Jan 5, 2017|
Bob in for Tommy. Bob talks to Jim Austin, Adjunct Senior Lecturer of Healthcare Leadership at Brown's School of Professional Studies and was a VP of Strategy at Baxter Healthcare, about Obamacare and what could replace it.
Tommy talks to Kevin in Metairie about his wife's need for medication to cope with constant, chronic pain.
Tommy talks to WWL-TV reporter Meg Farris about a new report that New Orleans had more drug-related deaths than homicides.
Tommy talks to State Representative Cameron Henry about the current state and the future of TOPS.
Tommy talks to David Howard, Professor in the Dept. of Health Policy and Management at Emory University, about the state of Obamacare going forward.
Automatically Generated Transcript (may not be 100% accurate)
Now back over Bob Mitchell on WA only him implement dot com thank Christiane minutes after 8 o'clock a couple of great things happen on Thursday. We talked yesterday I think it was a day before about the minimum wage up to the minimum wage. In this state has votes seven and I have 775 an hour somewhere up there. 1125 I think that federally club but listen illness in nineteen Forte. 1914. Ford Motor Co. announced there would be a new daily minimum wage of five dollars. So in 1914. He got bored play in the minimum wage of five dollars. That's that's amazing and an eight hour workday. And in 1972. US president Richard Nixon order of the development of the space shall well. Two historic things alright it's 9 minutes after 8 o'clock well do you want Donald Trump. And congress to repeal. Obama carry the battle the hills company and right now. Republicans have pledged to dismantle Obama turn a few. Followed trump on the campaign trail that was well it was big things first thing I'm gonna do like actually isn't a lot of things that you do the first the president I'm gonna do. As I'm gonna get rid of Obama care. Now do you want. The government you won't trump. To get rid of obamacare or pass the Affordable Care Act been good to use. Some people say the horrible a thug act care's been Goodling bill obamacare has been great from now their name in it either. But trump care Orton Obama care. 2601878. And here's the way it's going to work already. That they have the ball roll in that is the Republicans wheels are in motion. Oh that was the bill introduced couple days ago allowing for the repeal of president Barack Obama's signature health insurance program. And it does provide coverage to millions of Americans. The move by the Senate Budget Committee set in motion in the Republican majority promise to repeal the 2010 a portable here. If you don't have Obama care. If you ham some other insurance few know how bad insurance as whether it's obamacare. Or personal insurance everybody's complaining about the same thing. And get their rates down. So do you have confidence that obamacare should be repealed. And do you have confidence that Donald Trump will give us some type of insurance program that week and a four I've not talked to one person who says. Now love my health insurance bought the prematurely good everyone complains about the same thing the cost of health care is just too much slow. You OC Obama care replaced. Ulysses. Insurance and general come down or do you want things to say just the way they are reluctant to football gall report Goldman it just would build a John you say your insurance went up because of obamacare how'd that happen. Well Bob. The exit by Derek portable and penalties. And luckily it. All. Out. There. Let. Out here that app in. Here. It and millions sheet I think that's what on the things that definitely a truck Washington group that's Dutch just outrageous Jay thought. Go ahead. All right all right Jay thank you so much. We're gonna talk now to a gym Austin his accident senior lecturer of health care leadership at Brown's tool professional studies. And was of VP of strategy at Baxter healthcare. Jim is obamacare as bad as the Republicans say it is. Well good morning about. Whether they're major issues just like your last caller indicated the number of markets that have. Fewer insurance offerings and the cost has gone up dramatically. So those are two of the areas I think it'll be interesting to see how congress deals with. What little trump have to change in the program to make it good for everybody. Well there there are a number of options. If you think of health care. Trying to achieve what they call the triple team how do we improve access. How do we improve quality. And how we lower cost and most. Irritations. Day you get two out of that three it's hard again at all for these so I think what congress is gonna try and do. Is deal we have your laps callers issue that we lower the cost I hope they keep improving the access. And I hope there's some discussion on quality. I don't know if you can answer this question that's something that's all always puzzled me. Donald Trump ocean and over and over again. He's going to remove the invisible lines around the straits I'll understand what he's talking about and for years I could never understand. Why they sold insurance that way what was what's the whole purpose. Of eliminating insurance companies to a particular states. I think it would as states' rights issue. States wanted to control. How insurance in periods other offerings to the public were available within their state. So there always was. From the early days. More control and things like automobile insurance health care insurance and so at that state level. What's difficult is that and they never really was a regional law and I think that's what he's talking about will be interest to see whether he tries to really totally knock those down or not. It's gonna run into some of the conservative Republican orientation of states oriented solutions. Sort of Beatrice see what happened. But what did not be better for the general public in other words if I have. Three insurance companies offering me coverage as opposed to ten and the competition between them will bring the price down. I think you're right I think it will. And let's say I live in Chicago I would rate down to Chicago. If I moved to Florida pitcher would be great if I'm still covered by that same entity. Between Illinois and Florida