among state medicaid directors. if i were you, i would take this as an opportunity to report on state officials over all. >> the good thing is the house and senate asked the governors to write letters to them about what they think about c.h.i.p. and, to be honest, who knew what they were going to say. and, fortunately we've -- a lot of you all did work on that and really talked to your governor's office and your c.h.i.p. directors and your medicaid directors to get good directors. 39 governors responded and 39 said we want c.h.i.p. re-extended and reauthorized. sam brownbeck said i want a five-year extension to c.h. imt p. she's like, sam brownbeck said five years. so it's great. and i would, you know having worked for a governor, those directors wrote those letters for the governors. so the c.h.i.p. directors are supportive. the governors are supportive. i also think another great thing to try to do is have state legislators. if you guys are close to your state legislators have them write congress and say hey, we n

medicaid basically is an old joke this is a decent one medicaid program, using one medicaid program. you've got 50 states territories, all different. they are statement programs with federal matching dollars. the way the federal government gets money to incentivized states to all sorts of weird games to incentivized money. part of a block grant is to move incentives. which want to do is get more individuals consumers having a stake in whether health care dollars go and that's not the current system have with the aco or medicaid. >> i just want to add that when it comes to discussing private retirement savings, i think it's so important that people go to war of the retirement decisions and that comes with control of the retirement dollars. social security original purpose was to protect against destitution in old age. the program is very different today and it actually leaves many seniors with benefit levels that are too low where they are in addition to those is to benefit relying on other welfare programs. so when proposal to think is not receiving enough attention is to look at ins

medicare and medicaid -- were in place. mr. president, those were the days of the poor farm and the o oms house. these were the places where the poor and the uninsured would go for care. very often on the outskirts of town out of sight out of mind, not a happy choice and more often than not for seniors and the poor, it was the only choice. these were places that provided care. it was also very basic and it very often carried a stigma. the accommodations were sparse, at best. and in return for health care and housing residents were expected to work on an adjoining farm or do housework or other chores to offset the costs of their stay. this was the primary option for someone whose extended family couldn't offer care -- or didn't want to care. and this wasn't thousands of miles away from the shores of our country. this was right here in the united states. not very many americans remember those days mr. president. in fact, i think it's fair to say, hardly anybody under 50 remembers those days. now, president johnson submitted h

medicaid program. you have 50 states state-run programs with federal matching dollars. the way the federal government gives money and incentivizes states to do all sorts of weird games to allocate money, part of that is block grants. we need to look at block grants and also vouchers because you want consumers having a stake in where their healthcare dollars go and that's not the current system now. >> when it comes to discussions private retirement savings, i think it's so important that people control more of their retirement decisions and that comes with control of their retirement dollars. social security's original purpose was to protect against destitution in old age. the program is very different today and it actually leaves many seniors with benefit levels that are too low where they are in addition to social security benefit relying on other welfare programs. so one proposal that i think is not receiving enough attention is to look at instituting a flat benefit that targets somewhere around the

medicaid program. you have 50 states, state-run programs with federal matching dollars. the way the federal government gives money and incentivizes states to do all sorts of weird games to allocate money, part of that is block grants. we need to look at block grants and also vouchers because you want consumers having a stake in where their healthcare dollars go and that's not the current system now. >> when it comes to discussions private retirement savings, i think it's so important that people control more of their retirement decisions and that comes with control of their retirement dollars. social security's original purpose was to protect against destitution in old age. the program is very different today and it actually leaves many seniors with benefit levels that are too low where they are in addition to social security benefit relying on other welfare programs. so one proposal that i think is not receiving enough attention is to look at instituting a flat benefit that targets somewhere around th

so when you hear folks say, you don't need to worry about social security or medicare or medicaid medicaid, not a problem. that is not only irresponsible, it is deceitful. they are just not telling you the truth. so we can continue as a nation to stick our head in the stand but we can't save and strengthening the programs that are vital for so many of our fellow citizens. that is at the same time on the revenue side the money coming into the federal government, as you know, is at the highest absolute rate every. more money collected in the last quarter from the american people than ever. so if you have that kind of debt and growing debt and those kinds of deficits and you have those kind of revenue numbers, increasing numbers coming into the federal government, the problem isn't revenue, the problem is spending and you all know this so very, very well. the three ways to solve the problem, all right. raise taxes. it is our favorite way to do that from our friends on the other side of the aisle. or you can decrease spending and to be honest with you the house has done a pretty doggone good s

