not just for the uninsured but the under insured. we pay more in premium us and taxes when folks who are under insured visit the emergency room. we get taxed. and since we all benefit there are parts of this law that also require everybody to contribute. it requires everyone to take some measure of responsibility. to help pay for the law, the wealthiest americans, families who make $250,000 a year have got to pay a little bit more. the most expensive health insurance plan no longer qualified for unlimited facts tx breaks, some are not happy about it, but it's the right thing to do. unlike people in massachusetts, most people who can afford health insurance have to buy insurance or pay a penalty. again, they shouldn't just dump those costs on to the rest of us. everybody has some responsibilities. now, it is also true that some americans who have health insurance plans that they bought on their own through the old individual market are getting notices from their insurance company suggesting some how because of the affordable care act

uninsured have already been covered.rkansas. i didn't win that state either. covered almost 14% of its uninsured already. that's already happened. and you've got some republican governors like governor casich of ohio who have put politics aside. and they're expanding medicaid through this law to cover millions of people. unfortunately, there are others that are so locked into the politics of this thing, they won't lift a finger to help their own people. and that's leaving millions of americans uninsured, unnecessarily. that's a shame. because if they put as much energy into making this law work as they do in attacking the law -- americans would be better off. americans would be better off. so that's the affordable care act. better protections for americans with insurance, a new marketplace for americans without insurance. new tax credits to help folks afford it. more choice, more competition. real health care security. not just for the uninsured, or underinsured, but for all of us, because we pay more in premiums and tax

uninsured have already been covered. arkansas, i didn't win that state either, has covered almost 14% of its uninsured already. that's already happened. and you've got some republican governors, like governors s kas of ohio. unfortunately, there are others that are so locked into the politics of this thing that they won't lift a finger to help their own people. that's leaving millions of americans uninsured unnecessarily. that's a shame. because if they put as many energy into making this law work as they do into attacking the law, americans would be better off. americans would be better off. so that's the affordable care act. better protections for americans with insurance, a new marketplace for americans without insurance, new tax credits to help folks afford it, more choice, more competition, real health care security. not just for the uninsured or underinsured, but for all of us, because we pay more in premiums and taxes so those without good insurance visit the emergency room. we get taxed. and since we all benefit,

if you are uninsured, call in on the other line. i want to answer your questions about how those exchanges actually work. i also want to hear your stories if you have tried to get on to healthcare.gov, if you have been successful or not. we want to hear your stories. we showed this map earlier on federally run exchanges and state-run exchanges, and the blue are federally run exchanges. the yellowish are state run exchanges. green is a federal and state run joint exchange. there are essential items in every plan. does that apply to state and federal plans, or only federal plans? guest that is all plans. you are going to be getting essentially the same thing. it is all about the marketing, what the website looks like, and how much money the state or federal government has to implement it. host: how did states choose whether they were going to go to a federally run plan or do their own? guest: i think congress and the president expected every state to run their own exchange. that was the way the law was written. in the end, only 14 or

the uninsured have already gotten covered. arkansas, i didn't win that state either. covered almost 14% of its uninsured already. that's already happened. and you've got some republican governors like governor cakasic of ohio who put politics aside and expanding medicaid to cover millions of people. unfortunately there are others so locked into the politics of this thing they won't lift a finger to help their people and that's leaving millions of americans uninsured unnecessarily. that's a shame. because if they put as much energy into making this law work as they do in attacking the law, americans would be better off. americans would be better off. so, that's the affordable care act. better protections for americans with insurance a new marketplace for americans without insurance, new tax credits to help folks afford it, more choice, more competition, real health care security, not just for the uninsured or under insured but for all of us because we pay more in premiums and taxes when americans without good insurance visit th

it was the state with i think the third or fourth most uninsured people. they have a very good website, easy to shop on, very good pricing, lots of companies in there. they're expanding medical very vigorously. then you're going to compare them to texas, which has the most uninsured people, which has been resistant to everything under the sun. and we're going to see what happens to health insurance prepare yumz miums in those states for the uninsured people and for businesses, we'll see what happens to the health status of people in the state and i think we'll have this experiment where california's going to show that really doing it well and doing it properly is much better for the state and going to be much better for the state economy. by the way, the more competition there is in the exchanges, the more they bring premiums down, the better for employers who are offering insurance, the better for everyone else. so, there's an important dynamic here where the more people you get into the exchanges, the more people who shop or have medical also is going to

