Michaels they are joins as chair of the department of health policy management at Columbia University to mornings there. Thank you for taking the time is there any way to simplify any of this and make it more understandable. Well our problem try. You know much like ten. Congress can't know or care or care act and a passport. File but in terms of our million Americans. From the day it was an actor it was extraordinarily controversial. Unpopular with much of the public. Republican candidate X or give a chance elect that's what you'll. Okay now you've got to republic administration in place they promise to repeal. A bar. And here at the pine. They want to repeal. They want get rid of the law that sentiment they promised. They don't really bad. Think as a result in Antoine and people who sure I don't want all states we are expanded Medicare program salute slot battle on May. And a lot of budget deficits. That are okay. What place you know some of the provisions we don't like with something to do we have to tax credits for people and some other thing. Which will help some people might abort her. But here's the you know other and that tax credits some of the idea but we play to sort of helps. Many people who what or become aren't short truly conservative Republican. In a written books Republicans are we don't want. Just obamacare light. Right now Republican apartment promise to repeal the law they're trying to repeal the law. They don't want there at him in the try to prevent that from happening but one may do that perhaps the most conservative on planning and human not good enough. It seems like this is dictated by politics before policy. I think that's they're sending him being you know. Although I think it's not a case a policy almost oh which creates politics and you know here we have a situation in which. The report here from the day it was an actor was probably one of the most controversial elements of the Obama administration. Art at the sort of signature element of the about administration. Partisan from day one politics and they want to get a separate public couple that. That repeal for right now markets struggled Democrat. You know on the question from Republican to could be. And they able you know trucks carrying you know hang tight particularly when it's been gets to discern or no public squeezed some sort of built to the house. Although even that little questionable that they've looked at my house to recruit some of the most conservative Republicans. Well against them if they lose in the senate. You know it's going to be because some of the more liberal Republican in the senate vote instrument and start you know they've got two Republican in the senate right now debate to. The Palin story this same that repeal. Are not official Michael amass but I think it's okay for a layman what do you think. Yeah I think it's complicated political maps you're right but I think what it's important not lose track poker. You know health care it's important to our every one of and they have a health insurance so it's critical about it. And it's a bit battle that's going on the issue right now it affects a summit it's gonna respect. You know it could back that up to 300 or export the thousand people who were legally entitled to Medicaid and we are on Medicaid expansion. But daddy is temporary as it not Nance why Bobby Jindal refused to take it because oh I don't know is a temporary exit explain it to me Michael. Well I mean you know when below along and the CA went about it was cut back on Chan. The ball OK static you'll have to cover you know more people on the Medicaid program and we've federal government out of the bill. Spent many states state like it or what the United States Supreme Court and the onstage in what served in a lot. Federal government youth camps for the state she can't call them to expand their Medicaid program in particular time. But I can Barack I remember that. And I might be wrong here are pleased forgive me if I am but it. That Jindal said no where of course he's run for president at the time bread or eventually the state had to take over the obligation right because federal funding would last forever. Well armed and so when the Supreme Court says it's not mandated that became an option the state. Are right now dated march when mr. Cain. Turkey wants states plus sleeping out of including a third expert prospered District Columbia. Expanded their story nineteen states including lower tax structure that not expand Medicare program. Let me as a Ali yeah obamacare is not touched will the funding for federal funding. For the expansion of Medicaid go on forever for Louisiana. It'll go on forever and so on and that's congress changed again total current check yet for camp if they changed the law Republicans changed the law. And two months. That money could go away but they don't changed law the matter that they're not there are some sort of under my. But it's their mind storm of apartment would be to continue to. Go down. No Nike for the expansion might be where it would be sent to live long morning and at WL. Yes. Right it. Or not they are not healthy people that all people. An. Outfit out. And an apartment and say OK because you know people that Cadillac an hour at like I play. There could only get tweak it and they UK. Opening that would look like and like it had a strap a plant or what are the people. And then maybe that would write that you. I'll sign up more. Don't eat a plant working because account many elderly and be able to. Great question you rate them one of the crop with obamacare right now is the number of young healthy people signing up. Has been a little bit lower expect the not tremendously low and expect the that a little bit. You want go to people and that's what I meant it but you're out how people. Young people in the pool essentially stops about the court to be older men. And that's how insurance works Michael isn't in you need good drivers to pay for bad drivers and be talking about car insurance. That's exactly right you are spread the risk across large numbers of people sort thank. You know you Paula pointers is 100% right. And at one of the things that we should be trying to do is figure out how to kind of pot at younger people are not. I appreciate your time I really do Michael and I hope we need to talk to you gains is complicated stuff. Mark or are they are Elisa note thank you for the cult.