verses having to look for a new coverage plan and our new entity when they relocate to Florida. Is there any particular thing that you do. Would like to see Obama care not now obamacare and what whatever we call trump there. What would you like to see it include. I I think two things about one as I mentioned earlier call an eight we have the most expensive oil here in the world. And some of the lowest quality indicators whether it's childhood survival rates longevity of the population whatever. So one is calling how to we improve. Overall our quality secondly though. I think it's the cost issue we're spending 80% of GDP. On health care. Much higher than any other developed economy in the world east most European economies are 89% of GD. Even if you have private insurers have not spoken to their own personal private insurers and is not complaining about the original the boy adaptable. Oh yeah absolutely and and so the way I think and part of that comes back in the quality. We don't have good indicators if you get sick how do you know the physicians treating you hospital you're being sent to. Is the best in the area you're going into B to depart treatment. So it's hard to know in my buying the Bentley in my buying the Chevrolet in my mind the most way. And that comparison and so when we have a deductible the assumption is. People will start buying smarter. I know what apparently crossed I know it Mercedes and VW costs and I know the quality related to that. It's hard to get that compares in and out here and I think that a real struggle and I hope again that's an area that we see some movement on in the future. Like Ireland. First call pointed out is obamacare really responsible for people's rising insurance rates. Partly yes to be fair partly yes. In in. There were compromises made on how the insurance entities. We're going to be offering coverage within different markets. So the private marketplace in some areas really has collapsed. So that you don't get much competition back inspected Trump's idea let's break down the walls. Let's have groups going across but secondly. The assumption was actually more people would sign up you have a bigger pool. And it wouldn't be as costly to provide care for those coming into the program. It's turned out to be more for insurance companies so if they're going to be for profit oriented. They have to raise rates to three deficit to issues there one has that access issue in the second and he is will everybody be required to belong. Our Jim one final question for you is it reasonable for congress to repel parts that keep parts or do you see them having to scrub the whole thing and start over. I hit you of that is that 64 million dollar question about I hope today. Fix certain parts of that. Put their stamp on it and say this is now trapped here ever that they do need to be things that are fixed when it I think if you throw the whole thing now you'd better of them. And sowing the void right away. Well one of things we were talking about is that if it's. Possible to get caught in the middle. With one plays and out one plays it in and I hope people don't get or a put put a situation where they go a couple of multiple health care completely. Exactly and figure the insurance company and you're trying to figure out what we offered during these insurance enrollment period. So they need some sense of what the future's going to be like they can't be left him in that gap. Time when they're supposed to be signing people up for certain amount of money. Jim Austin thank you so must of been on the show this morning. Bob I've really enjoyed it misses the great discussion and I mean it's. Excited and interested in seeing outward their male suspects were much for the call. I did notice one thing about how inflation it used to be the 64000. Dollar portion of the 64 million dollar question. All right Erica but the. Absolutely and and health care costs like education like university cost have been going up at a much higher rate. Then the average typical CPI the price index. If that continues that then we're in trouble so that's I think what rise in mr. he would say on the Medicare side. How to weed control given that flows in to Medicare. We control that cost creek. Jim like I have to go on appreciated and stay warm in Chicago all right air. So about thanks for the call. All right mark to Slidell mark what about you do you want congress to repeal and replace obamacare. I do actually there are reasons why we have issues should we are here. One. Is home to win streak and look who would build by an act that spoke to several doctors. That said that basically. What happened. As little Bobble ought past. Obamacare or what part of our they're not that actually went choose health care factional on out that's when I do yes. There's been a lot of open checked to upon. Most of the George anything they want. Com. To customer could take no ability to reimburse app be deductible. But the odd about that about and all that it just passed on to the console. Are you think about it and I mean do you honestly think that once second we've put people on the moon. At all pleased technology yesterday and make sure that we have an actual forward for an illness years. There goes the also property know that it make more money but treat. There may actually help you. How do you think Donald Trump is going to change health care. Well. On a business person and basically. When you're when business you'd be financially savvy. Because everybody knows that you're not development and you just can't throw money situation. On I believe personally that you'll actually speaks to doctors. Part not the best way shape money. Op. I'm not children have opportunity to speak to consumers. But law and he really gauge which I mean I think that it would do not talk to doctors talk to help your properties. Are by no wage could help the health insurance companies no wait much. There there there are now. They're making money but detained there are loose because I mean and I understand movement being that Cain with Obama here. Allowing kids to be 262 on the car insurance. Our product called for a reward. What we met all of that is clothing isn't going to try to keep in the senate vote cancellation of that