even if it means convincing the uninsured to remain uninsured. joining us now, my friend, jonathan cohnn, senior editor at the "new republic." good to see you tonight. >> thanks for having me on the show. >> let's say they get the folks to burn the draft card and not take the insurance and they're uninsured. what does freedom works say to a 24-year-old who in 2014 gets into an accident and can't pay their bills? >> what we're seeing here is really something i think is different than what we've seen before. this isn't just fighting a law, isn't just saying we want the law off the books. this is telling people who stand to benefit from the law, hey, don't take advantage of it. it's like telling people don't take your social security checks because we don't like the system. when you turn 65, don't enroll in medicare because it's a bad idea. i don't know what they're going to say to these people. the truth is there's a reason we're trying to make health insurance available to people. it's because people get sick. they get in accidents and end up in t

so the result is we still will have a large residual uninsured population in the state and in san francisco. there will still be insignificant need for the safety net system and the health care security ordinance can continue to play an important role both in shoring up health care coverage so we don't see a shift into public programs and through the public option to make sure people have the resources they need to be able to get coverage and to participate in coverage. er >> thank you, next speaker. >> mr. chair, honorable supervisors, the health of san francisco and the affordable care act, many people are left out of the affordable care act. we need to defend healthy san francisco now, more than ever, many immigrants are completely ineligible for health coverage through covered california, the h health care exchange, they depend on healthy san francisco for their health care. that includes tens of thousands of san francisco resident, 10 thousand more that work in san francisco but do not live in san francisco, san francisco has been a huge success, all it takes to perceive for the future

the ultimate, the uninsured for whom we appended this entire health care system of ours, the don't want in on it. so now i'm thinking, how the heck do we pay for this? >> well, that kid easily be the next leg. juneau's. further and further confusion. this employer mandate to me is much more simple to enforce and enact. pretty straightforward if you don't provide healt insurance, -- minimal coverage health insurance. you pay the fine. but much more complicated and arcane is setting up the exchange. a spending in all of this stuff. and the fines of your people who after a 26, kicd out of their parents' basement,ow in the world of they going to afford to pay these premiums? this is so disingenuous to say that it was the employers begging th to the lead. they had three years to put this into effect. now there will delayed another year conveniently to get past these midterm elections. i think it reeks of hypocrisy. neil: something is not right. always a pleasure. >> my pleasure to be with you. thank you. il: forme top congressional budget expert and former u.s. comptroller on this latest. wh

the ultimate, the uninsured for whom we appended this entire health care system of ours, they don't want in on it. so now i'm thinking, how the heck do we pay for this? >> well, that kid easily be the next leg. juneau's. further and further confusion. this employer mandate to me is much more simple to enforce and enact. prettytraightforward if you don't provide health insurance, -- minimal coverage health insurance. you pay the fine. but much more complicated and arcane is setting up the exchange. a spending in all of this stuff. and the fines of your peopl who after a 26, kicked out of their parents' basement, how in the world of they going to afford to pay these premiums? this is so disingenuous to say that it was the employers begging them to the lead. they had three years to put this into effect. now there will delayed another year conveniently to get past these midterm elections. i think it reeks of hypocrisy. neil: something is not right. always a pleasure. >> my pleasure to be with you. thank you. neil: former top congressional budget expert and former u.s. comptroller on this lat

the ultimate, the uninsured for whom we appended this entire healthare system of ours, they don't wt in on it. so now i'm thinking, how the heck do we pay for this? >> well, that kid easily be the next leg. juneau's. further and further confusion. this employer mandate to me is much more simple to enforce and enact. pretty straightforward if you don't provide health insurance, -- minimal coverage health insurance. you pay the fine. but much more complicated and arcane is setting up the exchange. a spending in all of this stuff. and the fines of your people who after a 26, kicked out of their parents' basement, how in the world of they going to afford to pay these premiums? this is so disingenuous to say that it was the employers being them to the lead. they had three years to put this into effect. now there will delayed another year conveniently to get past these midterm elections. i think it reeks of hypocrisy. neil: something is not right. always a pleasure. >> my pleasure to be with you. thank you. neil: former top congressional budget expert and former u.s. comptroller on this la

