medical center in oakland this labor day holiday. 1200 members and supporters of labor union seiu united health care workers west crowded the intersection of mcarthur and broadway demanding job security. >> when i first started kaiser -- >> he works at the pharmacy distribution center in oakland. the union says kaiser has indicate d they wish to outsoure 260 jobs. which the union claims includes shell drivers. pharmacy warehouse workers and several others. >> my job is on the line right now and we're here to let kaiser know that we're here for the fight. >> i'm not young. i need my medical benefits. >> asa has spent the last 27 years trimming trees and maintaining kaiser's gardens at their pleasonton facility. she says if they need to trim cost, they need to look at the top leader's paycheck. >> you're paying your ceo 10 million a year. i mean, i'm not trying to be rude, but you want to cut some money, there you go right there. >> a spokesperson for kaiser permanente septemb permanente sent us a statement saying we are disappointed the current leadership has chosen to mischaracterize the strong comm

quickly because these numbers are pretty incredible to when you look at the rising cost of health care i mean the united states health care spending is projected to rise five point three percent and twenty eight team the u.s. centers for medicare and medicaid services estimated twenty seven thousand spending was up four point six climbed nearly three point five trillion and i was going to jump up to five and it gets even worse yes because what they're saying is there's a lot of numbers in between but ultimately what what's coming out is the c.m.s. projected that by twenty twenty six health care spending is projected that it will reach five point seven trillion trillion with a t. wow all right as we go to break court watchers don't forget to let us know what you think of the topics we've covered a big book and twitter see our poll shows at our t.v. dot com coming up sean stone sits down with mark stage the director of studies for the institute of medical studies to discuss the. factor and then texas finally lifted the oppressive bad. swords swords. strange esoteric thought some sword play coming up next

i have medicare, supplemental secondary insurance through united health care, which is phenomenal, but as far as socialized medicine, england and canada have wonderful programs that work. the lobbyists and republicans are just trying to scare people into thinking that this is not a good thing. that is total crap. my third point is that, i'm seeing in a lot of bills coming up about the opioid crisis, are any of these geared towards holding the big pharmaceutical companies responsible for the opioid epidemic, because they are the real culprits in why this epidemic even started. host: we will let our guest respond. guest: to backtrack for some viewers, the opioid epidemic is credited towards the overprescribing of these narcotics that are extremely addictive, meant to treat pain. things like oxycontin. what happened is they were prescribed to patients in abundance, and a lot of people became hooked. once they sort of started petering out because doctors noticed that so many people had become addicted, people turned to a different drug, heroin, to maintain the high or alleviate the pain th

united states to. plow our way forward down the rugged and randy and path of privatized health care despite the fact that the united states has the highest rate of deaths amenable to health care among comparable countries meaning deaths that could have been prevented with proper health care that hasn't stopped their whole care industry from still worshipping the almighty dollar over there have a crowd of goats. has even more startling numbers for you. a recent study by the moran company found that one in five hospitals in the us spike medication prices by at least seven hundred percent this means that if a hospital purchases medication for the cost of one hundred fifty dollars that cost for the patient could be up to one thousand and fifty dollars in some instances that markup was even higher one in twelve hospitals mark up the drugs over a thousand percent this is important as drug prices continue to rise president trump has already addressed the issue in may of this year trump released american patients first the plan to lower drug prices and reduce patient out of pocket costs american drug companies s

if you look at the health care of people over 65 in the united states, it's $700. lth care out of pocket, basically all hospital visits, physician visits, all drugs, everything, are in the $700. the average plan of the affordable care act exchangeq>is a premium of $4,700 and a deductible that's also thousands and thousands of dollars. that's not even bad value, it's like beyond that. i mean, there is a reason people are fleeing these plans.:cf1 o so cat-herding finance as a way of supporting the exchanges just really has not worked. and the notion we need to ban affordable plans outside the exchanges, it's just doubling down, really, on a failed strategy that's had a lot of collateral damage. if you think about who is on the individual market, people are actually on the individual market for a short term, anyway. most people are covered by employer-sponsored insurance. some use them as bridge gaps between jobs. there is a sense that people cycle between the individual market. it's not a long-term market. so it's inherently a bit of a short-term market for people to