its uninsured have already gotten covered.rkansas, i didn't win that state either, covered almost 14% of its uninsured already. that's already happened. you've got some republican governors like governor rakasic of ohio who have put politics aside. others are so locked into the politics of this thing thatfing their own people and that's leaving millions uninsured unnecessarily. that's a shame. because if they put as much energy into making this law work as they do in attacking the law, americans would be better off. americans would be better off. so that's the affordable care act. better protections for americans with insurance, a new marketplace for americans without insurance, new tax credits to help folks afford it, more choice, more competition, real health care security. not just for the uninsured or underinsured, but for all of us because we pay more in premieum and taxes when americans without good insurance visit the emergency room. we get taxed. and since we all benefit, there are parts of this law that also require e

if you are uninsured, (202) 585- 3881. we want to answer your questions about how those exchanges work. we want to hear your stories if you have tried to get onto healthcare.gov -- whether you have been successful. give us a call. jenny gold, we should this not earlier. -- this map earlier. federally run and state run exchanges. the blue are the federally run, the orange are the state run, the green our joint exchanges. when you talk about the essential items in every plan, does that apply to both state and federal plants? guest: that is all the plans. you are getting the same thing, it all depends on how you get it , what the website looks like, how much money the state has to implement it. host: how did the states choose whether they were going to go to a federally run plan or their own? guest: i think congress expected every state to run their own, that was the expectation. only 14 or 16 states decided to run their own exchange. the rest are doing a partnership or defaulting to the federal government. the states that ar

it was developed primarily to ensure the uninsured at a reasonable cost. and i just went over some of the increased cost with you. in fact the increased cost in health care in massachusetts have come down in the five or six years of the last decade and since health care was enacted have been coming down and down and down. in fact in the last couple of years they have been to the 2 to 3% range and one of the largest health insurers announced a rate decrease for the parts affected by the affordable care act, small group and felon group rates. i would say compared to the past, it hasn't made much of a difference, if anything a little bit downward pressure. and then there's the question you asked about, so what's the implication for affordable care act in cost containment? and there the affordable care act has a lot of elements frankly that was left out of massachusetts health reform in 2006-2011. but -- 2011. 2007. what we are seeing is a significant uptick in the level of competition among the health insurers, some new insurance companies and very much focus

that means one out of every three uninsured americans is hispanic. >> they were the most uninsured because we work in jobs that don't offer it or were independent contractors. we live in states that if you work and earn some thk you won't be eligible for any public program. bottom line is we are a working people who work in jobs and still can't get health insurance. >> latino rtz country's youngest pop lakes with a median age of 27. and enrolling young people is vital for the on-line health exchanges. they need three million young and healthy people to enroll to keep premiums from rising. >> when the insurers come back to price premiums next january 1st, they are going to make the premiums reflect the pool of enrollees that they get. if the pool of enrollees they get is relatively thick and expensive, that will make the premiums be higher. >> enrolling uninsured hispanics comes with its own set of challenges like making sure there are enough navigators to assist an application. and undocumented immigrants do not qualify for any benefits causing confusion in some mixed status families. and

s poorest and sickest residents, and most are uninsured.hey turn to this place because if they can't pay, they'll still be seen and treated. do you have insurance? >> no, i don't have any insurance. >> reporter: you don't have insurance? >> no. >> reporter: when's the last time you had it? >> two years ago, when i lost my job. >> i don't have insurance. >> reporter: you don't have insurance. what's that like? >> just trying to not get sick. >> reporter: if the affordable care act, better known as obamacare, works, it's the patients at st. john's clinic, and millions more like them across the country, who are among those who are supposed to benefit the most. jim mangia is the president and ceo of st. john's. he says obamacare's importance can't be underestimated. >> there's no doubt in my mind that it's one of the most significant pieces of social legislation we've seen in more than a generation. >> reporter: if all goes according to plan, obamacare will expand health care coverage to over 25 million people over the next decade. it will do t

uninsured have already gotten coverage.cheers and applause] >> arkansas, i didn't win that state either, covered almost 14% of its uninsured already. that's already happened. [applause] and you got some republican governors like governor kasich of ohio who put politics aside and expanding medicaid through this law to cover millions of people. unfortunately, there are others who are so locked into the politics of this thing that they won't lift a finger to help their own people and leaving millions of americans uninsured unnecessarily. that's a shame. because if they put as much energy into making this law work as they do in attacking the law, americans would be better off. americans would be better off. [cheers and applause] >> so that's the affordable care act, better protections for americans with insurance. a new marketplace for americans without insurance. new tax credits. more choice. more competition. real health care security, not just for the uninsured or underinsured but for all of us because we pay more in premium