private insurance into medicaid than uninsured would have been moved into medicaid. that makes no sense to me. it would have cost our taxpayers over a billion dollars over ten years. so we can't simply keep printing money, borrowing money and pretending like nobody has to pay the bills. and finally the medicaid system is not a very effective program. you look at the oregon study, they looked at medicaid expansion and they showed after a couple of years there was absolutely no average improvements in physical health care outcomes. just getting everybody a medicaid card is not really accomplishing anything. we have our uninsured rate for our children down below 5%. we've gotten a real safety net for the uninsured. under the public sector, used to take ten days to get a prescription filled. you can get it done in several minutes now. used to be a six-month wait to see an oncologist. here's the problem you heard it in the state of the union last night. from the left, from the editorial pages of these newspapers, they pretend like everything's for free. these are federal

while four more have medicaid expansion under consideration. but the latest buzz is about deep red texas. yes, the same deep red texas where the incoming governor greg abbott has led the charge in suing the federal government over the aca. >> are you going to hold the line on that decision or are you gonna change your mind? >> no we are. we've been holding the line ever since we filed that lawsuit challenging the obamacare expansion of health care. we don't believe the right thing to do is to buy into this obamacare mandated expansion of medicaid. >> hold the line. remember the alamo. texas forever. but is governor-elect abbott all hat and no cattle? the houston chronicle reports that in a closed door meeting with state lawmakers abbott recently asked about a compromise to expand medicaid that utah is working out with the federal government. so if greg abbott does change his mind on medicaid that would be agreed news for texas. the uninsured rate there is 22.1%. the highest in the country. and nearly one million people could gain coverage if te

and i think similarly for medicaid we have now seen a number of years of slower growth in medicaid costs per beneficiary and we had expected in 2010. so although there are particular aspects of the affordable care act with only saw one therefore, we have observed slower growth for medicaid for some time. again i think with a much stronger foundation for this cumulative set of downward revision to the cost of the medicaid part of the aca and just from looking at last year's data, although once again, there is considerable uncertainty. >> and on the cadillac tax? how important that is moving forward. >> well, as you know the excise tax on high premium insurance plans has not yet taken effect. so it is particularly hard, we don't even have the one year in that sense. there is anecdotal evidence people report on making adjustments to their plans to keep premiums on a trajectory below what they think will be subject to the tax. but those are just anecdotes at this point, as far as i'm aware. we expected, continue to expect that most of -- >> we will leave this hearing at this point as we take

medicaid, it's an old joke, if you've seen one medicaid program, you've seen one medicaid program. 50 states, all different. state-run programs with federal matching dollars. the way the federal government gives money to incentivize states do all sorts of weird games to incentivize money. part need to remove incentives. we need to look at blocks and vouchers, more individual consumers with a steak where health care dollars go. that's not the system with medicaid. >> i just want to add that when it comes to discussing private retirement savings i think it's so important people control more of their retirement positions and that comes with more control of their retirement dollars. social security's original purpose was to protect against destitution in old age. leaves seniors too low in addition to social security benefit relying on other welfare programs. one proposal i think is not receiving enough attention is to look at snugt a flat benefit that targets somewhere around federal poverty level so those individuals who worked 35 years do live at a level where it's sustainable, but that

. >> look at medicaid for example have you individuals making tens of millions of dollars off of medicaid you see an announcement where a attorney general go after the dentist who is chargeing for 11 cavities when we did one. and trying to you know get $10,000 or $fen,000 $15,000 back, and have you others in schemes they can milk millions off of medicaid. so you have these constituent sees attached to it. working together, creating for profits. >> true, but bigion is medicare. nod medicaid, medicare that covers elderly would you cut anything in. >> i remember when my grandfather needed a doughnut because he was getting up there in age. signing off on paperwork for $450 for something you can buy at cvs for $25 we have look at providers, every time you have a business where person signing your check is one who does not pay the bill, like medicare, you have room for abuse from people providing the services, providing items, i think we need to look at purchasing of medicare. and i think that we also region a alley need to lock at payment schemes we have, i am from long island cost of living i

medicaid expansion is an example. governors from 27 states plus d.c., including those who disagree on elements of the affordable care act, have reached the same conclusion -- expansion is good for the people and the economies of their states. and some who have not yet expanded have expressed interest in moving forward, states like wyoming, indiana and utah. i want to see all 50 states expand in ways that work for their states. and we will work with governors from both parties to try to make that happen. there are other critical areas in health care where our common interests give us ample opportunities for common good, improving the quality of care we receive while spending our dollars more wisely, reducing substance use disorders and overdose deaths, strengthening global health security, reaffirming american leadership in research, innovation, and science, and building an innovation economy. let's start with our health care system. for all the differences of opinion about how to move forward, there is one area which