united health care, the nation's largest health insurance company and aetna have recently announced they will do this for their customers next year. the trump administration has recently considered a plan to do the same in medicare part d. we think these are all steps in the right direction. also more employers should exclude chronic medications from their high deductible plans. we do this. in high deductible plans, your cost resets every january 1, but your disease does not reset. we need to make sure the patients can stay on their medications for the long-term. but many employers have not done this. and one of the reasons is the irs has not made it clear this is a deductible tax expense. like a preventative service. the standard required to exclude from their taxes. this administration or congress should clarify this immediately. upfront coverage of chronic medicines is an immediate step we can take to improve adherence and improve outcomes. finally, value. health care can no longer be about delivering certain products and services. the future must be about making people healthier thro

. >> i'm alan wong with the united health care workers. we have a new wave of people that have been outsourced by kaiser permanente, that is not included in the resolution. the gardeners were told on the 17th that they'd being outsourced as well, so now kaiser permanente is trying to outsource over a thousand jobs for union members. we're here to stand up for our members and we're proud of the political courage that the supervisors have shown in terms of helping to support kaiser workers who being outsourced. thank you to my own supervisor, norman yee. and other supervisors that support. thank you. >> thank you for your comments. next speaker, please. >> thank you, madam. good evening, ladies and gentlemen, president cohen. this continues my comments that i began on september 11th. if you will recall this was a time of tremendous controversy about involuntary outpatient treatment. ab-1800 was discussed in california which was the predecessor to laura's law passed following the legislative session. director steven neighbor of the california

san francisco health is service system requested the claims data from united health care and from bluehield of california for 2016 and 2017. milman has received the claims data from u.h.c., and we are expecting those results in about eight weeks. thank you. >> now we're going to turn it over to ken mann of workforce. >> good morning, commissioners. thank you for having me here. i manage the office program at the office of workforce development. first, before i start, i'd like to acknowledge emily chair and lowell rice in my office. they're the ones in the ground doing the work and getting people to jobs, and -- [inaudible] >> it wouldn't be successful of course for cpmc, so that's my acknowledgement. now, first, the first goal is hiring at least 50% of new entry level positions for new nonunion administrative positions. we exceeded the goal, 32 out of 37, which is 86% of the applicable participants got on this jobs, and some of these are lead documenting coordinators, documenting clerk, project manager, and these were hired through our capsa program, and that stands for construction pr

. >> i'm with seiu united health care workers. we're here today because kaiser is planning to outsource our jobs. recently, that number that you last heard, 900 jobs being outsources to now 1,000 jobs across the state. in san francisco kaiser has informed us that she plan to outsource 16 parking and shuttle services jobs. in bargaining, we're told they plan to contract out and also use ride share services. on monday, clifford, who's a gardener, he's standing right there. gardeners were told they would be outsourced, as well. kaiser's eliminating quality jobs, retirement, quality health care and wages and replacing them with work that makes them money. this is about greed. this is about while they're earning $2 billion in profit. that's while they have more than $28 billion in reserves. that's more than california, and that's nothing but greed. we urge you to support supervisor norman yee's resolution to protect kaiser workers from outsourcing. thank you. >> supervisor safai: thank you. next speaker. >> how you doing. good morning.

i know that were the other systems, whether it is kaiser, blue shield or united health care, it is everyone in the system. but i saw the director nodding your head. best doctors is not restricted to just members. it includes dependence as well. >> correct. >> thank you for that clarification. >> president breslin: any other public comment? seeing none, item number 9, please see eight item nine is action item. cafeteria plan, 2018 annual update. >> chief operating officer. this is the plan year 2019, cafeteria plan document to review. this is an annual thing that i present to the board. it is an action item because of the fact that this is one of our plans documents and any material changes to this document has to be reviewed and approved by the board. this is from section 125 of the internal revenue code. we required to have a complaint document. back in november last year, we had an education session on section 125 of cafeteria plans and why it's important for us to follow these rules consistently. throughout the membership. included in your pocket is a summary of the changes. there are no

