. >> well look, the obamnicare is a classic overreach.it's basically clear evidence that this administration has given up on free markets developing and advancing the health care system in medicine to the point of sort of taking over and concentrating power with the government. this is clearly obamnicare that has put us on the path to a one care system. and that one pair is going to be government. and so it's not only going to interfere with the doctor-patient relationship, it will, in fact, answer questions that one might have about, you know, in the life decisions for, you know, a wide range of individuals who find themselves in that situation at this point in their lives. so i think about the individual mandate, i think just the substantial overreach in obamnicare, moving it from a consumer-based system to a government controlled system, it will probably be found unconstitutional by the court. you know, as it relates to free speech. look, one of the principles of our country is the right to exercise free speech. and because we normally

. >> the supreme court decision on obamnicare? >> first of all, let me say just how disinterested im on this particular case. i wrote three breeds in the they're all on the same side. wonton severability, one on the medicaid, and went on the individual mandate. it's an uphill battle on all three of these particular issues. severability i will put to one side because that is in the unlikely event that they will strike down the mandate. the real question is what he going to do about the mandate and when you going to do about medicaid? the person i wanted it is again biggest limit one considers justice who created most of the intellectual difficulties that it takes over. i'm referring here to chief justice when rehnquist. who wrote the two opinions on which the government hasn't lied most throughout this particular case. when it's infected a lot to be up to four on the conservative side, what -- will, the first one was in a case called -- in 1942, by the government was able to persuade the court to do is to recognize that these elabo

out there now is the in addition to the important changes made in a affordable health care act, obamnicare, made to those under 65 in the private insurance market through exchanges and other things, it also included promising reforms, moving away from traditional fee-for-service medicare but still under the fee-for-service program. things like value-based purchasing and bundled payment systems where cms will try to realign incentives and reimburse doctors and hospitals for the quality of the care they provide, and not just the quantity. under the accountability -- affordable care act, cms is over start testing new and innovative payment deliver programs through the cmmi, the senate for medicare and medicaid innovation. the goal of all these payment reforms and a message projects is to improve patient outcomes while lowering the cost. in the event we move to a premium support model weather is more price competition between fee-for-service and the private plans, the whole system will be better off if these promising fee-for-service medicare reforms and -- >> if you could summarize. >> i am s