the uninsured aren't sure they want to be part of this. so there's no one paying into this and delaying the employer provision that would be a big chunk of the money ain't there. so you have to tax. you have to do something. you have to hit up people like you or whatever. >> by the way, even if the employer provision had not been delayed, neil, one of the things that a lot of employers were saying i'll pay the $2,500, and i'll put my employees in the government-run exchanges, and it's cheaper for me but more expensive for the taxpayer. i believe also we move -- if we move forward with the implementations of obama care, thick at some point there will have to be some extra cash and the reason i predicted a value added tax, this is something we saidle at the wall street journal, if you want a european style welfare state you have to have european style taxes. >> neil: we have that, the medicare century tax -- surtax. >> and you have the medical device tax and a number of others. what i'm saying is i don't believe all of those put together are

either from corporations or low wageworkers from the inevitable the -- uninsured who don't want it. >> you tell me that uninsured, would rather not have insurance. neil: 2 out of 3 down want into this. >> they don't know anything about it, the republicans have done a phenomenal job of demonizing a law. neil: if you all of a sudden had healthcare coverage coming your way, and you are thinking twice, whatever you say, you know low wageworkers who cannot afford i -- >> but they get subsidies. neil: my point the foundation for this is dissolving. >> it not, you wish it was. neil: money in money out. i am a business guy. more money is going out. >> much like republicans were against medicare, and the programs in '60s that are popular now, bottom line, look, the law is the law. the republicans can vote to defund it or repeal it or whatever theyment. it will bthey want. neil: then you say you could fix it, you could dress it up but sometimes you can't put lipstick on a pig. >> i don't think it is a fig. neil: scott i finish. >> >> i do, he said republicans are trying to know what is in the l

the uninsured that still don't want it, low wage workers still can't afford it, the doctors are sick of being doctors because of it, the fit pay more even if they are fit. full-time workers are part time because the bosses can't afford coverage. the specialists who say their speciality suddenly isn't so special, surgeons bailing out of their profession because it is not worth the hassle. and everybody else can't seem to afford the hassle. a "the wall street journal" study detailed premiums doubling, tripling, and soon, even for those practicing preventive behavior, prevented from getting any break for that behavior. who knew in the remake of health care swathes would rule and the drit would drool. the government knew. the folks touting it, who not only knew it but hid from all of us the very real costs of it. nancy pelosi was no dummy. she had read the bill, she did know what was inside that bill, like max baucas and harry reid. the soaring premiums are already on. then again, the champions of health care chose their words very carefully at the time, didn't they? after all, president

the ultimate, the uninsured for whom we appended this entire health care system of ours, they don't want in on it. so now i'm thinking, how the heck do we pay for this? >> well, that kid easily be the next leg. juneau's. further and further confusion. this employer mandate to me is much more simple to enforce and enact. pretty straightforward if you don't provide health insurance, -- minimal coverage health insurance. you pay the fine. but much more complicated and arcane is setting up the exchange. a spending in all of this stuff. and the fines of your people who after a 26, kicked out of their parents' basement, how in the world of they going to afford to pay these premiums? this is so disingenuous to say that it was the employers begging them to the lead. they had three years to put this into effect. now there will delayed another year conveniently to get past these midterm elections. i think it reeks of hypocrisy. neil: something is not right. always a pleasure. >> my pleasure to be with you. thank you. neil: former top congressional budget expert and former u.s. comptroller on this

the ultime, the uninsured for whom we appended this entire health care system of ours, they don't want in on it. so now i'm thinking, how the heck do we pay for this? >> well, that kid easily be the next leg. juneau's. further and further consion. this employer mandate to me is much mor simple to enforce and enact. pretty straightforward if you don't provide health insurance, -- minimal coverage health insurance. you pay the fine. but much more complicated and arcane is setting up the exchange. a spending in all of this stuff. and the fines of your people who after a 26, kicked out of their parents' basement, how in the world of they going to afford to pay these premiums? this is so disingenuous to say that it was the employers begging them to the lead. they had three years to put this into effect. now there will delayed another year conveniently to get past these midterm elections. i think it reeks of hypocrisy. neil: sometng is not right. always a pleasure. >> my pleasure to be with you. thank y. neil: former top congressional budget expert and former u.s. comptroller on this latest.