. >> i'm alan wong with the united health care workers. we have a new wave of people that have been outsourced by kaiser permanente, that is not included in the resolution. the gardeners were told on the 17th that they'd being outsourced as well, so now kaiser permanente is trying to outsource over a thousand jobs for union members. we're here to stand up for our members and we're proud of the political courage that the supervisors have shown in terms of helping to support kaiser workers who being outsourced. thank you to my own supervisor, norman yee. and other supervisors that support. thank you. >> thank you for your comments. next speaker, please. >> thank you, madam. good evening, ladies and thntlemen, president cohen.

in a recent international survey by the commonwealth fund the yuki's health care was ranked first out of eleven countries and the united states last despite the fact that the uki spent just nine point one percent of its g.d.p. on health care and the united states almost double that. if we didn't exist or probably cat doctors disappeared overnight it began the n.h.s. that's how the n.h.s. works with a relatively small budget you're able to cover the majority of health conditions. today the yuki's primary care provides ninety percent of all health care for only eight point five percent of the total health budget. i would hope that our privatized system is the envy of the world it means that every person this country has been titled in to develop a past the relationship with someone you remember them and know it's wrong with them and be able to help them through periods of stress or physical ill health the uki is said to have a higher percentage of doctors working in primary care compared to other european countries. britain is also internationally recognized for having the highest number of people with an assigned primar

top line zero is the one out of control whether it's you know it's certainly with health care prices that's the united states that there are drug prices from two thousand and they've really started to take off from the rest of the world and that's when obama did the deal with you know the drug the pharmaceutical company said he wouldn't have rained on their prices you know what was incredible at the time was that liberals and progressives were saying this is a poison chalice this is a horrible deal but it's incremental it's iterative it's what we need to do to get to where we need to go as if it was a continuation of where we've been corporate galad jing remember dennis kucinich was taken up with obama's plane and he came down and he was a convert to obamacare he was the last man standing course bernie sanders was like oh yeah you know medicare for all be great but we're just going to let this slide progressive we're going to progress to something better at some point they're not progressing at all to regress going back to. a feudalism you know america never had to feudalism because we had a revolutio

. >> kim cavaloni, national unit of health care workers. any gap in the delivery of service for senior care is detrimental. it's our job to speak for the patients, it's your job to speak for the patients. if my family member was in this program, and i was told that it was closing, it would be detrimental. if your family member was in this program, it would be detrimental. there's no place to open these types of services. san francisco is perhaps in the -- one of the worst housing and homeless crisis, and this is not going to make it better. this would be a crime against san franciscans. it absolutely would be detrimental. the fact that cpmc can walk away, a heath care corporation -- and it is a corporation that makes millions of dollars is just walking away, wiping its hands clean and saying good luck, find a program on your own, yeah. i.o.a.'s got to go find funding. that's not acceptable. they -- they are not guardians of health care, they're profiteers. they're carpet baggers. they want to make money, and this they can't, they want to wa

. >> kim cavaloni, national unit of health care workers.ry of service for senior care is detrimental. it's our job to speak for the patients, it's your job to speak for the patients. if my family member was in this program, and i was told that it was closing, it would be detrimental. if your family member was in this program, it would be detrimental. there's no place to open these types of services. san francisco is perhaps in the -- one of the worst housing and homeless crisis, and this is not going to make it better. this would be a crime against san franciscans. it absolutely would be detrimental. the fact that cpmc can walk away, a heath care corporation -- and it is a corporation that makes millions of dollars is j

in a recent international survey by the commonwealth fund the yuki's health care was ranked first out of eleven countries and the united states last despite the fact that the uki spent just nine point one percent of its g.d.p. on health care and the united states almost double that. if we didn't exist or probably cat doctors disappeared overnight would be the end of the n.h.s. that's how the n.h.s. works with a relatively small budget you're able to cover the majority of health conditions. today the yuki's primary care provides ninety percent of all health care for only eight point five percent of the total health budget. i would hope that our privatized system is the envy of the world it means that every person this country has been titled in to develop the past the relationship with someone you remember them and know what's wrong with them and be able to help them through periods of stress or physical ill health the uki is said to have a higher percentage of doctors working in primary care compared to other european countries. britain is also internationally recognized for having the highest number of people with an

