mike tobin. a new report to underline what might just said shows the total spending on health care in our country hit a record just shy of 3 trillion last year. that is nearly $9,000 per person in this country. and the figure is expected to rise again this year. the united states, by the way, spends nearly 18 percent of our gross domestic product a on health care according to the most recent research. the next closest to the united states in the developed world is the netherlands with expenditures on health care. 12 percent of their gdp. the netherlands, by the way, has a very small gdp in relationship to the united states. 7,702,000,000,000 compared to 16 trillion in this country. doctors are also in short supply, and that shortages worsening. we face a shortage of 90,000 doctors by the end of this decade. a shortage of 130,000 doctors by 2025. and 30% of large employers are already considering moving their employees to the obama exchanges by 2015. trader joe's, home depot, walgreens, just the l

mike tobin is live outside the courthouse in columbus. ribe if you will what happened in court today. >> well, trace, the judge made certain matthew cordle understood the rights he was giving up. he seemed to understand and the guilty plea was entered. the defense requested permission from the judge for cordle to do a jailhouse interview. >> i hope that the message mr. cordle promoted in his video will reach people around the world. raise awareness about drinking and driving and more importantly to apologize. >> the charges are aggravated vehicular homicide and driving while intoxicated. that's what he pleaded guilty to. he did not post bond. he will remain in jail until sentencing in october, trace. >> trace: in the meantime, what did the judge say about the interviews? >> reporter: the judge seemed to be with cordle doing the interview. it's the county patrol prosecuto bristled at the notion that cordle is taking the case public. >> take anything he says from now on about why he did that is self serving. anything he says, his motivation

that's where he was found hanging by the bed sheet. >> shepard: mike tobin in chicago.ow another high profile case grabbing national attention. the former new england patriot star, aaron hernandez. it keeps getting worse. according to our affiliate in hartford, video shows aaron hernandez and two men killed in july at the same nightclub. sources say security cameras captured the images hours before the two men were suddenly dead. there's not a word from aaron hernandez's attorney about this or anything else. the former football star faces murder charges in the shooting death of odin lloyd. not far from hernandez's mansion outside boston. prosecutors in this double homicide case have not filed any charges but according to several reports, they're very interested in aaron hernandez. let's take this to our criminal defense attorney. this video is from right before the two guys died and all of a sudden there's aaron hernandez again, an suv tie in and a lot of questions. >> don't forget there's a loose gun tie in. do you remember when there was a woman in connecticut who had

mike tobin with the news live outside that clinic. mike, what is driving the money trouble?rding to the ceo here. affordable care act doesn't do anything to reduce the cost of operating a hospital or treating patients. what you get though is a reduction in reimbursements from medicare, from medicaid. even from private insurance. so you are going to need to slash the budget. not just here but at hospitals all across the nation. >> this is going going on across the country. every ceo at a hospital that i have talked to is talking about doing exactly the same thing. >> dr. cosgrove says the system needed to be reformed but the reforms in this law will need to be amended. more than once before they start to become effective. in terms with dealing with the problem deep in the healthcare system. harris? >> harris: well, mike, this clinic makes a difference in so many people's lives. anyway to gauge how many staffers could lose their jobs? >> well, the cuts will be significant. but the administration here at this hospital wants to exhaust every option before they start handing out

mike tobin live at the courthouse in columbus, ohio. what do we expect there today, mike?bill, it should be quick. as you heard matthew cordle made a promise he would plead guilty and his attorneys say this is the one where he will make good on promise. despite the online video confession the currently the plea on the books is not guilty. the attorneys say this is matter of procedure. as quickly as it takes to talk about, cordle is expected to enter the courtroom and enter a guilty plea to aggravated vehicular homicide and one count of drunk driving and he will be consistent with that confession where you heard him say he will take full responsibility for hitting and killing 61-year-old vincent canzani after a big night of drinking. they break for a presentence investigation. franklin county prosecutor ron o'brien is pushing for maximum sentence, eight 1/2 years. the defense team is looking for half that, bill. bill: we're hearing he might be released before the sentencing. what is that all about, mike? >> reporter: his defense attorneys say he is not going to do that. tha