the ultimate, the uninsured for whom we aended this entire health care system of ours, they dot want in on it. so now i'm thinking, how the heck do we pay for this? >> well, that kid easily be the next leg. juneau's. further and further confusion. this employer mandate to me is much more simple to enforce and enact. pretty straightforward if you don't provide health insurance, -- minimal coverage health insurance. you pay the fine. but much more complicated and arcane is setting up the exchange. a spending in all of this stuff. and the fines of your people who ter a 26, kicked out of their parents' basement, how in the world of they going to afford to pay these premiums? this is so disingenuous to say that it was the employers begging them to the lead. they had three years to put this into effect. now there will delayed another year conveniently to get past these midterm elections. i think it reeks of hypocrisy. ne: something is not right. always a pleasure. >> my pleasure to be with you. thank you. neil: former top congressional budget expert and former u.s. mptroller on this latest

a poll last week showed 43% the uninsured, people who stand to benefit most from the law, don't know that they have to buy insurance next year. republicans who are still opposed to the law are trying to capitalize on the public's confusion and use the exchange's deadline to turn americans off obama care. republican senator pat roberts used this week's republican address to challenge the law. >> too little is known about the exchanges. the fear is that only the sick will pay to join the exchange without young healthy people to foot the bill. then all costs will further skyrocket. we must put an end to the fear and uncertainty. it is a train wreck, folks. and we have to get america out of the way. >> but in the midst of this partisan fighting, millions of americans are without health insurance. before the health exchanges open, non-profit initiatives are playing a big role at filling in the gaps. one of those groups -- the national association of free and charitable clinics is teaming up with msnbc's remverend al sharpton on wednesday at a health care fair in new orleans. michael dyson

the president will also talk about efforts to expand manufacturing, sign up the uninsured for health care coverage, and educational opportunities for college students. he will also promote the economic benefits of an >> the duchess of cambridge is in labor. we are keeping that life. we will bring you the notice as soon as the baby is born. ♪ ♪ for foa strost bag bhathag. get glt ad for fceflexfl small chl ange,ge big dig fferenerce.. [ hero mom ] oh, yeah. we're gettin' cereal. 'cause over 40 general mills cereals are 130 calories or less per serving. just look for the g. boom! that's how nutrition is done, people. [ laughs ] ♪ [ female announcer ] hey ladies. you love it. you've got to have it. cinnamon toast crunch, 'cause that cinnamon and sugar is so irresistible. everybody craves those crazy squares.® >> welcome back. watching wall street this morning as investors are hoping the recent surge in continues today. there was a setback friday as technology stocks slumped. futures trading right now shows all three indexes positive. here's a look at the closing numbers from frid

and without the employer spending requirement to finance our local safety unit, the remaining uninsured will have to utilize more emergency rooms and acute [speaker not understood] which will not only increase health care costs because we'll be treating folks in emergent conditions, but also shift the cost of care to taxpayerses in the city. so, again, i want to highlight the guideline 3.1.14 preserving healthy katrina voss program should be more [speaker not understood] critical need and employer spending requirement should also be a part of that. >> thank you. are there any further public comment on this item? >>> yes, good afternoon. my name is hiroshi fakuda. just a few comments in regard to the healthy s.f. master plan. i'm not sure there is enough emphasis being put on mental health services. i saw a line in connection with behavioral health medical services. and i think there needs to be a stronger emphasis on the mental health aspect. it is a major problem in the country. we're having a number of veterans returning from the war and i don't think it's being addressed enough. for

training program director at the women's community clinic where we serve 4 thousand uninsured women, we at the clinic celebrate the opportunity for 2 million california residents so have access to health care and insurance through the affordable care act legislation and we work tirelessly to enroll those who are qualified but we also see the health care security ordinance as an important complement, it provides a cohesive and multi-faceted health care institution that institutions the importance of quality preventive care, let me highlight prevention, the significant financial cost and abuser on all residences, in a recent 2012 needs assessment that focused on the western addition fill mer, they use the er as care, i also want to reiterate to the supervisors, the lack of access to care impacts women, young women, poor communities and communities of color, so this ordinance is a women's health issue, they are the sole providers of their families and allows for their children to thrive, it creates a safety net and values health and wellness which impacts productivity and workplace exce