united health care a big monster and downgrade from citigroup today and that is a real concern becauseock has been no where but up recently. fallout from last week's congressional testimony and you heard what was going on there with snap and same thing everywhere else. groupon and yelp and twitter was down but generally been down that is a trend, again, for the last three or four days. finally, we have continuing emerging market fallout and already in bear market tar at y territory. mexico is down not as bad as everywhere else. thr throw in three or four major issues and we just sort of stalled out. not a lot of strong momentum to buy right now for any of the sectors, even including consumer staples. back to you. >> thanks, bob >>> despite the emerging market trouble global growth has remained robust and that could be changing. >> hey, melissa, that's right. an active discussion around why u.s. markets have remained somewhat insulated from the emerging market pain we have seen this year big drops in the brazilian real down 20% on the dollar last year and take a look at the gross domest

in a recent international survey by the commonwealth fund the yuki's health care was ranked first out of eleven countries and the united states last despite the fact that the uki spent just nine point one percent of its g.d.p. on health care and the united states almost double that. if it didn't exist or probably cat doctors disappeared overnight it began in the n.h.s. that's how the n.h.s. works with a relatively small budget you are able to cover the majority of health conditions. today the yuki's primary care provides ninety percent of all health care for only eight point five percent of the total health budget. i would hope that our primary care system is the envy of the world it means that every person this country has been titled in to develop a past the relationship with someone you remember them and know what's wrong with them and be able to help them through periods of stress or physical ill health the uki is said to have a higher percentage of doctors working in primary care compared to other european countries. britain is also internationally recognized for having the highest number of people with an assigne

. >>> and united health care warning hospitals it may drop envision health care from its network. if the two can't reach an agreement. envision is the largest provider of emergency doctors it blame ed the rates. they are negotiating good faith and accused united of making egregious demands. doctors contract with insurers separately from hospitals. if united drops envision, doctors at in-network hospitals could be out of network for more than 1 million united members across the u.s that could have a bigger impact on the cost of health care >>> president trump and iran's president rouhani could come face-to-face tomorrow at the security council meeting eamon javers is here again and he has more on this story. good morning again >> so much speculation leading up to this whether or not we'd see that face-to-face meeting between rouhani and trump this week maybe not the week we'll see that, according to rouhani rouhani sat down with lester holt of nbc news last night. he talked about the strait of hormuz and the iranian threats to close that vital waterway if it doesn't get what it wan

us versus the simplicity no bureaucracy no middlemen across europe and saying the united kingdom over their health care system he says you can think of it as a tax by the time the insulin gets from the factory where it's made until it comes all the way down the chain to the patient there are a lot of people who touch the insulin and everyone wants money for touching at one of the things that's different in other countries not as many people touch the insulin before it gets to the patients so that keeps the cost that's the exactly what feudalism feudal times was like that there were constant toll booths and shake downs and everybody wanted to cut before any money got from the king in his goal down to you the schmuck on the street right into shakedown and toll booths and if you look at the charts on medicare cost bloat and that the number of doctors isn't going up with the number of administrators the number of bureaucrats the number of middlemen home booths tolerate errors and get their hands on the pie that keeps skyrocketing you know it's amazing to me that americans they'll drive you know five ten mi

their goal to destroy that bill to begin with. , supplementale secondary insurance through united health carewhich is but as far as socialized medicine, england and canada have wonderful programs that work. the lobbyists and republicans are just trying to scare people into thinking that this is not a good thing. that is total crap. i'mhird point is that, seeing in a lot of bills coming up about the opioid crisis, are any of these geared towards holding the big pharmaceutical companies responsible for the opioid epidemic, because they are the real culprits in why this epidemic even started. host: we will let our guest respond. for some backtrack viewers, the opioid epidemic is credited towards the overprescribing of these narcotics that are extremely addictive, meant to treat pain. rings like oxycontin. what happened is they were prescribed to patients in abundance, and a lot of people became hooked. once they sort of started petering out because doctors that sot -- noticed many people became addicted, people turned to a different drug, heroin, to maintain the high or alleviate the pain they a

united states. we're looking at the health care sector, consumerio discrry stocks. we still believe that that story has room to run although th ra valuations have become more expensive and we're looking for room to buy emerging markets anp there's beenlback with their currencies and we're looking for ways to take risks in a prudent way that isn taking too much additional em risk in the portfolio, but when something falls this much without a drop in fundamentals, typically it's a buying portunity for investor who have a long-term outlook. >> brian, have a great long weekend. brayan is with nevine. >> thanks again. >> there was nothing straightforward about the trade talks between the u.s. and canada. the negotiations were tense and there were surprises and in the end, no agreement was reached between the u.s. and its biggest rating partner. the negotiations broke off midday seemingly abruptly and then came word that the discussions will pick up again ne wk. eamon javers is covering the us.y for it's like a professional ping-pong game. >> run through the events of tod