states that have improved medicaid growth have had three times the growth. hospitals are often the largest employers in our communities. but jobs in health care that comprise 1/6 of the economy are not growing like they should. in fact, thousands of missouri health care jobs in the past year have been lost and hospitals and clinics have closed. if we don't take action, more will follow. the ceo of a hospital explained he would cut 60 missouri jobs but hire 62 new workers in arkansas. the ceo wrote, and i quote, "the reason we are hiring in arkansas and laying off in missouri is arkansas chose to expand medicaid and missouri did not. i fear missouri will never recover the ground it is now losing state-wide as a result of political posturing." folks, this is real. the time to move forward is now. [applause] also, it is really important to remember that standing still on medicaid has a human cost. the 300,000 missourians who would get health care if we moved forward are your friends and neighbors. 13,000 are veterans. 50,000 are people struggling with mental il

that's medicaid. are you in favor? >> -- enlarged medicaid. are you in favor? >> people find themselves on medicaid but cannot find a doctor can read more and more doctors refuse to accept it. states are offered a certain amount of money at the front end in later years are on the hook for the majority of the tab. >> what can you say about the health care act? >> it has forced us to have a debate. >> the projected costs have not been as bad as they assumed. >> they cannot -- have not been as good as they are assumed. they are not bearing out on the consumer side to read people realize before they can begin to use the insurance, they have to come up with $4000 as part of their deductible. they are not really insured. >> i want to talk about a big issue you have been identified with is immigration. you have amnesty and deportation. how do we find the smartest place between those two? >> those are false choices. there are few voices calling for the roundup and deportation of 12 million people. on the other side, there are few saying we are going to award blanket am

you have medicaid 10 million or so more on medicaid. you have doctors being cut. and jonathan gruber in a speech basically admitted that obamacare doesn't work. it's unbelievable. here's their view on this. quoting gruber. you can't mandate insurance that's not affordable. cost controls could just come later after everyone was covered and one way to control costs, he explained, would be to tell patients they can't have something they want so long with a lack of affordability there isn't a full patient protection under obamacare either. patients can be denied care. this is gruber in 2009 at syracuse university saying we got this law but -- >> gruber goes up and down. where tony and i will agree is that doctors practice defensive medicine because of the malpractice. tony and i will agree that there's got to be some changes in malpractice. shocking that we agree on that. >> there are many small things the republicans can do in a bipartisan way to change this law. there has been precedent through prior house bills. in long-term leading up to 2016 depending on how the

strengthening and reforming medicaid. [applause] let me remind you a lot has changed since last year. since i stood here last year missouri taxpayers have sent $2 billion to washington. those dollars are being used right now in other states to reform and improve their medicaid systems. that's 2 billion missouri taxpayer dollars. and this year there's another $2 billion at stake. if we keep standing still that's $4 billion missouri and will have lost two other states by the end of this year. across the country people are moving past the politics. republican governors in arizona iowa michigan, a jersey, new mexico, nevada, north dakota and ohio have already strengthened medicaid in their states. since last year even more republican governors have come forward with medicaid proposals, utah tennessee indiana and wyoming. even the republican governor of alabama has indicated he may join them. many states are pursuing innovative reforms, demanding personal responsibility encouraging work -- absolutely encouraging work and crack

we set up worker protections social security, medicare, and medicaid to protect ourselves from the harshest adversity. we gave our citizens schools and

similarly for medicaid, we have seen a number of years of slower growth in medicaid costs for beneficiaries than we expected in 2010. although there are particular aspect of the affordable care act we have only saw for one year, we had observed others for some time. we have a much stronger foundation with a cumulative foundations with the cost is the medicaid expansion than just from looking at last year's data. although once again there is considerable uncertainty. >> how important is that moving forward? >> as you know the excise tax on higher premium insurance plans have not yet taken effect. it is particularly hard to -- we don't even have the one year in that sense. there is anecdotal evidence of people reporting making adjustments to their plans. to keep premiums on a trajectory below what they think they will be subject to that tax. those are just anecdotes that this point as far as i'm aware. we expected that most of -- there will be a significant adjustment i am players to try to keep -- by employers to try to keep the threshold low. of the total revenue that we show occurring beca