inertia is a very powerful force among the uninsured. >> ifill: what evidence to that sort of conversation? >> we haven't had the enrollment yet. but to the extent that people are hearing about premium spikes, particularly if you are a younger, healthy male so it's going to cost you more money. then there's going to be ready on time. the exchanges we've got about half the states not -- more than half of the states same thing with the medicaid expansion, all that creates a cloud over simply the ability to execute. now, you talk about the business community, there are two business communities here. there's the large business community which says, just make our life a little bit easieru you're being onerous, make the paperwork not as bad. the smaller business community that dump -- bumps up to the thresholds they are more concerned about complexity of determining whether they have 50 employees, have part time employees, that's the other component of the reporting requirements which they were complaining about. >> i have to build on what tom was saying. the small businesses are the businesses

half of today's uninsured have incomes below the new medicaid limits so they will benefit. we do have states across the country who so far have declined to become partners in this effort and take advantage of the medicaid expansion. the result of that is you will have men low-income adults who will likely remain uninsured, with predictable results for them and our society. we also have to look at this through an economic lens, and as the economy continues to improve, more and more people are still finds themselves in need of this very orbit health care safety net. if you cut medicaid, that's essentially cutting jobsment medicaid stimulates the economy. every dollar spent is good economics. according to one study, by the kaiser family foundation, every dollar cut from medicaid means up to 2.76 cut from the state economy in which that occurs. the loss of federal medicaid dollars means a loss of health care jobs and health care economic activity across the country, which means you're moving states in exactly the wrong direction that we want to be pushing them in terms of our e

the uninsure ready not just a number, they are a person, someone you can reach out and touch. and when you hear the stories of single moms working hard every day trying to decide whether or not they put food on the table or get access to health care, it make yourself stomach sick. it shouldn't be that way in this country. >> nicole and jim, great, great work. thanks for being with us, and we really look forward to seeing you tomorrow. >> thank you. >> thank you for the opportunity. >> again, a special edition of "politicsnation" from new orleans at the free health clinic tomorrow. i want to take a moment right now to talk directly to the "politicsnation" family. it takes a huge team effort to provide these free clinics, and we need your help. you may not be able to go with me to new orleans, but you can donate. you can help. if everyone hearing my voice right now donated just $1, just $1, it would make a difference to so many families. please, go rate now. go to urgentcare.msnbc.com. with your help, we can make a difference and get health care to so many americans who really n

, and that's where the real problem was in the -- of the uninsured in this country. >> i heard you say that patient centric. patient centric. give us an idea of what the solution in your estimation is, the common ground that you think can be found. >> i think the common ground right there is when the patient comes in to my office to see me which they did for over 30 years in tennessee where i practiced, and that patient and myself made the health care decisions, not the insurance company, and not some pubureaucrat in washington d.c. you can set it up with their own policy, where the policy is not owned by the company you work for. health savings accounts where you decide and direct where the dollars go and i had breakfast with dr. ben carson. brilliant man who shares many of the same ideas. putting the patient and the doctor back in control of the health care system. >> we want to bring in our chief political an irs gloria borger joining us to talk about this as well. you had a chance to hear the president. what is your reaction to what the president said in defense of his affordable c

he is uninsured. what he did about the bill. he said i still have it. they try to buy a house or a loan. that will be on his record. this idea that you can somehow go to the emergency room and walk away is somewhat of a fallacy. there are hundreds of billions of dollars of care. the price to the individual and family is not one of just a clean slate. host: good morning. my question is this. this is strictly healthcare that has to do with big as ms. and money and insurance companies. did any of you people see the hour-long special on public television where they compare healthcare cost from this country to other countries in the world? did anybody see that? it will open your eyes. politicians is just greed and money. tworother had an mri about years ago, $1300. if he can back it will be $2000 for a facial mri. any other country he went to a would've cost of $91. a doctor visit in this country walk in with $15 and you can see dr.. it is not matter what kind of insurance you have. some countries have a limit on how much money a doctor can make per year. wh