. -- leveraged buyout of invision health care. in the unitedtates, despite the treasury auctioning off two and five-year notes that offer the highest yields in a decade, buyers bought the two-year note, and offering's saw a bid to cover ratio that matched the weakest level since 2008. all those auctions were held before this week's federal reserves decision, where the central bank, of course, raised rates once again. >> the fed didn't really want to shock the markets by making much of a change at all. >> things are great right now, things are booming. the fed is reacting to that. >> there is more to run in this, assuming that the fed itself moves very, very gradually. >> there is no sign the fed plans to pause. >> it is really a recipe to move quietly and judiciously and don't do anything radical in one way or the other. >> we actually expect we will see four rate hikes next year after another one at the end of this year, which is above what is being priced in. >> the federal open market committee will simply set policy in the best long-term in

at cognizant, we're uniting doctors, insurers and patients on a collaborative care platform, making it easier to do what's best for everyone's health, every step of the way. you may need more physical therapy. ugh...am i covered for that? yep. look. grandpa catch! grandpa duck! woah! ha! there you go grandpa. keep doing that. get ready, because we're helping leading companies lead with digital.

also, tonight, the united states spends far more on health care than any other developed country. yet, the lowest on results. taking to prabhjot singh about how the health care begins at home. >> uniworld is a proud sponsor of "amanpour & co." when bee tollman found a collection of boutique hotels, she had bigger dreams, and those dreams were on the water. a river, specifically. multiple rivers that would one day be home to uniworld river cruises and their floating boutique hotels. today that dream sets sail in europe, asia, india, egypt, and more. bookings available through your travel agent. for more information, visit uniworld.com. >> additional support has been provided by rosalind p. walter. bernard and irene schwartz. sue and edgar wachenheim iii. the cheryl and philip milstein family. and by contributions to your pbs station from viewers like you. thank you. >>> welcome to the program everyone, i am christiane amanpour in new york. the struggles continues to play out. dr. christine -- who categorically denies all her allegations. so far, president trump is staying mostly on

it's really important that we continue to drill down on how we make sure that everybody has health care in the unitedstates of america. i have two questions particular to health care in our most rural areas. first is about maternal health care. in new hampshire, it's one of the things we struggle with, especially up in our north country, which is about 50,000 in that very large space. according to the american college of obstetricians and gynecologists, rural women have poorer health outcomes and less access to care than urban women do. especially when it comes to women's health providers. this can be obviously a tremendous problem and it's really just not feasible for many women to drive hours and hours on end for all of the frequent, yet critical pre-natal visits they really need. we all know how important that is. but if you have to drive hours and hours once a week, and you're trying to work and raise a family, you can't do that. and you have to think about how to access this care when it's actually time to give birth. i'm interested to hear from each one of you how can we help address this issue

too many people were getting too much health care in the united states of america.2015, he missed one quarter of the votes in the ninth -- in the united states senate. in 2006 income he missed half of the votes in the united states senate. tell me who can miss half the days at work and be rehired for the same job going forward? that is not what texans want. they don't want somebody who was captured by corporations and political action committees because that is where ted cruz gets his money. our campaign is the largest grassroots campaign the state has ever seen, funded by people and only people. every single one of the counties of texas, every single day. [applause] >> that is your time. senator. sen. cruz: congressman o'rourke does not seem to understand that representing texas is not doing a photo op in each county in texas with reporters in tow. [applause] sen. cruz: it is actually standing up and fighting for the people of texas. in the years i have represented texas, i have been on the ground. in west texas when the explosion happened, i was on the ground with

look at europe they're they have single payer for the most part universal health care but you have the difference like the united kingdom even the doctors and hospitals work for the government to say france or they're all in similar to here medicare for all there but rates are not extreme here so elderly are.