provisions worked through between sfhs and the united healthcare and essentially, anything that is within the united's control cannot impact the rate for 2022 and these stipulations outline contenoutlineconimaginecies to s laws and regulations, assessments, taxes or marketplace changes that would have and impact over 2% of impact costs or revenue. the mappo plan includes the innovation benefits first introduced to the plan in 2019 that in support enrolled numbers all at additional planned premium for the 2021 planned year and so to address the commissioner's question in the prior presentation. these include the silver sneaker's program, which is a gym membership which has 4,272 enrolled lives and just over 1500 of these actively participating during 2019. and the second is routine and posed discharge transportation service where 236 total trips have been taken so far in 2020 through late april by uhcmappop members and the third is a post discharge meal delivery of up to 84 meals consentin consecutiveld and so far in 2020 through late april, a total of 8,344 meals have been delivered and w

this is shannon hoss with united healthcare and yes, we are continuing to reach our membership to encourage them to take advantage of virtual visits as much as possible and then as the different states start opening up for in-person healthcare services, we will be doing communication campaigns out to the memberships to encourage them to continue to get their preventative screens as much as possible. and so i just had a discussion with jessica yesterday about continuing those communication campaigns. >> through the chair, this is commissioner scott. what is the medicare star rating of the plan that we have? >> 4.5 stars. >> thank you. >> you're welcome. any other questions? >> karen, are you back online? is president breslin back on the line? >> i can see her on a phone line. can you hear me? >> i can, but can you hear me? >> yes, we can. >> oh, you can, i didn't know you could. great, ok. my power went out here. and it isn't even fire season yet. [ laughter ] so i missed a lot of this because i trying to fool around with this stuff, but last year, you know, they came -- united healthcare ca

learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance company be the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. there are 3 key things you should keep in mind. one: if you're turning 65, you may be eligible for medicare - b

learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance companye the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. there are 3 key things you should keep in mind. one: if you're turning 65, you may be eligible for medicare - but

learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance companyice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. there are 3 key things you should keep in mind. one: if you're turning 65, you may be eligible for medicare - but it only covers

learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance company might be the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. there are 3 key things you should keep in mind. one: if you're turning 65, you may be eligible for medica

learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance companyght choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. there are 3 key things you should keep in mind. one: if you're turning 65, you may be eligible for medicare - but it only

learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance companyfree decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. there are 3 key things you should keep in mind. one: if you're turning 65, you may be eligible for medicare - but it only covers about 80% of y

learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance company for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. there are 3 key things you should keep in mind. one: if you're turning 65, you may be eligible for medicare - but it only covers ab

learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance companychoice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. there are 3 key things you should keep in mind. one: if you're turning 65, you may be eligible for medicare - but it only cov

learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance company might be the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. there are 3 key things you should keep in mind. one: if you're turning 65, you may be eligible for medica

for their healthcare so as you look at empirical data on the quality of healthcare in the united states it is top-notch. the challenge is on the cost side of providing that level of high-quality care. not only is that going to be critical from the general population, private-sector healthcare and private insurance but plays a key role as relates to the debt, federal funds being spent on medicare and medicaid as well as state level spending for those exact programs that we are not going to solve it on today's call but continuing to look at opportunities to deliver high-quality healthcare and an affordable where there's an opportunity to really put in place some real competition in the marketplace to drive down costs. we could get in the weeds on any of those points with that will be an imperative step of taking the overall driver of the debt, medicare, medicaid spending to continue high-quality deliverable products that overall big picture on a global perspective, the very unsatisfied -- not only is it true in the private sector where people are paying for their insurance out of foster o