clinic where we serve 4 thousand uninsured women, we at the clinic celebrate the opportunity for 2 million california residents so have access to health care and insurance through the affordable care act legislation and we work tirelessly to enroll those who are qualified but we also see the health care security ordinance as an important complement, it provides a cohesive and multi-faceted health care institution that institutions the importance of quality preventive care, let me highlight prevention, the significant financial cost and abuser on all residences, in a recent 2012 needs assessment that focused on the western addition fill mer, they use the er as care, i also want to reiterate to the supervisors, the lack of access to care impacts women, young women, poor communities and communities of color, so this ordinance is a women's health issue, they are the sole providers of their families and allows for their children to thrive, it creates a safety net and values health and wellness which impacts productivity and workplace excellence, it's an important safety net for young people, th

guest: yes, i think often the uninsured face the highest rates because they face the rack rates. there's also this issue of cost shifting him a but i don't, and i know it is often given as a reason for why our rates are so high, but i would point out that even our medicaid rates pregnancy are much higher than those in other countries eared so i don't think cost shifting really explains the very high rates of pregnancy. there aren't a lot of uncompensated deliveries going on now. poor people who can't afford delivery tends to be eligible for medicaid or some of the low income assistance programs for pregnancy. the people with more means, like renÉe martin in the series, she basically will try very hard to pay those bills. host: columbus, ohio, gerald is uninsured. go ahead. caller: i'm calling in to make a comment. the cost of insurance or the cost of medical period -- i already came to the same conclusion that they can do at the end of the article. it costs so much because they charge whatever they want. what it is costing to have it done is how much they want to charge. they ha

a number of the uninsured are people employed by other firms. >> mr. jost, do you think that it seems likely that employers who currently offer coverage right now would start dropping their health insurance all of a sudden? >> no. >> why not? >> especially if they know it will come back -- >> this is what i am hearing. >> the main reason employers offer health insurance to their employees is for recruitment and retention. employees expect health insurance. another reason is that there are tax subsidies that are there which was mentioned by mr. captretretta. if we wanted to have the largest tax increase in american history by abolishing the employer tax detections -- deductions, we could talk about that. i am not sure that many members of this committee would want to do that. >> i would. do you agree? >> i agree it would be desirable to move away from employer- sponsored system. >> thank you very much, mr. chairman. >> mr. ross. >> are we looking for perfect in response to my friend from new jersey? we are not. we offered 30 amendments when we were in t

the already comeback housing industry. so, while the president's aides are busy blaming everybody else in washington for the troubles the president is revisiting poles he's pushed for in the past and may be about to deliver another series of campaign style speeches. all right. if you want to take a look at the action on the market this morning, it's all in gold. that's where the action is. gold is up $28 right now, firmly above 1300. we've got a weaker dollar that often helps gold. gold is up 6% this month now, however, it's down 23% this calendar year. then we've got detroit, yeah, gone bust and here come the demands for a bailout. will president obama balk at that or agree with it? we'll bring you downtown detroit, show exactly what it's like with the pawn shop in downtown detroit. we're also, of course, watching your money. several big names you know are making moves, amongst them are mcdonald's, down by the way, and netflix, apple, stay right there. you're about to see the money and how the markets open monday. peace o

of the uninsured, the highest in number, what it will cost them. in new york right now it costs -- now, mr. speaker, this is the average plan, the median priced plan in new york is $5,750 a year or about $500 a month right now. now, that median price plan in the president's home state of llinois is $1,450 or about $1,300 a month, about 1/4 the price of the new york policy because, mr. speaker, new york has obamacare-type regulations in place. that's why their costs are so high right now. in fact, obamacare is not quite as regulated as the new york market, so the prices can come down a little bit. but you know, if it comes down from $500 to $250, it's still twice the cost of that policy in illinois right now. or maybe we should look at the vice president's state of delaware. where the average 30-year-old male's policy price is about $1,380 or let's rounds up to $1,200 a month. that's about 1/4 the price of the current policy in new york and even with those tremendous obamacare savings will be half the price of the policy in new york. the obamacare p

