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Think Tank 1110am healthcare plan

Mar 28, 2017|

Bernie Sanders said he’s going to push his plan for a single-payer healthcare plan like Europe.  He says Obamacare is costing us too much and the GOP can’t get their bill together to correct the problems. This hours guest: Michael Cannon - Director of Health Policy @ Cato Institute

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Automatically Generated Transcript (may not be 100% accurate)

It's ominous is on for Garland Robinette again today 2601870. You can text and dates of the Yates of Libya as well. This our kind of moving on to continue talking about the legalization there are one you can go ahead it was still texting and talking about that Canada. Is set to do it they're reporting that they're gonna do it by July 1. About 28 teen but also something that you may have missed. That happened over the weekend we know that the the GOP's health care bill. Did not get through was holding him go to vote Ford when they realize it and have the votes on Friday. And over the weekend. Senator Bernie Sanders who's now an independent he's left the democratic parties and independent Bernie Sanders. Cities going to push his plan for a single Payer health care plan through like they have in countries like Canada and lot of countries in Europe England and and so forth France's they'll have this. He says it's time for the United States. To do this as well. He says that quote we have got to have the guts to take on the insurance companies and the drug companies and move forward toward a Medicare for all single Payer program. He said this on MSNBC's. All in with Chris Hayes. Last Friday night he says and I'll be introducing legislation shortly to do that. He also is telling those that were defeated with the as they're calling trump care. He says quote don't just be satisfied with defeating trump care. To his fellow to Democrats and those on the but lefty saying center sites integrating real Medicare for all. He said that to a cheering crowd of some of his supporters. He does have a cosponsor representative Keith Ellison Democrat from Minnesota. Is a cosponsor of his Medicare for all bill. In the house now. He's done this before this isn't the first time that Bernie Sanders has tried this in fact. He's tried to get this legislation through similar legislation twice before he introduced. The Sanders American health security act in 2009. Which would have provided every US citizen and or green card holder with health services. That bill was referred to the committee on finance eight years ago this month he tried again two years later. Yen 2000 Levin introduced a Medicare for all types single Payer system. Accompanied by representative Jim McDermott. Democrat from Washington it's companion bill with eleven co sponsors. And that did not get through as well he's saying it's time to try to get now. He's also says that Obama care. Is costing us too much. So senator Sanders is agreeing obamacare is not working. That it's going to fail and implode upon itself. And he says the GOP can't get their bill together and correct all the problems. That are now anabolic here. He's saying the past option. Is for this single Payer Medicare program. And he's willing to talk to president trump about it he was asked would he called rallies that sure I'm willing to talk to the president. About this as well. Now president draw opposite he's willing to reach across the aisle for help win. The very conservative Republicans those very far on the right. Pretty much shot got this bill shot down his the healthcare bill that they were trying to get through and Paul Ryan. So he's now asking Democrats real would he reach that far across the aisle. All the data Bernie Sanders. Should be. Do you think it's a good thing. Would it be cheaper for America. Then Obama care or to go back to the private health care system or any other system that we could come up with. Is it time for America to move closer. To what the rest of the industrialized world is doing. 2601 late seventy or you can text 87870. Tell me what you think about it where regular cup of Michael cannon he's the director of health policy at the Cato Institute which is a libertarian institute. And to give their opinion on it and would it actually be cheaper for America. Then obamacare right now for Americans. America not for the government for Americans would it be cheaper. To do this sort of thing. And what is your thoughts Marty gets some text on it that's a yes I'm with a birdie single Payer Medicare for all or at least everyone over age 45. I was so mad when Obama pits the public option two tried to compromise. With the Republicans to no avail. The other one says Bernie socialist Sanders wants his country to become a European socialist country so bad he can taste it. He's a radical leftists like Chuck Schumer that's nasty policies we don't need depth. Some they'll stick in denouncing the Affordable Care Act was failing adding quote he said. It's costing too much money it's going to cost too much money down the road we're not going to be able to keep it. So in a sense. He is saying that it's failing. And these are his own words from when he was on MSNBC. That he is say all right 2601870. I could Texas and 878 said he will go ahead take a break when we come back will be joined by a Michael cannon director of health. Policy at the Cato institute and get his thoughts on this as well wanna know what you think also you know the numbers. 