but I wanna keep that in and they wanna keep. No preexisting conditions can be territorial. Yeah I you understand that that's actually a good thing but there were so many things that are squabble. All within my obamacare I mean honestly Bob I mean you're god that you need to give it a pap smear. Are gonna keep control if you actually read the information and talk to doctors and property insurance company. Day and mark I have about a message on that right now touch nudges from sixty years old my wife had her tubes tied so we did not want him anymore children. I elected not to carry maternity care but under obamacare I am forced to carry the turn to hear that that's an expense that you really don't need. Don't know what you see department Obama try abuse. And on moral cover yeah yeah I mean you wanna be able to pinpoint what you wanna do it and save money maker and our core product. I want this does that it's an. And our need. And eat well would make all the I needed liberal while it on and have kids where I have children or right now. Obama's idea was cobra it's it's a way that unfortunately it's still it's just thought process. OK mark I appreciate you polling and Janet do you want obamacare. Repealed. Ours have been good for you. Only hall. And cost the elections and micro. Well thought out quickly I. Like to. What they know ensure. Optical. Test because. My beat it. When a product into it because an. Appointment. Under on the dollars. And to get that. For the well I grew and then put on the show once a week should they how to. And four shots that. Are coming out of my pocket. Because pre destined. Could get shares and it went. Out tomorrow. And that one can. Question I did not have the pre existing and I'll. It. And premium ones. Want and how. Much is out there now. OK art. The end it's in. Our inch. And it does certainly. Caught the economy. And cancer. I was able to go to him because it sure. To battle. In July a year ago. And had the procedure on a six hour procedure. And the deal sixty years. It'll I can't pay act was not a top. Now is Greg Jenna you're doing okay now. You know. It all out and export. Let it out. Share couldn't afford it seeking an end. In churches. Each actually you're in a we'll. Get. Our. I. Totally high. That's great that's great news gents I'm I'm so happy or let's hope that. When trump care comes out it'll do the same thing for everybody else. Well on it. You know normal. Thing straightened Kara. When. All peace and to close. They called progressive cancer. And should I. Should. And I can imagine. What I. I didn't mention that it don't Wear a port it to your question. There everything. Every. Gory. Worry things ancient protect people that don't make and it kind of money and it helps me. Our. Mom I'm it's how. It's such a well you know at an amateur. Halt what is kind of help the middle clients the lower. Sure you Janet. McLean. Are. Critical. Middle classes order album Janet I appreciate the phone call it is a great story. And I wish room. Lots of success and I'll remember you in my prayers okay. All right well we wobbled to stay well to public Tuesday. All right. Our I thank you so much what a what a great story protection measures before take the next phone call. Yes I want trump to repeal obamacare my deductible went from 518100. And its search term alleged but I can't have a because of the among us have to come up with Brooke I'm not. Bulls sent. Him text jumped all. And I'm not ever six I didn't have anything played on my deductible shall before surgery I have to pay all the deductible plus 20%. Of the surgery upfront. I'm glad the latest on the polls able to have her surgery will all all the Oprah cost let's go to a Erin and men to go Erin would you like to see obamacare repealed orders have been good for you. What banana and Margaret for a we have music. Or children and liked it so some small children. We. And injure or an almost 200 ma well. Jameer. Mortem what a lot of people leave him you know some people bring home. Now as though is that through obamacare or do you have private insurance. No that's true Obama care. And so on which it cheaper insurance at some audio call stated. The deductibles higher. Something happened and you know come out of pocket. We do know that. On this situation may be liked that last caller has happened to like surgery you know some some hospitals will do. A payment plan which you can still do not to have you know. There are ways getting getting what you need rob. Do agree with the pre existing condition clause for the obamacare propaganda I should be excluded. Because of something that happened in the past. But at the end of the day somebody like me we don't. You know based on your income we don't get to deductions that you see on their health care that website. When they put it there creation. Well it appears what that trump people are saying is that preexisting conditions. Will be so today we'll keep as well as letting your child on the policy ethnic Allegiant point six. Well they're not great be. The you know our income. Someone makes. It to me that doesn't really should play a factor into their. Everybody made their own decision on what you want life support it would be. Not in orchard. An insurance covered because. Aperture it mattered in cultured and chimp or oh should be fair ball forward. So the lowest amount that someone can today. Trot you out that should be that that this scale that installer all along so everybody's even at the lower income levels to work. At least based radical so something happened that may have a deductible but there some sort coverage. That map to prepare for years to get that they. But there are sure to watch you know the answer I'll support that would be oracle but yet definitely. Repeal most of the process. Keep keep some of the better pitchers that they are. All right Aaron thank you so very much Republicans in this subject through the next hour for you on hold. Stay with me if you wanna call and then. The part of the show it's 260187. AG UN Donald Trump and congress to repeal obamacare or has Obama care work for you. And if you have private insurance how was not orchid for everybody's rights are going up. Bob Mitchell in for Tom a trucker the news is next on WW.