united states is known for a for the healthca. and so you look at surveys and look at kind of empirical data on the quality of healthcare in the united states, is top-notch. the challenges on the cost side level ofing the high-quality care. and so not only is that going to be critical from the general population, private sector healthcare and private insurance of the united states but obviously of playing a key role as a running suit debt . funds aree, being spent on medicare ad medicaid. as well as a state-level spending for those exact programs. we are not going to solve this on today's call. but i do think that continuing to look at opportunities to deliver high-quality healthcare and affordable way, think there is an opportunity to really put in place, reall competition in the marketplace to drive down costs. we can get kind of in the weeds on any one of those points. but i think there will be an imperative step of taking the overall driver of the desk, medicare and medicaid spending, continuing high-quality, delivery of the product and overrode the big picture, kind of a global perspective, the u.s. and equality of their underly

this includes processing claims, providing call center for members and other aspects of what united healthcare does to support the management of this self-funded plan of sfhss. i as the aon actuary, set the recommended plan rates for the uhsppo city plan using health plan trend assumptions and required fees as well as any administrative fees that may be included in the program. the rate policy of the health service board does apply to the uhcppo, and i'll be discussing the inclusion of the stabilization policy in the adjustments from 2020 to 2021 in this plan today. next slide. and we use the same steps that i've outlined earlier to determine the rate change factors that we'll be reviewing today. next slide. focusing on the city plan and city plan choice not available, the average overall increase for these plans before rate stabilization adjustment is 7.5%. the plan does have a deficit position for rate stabilization, and as approved by the health service board earlier in this rates and benefits signi benefits cycle, there is a an element of rating for the rate stabilization cycle plan. this

healthcare system collapse, they we re healthcare system collapse, they were dying at basic healthcare unitsthe situation started to get better injune either because health authorities were able to increase the system's capacity or because quarantine measures were able to flatten the curve of infection so that is what state governors are relying on to reopen the economy, but in other parts of the economy, but in other parts of the country we still see that the infection is accelerating and not only that, the disease is moving from big cities to medium and small cities with the infrastructure is wea ker cities with the infrastructure is weaker so authorities feared that we may see those sad stories unfold once again and the coming weeks. in portugal, a senior police source who has seen the german evidence against the key suspect in the investigation into madeleine mccann's disappearance — has told the bbc it is very important and significant. residents in the tourist resort of praia da luz have criticised the portuguese operation for being too slow. some say they were contacted by police abou

clarke, who will present the kaiser plan first and then proceed with the blue shield plan and the united healthcare plan. so, mike, it's your turn. >> president breslin: madam secretary, you didn't read the item yet though. >> clerk: yes, i'll wait for our producer to move over to the slide and then i'll call the item. llt r all right, item 4 is review and approve updated of the kaiser permanente non-medicare rates and premium contributions for active and early retiree members, plan year 2021. this presentation is from mike clarke for aon. >> mike clarke for aon. next slide. i'll present the kaiser permanente 2020-2022021 non-medicare rates and premium contributions for active and early retiree members. this starts with a rate-setting premise that we included for today's discussions on the three plans. just to help to bring more visibility to our rate-setting process and then how total cost rates allocate to members and employers. then we will dive into the 2021 plan rating for the kaiser permanente or kaiser plan and present the 2021 rate cards for early retirees and finish with our recommendation

the healthcare system really collapse, so people were dying at home, they were dying at basic healthcare units not able to get icu beds. the situation started to look a bit better now injune, either because health authorities were able to increase the system's capacity or because quarantine measures were able to flatten the curve of infection, so that's what state governors are relying on to reopen the economy. but in other parts of the country, we still see that the infection is accelerating, and not only that, the disease is moving from big cities to medium and small cities where the infrastructure is weaker so authorities fear that we may see those sad stories unfold once again in the coming weeks. let's get some of the day's other coronavirus news. french president emmanuel macron has defended his coronavirus strategy and set out a plan to return france to normal. he said that borders would reopen from monday to visitors from many other eu countries. mr macron also promised to consult more widely and to do more to tackle inequality. meanwhie, the united states' top infectious disease offic