260187. Ain't wanna hear your voice. Pitcher voice heard out there you can also text and 878 semi tough messes in for Garland you're listening to WWL. And welcome back to 60187. Or you detected activity semi Dobbin president for Garland Robinette it is the think tank. Here on WW joined now by yeah Michael cannon. Who's director of health policy at the Cato Institute Michael thanks for taking time but the sue them ago. Now obviously the the Republican bills pulled Friday because they didn't have the votes. To get it through. And Bernie Sanders who is known independent he's now with the Democratic Party at the people. Miss that that he did leave after the election became an independent. Again and again yeah he he's got back and forth. Buddies that he is now again. Pushing for a single Payer Medicare plan and he says he's willing to talk to president trump about it. And president trump has said that he's willing to reach across the aisle now he's reaching out to Democrats saying hey we gotta get something done. Do you think he would ever reach that far and talked to Bernie Sanders about this. But the problem is that if if one of his goal is to make access to help care more affordable not a cut and another not to touch. A benefit. Of Medicare enrollees. If you have a hard time doing that by putting more people the program. That. It either be it would be either. He's going it because it brought people on Medicare not automatically make health care spending dropped it remembered you could care. Seniors in the United States to seniors in other countries. Our spending still outstrips the other countries even know where you know our Medicare program it's supposedly a single Payer paradise. Health care spending is still higher among seniors in the United States that and other countries and so you draw more people would that program not to bring down cost of care. Effect if anything it just going to. Make healthcare more expensive both in terms of he added tax burden in optical that but also. Making health care much more restrictive blocking renovations that would improve the quality of care and reduce the cost of care so IE you know. Donald Trump may be open to the idea because it'll seem like shiny objects and focus on but don't. I'm glad you brought that up Michael because and end of life care is when the majority of money is spent on anyone's healthcare is in the last six months of their lives really truthfully. From all things that we see and a lot of these programs that you're looking at that we have the single Payer care. They don't. Do that to extend someone's life like we do here in America a lot of times what they will do is and I have friends who live. In England and other parts of Europe. They say what they'll do is they'll make the patient comfortable. But they're not. Doing all these treatments to try to prolong their life any longer if you have terminal cancer you have terminal cancer. They're gonna give you what you need to be comfortable. But they're not gonna continue doing radiation doing other things to try to treat the cancer. At that point want to reach a certain point is is that the difference as to why that would be cheaper than what we're seeing here in the system is now. Well it is the patient to want to try to therapy that Specter be cheaper it. As ticket agent to about it and answer but look we've got in the United States to battery for a socialized medicine there is. We have a the British national health service in we that's like or the veterans administration are Medicare program similar to other countries. But what distinguishes the United States is that would the government get involved here. It creeping on limited title meant to. Where they just kept spending at all and so whereas the British national health service might where in the paper that there because we don't think it's gonna help you. And an idiotic government making. Choice is for you. Leaning in the direction of denying kicker when it's so with a marginal or not call. In the United States government that the exact opposite is just as much control in the UK here about accuracy isn't that. Paper everything. Even that the benefit is marginal unit of Tibet it is going to be zero either that it's going to chip subject cute too. It's horrible last few months of life. That the Medicare program as that you get. Injured by medical error all the way you're programs oh doctor and the doctor Q patch you up again. Because Medicare chip stepped up adapted. And and and be of benefit his. Dangerous and so. Give the government there on the side of doing too much effort people just like an area outside doing too little. And dissolution and it's for government not to be making these decisions at all. It is to keep consumers have money and cute circled planned. If you wanna pick a plan that. You Julie did pretty well he can do that if you wanna pick a plan that. What paper everything like US Medicare program to do that that's to be up to the consumer and then. Through competition between these sort of plan we'll find out what really works and what doesn't and in bill countries that happening. Michael how come in other countries we hear all the time like Canada in places in Europe the same drug that you can get here is cheaper there than what it cost here. Well because in other countries governments do control