn it from a deadly acute illness from a chronic one into one that people can be healthy and live on. but because of the inability to get insurance coverage if you are self-employed or needing to get individual coverage, the pre-existing conditions make it so patients can get coverage. the only way is if they actually filed for disability and no longer work anymore because of their illness. they don't get treatment then they get ill and file for disability then we are in the roundabout where we've lost the productivity where science is able to help t

it is basically medicare. how do you pay for medicare?premium. when we do the public option, how you pay? payroll taxes in your monthly premium which is similar to medicare. it is not funded by the government. whether it exists is a whether or not people participate. it has to be self funded, have the same financial is solvent and environment, and will only exist as long as americans want it. if you do not wanted, do not use it. no one will force you. benefits for the first district, 50,000 uninsured in this congressional district at about 660,000. 17 dozen 900 small-business is will be eligible for tax credits. -- 17,900 small businesses. it has a prescription drug benefit plan. i thought it was a giveaway to the pharmaceutical industries. basically, they pay their premium and once you hit $2,500 you fall into the doughnut hole. you're still paying the premium, but when to hit $2,500 it all comes out of your pocket. what to him about $5,800 you come out of the doughnut hole and get picked up again. most seniors to hit the doughnut hole g

people in medicare advantage. but in our states, if this were to become law, they're out. want to go down to montana. the senate -- the head of the finance committee over in the senate, senator max baucus is from montana. he secured medicare coverage for anybody that's been exposed to asbestos. i think that's ok with me. but you got to read the fine print in all of this business. and it only applies to people who were exposed to asbestos who worked in the mine in libby, montana. so, again, ohio, michigan, tennessee, all the other 49 states, if you were exposed to asbestos, you're not covered. but if you're from montana you are. i yield to mr. mccotter. mr. mccotter: i thank the gentleman. i go back and this segues to another point in the chart, the sweetheart deals that were made with big pharmaceutical industries and others to try to get this bill passed. but the converse is the heartless deals that were also made to get this bill passed. the gentleman has talked about the unfair treatment amongst the states whic

the medicare advantage program, the medicare part "d" program and those in the netherlands and switzerland and arguably in germany, also exchanged -- contain elements of health insurance exchange. the connecticut business and industry association represented here by mr. vogel today represents a successful private purchasing cooperative. while each of these models can be called an exchange, they are, in fact, quite different. indeed, the models represented by the house and senate bills are different in very significant ways. the focus of my paper and my brief presentation this morning is how the house and senate bills differ and which model is most likely to result in the most likely to result in the exchange first, quickly, why do we need an exchange? what we expected to accomplish? the exchange is intended to play a number of roles in health care reform. sarah briefly went over this, but let me do it again. is if acted to be the locust of competition. it is hoped the exchange will focus competition on price and quality rather than on at risk avoidance, thus making health insurance more af

and another tax raises by just under 1%, the medicare payroll tax. that's a job killer. so there's a relationship between job creation and taxes, economic activity and, therefore, revenues to the federal treasury and tax rates. tax rates and taxes are not the same thing. you can reduce tax rates and actually collect more taxes. again, it sounds paradoxical, but it's true. think of this when you go to the store before christmas and they slash their prices by 40%. they're not doing that to go out of business. they're still making money. they're making more money on the volume that increases because a lot more people coming into the store even though they reduced the cost of each of the items than they would if they increased the cost of each of the items. i guarantee if they raised their prices before christmas, their competitors would reduce their prices. not to make less money, they would get more people in, make more volume. and make more money. when you -- so i'm very reluctant to support a commission which i believe will undertake to reduce our deficit by raising tax

in fact, if we pre-qualify you for medicare reimbursement and medicare denies your claim, we'll give you your new power chair or scooter free. i didn't pay a penny out of pocket for my power chair. with help from the scooter store, medicare and my insurance covered it all. call the scooter store for free information today. call the number on your screen for free information. >>> a chilling new video from the taliban. what it tells us about the attack that killed seven people at a cia outpost. >>> the kiss that closed an airport terminal. police think they found the man in newark who triggered the six-hour security problem. >>> two men are under arrest in connection with a new york terror plot. one of them is a new york city tab drooifr. he was arraigned yesterday. the other is a bosnian immigrant. susan candiotti is live from new york. >> reporter: hello, fredricka. through his attorney and from his own father, both say that the man who is accused of an act of conspiracy and terrorist actor is not guilty. the government says otherwise. today, a grand jury, it was announced, charged t