that would almost cover the uninsured. and yet it's not even talked about even though it's regularly documented by professor malcolm sparrow at harvard who is an applied mathematician as in the expert on billing fraud in this area. corporate crime, our health research group headed by dr. sid wolfe in the '70s put out two books called "pills that don't work" and "over-the-count pills that don't work." and there were a thousand pills you could have prescribed or buy in the drugstore that didn't work for the purposes for which they were advertised. i mean, that's pretty fraudulent stuff. well, they're almost all gone now in no small part due to public citizens work in this area and the relentless barrage of medical journal articles invalidating these drugs. that's another form of corporate crime, junk science style. i mentioned pbs, and i do want to express my dismay at what happens when pbs increasingingly has to rely on commercial donors as public funding shrinks, and that is that progressives who have proven their merit in

prices to the people who are least likely to pay them, the uninsured. he pointed out his point of view that the only force disciplining it is medicare, which still guarantees wide access and quality medical care for beneficiaries. to thed bring more system and save patients a lot of heartache and expense. says our system is so dysfunctional because medicare distorts pricing in ways that produce perverse payers. for allow me to introduce both of our speakers before we begin. stephen designed a company to create a viable business model for journalism to li. he is a feature writer for magazines and trains journalist brill's content magazine. he is a graduate of yale and yale law school. the chief executive officer of the game show network, seen in more than 7 5 million homes. a member of the board of records, an organization dedicated to hospital second transparency. is the author of how american healthcare killed my father and how we can fix it. he graduated from harvard university and holds a master's in history from new york university. to start our dis

but law makers on both sides are concerned about the americans insuring the uninsured. >> people understand you can't have things you can't pay for. this is a bigger costs to the program than what people anticipated and has far- reaching te knackles. >> the obama health care law is fundmentally flawed and the administration admitted it was not ready to be implemented. >> the president contends that there was this kind of impasse and push back from law makers and others when programs like medicare and social security were implemented. once those programs were up and running, people realized a pretty good 2k0e8. both programs face budget and soladvancy issues. >> molly, thank you for that background. health care secretaries setting off a whim controversy in the naacp, said those against obama carry. >> that is the most affordable law since medicare and medicaid was created. same year the voting rights act was enacted. the same arguments against change and misinformation that opponents used are the ones that opponents are spreading now. this won't work. it will destroy the health system. we ha

uninsured in the country, this is a big problem. up to 260,000 individuals in our district who lack health insurance will have access to quality, affordable care without fear of discrimination or higher rates because of the pre-existing condition. our country has waited too long for real health care reform. coverage by our industrial and competitive partners provide. i oppose both these bills and i yield back. the speaker pro tempore: the gentleman from texas yields back. the gentleman from washington reserves. the gentleman from georgia. mr. price: i ask unanimous consent that a letter dated july 15 from the president and c.e.o. of freedom works in support of h.r. 2668 be inserted into the record. the speaker pro tempore: without objection. mr. price: i yield two minutes to the gentlelady from michigan. the speaker pro tempore: the gentlelady is recognized. mrs. miller: it appears that the obama administration that is come to the conclusion that the mandate is a job killer. many have speculated that the obama's administration decis

doctor say if we waited any longer, she could be in real danger and it was because she was uninsured and she didn't have the preventive care that would have prevented her from needing to have the surgery that she did, and healthy san francisco would have done that for her, it is doing that for thousands of undocumented families in the time it's been in existence, with the uncertainty around [inaudible] in the national level, programs like healthy san francisco is the only option that undocumented families have, any sort of health care and as a huge step as the aca, but a lot of folks will be covered, thousands will be left over, so this is an opportunity. >> thank you for sharing your story. i hope your mom's doing better. thank you, next speaker. >> hi, good afternoon, my name is akiko, i'm a nursing student at san francisco state university, and i'm here representing the undocumented community, for the last 14 years, my family did not have access to medical care. my mother is in her 60's and though she is young at heart, her back pain is becoming more intense and her headaches are