the prices. And or I should say they they set the prices lower. What they control. Would make that we do would we control and a large part of the market the government does not control prices in fact the government again. It's stepping on the gas. People would become the private sector driving up prices in the private sector so. You have people that Medicare program doesn't negotiate with drug manufacturers that really true let me congress is paying for her sake. Seniors and so congress but let's get the hey give it to dictate the price. The price there really high talk about that are good negotiator and baby would stop expecting it to be. In the Medicaid program. The Medicaid program also good negotiator because what it does is it. It will pay a percentage of price that private payers pay for these drugs. So the director agreed to do that Jack the prices for the private payers and the government and the private sector pay more because of the dumb decision by the government. What we need to do we need to let consumers control their health care dollars choose their health plans and and a well. They will bring down prices for drones to buy more often. Urges you are choosing generic drug. They all gravitate to the plans to negotiate better lower prices of these drugs. And you can and didn't get lower prices without destroying the Indonesians. That. That the drug division that. The US healthcare sector responsible but drug that are built other countries. The developed here. And we pay higher prices recovered research development cost well the the other nations health care systems Katie. Lower. Can lower prices recovered just the cost of producing them. Which is a little and equitable one way to solve that problem that people. The United States buy drugs from other countries that were so global prices. And that will ultimately forced those countries to pay for wars. The the resurgent development cost of these. But there already doing that with. Health care plans insurance plans are doing that already mine just went through this with the with my wife our health insurance. Denied. The doctor wanted bigger this and shots injections in her knee instead of doing surgery or scope on it. And they denied it for the longest until they finally changed to the drug that they wanted to giver to the generic version. So they're already doing that with the insurance companies and now the doctors decided that they need to go ahead and do that the knee scope because that's not gonna work either so. Again. Drug insurance companies are denying people certain drugs. Now. I mean they're doing it now so what are what would be different. From doing it with a single Payer plan. Well because you would be choosing to wait insurance company does it for you we edit market because. They're doing it right now the problem is not there that they're trying to drive. Drug spending down the problem is that you're probably choosing your health plan to you know the one choosing the message. You know your preferred method of adding those. Drive those prices down. And so it's like everyone. Okay detail what your employer changes you either being thrown into me. A tightly managed care plan like maybe the British national held serve to be an analogue and depending on your importantly be thrown into a plan that Medicare program that. Case. That that is a lousy negotiator cost you much in exposing you do maybe unnecessary political. So the yeah that happens right now that happened right now people sort of sense it with a prospective because the government take a way to right to choose. Is. Nominee against him to this global Michael can can you hang on through art news and we got to you only can you hang on foreigners breaker at the bottom of the hour. You're welcome military because I wanna ask you about this isn't getting a lot of text about pharmaceutical companies and medical suppliers and so forth saying. They're part of the major problem. As to why health care cost so much. In this country. Whether that is analyst at your opinion on what is that the case or not. All right we're talking to Michael cannon director of health policy at the Cato Institute. When we come back James hold on to your calls as well lobby texting also if you're taxing your calls. But coming up next levity news update from a CBS news. Right here at about the hour and in our local news update and then back to more what do you think. Is it time for America to go to the single Payer option would president trump considered that. And some have said if you want to keep his promise to insurance Everett in to give insurance to everybody. That maybe what he has to do. Would he. Would Republicans let him it is they controlled house and the senate chances aren't. Probably wouldn't get through anyway will be right back stubby WL. And welcome back to the think tank you're on WWL Todd and s's and for Garland Robinette 260187. He's numbered called architects and 87870. I guess Michael cannon director of health a policy at the Cato institute and Michael just you can be for a couple of minutes here for this one more segment. I've got some tech city 7870 someone says medical suppliers pharmaceutical companies in overpaid doctors. Are the main problems we need to tackle to reduced health care cost. And your guest is delusional for believing the market will control prices that were true wide we have the cost we have today. Michael I'll let you respond