the healthcare system really collapse, so people were dying at home, they were dying at basic healthcare unitsble to get icu beds. the situation started to look a bit better now injune, either because health authorities were able to increase the system's capacity or because quarantine measures were able to flatten the curve of infection, so that's what state governors are relying on to reopen the economy. but in other parts of the country, we still see that the infection is accelerating, and not only that, the disease is moving from big cities to medium and small cities where the infrastructure is weaker so authorities fear that we may see those sad stories unfold once again in the coming weeks. the french president emmanuel macron says his country has scored a first victory over the coronavirus and has strongly defended his latest strategy in dealing with the pandemic. in his latest televised address to the nation, more than three months after lockdown, he set out his roadmap for getting the country back to normal. freya cole reports. in france, the mood is upbeat. the plan to reopen society

the healthcare system really collapse, so people were dying at home, they were dying at basic healthcare unitsto get icu beds. the situation started to look a bit better now injune, either because health authorities were able to increase the system's capacity or because quarantine measures were able to flatten the curve of infection, so that's what state governors are relying on to reopen the economy. but in other parts of the country, we still see that the infection is accelerating, and not only that, the disease is moving from big cities to medium and small cities where the infrastructure is weaker so authorities fear that we may see those sad stories unfold once again in the coming weeks. that in the coming weeks. was not the mayor of sao paulo, that was not the mayor of sao paulo, that was camilla mota, oui’ paulo, that was camilla mota, our correspondent on the situation in brazil. let's get some of the day's other news. jihadists in nigeria have killed twenty soldiers and at least 40 civilians in two attacks in the north east of the country. people in the village of goni usmanti in borno

the healthcare system really collapse, so people were dying at home, they were dying at basic healthcare unitsot able to get icu beds. the situation started to look a bit better now injune, either because health authorities were able to increase the system's capacity or because quarantine measures were able to flatten the curve of infection, so that's what state governors are relying on to reopen the economy. but in other parts of the country, we still see that the infection is accelerating, and not only that, the disease is moving from big cities to medium and small cities where the infrastructure is weaker so authorities fear that we may see those sad stories unfold once again in the coming weeks. let's get some of the day's other news. jihadists in nigeria have killed twenty soldiers and at least a0 civilians in two attacks in the north east of the country. people in the village of goni usmanti in borno state say gunmen arrived on motorbikes and pick up trucks during saturday's raid. the killings are thought to have been carried out by the an offshoot of boko haram known as islamic state we

learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance companyight be the right choice for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. there are 3 key things you should keep in mind. one: if you're turning 65, you may be eligible for medicare

i was at the time the chief of the healthcare fraud u of the united states attorney's office in boston whistleblowers made similar allegations. all over the country, thesere doctors eing bribed and were writing massive volumes of prescriptions for one of the most dangerous drugs on the . every investigation of one of these companies starts with, is it possible to go after them iminally? but they're always very diicult. we're talking with, with the fda, we're talking within our group about ways to move cases along. >> narrator: the company announced it was beingve igated. word spread on wall street. >> i would say there was something of a collective shrug. there had been a whole host of investigations of otherco companies-anies that are industry leaders, and big fines that were paid. and so, i think the market looked at this as another investigation, one of many. >> narrator: insys' stock price rose. by early 2014, john kapoor's investment was approaching $1 billion in value. >> and around 2014, i started to publish research on insys. >> and you recommended it to investors to buy. >> i

learn how an aarp medicare supplement insurance plan, insured by united healthcare insurance companyce for you. a free decision guide is a great place to start. call today to request yours. so what makes an aarp medicare supplement plan unique? well, these are the only medicare supplement plans endorsed by aarp and that's because they meet aarp's high standards of quality and service. you're also getting the great features that any medicare supplement plan provides. for example, with any medicare supplement plan you may choose any doctor or hospital that accepts medicare patients. you can even visit a specialist. with this type of plan, there are no networks or referrals needed. also, a medicare supplement plan goes with you when you travel anywhere in the u.s. a free decision guide will provide a breakdown of aarp medicare supplement plans, and help you determine the plan that works best for your needs and budget. call today to request yours. let's recap. there are 3 key things you should keep in mind. one: if you're turning 65, you may be eligible for medicare - but it only covers