ceo of e-health, enrolling uninsure uninsur uninsureds. >> he has tried to get on healthcare.gov. he's not sure that there are glitches or so many people are trying to sign on. >> yeah. i don't know as well. you know, this is a complex decision process for people. building these e-commerce sites are not easy. we're a silicon valley company and have built this the last 15 years. i'm not surprised. we saw 20 million americans last year come to us. to give you a flavor for the kind of interest that there is in health insurance and getting coverage. so i wouldn't be surprised over the next several days and weeks -- we do see some turbulence and things don't run as smoothly as some would like to see them run. >> according to the wall street journal, there have been technical challenges. put simply, people in d.c. could not calculate tax break money to help pay for their insurance plans. are they continuing today? >> well, that's a great question. whether they're continuing at the moment, i don't know. but, you know, it's very complex to go into the treasury department. >> that's kind o

even the uninsured. >> it is split.it is split today. >> you point out there so many benefits that are tangible especially people who aren't insured. wise is so difficult because even the uninsured. >> first of all i don't know what the calculation is. any idea how much information has been spent in giving out misinformation that i will take on the responsibility of saying what has been the communication of the benefits? terrible. it has been awful. we are doing retail now and i am going to go to my women's issue because i think it's a important over and over again from the beginning. we are talking about first of all in terms of health research for women in this country it has been a stepchild. i think the congress in 1990 and my colleagues will size of the ohio connie morella louise slaughter barbara canales nita lowey nancy pelosi for making the fight on the national institutes of health including women and minority's in clinical trials. they were doing the test on them and extrapolating the data. madness, really mad

the 25 million of those uninsured are uninsured by the very design of obamacare.hey were never included in the original estimations of the bill because you have to take money out of your pocket to buy insurance. if you get up into the middle incomes, the insurance is extremely expensive and many people won't be buying it. about one third of those people will be undocumented immigrants, but two thirds will be u.s. citizens, mostly working poor, who still cannot afford health insurance under obamacare. >> john mcdonough, your response to that and how you see this transitioning? do you ultimately see expanded medicare for everyone as the answer in this country? >> two very big questions. million, when medicaid was started in 1965, it was voluntary for states to get in. it wasn't until the 1970s that nearly all states were in and not until 1982 that all 50 states were and. arizona was the last day to join. i would predict within five years all 50 states will be participating in this new medicaid expansion because the benefits of it are so great for states. it will be

medical care for the uninsured has already ballooned the cost of the system. this is an attempts to gain control of those costs. so if you have a better answer, republicans, let's [bleep] hear it! but don't make your plan, what do we need food stamps for when we already have dine and dash. we'll be right back. (cheers and applause) >> jon: welcome back. remember when, remember when our country used to have a government? well, that could come back some day. and when that happens, we'll be looking at a little issue known as immigration reform. asive mandvi reports. >> some members of the house think that it's time for congress to finally enact sweeping immigration reform. going so far as to get arrested for the causement but calmer voices have some reasonable concerns. immigration expert dennis michael lynch. >> there are people who are coming here who want to come to cut your lawn and have a better life. but there are people who want to cut your throat. >> yes, not just one type of illegal immigrant, there are two. >> an they're impossible to tell apparent. >>

. >> uninsured, sorry.vernight, 60,000 or some number close to that, simply by accepting this medicaid expansion. so you have in the other states not participating, unfortunately the majority of them. you have governors willingly saying, no, we're going to keep these poor people uninsured. just because i don't like that law. and it has no actual financial benefits to them in not implementing. >> absolutely. jared, i accept that we live in a culture where everything has to be immediate. everything has to be perfect. we have no tolerance for any delays. we can't cope with any kind of suffering. we run away from all these things. how is it possible, though, that a website has become the very focus of this issue, when, in fact, if this is a provision of health care that currently does not -- we have millions of people who are not covered. >> right. >> and this is surely the answer to that. >> it's as if we built a very good shopping center, but the road to get there is filled with potholes, and now everybody is

likely not a lot of uninsured. so they are definitely pocketed together. there are certain areas in higher concentration that others. i gave you an example of washington, d.c., where a lot of the uninsured are in the northeast and southeast. which fits to an economic level. our cable networks are really trying to figure out what demographics best reach those, whether it's for young males like sports and offer opportunities there, tried to offer added value. like i said, we want to help the exchange as much as we can from and added value standpoint. obviously, offer then whether it's banners on our online sites, or extra weight from a schedule perspective. so we're trying to work with them. we have also used a lot of the census data in proprietary data about uninsured within our targeting from an online perspective. when we go down to the household, so we're trying to be able to send messages into those individual households and use as much data as possible because it is 47 million people or 49 million people, that'