to our text. Certainly true in what you're sectors saying because a lot of pharmaceutical companies that hospitals and physicians are being overpaid. What the research shows it it's because consumers are spending other people's money. That these pro. Producers these providers are getting away with these outrageous prices and consumer doesn't care about the price because it's their employers money their insurance companies money. The prices go up and up and in importers can't get them down and insurance companies can't get them down even with the there ought to negotiating power. When you look at an experiment that have been done by employers where they say to their workers all right if you're gonna get it deeper knee replacement. Will pay 30000 dollars. And you can go wherever you want that solar saying you're paying the balance of amazing thing. Things happened in California where a large employer did that's. Price is for the knee replacement at the high cost hospital felt like an average of 161000. Dollars. At that 37%. Reduction and similar reductions were seen. For things like lab tactical about repeat cataract removal. Shouldered the our first copy. All sorts of procedures that sector adding that the on the bet on this research at the Cato Institute tomorrow. Because it's so revolutionaries shows that we in consumers are. Are facing some other costly care about the cost of their care. They shop around they demand price information they get price information and it drives prices out. Does the highest paid procedure mean it's going to be the best. Certainly not. In the example I just gave you you've been knee replacement in California. The right is that the employer was paying range from maybe 121000 dollars to 60000 dollars. And not an expert to find any reason why. Any provider is more than 30000 dollars to do that those procedures which is what that the price there. So a lot of those try to eat those high prices had nothing to do quality. The economy to research stated that that they do the prices could come down even further than 30000 dollars is too much. And so if you make consumers even more cost conscious at those prices down he took more. Someone taxing here that says Bernie Sanders as full of it. Disliking Canon Europe it takes two or three months to see a specialist doctor on any single Payer system is that the case in this country. A government run. System where the government. Chipotle insuring people all employment doctors in telling people that. Everything it's free at point of service. Then you unleashed demand. And what that means is that. You're going to. What people don't care about the cost they're gonna consume more care more people are gonna the sign up for. Not just routine care but all sorts of hiring care. People who would not. They're making more careful decisions about the resource use and say you're going to you're gonna inflate demand and and up with shortages the last. Unless you do what we do here in the United States. Would the Medicare program which is it we will paper absolutely everything to that as I mentioned before he didn't you get another set of problems instead of government rationed care the main problem you get is too much medical care that and that exposing. Patients or. Michael for a let's go one last question what is the main issue facing Obama care right now and why does it need to the repeal and replace. The main issue is that it's making health insurance force for the and that it's something that. Supporters of Obama care actually get more than opponents'. Supporters of obamacare realized that they create this law they are creating. It really imposing penalties on insurance companies that provide the best coverage for sick people. And they created all sorts of subsidies to try to keep insurance companies. From. From making coverage worse for the sick because you know under the weight of those penalties they have to. But all it abated try to. Prevent that from happening at that working and researchers from Harvard shown that coverage for people would expect the condition biker write it and match. Is getting worse because of the penalties that obamacare imposes on quality coverage and the provision that candidate. RD supposedly popular. Ban on discrimination against people with preexisting conditions it doesn't actually banned discrimination against people expensive conditions. It is go to the coverage to get work. I'd to Michael cannon director of health policy at the and the Cato Institute thanks for joining us here at W a duo. Right thank you Michael will take a short break when we come back to get some U calls James and Andy hang on. A lot of texts here's sticks up picking on the doctors. Summer quitting due to little reimbursement. From things and also please tell me you'll pay Frida. 