racial disparities of housing and healthcare and income and wealth coalbed 19 is only put a magnifying glass on inequality. 118,000 confirmed deaths from covid-19 in the united states and black americans have died at a disproportionate rate as hospitals and healthcare workers have scrambled to secure supplies those institutions that serve communities of color have been the most trainedtu md. as a medical crisis led to an economic crisis largely african-americans and latinos who have seen their jobs disappear faster and more permanently. the president is prepared to declare the fight over because 15 percent of our country citizens are unemployed instead of 20 percent even though that's higher than any point of the great recession. a s the reason isn't it isn't as awful because congress leapt into action to pass a major bill to keep the country afloat the bill that passed was bipartisanus almost every step of the way to get many of the improvements in the bill much of the aid the bill gave to healthcare systems small businesses because they insisted that they declare victory too early or go into complacency now or wait too long to pass another round of emergen

of the united states is borne out treaties entering into sacred agreements and in exchange with the health care for our community. and thenen to recognize and then to provide for our healthcare the united states has chronically underfunded every sector to create a crisis in the 21st century that deeply affects the public health and economy and social lives this has led to the vulnerability ofth our community during this pandemic that resulted in our communities having the per capita covid ray in the united states. and those impacts with the vulnerability with some of the highest rates in the united states. and then in the community that 11475 cases within the healthcare system according to the cdc over 385 natives have died and and then mexico for example only 11 percent of the population impacted add a rate of 27 percent arizona 2 percent of the population and 26 percent in with the expense of covid-19 and with those collections and not the data on mortality data and hospitalization within the healthcare system and that vulnerability and the limited resources 31 percent of urban areas and to classify us and also partially high rates of diabetes and asthma as well as health

this includes processing claims, providing call center for members and other aspects of what united healthcare does to support the management of this self-funded plan of sfhss. i as the aon actuary, set the recommended plan rates for the uhsppo city plan using health plan trend assumptions and required fees as well as any administrative fees that may be included in the program. the rate policy of the health service board does apply to the uhcppo, and i'll be discussing the inclusion of the stabilization policy in the adjustments from 2020 to 2021 in this plan today. next slide. and we use the same steps that i've outlined earlier to determine the rate change factors that we'll be reviewing today. next slide. focusing on the city plan and city plan choice not available, the average overall increase for these plans before rate stabilization adjustment is 7.5%. the plan does have a deficit position for rate stabilization, and as approved by the health service board earlier in this rates and benefits signi benefits cycle, there is a an element of rating for the rate stabilization cycle plan. this

healthcare. you make it clear the answer is not necessarily the united states. w is our healthcare system falling short in this pandemic? >> well, i'm not so sure it is the healthcare system. this is about public health. this is an emergency where what you need is not so much the hospitals, and the emergency rooms and the doctors, what you need is actually leadership to institute the public health measures of social distancing, avoiding crowds, wearing face masks, hand hygiene, and not rushing to open the facilities that like salons and tattoo parlors where people have to be close cannot be separated and it is easy to transmit virus. you know, the president's rally in tulsa is a perfect case of everything public health people say don't do. go to an enclosed space, large crowds, prolonged period of time with lots of yelling, shouting, sneezing and screaming. yeah, that's how the virus gets spread and, you know, all you need is a few people in there to have major superspreading event. >> i want you and our viewers to look at the these numbers, how the u.s. compares

"i want, like, 100% approvalte >> narrator: special agent vivi barrios works in the fbi's healthcare fraud unite i.r.c. emoyees as i could. i did speak with a woman, and she basically talked about thate schat they had, which was misleading insurers. >> narrator: she w prior-authorization specialist for insys, a would become a key source for the investigators. she agreed to speak to us if we concealed her identity. >> i was the gatekeeper in between your doctor and the pharmacy. and i was doing what i really thought was helping people, until i found out thatt wasn't helping people. ia really, the prior- authorization spst should have no control over whether or not it doeor does not get approved, because a patient either meets the conditions or they don't. >> swhen it was a non-cancer patient, you were supposed to use this blurb or spiel. the spiel was only talking about what the medicwas intended for, and so that was meant to confuse the person on the phone. >> that seems like a pretty straightforward question. does a patient have cancer? yes, no. >> so the indication is, the doctor knows what i