>> people find themselves on medicaid but cannot find a doctor. more and more doctors refuse to accept it. people find themselves on medicaid that can find doctors. -- and cannot find doctors. states are offered a certain amount of money at the front end in later years are on the hook for the majority of the tab. >> what can you say about the health care act? the best thing? >> it has forced us to have a debate. >> the projected costs have not been as bad as assumed. >> but not as good either. they are not bearing out on the consumer side. people realize before they can begin to use the insurance, they have to come up with $4000 as part of their deductible. they are not really insured. >> i want to talk about a big policy issue you have been identified with is immigration. you have amnesty and deportation. how do we find the smartest place between those two? >> those are false choices. there are few voices calling for the roundup and deportation of 12 million people. on the other side, there are few saying we are going to award blanket amnesty. th

>> take a look at medicaid, for example. you have individuals making tens of millions of dollars off of medicaid. and you'll see an announcement where an attorney general or state comptroller going after the dentist who is charging for 11 cavities when he only did one, and trying to get the $10,000 or $15,000 back while you have others in these schemes where they're able to literally milk tens of millions off of medicaid. so what happens is you have the constituencies attached to it. 11 a 9 seiu hospitals may be working together and creating profits. john: all true the big one is medicare, not medicaid medicare covers all the elderly. would you cut it? >> listen i remember when my grandfather needed a doughnut because he was getting up there in age signing off on paperwork for $450 for something you can buy at cvs for $25. we have to look at the providers. every time you have a business where the person signing your check is the one that doesn't have to pay the bills, like medicare, you have room for abuse from the people pr

strengthening and reforming medicaid. [applause] let me remind you a lot has changed since last year. since i stood here last year missouri taxpayers have sent $2 billion to washington. those dollars are being used right now in other states to reform and improve their medicaid system. that's 2 billion missouri tax pay are dollars and this year there's another $2 billion at stake. if we keep standing still that's $4 billion missourians will have lost to other states during the year. in other states people are moving past the politics. republican governors in arizona iowa michigan new jersey new mexico nevada north dakota and ohio have already strengthened medicaid in their states. since last year even more republican governors have come forward with medicaid proposals. utah tennessee indiana, and wyoming. even the republican governor of alabama hasn't indicated he may join them. many states are pursuing innovative reforms demanding personal responsibility encouraging work absolutely. encouraging work and cracking down on f

and then we have to subsidize through medicare, medicaid and the affordable care act the health care to take care of the people who get sick from the cheap accessible food that's been subsidized. it doesn't make any sense. >> i feel like you don't quite say it but you're close to saying it. main culprit -- sugar, in your mind? >> well, sugar is addictive and i think sugar is a problem. increased amounts of sugar. i'm not a prude and here we are in the holiday season. we're all going to cheat. i'm not that kind of guy. i'm really not. but the levels of sugar that we are eat inging now are extreme. the average american weighs about 20 pounds more than we did in the 1960s and we're only an inch taller. the about 70 pounds of sugar a year. so clearly that's a big problem when you see the obesity rates, the diabetes. sugar is our main culprit. i think we need to be a little more disciplined about what we're eating. >> we should remind people that sugar -- youa4!ñ think soda you think sweets ice cream. but sugar is in tomato sauce. sugar is in a lot of products that we eat that we don't a

similarly for medicaid, we have seen a number of years of slower growth in medicaid costs for -- per beneficiary than we expected in 2010. although there are particular aspect of the affordable care act we have only saw for one year, we had observed others for some time. we have a much stronger foundation with a cumulative set of foundations with the cost is the medicaid expansion than just from looking at last year's data. although once again there is considerable uncertainty. [indiscernible] >> how important is that moving forward? >> as you know the excise tax on higher premium insurance plans have not yet taken effect. it is particularly hard to -- we don't even have the one year in that sense. there is anecdotal evidence of people reporting making adjustments to their plans. to keep premiums on a trajectory below what they think they will be subject to that tax. those are just anecdotes that this point as far as i'm aware. we expected that most of -- there will be a significant adjustment by employers to try to keep premiums below the threshold low. of the total revenue that we

john: they send you a bill afterward and maybe medicaid will pay for it amax. >> insurance, medicaid and medicaid, other subsidies we want. >> that includes private sector financed rebuilding and maintaining over a long time 558 bridges veteran faster and cheaper than the traditional way of procuring things and they will save 20% on the cost of delivering and maintaining each bridge. john: in chicago they may privatize the park -- parking meters. >> yes, they were the first to privatize the parking meters they got some things right and other things wrong. one thing they were criticized on if they got a billion dollars of fun, for 75 years. the politicians spent eight. so that falls more to the privatization and other cities and jurisdictions have followed since then. john: in indianapolis a privatized parking meters that were making $519,000 before privatization. almost 3 million after because the government meters usually were broken and it took days or weeks to fix them. >> that is right. they would sit on meters that were broken for weeks. they have to keep those things up and run