he fact is a lot of people are uninsured, two-thirds of the under 40. are it costs too much because of government policies that we repealing rather than imposing more government. interest groups including americans for prosperity calling for the repeal of healthcare. [video clip] two years ago caleb began having seizures. the care he had was the world. attention and i have questions about obama care. if we can't pick our own doctor know my family will get the care we need. why where they getting an premiums andhigher smaller paycheck? can i trust the folks in my family's th healthcare? i think we all deserve answers. to calls. tennessee on the democrat line. first of all, for the imple dark -- simple-minded person such as myself i would like to hear some answers that .re understandable to me i'm just going to give you the and tion that we are in then i want a simplified from you who know this.is going on about i presently am insured. social security. i'm retired. our fe has taken over business and the business itself just about gone to the point that it

i think the ads will get specific closer to the launch date. >> host: let's hear from scott who is uninsured and living in ocean side, california. >> caller: good morning. i'm 53 years old. i'm uninsured. i'm also an air force veteran. i recently suffered heart failure and considered 30% service connected disability through my va. so my question is with the new fact is going take place. will i be required to have insurance as well? even though i have my veteran -- because right now they are taking care of me. the only thing i pay for is the medication? ? >> guest: you're fine. you are covered. if you have the va system or tricare. that's fulfill your individual mandate. you have coverage. you are fine. >> host: that's because family foundation looks at the status of state actions on the medicaid expansion discussions. sara barney, take us back to the supreme court's decision about the affordable care act last year. what they decided about the medicaid expansion and why we're looking at now. >> guest: if you remember the first day that followed. everybody was sort of remarking on the decision

gregg: the cbo says after all of obama-care is implemented, the uninsured will never go below 30 million americans. you will always have 30 million americans uninsured after all of this. heather: it is independence day and lady liberty is opening for the first time since escaping hurricane sandy's wrath unscathed. rick, what are the plans for today? >> reporter: big plans. what better place to spend america many birthday than at the feet of this beautiful and very tall lady liberty who as you mentioned has been shut down to the public for basically two years. you can see some folks on the observation deck on top of the base of the statue. people are actually all the way up in the crown already. you can see folks who are now walking around liberty island. this island reopening today after being shut down after hurricane sandy. it was closed back in october of 2011 to install safety features inside the statue. and they put in new elevators, a new staircase, and they reopened the statue for a single day and that's when hurricane sandy hit. and hurricane sandy did some significant damage to

highest pockets of uninsured are. partnering through state university systems that have natural affinities to younger people and their families. the question will be when people receive that message, what do they do? do they go to another source to learn more? when they get there, do they find an attractive set of options, prices that are affordable, and with conditions that are understandable? i think that is a huge question about how people navigate that and engage with that. >> to the extent that you see what is going on in kansas october 1. >> i realize the metric is, can we add folks who are not insured right now. the future and success of the aca will be dependent on the impact that folks already have coverage. i look at the cost and access issue. proponents have said we can do this major expansion and you won't lose your coverage, your choices. your cost will be the same and may even decline. folks who have argued against it said, you're not going to have your choices and your coverage will go up dramatically.

our uninsured population. healthy san francisco has also better prepared san francisco for health reform and while we would likely fair better than our counterparts in other counties and states, health system trends specifically health reform will place greater demand on our health care resources. finally, given the existing known medical use development projects in the pipeline, san francisco is in large part on track to meet residents' evolving health care needs. specific attention will continue to be needed for our most vulnerable populations. the community health status assessment is that assessment that involves more than 150 indicators along with 10 broad based categories. the key findings here are not surprising. san francisco is a culturally diverse and changing community. we have health burdens that are tied to social determinants of health, income, poverty, and education status. cardiovascular disease is among the leading causes of death in san francisco much as it is in other places of the country.

guest: yes, i think often the uninsured face the highest rates because they face the rack rates. there's also also this issue of cost shifting him a but i don't, and i know it is often given as a reason for why our rates are so high, but i would point out that even our medicaid rates for pregnancy are much higher than those in other countries eared so i don't think cost shifting really explains the very high rates of pregnancy. there aren't a lot of uncompensated deliveries going on now. poor people who can't afford delivery tends to be eligible for medicaid or some of the low income assistance programs for pregnancy. the people with more means, in the series,in she basically will try very hard to pay those bills. host: columbus, ohio, gerald is uninsured. go ahead. caller: i'm calling in to make a comment. because of insurance. -- the cost of insurance or the -- ironyedical period came to the same conclusion that they can do at the end of the article. it costs so much because they charge whatever they want. what it is costing to have it done is how much they want to charge. they