yes, 48 million uninsured right now. how many does the cbo say will continue to be uninsured after obama care takes over? 33 million. we're not causing the problem. are premiums going down? a year for seniors? no. >> that's not even true. that's not just misleading, it's not even true. if the republican governors would have extended the coverage, it would have covered the people up to 1133%. >> but 30 million un14rd still. >> what grace-marie is explaining, there are about 10 to 12 million people, who she's right, will not get covered. 30! >> and the artable care act says we're not going to help those folks, but everybody else is eligible for coverage. grace some marie's numbers are -- >> let me ask this question. my wife and i, we're private business people. we have a private insurance company. we pay about $1200 a month. >> just for the two of you? >> just for the two of us. we live on the end of a dirt road on a mountaintop. we don't have fiber-optic cable. it took about eight days to break through this exchange websi

about 25%.e highest uninsured rate in the nation. about 25%. highest uninsured rate in the nation.te in miami. hispanics are among the most uninsured population in the nation and in florida, as well. higher than 25% basically no one can get into the website. as a result, marco rubio wants to delay the obama care mandate again. this time until the website is certified as being fixed. debbie wasserman schultz says that's bologna. that's a direct quote. rubio's co-worker in the u.s. senator said rubio's call for delay is ridiculous. so we see how it's playing out in the political sense. but the problem is on the ground this isn't happening. meanwhile florida blue cross/blue shield announced 300,000 people whos ares a gett getting letters saying this is what's happening to your insurance, here are other plans you use qualify for. some will pay more, some less. debbie wasserman schultz talks about a cancer survivor paying about $1270 a month. she got the notice from florida blue turn its out she'll only be playing640 a month. but the success stories are few and far between. >> any succe

that'sÑi tied for fourth among states with the highest percentage of uninsured. the fed. you turned down the medicaid expansion. question: aren't you leaving a lot of folks in your state of louisiana ou in theçó cold? >> chris, i think we need to do health care reform from the bottom up. this is what we do in louisiana. we're the only state that has a state-operated network of charity hospitals. we transformed those. we had ten operated hospitals when i became governor. now nine will become public-private partnerships saving taxpayers over $100 million, improving the quality of care in baton rouge going from a ten-day wait to a tuplt wait to get -- to a ten minutes wait to getñr prescriptions. went to another city, lake charles, where if you had a broken bone, you had to travel many miles. now you can get that care locally partnering with a private sector in our commanding care and medicaid program, 9,000 individuals, got them in a private insurance plan where they're getting preventive care saving taxpayers another $100 million, improving health careñr outcomes.

but 15% of the uninsured are in california. some of those folks are undocumented, but we do have a very, very large number of people here, and if we can't make it work in california with everybody pulling together, we can't make it work anywhere. i think we're showing how health reform can work, but we will miles to go before we sleep. >> are there other key states who are running their own exchanges or have pushed the responsibility on to the federal government. >> california has one of the higher rates of uninsurance in the country. it's not the highest but one of them. they have a lot of potential there for people to enroll. other states that people are watching closely are in texas, they have a really high rate of uninsured there. some the other southern states. new york will be interesting to watch because their website is apparently running. people are signing up. they have 37,000 enrolled already, they said. kentucky's website appears to be working pretty well, and they've got a number of people enrolled. connecticut, di

remember this isn't just the uninsured. who are not getting coverage. but it's also hospitals that treat people who are uninsured who are not able to get revenue for that care. i think there's another question, a more fundamental question which is how are we going to feel about the fact that in half the nation you have very generous medicaid coverage levels. are you going to see expansion a lot. but in many of these states you have to have income that is below 25% of the poverty line to have coverage. and that means that there is really, they're leaving the most vulnerable americans working 60% of the working uninsured, according to the "new york times", out of coverage. and i think that that is-- that really raises some fundamental questions about how we design our policies and about how we feel about the safety net and about poverty in our society, especially poverty among workers. >> let me ask you, because it does raise the larger safety net questions, both in health care and more broadly. do we-- where are we now, when you add up these kinds of thi

bloomfield, ichael new jersey, he's uninsured. hello?ood morning. >> go ahead, please. opinion is about the everything on and generally ---- >> go on to gary. cleveland, ohio. insured. hello, gary. >> good morning. >> my understanding is that companies urance involved in writing the obama and if that is true, wouldn't they lean towards he policy that would be more advantageous for them? >> the insurance companies like of the healthtors care world did give the input to capitol hill for sure. and every sector, whether it's an insurance company or a hospital or another medicare care er or a health provider as well want this law to work out well for them. ut there's no doubt they lobbied to get permissions they liked or dislike. but the thing to remember is all of that takes information and creates the law fit.hey see again, i don't want to say that industries don't influence it. insurers like some things in this law. they don't like other things. hey geelt a lot of new customers. millions of new customers as part of the creation of the care