. >> npr just reported this morning that we have close to 300 united states healthcare workers alone killed by covid-1 covid-19. obviously we have a hundred thousand those who passed away from covidien teen. >> more than three quarters of that related inspections have been fatality investigations to put it bluntly your stepping in only when someone has died every day i get a call from workers who are terrified they will become sick in the workplace and for the second elderly family members much we tell those fight and workers and those vulnerable workers that osha refuses to have the mandatory standard in the great health care crisis in history? osha has existing standards to address this virus and where we find failure to comply. >> to issue one citation and the greatest crisis even proactively but is a definition of reactive and you are refusing to proactively issue a mandatory standard of any kind during the greatest health care crisis in the workplace in modern history. if your agency inspects workplace only after a worker has died you are not prevented worker infections so i wou

crisis and donald trump will file in the supreme court to strip away healthcare coverage from tens of millions of families in the united states. in 100 million people with pre-existing conditions if he succeeds more than 23 million americans will lose coverage overnight including 1 million in pennsylvania. insurance once again discriminate services are drop coverage for people like diabetes or cancer or asthma most cruelly of all donald trump if he has his way those who have complications from cove in 18 is the new pre-existing condition like long scars or heart damage and if donald trump prevails in court and to strip away coverage jack up premium simply because they survived fighting coronavirus those having struggled winning the fight of their lives would have their piece of mine stole and at the moment they needed it the most they would live their lives, and advice between donald trump's legacy and failure to prevent on - - protect american people from the coronavirus and this crusade to take healthcare protections away from american families. i have called on donald trump many times to withdraw his lawsuit in toda

preparedness overall that we ensure as many of the products we need for an official healthcare be made in the united states so that we can control the supply chain better. so that we understand how to protect it better. we've done some work withthe healthcare industry , and locations of manufacturers we can't reach back to active pharmaceutical ingredient manufacturers for example or some constituents moments of divisiveness outside the united states. i think we need to have as much capability in the united states that as we possibly can. but we've got to work with the private sector to understand what it's going to take to bring . what they need, whether the longer-term contracts for which i also support or anything else that we need to do to help encourage them to do their work with the federal government and forthe public . i don't want to do that and i would say if you're to your comment about femadoing fine, fema and a great partner for the sns and anyone else . as has been said previously, some of these are unique items and to try to find the right things that are licensed and appropriate for

going all the way back to harry truman trying to pass healthcare legislation and universal healthcare for the united states and it took generations before obamacare could pass and then when it did it passed in a lumpy fashionat with no republican oro publicans at the signing ceremony and n, you know, it hs been the project of the republic and party to try to dismantle it ever since it was enacted. in that sense you see a way in which a president is captive to the separation of powers system with captive in just the way well, not just the way but in the way the system was supposed to be designed which is to say to give power to the minority in making legislation. then you think of all the other ways in which the presidents are hamstrung by the media and by the sheer number of duties in the office which we talk about later but the number of things on the presidential to do list has ballooned and by the way the complexity and all the realms of presidential life, for example, if you look at the economy. the economy was faster now and with greater consequence because of global connectivity then 40 years

crisis and donald trump will file in the supreme court to strip away healthcare coverage from tens of millions of families in the united