400000 dollars not including college to educate doctors and pay for the malpractice. Which is expensive to will be right back. Talking healthcare here on WWL. And thank you for listening and spending your mid morning here on WWL coming up next it's cute to actually 1 o'clock. On today's show. More people to Cuba overdose in New Orleans band were murdered last year were to talk about that next hour as well we've got doctor Jeffrey Rouse orleans' third quarter. On with this and scoots gonna continue that conversation. In the 1 o'clock hour. Also and days Cheney New Orleans Sanctuary City status wrong or right and OP chief Michael Harrison. Joining him he thinks. Exit strongly tainted what do you think. And you talked dispute calls about that coming appear on WWL. It's got to phoned James have been holding on patiently aging thanks for Holden WW. Well thank you type. Let's go back a few years in Indian in the development of why we needed something like obamacare. I'm looking at that if you look at 2007 study by the American journal of medicine found. At approximately 62%. Of all personal bankruptcies were bankruptcies in this country. Related to medical bills you and 78% of those. Most people had health insurance but there were gaps in coverage and let's not forget he was also the carpet studies said the 45000 Americans. We're dying unnecessarily. Due. To the lack of health insurance now that's not pro life that's Antigua and I was gonna ask your your guess this type I don't know if you heard of but I heard about it last week. Last Thursday right before these people via the bill. That's something called him essential benefits. That are in obamacare. Now you know when people buy health insurance elected by car interject it kind of assuming that certain. There are certain elements in coverage in this care you look like you know outpatient care seeing your doctor. Okay you whether an annual basis or can have a a problem he need it you know see your primary care doctor. Emergency portraits. Actual in hospital in hospital can elect. Things like surgery. Went maternity care I could go in their activities in front and lamp to. Now you've said that you know that that's is in this essential part of any kind of health insurance will get what. They're the people the that people like the the put it this far right groups the guess. In the name escapes me the the people will actually you know did the Republicans who didn't vote for a for trump here the freedom yeah regardless it's not my dad yet that you know they did that in other words that just re label Tea Party. Representative. They wanna make that optional. In in in the in the states let let states that's a tight. You know that this this is no. You know these that that's absolutely essential to any type of decent reasonable health care that the it would Louisiana can do it you don't you think about it. James Watt a let me ask you this question why do you think in this is puzzled me and I and I'm I'm on offense are you the way with it. Why do you think is Bernie Sanders says and I'm not endorsing Bernie sanders' single Payer thing. Program but other industrialized nations can do it you that we can. I have no idea about hey what if you single Payer or pop or health care for all. You is something I've certainly I think I do think Todd that health care at some basic. It called essential level of service I think that is they write you as I said there at the first thing except. People are going its financial rule. Because of an idol and people and and people are dying unnecessarily because of lack of health insurance which provides health care why we can't do it I think it's lobbying by the a and they in the pharmaceutical companies and in others involved in in this industry. They don't want to you know if this the government. It Medicare for all. I think that's something we should really look at because I think. Everybody should especially kids. A basic level of health insurance and care. Right now on our pretty jet where people most people are foreign James thanks for call and that's all right. We'll take a break and be right back Eddie we'll get your call only comeback it's WW well. And welcome back quickly as godaddy hey Eddie thanks rolled under the W well. Item will be quick government give you an idea that I came up waiting 2003. When Howard running for governor tonight. Every every hospital has a pharmacy. Why not let that pharmacy. BO retail outlet. Or drop the Rais. And that way people could help pay for them at a certain. And if they don't drop the price you could help subsidize our hospital. Instead of going to that date every time you need money. Yeah. Well ID I had I don't know I do know this that one night where I go that there is a pharmacy but whenever we try to get anything from that pharmacy. My insurance company doesn't cover. For some reason. Don't ask me why but it's a fight all the time and they won't cover it signed up having and of having to have their doctors say in the prescription. To Walgreens or CVS or something like that where they will fill but they won't still lit at the pharmacy at the doctor's office or at the hospital or. Auction or wherever it wherever it is why I don't know. I can't answer that because I'm not in the in the insurance industry now I don't know why they keep turning it down. But again that's something else that happens. A lot of people coming on out try to get all the comments till we come back and yet. Healthcare in Germany they say to live their seven years worked really well. Got to see everybody didn't have to wait for specialist at the C everybody one day someone says Denmark is the same way as well. Politicians who don't want a single player plan. It's because they're gonna lose money on it and their lobbyists are gonna lose money that's another Texan meets at the gates I mean why we don't have it. Here. Coming up the next hour. We've got doctor Jeffrey Rouse Orleans parish coroner should drug addiction in this city be treated as a health issue. Or a drug issue will be right back stubby WL.