jenna: mike tobin, live in cleveland. mike, thank you.gg: developing stories right now we're following as a night of violence rocking chicago. 13 people were wounded in a late night shooting attack at a park, leaving three victims in critical condition includeing a three-year-old boy. >>> coloradoians finding heartbreaking dejust as they get a first look at lyons a small town heavily damaged by deadly flooding. people were also briefly allowed into their homes yesterday to retrieve what is left of valuables. >>> fans across the country yes, i didding in long lines for the latest gadget from apple, the iphone 5s and 5c on sale as well. today's launch marketing the first time apple has offered more than one new iphone at the same time. they come in variety of colors. one model is specifically designed to sell for a lower price. jenna: the state is resting its case on the so-called, "hiccup girl" murder trial. we're going to tell you the jailhouse call that prosecutors think will actually end in a conviction. >>> a baseball star with a case

mike tobin in our midwest newsroom tonight. mike?he grand jury was quick to hand down an indictment for 22-year-old matthew cordle who made this video he offers few excuses why he was drinking heavily. goes on to explain how he swerved into the lane of vincent. you see the video starts off pixilated and becomes clear for dramatic effect. >> my name is matthew cordle. and on june 22nd, 2013, i hit and killed vincent canzani. this video will act as my confession. when i get charged, i willplea. >> shepard: now, he begs viewers not to drink and drive. and the founder of because i said i would,.com says that's the reason he made the video. this is not an attempt to buy leniency from the court. the franklin county prosecutor, ron o'brien says cordle was a suspect but an arrest was not imminent until he made this confession. >> shepard: that driver is due for arraignment in court tomorrow afternoon. we will have coverage here tomorrow night. overloaded big rig has collapsed on a bridge and stranded dozens of dead. >> china. happened in a n

ceo and president addressed employees just yesterday, and mike tobin is in cleveland, ohio.with dr. cosgrove earlier today, and is he pointing the finger of blame for these job cuts at the affordable care act? >> you know, that may be as strong way to put it. a number of contributing factors. $330 million for an annual budget. certainly, the implementation of the affordable care act is a significant factor, and there will be layoffs because of it. they will try to do everything possible before they got to layoffs. streamline the operation, leave vacant positions open. they will incur is 3,000 employees to take early-retirement. ultimately here at northeast ohio's largest job provider, they will have to tell people that they no longer have a job. dr. cosgrove says the soviet trend across the nation as obamacare is implemented. >> this is something that is going on all across the country. every ceo of a hospital that i have talked to is ducking a rut doing exactly the same thing. >> now, jay carney said yesterday he did not know any significant details about the layoffs year i

>> mike tobin, thank you. >>> more now on president obama's speech at the united nations today. called on the u.n. security council to ensure syria's president bashar al assad complies with a deal for the regime to surrender its chemical weapons. remember that deal between the u.s. and russia seeks to avoid a military response for a reported deadly sarin gas attack outside damascus last month. assad has claimed the rebels were responsible, but president obama today said that it is an insult to suggest that anyone but assad's regime carried out the attack. >> u.n. inspectors gave a clear accounting that advanced rockets fired large quantities of sarin gas at civilians. these rockets were fired from a regime-controlled neighborhood. and landed in opposition neighborhoods. >> the president also said that there must be consequences if assad fails it give up syria's chemical weapon. eric shawn is live at the united nations. so what else did president obama say about syria, eric? >> reporter: yeah, hello, john. it really was a call for the united nations to act, and criticism of the u

mike tobin in our midwest bureau tonight. anything from castro's victims today?e shep, at the home of gina dejesus the guardian angel stood outside with the red berets. no public comment from the other two women who endured a decade of brutality in castro's house. we did get a scathing comment from the cuyahoga county prosecutor which reads let this be a marriage to other child kidnappers there will be a price to pay when you are caught. you won't enjoy the captives' side of the bars. castro's defense team had a different take. >> for society in general and the city of cleveland, there is probably people cheering today. but, again, that's not civilized. and this is a human being who who was very sick and we all agree was evil to certain degree and had a lot of psychological issues. this isn't something to necessarily celebrate. >> castro was not in a permanent prison. he had been transferred from the lorain correctional facility. that is one of the most crowded prisons in the state. the staff determined he was at risk there due to his notoriety. shep? >> shepard:

mike tobin is in chicago. >> inconsistent with the internet video confession the plea on the books fory. >> we would enter a plea of not guilty, waive reading of the indictment and we would pass on bond respectfully, your honor. >> respectfully, that's my job to set bond so he can have another judge readjust it if they choose. >> that's the second appearance in court for cordle. yesterday's hearing was bumped today and his attorneys say the procedure will now move it to another judge. that happens next week, september 18th. when cordle's attorney say he will finally enter that guilty plea. the charges are aggravated vehicular manslaughter and driving while intoxicated. he was one of a handful of suspects in the death of 61-year-old vincent canzani. but cordle's arrest was not imminent when he made his video confession. make everywhere of the video says did he it to encourage others not to drive drunk. despite the confession they will push for the maximum sentence. >> shepard: his attorneys are trying to get him four years in prison. the former tsa screeners' threats led officials to ev

mike tobin.h in the computer system, the "wall street journal" reporting people in 36 states will have a problem finding a just how much they need to pay to obtain health coverage. our own elizabeth macdonald has more. >> tracking this developing story to read the day, the health and human services administration says douglas will be cleared up by the time -- january 1st, meaning into yemen summit dec. design of these exchange policies. it will iron out hopefully. basically the tax credits, how you calculate that, if for the coverage. now tell you something. they were worried about this glitz, worried their answers would say we need to have consumers in the exchanges. didn't know what the pricing will be, that will scare away consumers. the exchanges to be a problem if you don't have enough people. with what is happening with some people and seers and trader joe's, companies like that shifting workers into the exchanges, that could take care of the insurers, the concern, they are worried about th

mike tobin is live in our midwest bureau with more on this story.d emotions surrounding this one. it's unbelievable this man is now, in many ways, out of his misery, it would appear. >> the okcuyahoga prosecutor, t mcminty didn't mince any words this should serve as a warning to other kidnappers they won't enjoy the captive side of the bars. the degenerate molesters are cowards and capture vulnerable children. this man couldn't take a month a small portion of what he dished out for a decade. castro had not been on a suicide watch when officials at the cuyahoga jail determined he was not a suicide risk. his attorneys requested a complete psychological evaluation of castro and never got it. >> clearly, we had a concern because we wanted to make sure there was going to be an independent evaluation done prior to him going to a prison. >> they believe castro fit the profile of a sociopath. studying him could have provided information that stopped other predators in the future. castro was in protective custody, which meant he was che checked on every 30 m

mike tobin is on this story for us. so, mike, he was under surveillance. how did this happen? >> reporter: well, it was 9:20:00 p.m. last night, martha, when ariel castro was found hanging in thinks jail cell. sources are telling local news that he use ad bedsheet to hang himself. staff immediately performed cpr. he was transferred to the medical center facility at ohio state university where the final pronouncement of death was made. county coroner performed autopsy and cause of death was a hanging. state corrections officer is writing there will be finalized information available pending the outcome of an investigation, martha. martha: was he on suicide watch? >> reporter: he was no longer on a suicide watch. he was taken off the suicide watch back in june when he was still at the county jail. officials with the county jail determined he was not a suicide risk. he was however in protective custody. which means he was checked on every 30 minutes as opposed to constant surveillance which is what he would have gotten if he was still on a suicide watch. it should be noted he was

mike tobin is outside the clinic cleveland this morning. mike, how are these cuts going to look? >> reporter: well you heard that figure that you just read there, $330 million from the budget from 2014. the cleveland clinic says the last thing they want to do is lay off employees, particularly long-term employees. they will look to number of solutions. they will streamline the operation. they will look to attrition. they will tell 3,000 employees to take early retirement. ultimately a undetermined number of people here at the clinic will learn they are losing their jobs. the ceo of clinic says this will be a trend that will continue as obamacare simply meanted. >> this is something going on all across the country. every ceo of a hospital i talked to talking about doing the exactly the same thing. >> reporter: now the backbone of the issue is that obamacare doesn't do anything to reduce the cost of operating hospitals or reduce the cost of treating a patient. still with each individual who comes into the hospital you get less revenue. martha? martha: well, president obama as we re