i'm a doctor, i've been working in a public hospital for the uninsured for the last twenty years. my patient population has been people without insurance. people impoverished who inspired hoped to get a good job with good benefits. or there was someone that had a job and they lost it. they are coming to see me in the safety net hospital. if only half of those partials -- patients say wait a second look at the human dimension of these regulations. that i wish we could list the family that were unemployed by this coal fire plant in pennsylvania being shut down. that would, if you will, put the face on this bill. it creates tran parent sincerity. let's look at the cost, see if the benefit outweighs the cost. if it does, proceed. and if not let's side with the american worker not with epa bureaucrat using science. >> host: steve tweets in how much in-house research and law enforcement does the epa currently engage in. can you give us examples? >> guest: in term of law enforcement -- >> host: i'm not sure. >> guest: they have a regulatory they go to the department of justice. they cert

and you talk about fair to threaten taxpayers on the uninsured under the phillies but can you explain why you feel that we? >> yet. certainly the law requires that individuals beginning in 2014 sign up with the government improved interest either through the employer or through the exchanges, or the death penalty of the greater of $95 or 1% of their household income. that would be enforced in the tax system through what they are fun and taxes probably in early 2015. look at the situation we have now where you have many employees potential and not getting an offer of coverage from their employer because the employer requirement has now been suspended for a year. moreover, we don't know if they were offered coverage through their employer. moreover in many of the exchanges around the country there is in at least one state only one plan being offered in many states may be two plans being offered. .. is obamacare ready for door family in your opinion? >> i would not only echo the point, but i would point out that the cost of coverage on the of aca exchanges and the higher than exists in t

a significant number of the uninsured are actually people employed by those firms. >> do you think it seems likely that the employees who currently offer coverage right now would start dropping their health insurance all of a sudden? >> nope. >> why not? >> if they think is going to come back. >> i have been hearing you over here but -- >> the main reason employers offer health insurance is for the recruitment and retention. they expect health insurance. another reason is there are huge tax subsidies that are already there which was mentioned by mr. capretta. if we wanted to have the largest tax increase in american history by abolishing the employer tax deductions and exclusions, we could talk about that. i'm not sure that other members of the committee want to do that. >> do you agree with mr. speed jost? and i agree to move to an individual lead sponsor system to reduce the mix between mr. chairman. >> are we looking for perfect in response to my friend from new jersey? we are not looking for a perfect to be offered for the amendment when we were in the minority that were swatted a

the number of uninsured americans. that's why that new york state report says premiums for those in the individual market have gone down 50%, because you do have the individual requirement now and everybody's sick and healthy is part of a much larger pool. now, this other issue of the employer reporting requirements, that's already been delayed by the administration. it's a done deal. nothing here in the house is going to change that. the effect of that is minimal because the vast majority of employers, they already provide health coverage. i think less than 4% do not. if someone is not covered, they can go into the exchange and they can probably qualify for tax credits and get affordable coverage. s mr. levin has said, this already has had a major impact of providing health coverage for individuals, whether they're children, students, seniors, families, small business owners, so many have gotten affordable coverage. once this kicks in in october, you can go in the exchange and by next year the vast majority, almost ev

it's in a state with the nation's highest uninsured rate. ray suarez has our story. >> suarez: get close enough to downtown austin, texas, and it's not hard to hear why it's called the live music capital of the world. get a little closer, and the musicians themselves tell a quieter story. that's john pointer on stage now at antone's nightclub. he's a beat-boxing, boot- stomping singer-songwriter who also has type one diabetes. like the average austin musician, he makes less than $16,000 a year, and he can't afford health insurance. >> so many people said, well, then just get a job. but i think the ten austin music awards and the national television commercials and the stages on which i've performed and the audiences that come to see me would disagree that i should just quit and get a job that gives me health care. >> suarez: having diabetes made it difficult for pointer to find an affordable primary care doctor in austin. he was paying several hundred dollars a month for coverage in the state's high-risk insurance pool, an amount that consum