medicare and medicaid are a massive problem down the road. that is going to be what our children have to worry about. paul's approach, i want to be careful to not simplify this because i know you have a lot of detail in your plan, but i understand it to say that we will provide doctors of some sort for current medicare recipients at the current level. 55 and over. there is a grandfathering in for future beneficiaries. i just want to point out that i have read it. the basic idea is that at some point, we hold medicare costs per recipient constant as a way of making sure that it does not go way out of black. i am sure there are some details -- we hold medicare costs per recipient constant as a way of making sure that it does not have things going out of wahack. it has to be reformed for the younger generations because it is going bankrupt. why not give people the same health care plan we have in congress? that is the kind of proposal of reform for medicare -- [applause] >> as i have said before, this is an entirely legitimate proposal. the prob

if those dollars were used which were saved for medicare to shore up medicare and in some manner manner, in a medicare reserve fund to pay down debt, could you give us a thumbnail estimate how much that might help correct the structural problems that we have? >> i cannot do quantitative acquisition in my head by you're watching is correct that we estimated almost 500 billion in medicare savings over the 10 year projection point*. and over time if they not separately quantify. >> let me combine a question come if you did not use it to expand the government but instead to shore up the medicare system by reducing fed debt wouldn't that have a significant positive the event for medicare but also because it would make it more solid the radically but also for the debt situation and? >> yes senator. that would be a significant improvement in the budget outlook. >> there has been a lot of fact taste talking that we could spend it somewhere else. it is supposed to be used for the debt. i want to clarify the fact there is no t.a.r.p money that it has to be borrowed? every set of t.a.r.p money is

how to make medicare at a fee.host: banks, we will go at this point because we will have an hour-long later on health care. today concerning the senate, your view, the independent line from anderson, indiana. caller: it is truly disgusting after the display of the health care fiasco you have seen. the conservative an element is tearing up the fabric of democracy. after watching the sonia sotomayor confirmation hearings you have a 99 white guys who question people's patriotism if they have any anglo-saxon heritage and any pride in it. but that we were supposed to be a melting pot. with this conservative movement with the next retiring justice -- barack obama will feel somewhat reluctant to appoint anyone but a white person. i know he does not have the gumption to elect a black person. we have seen how he has kowtowed to pressure from the racist, radical right. the senate itself is being used as a mechanism to make a mockery of democracy lately. the senators hold out for special gift for health care. host: thanks for

they're more, i don't think they believe medicare part d was a good bill.f they did, granting them the premise, they were dead right on how they did it. it is a lesson democrats should learn. >> i want to ask each of you -- i think that -- passing this bill probably is the biggest political impediment on capitol hill are those in the more moderate or conservative districts, the, so called blue dogs. i don't mean to suggest they're the only impediment, they're -- there are folks on left and right who have concerns about the process that we thought is the pathway to get this done. i think at the end of the day, it is the blue dogs going to be the last and probably the most difficult to come over and vote for this bill. assess their interests and how you would speak to those interests. so, i don't know who wants to go first on that one. >> well, obviously, the number one issue for the blue dogs, other than surviving in november, they're -- the substantive issue for them on health reform is bending the curve by a margin. and some way out of the -- the fiscal ar

funding since medicare was created, the medicare rt prescription program?> that's right. >> was that the largest increase in medicare entitlement spending since medicare had been created to? >> yes, i think that was the largest increase, not is a the number seven increase over time based on the cost of providing benefits already written into law. in terms of the expansion of benefits, that was a very significant expansion, and it was and acted without any particular means of paying for it being identify. >> in fact, it was asked without being paid for at all, is that correct? >> yes, congressman. >> all that money was borrowed in effect. do you know how much of a tenured -- what does the part d prescription program? >> that's a good question. >> can someone give me a ballpark? 10 years from the time it was passed. what did 10 year cost? [inaudible] >> i'm not sure, congressman. the actual cost is coming below cbo's estimate, even for the below the as that of the office of the actuary at the centers for medicare medicaid services. but still a substantial amo

medicare people are going to have the medicare money cut, the pot that's available for medicare is being cut marketedly so there's going to be more rationing of care. it's going to be worse. i as a doctor am already regulated and told whoky put in the hospital and how long they can stay there. that's going to get a whole lot worse. so the going to affect the quality of care. so the american people need to understand the cost of your health insurance is going up. the quality of care that your doctor is give you is going down. marketedly going down. and you're going to be mandated -- markedly going down. so it's going to be disastrous for everybody. i yield back. mr. garrett: i thank the gentleman for laying it out so clearly to us. you know, i will yield in just one moment to the gentleman from utah, but before that i think i'll be yielding to the gentleman from texas, will had i be yielding to the gentleman from texas? yes. because at the beginning of this hour i promised that we would bring periodic updates as to how this very important vote is occurring in the state of massachusetts. t