uninsured younger people may join the exchanges if they are not only their parents' plan or the stateoes not expand medicaid and the obama administration and healthcare experts agree that the system is dependent on young and healthy people in the marketplace and i'm thomas in new york. on inside story, we bring together unexpected voices closest to the story, invite hard-hitting debate and desenting views and always explore issues relevant to you. what happens when social media uncovers unheard, fascinating news stories? >>they share it on the stream. >>social media isn't an afterthought. it drives discussion across america. >>al jazeera america social media community, on tv and online. >>this is your outlet for those conversations. >>post, upload, and interact. >>every night, share undiscovered stories. ♪ we join the program already in progress. this is real money and halloween is scary and it's october 17 looking truly frightening for investors and businesses and americans, who care if the country pays its bills, the 17th is when the government is expected to hit the 16.7 trillion d

but it's true, even when this is fully phased in, about 40% of the uninsured americans will remain uninsured. a lot of that is because they are undocumented immigrants not helped by this law. >> maybe 10 or 12 million, is that what you're saying? >> what i'm saying is at the end of the day, of the remaining uninsured, probably a third to a half will be undocumented immigrants. others will be people who have decided to pay the penalty instead. and others will be people who just are exempted from the penalty because they can't afford insurance. >> the illegal immigrants, they are not going to be eligible to purchase health insurance under obama care, so they're the ones who will wind up presumably in the emergency rooms, right? >> just like they do today. i think once again, the key thing is we can't evaluate obama care against the world we wish we had. we have to evaluate obama care against the world we have today. today, these undocumented immigrants end up in the emergency room. next year, they lend up in the emergency room again. that may be something we want to take eventually as a societ

they are 13% more likely to die from the surgery than the uninsured. than the uninsured. >> tara, i got your name right. >> you did. >> here is a question i have. $10,000 swing is a lot of money. people aren't keeping their own plan. that's a problem. the republicans' final offer they sent to the house was eliminate exemptions for big business. they also said -- and unions and eliminate exemptions for themselves or subsidies. tell me what part of that is unfair. >> first of all, i want to correct a couple of things for the record. >> answer my question. then correct it. >> what part of the final proposal is unfair? >> the fact that they are tying to litigate something that was upheld by the supreme court. >> oh, my. >> voted on them 42 times using tens of millions of dollars in taxpayer money. >> i will give you a copy of the constitution. >> the supreme court is ash tor of the constitution. >> tara. >> they up he held the law. >> the republicans won the house. they have the power of the purse. >> and democrats won the senate. the bottom line is the la

they are 13% more likely to die from the surgery than the uninsured.se the -- than the uninsured. >> tara, i got your name right. >> you did. >> here is a question i have. $10,000 swing is a lot of money. people aren't keeping their own plan. that's a problem. the republicans' final offer they sent to the house was eliminate exemptions for big business. they also said -- and unions and eliminate exemptions for themselves or subsidies. tell me what part of that is unfair. >> first of all, i want to correct a couple of things for the record. >> answer my question. then correct it. >> what part of the final proposal is unfair? >> the fact that they are tying to litigate something that was upheld by the supreme court. >> oh, my. >> voted on them 42 times using tens of millions of dollars in taxpayer money. >> i will give you a copy of the constitution. >> the supreme court is ash tor of the constitution. >> tara. >> they up he held the law. >> the republicans won the house. they have the power of the purse. >> and democrats won the senate. the bottom line

i have the highest uninsured rates in the entire country. about 40% of the constituents i represent, about 265,000 don't have insurance. the dallas ande fort worth metroplex together, you were talking about over a million uninsured. contrary to what you're hearing from republican leaders, i can assure you that texans particularly in the district i represent once the affordable care act. they want to enroll. they want insurance. thathappy to report someone i am very well acquainted with -- i read a paper today, she was having trouble on the computer but she went on the phone and was able to enroll in 15 minutes. towant people to continue try to enroll. it is very very important that the people get insured. texasy of you know, decided not to opt for medicaid expansion. many consider that to be a huge mistake by the governor and the republican-controlled legislature. because of that particular decision, we are still going to have a huge gap that is going to occur in the state of over one million people. even with the affordable care act, texas