trump will file in the supreme court today and attempt to strip away healthcare coverage from tens of millions of families in the united states. strip away their peace of mind, away from more than 100 million people with pre-existing conditions. if he succeeds, more than 23 million americans will lose their coverage overnight, including nearly 1 million in pennsylvania. insurance, once again, to discriminate services are drop coverage for people like diabetes or cancer or asthma and so much more. perhaps most cruelly of all, if donald trump has his way, those with complications from covid-19 can be a new pre-existing condition. impact likeg health lung scarring and heart damage. if donald trump prevails in court, insurers would be allowed to strip away coverage, jack up premiums, civilly because of the battle they survived fighting coronavirus. those survivors, having struggled and won the fight of their lives would have their , peace of mind stolen at that moment they needed it most. they would live their lives in a donald trump's twin legacies, his failure to protect the american people from the coronavirus and his c

trump will file in the supreme court today and attempt to strip away healthcare coverage from tens of millions of families in the united states. strip away their peace of mind, away from more than 100 million people with pre-existing conditions. if he succeeds, more than 23

to do more tests and completely undercutting the foundations of being able to get basic healthcare in the united states and it is president obama had the courage to do this, even though he faced some obstacles in congress and what this means is that if this gets overturned, the affordable care act, all these americans, this year and potentially in the future diagnosed with coronavirus, for example, chris, could be labeled as a pre-existing condition and be denied health insurance. that's just one example of so many around all the things that the affordable care act helped to put into place, and this is not just for a certain population, every american has been affected by the aca and doing what his administration is putting forward in the document last night and asking the supreme court to rule on soon is just slapping the face of every american, those who have jobs and those who don't and their families. >> dr. kavita patel, great to have you on. i'm looking forward to talking to you in the 3:00 hour, we'll have a chance to watch the briefing and get your reaction then. thank you so much. >>> m

like that are healthcare to eve central workers what are your thoughts on the way healthcare is structured in the united states and the opportunity we might have withe this pandemic to change that? >> asked the first part of the question again, i didn't quite hear. >> can we expand and if it's like better healthcare to central workers are another thing that has come up is separating healthcare from employment altogether.ar >> yes, one of the things i haveth advocated, i was on a stage with senator kennedy in the late '90s we announce, i was a member of the house then and president clinton i think vice president gore was there in a congressman from northern california, pete stark who is since passed away he was there. we unveiled the first medicare 55 billet people would have the option to buy into medicare at 55. i met a woman once who told me that she was in a hotel and youngstown, ohio. she said i am 63 years old. my goal in life, she said my goal in life is to live two more years so i can get on medicare. not my goal in life is to get to go to london or my goal in life is to help raise my grandchildr

group of americans who are already negatively affected by the existing healthcare system and the existing inequality in the unitedand covid-19 is exacerbating that. francine: if we get a second wave, when will we know that it is hitting us? what timeframe are we looking at? toren: second waves are hard predict given that our toolkit is still limited and we do still have challenges with testing. we are expecting to see a second wave and we talked about before, these protests will continually -- potentially speed up the timeframe. there are places reopening and i think those may be happening for we are actually ready to manage another increase in cases and so people are going right back to what they did before covid and those are the places that we are second waves quickly. it is still too early to know exactly when we will see a think there but i are going to be cities across the country that reopened quickly, going back to normal and are going to see large jumps in cases. we have to keep an eye on the hospital system and the testing data and if we start to see those numbers creep up, we may have to reimplement so

united states. >>> the nation which is roughly the size of west virginia lacks comprehensive healthcare and only 60%of all residents have running water. residents have been wearing masks for 6 weeks and dividing by 57 our weekend lockdown spends. since late april, -- to help the vulnerable committee. joining me now is a professor of medicine at uc fs that has treated hunters hundreds of patients in the navajo nation, joining us by skype. doctor, thank you so much for being with us. >> thanks for having me. you have been going out to the navajo nation since 2015 but this was a special trip to assist with the pandemic surge response. why is there such a high rate of infection there? >> well, there are several reasons why when you talk about the history of navajo nation is a history of neglect of native americans in the united states and so, you have genocide, broken treaties and you have a health system that is underfunded so one third of the rate per capita that the indian health service which takes care of the navajo population is funded only one third of what the va is funded and medicare and then