now with a show down looming over capitol hill one republican said it is time to expand his state's medicaid program under obama care. >> a disturbing new study on alzimers disease. not everyone is world. and dramatic moments caught on a firefighter's helmet cabin. three young children trapped inside of a burning building. a daring rescue in a race against time. it is all "happening now". >> but we begin with the winter storm that slammed parts of the northeast and still out there. welcome to "happening now". i am jon scott. >> i will healther childers in for jenna lee. in new england the storm knocked out power and left behind three feet of snow in areas. boston resident awakening to find car cans buried in knee- high snowfall. things are returning to a little bit of normal will see. with a travel ban lifted. >> crews are working to restore electricity to it thousands of customers still without power. molly line is in plymouth massachusetts and has the latest for us there. >> hi, guys, we have a beautiful sunny day to dig out in new england and no doubt the forecaster ares hit it. we got sl

social security, medicare and medicaid. defense is the department. and who can guess the last one, the line item in the budget? that's the toughest one. it is sort of tricky but the interest payments we make on the debt. even though those are fairly low right now because we have record low interest rates the interest we pay is under 2% i think in normal times it is up 4% or 5% or higher. once that goes back up, that line-item will get even bigger. it is already one of the five biggest we have in the federal budget. so that just goes to show that out of all of the priorities that we fund through the federal government, a big majority of them is just in those five pieces. and a lot of that goes to retirees, medicare, and social security almost go entirely to the older generations. the interest on the debt goes to the people who own our debt and then you got defense, which goes to protecting the entire country and medicaid which goes to specific low income populations. but, bill, i wanted to start on that and get your thoughts as to when we're prioritiz

and also in the approval of medicaid waivers for private insurance. so you see bipartisanship coming as a result of the federal/state aspect. another thing to consider and i think this will be probably the last thing i have time for, i'm happy to talk more about this in the q&a is the separation of powers impact. clearly, one thing that we see is a sidelining of congres right? major policy changings are coming at the behest of the congress and those changes involve waiving termsf statutes right? .. in the background is statutory authorization, the waivers have a basis in the express text. one final thing i want to figure is it's interesting to think not just the state as a check on the executive branch but of the combination of the possibly of the states and the executive branch to interact as a check on congress and on the ecessive partisanship and is fortunately of congress. if you can get a compromise between the states and the executive branch, the administration would be a will to do a lot of its goals without having to bring congress in. that ma

[inaudible] >> medicare and medicaid. those are the other two programs. >> [inaudible] >> defense is the department. who can guess the line item? that is the toughest one. it is the interest payments we make on the debt. even though those are fairly low because we have record low interest rates the rate on ten-year bonds is under 2%. at normal, that is 4% or 5%. but it is one of the five biggest that we have in the federal budget. that goes to show that, out of all the priorities we funded through the federal government, a big majority of them is in those five pieces. a lot of that goes to retirees. medicare and social security go almost entirely to the older generation. then you have defense, which obviously goes to protecting the entire country, and medicaid, which is to low income populations. i just want to get your thoughts as to -- when we are prioritizing our spending and how good a job we do with those $4 trillion that taxpayers largely contribute to funding our priorities as a nation, what do you see when you thi

. >> and you accepted federal money under obama care for medicaid and calling for new taxes on cigarettes and natural gas drilling and you quote matthew 25 about feeding the hungry. some people say you are too close to barack obama. >> well chris, listen we are running a billion and a half

let's rise together and strengthen and reform medicaid this year. [applause] >> when we work together we can make a real difference. look what we did to strengthen our mental health population? we have helped children with autism and rebuilding mental institutions and working hand and hand with local law enforcement and together they are helping thousands of missourians with mental illness getting the help they need. for the first time in 40 years there is no longer wait for income services for missourians with developmental disabilities. that is what happens when we work together. [applause] >> those of us in state government understand its role in protecting the vulnerable and preserving the peace and fostering greater economic ability. and many missourians are cynical about state government's ability to help them better their on life. that is because they believe the system is rigged against them. favoring the wealthy and ignoring the hard working folks. folks who drive trucks wait tables, and stock shelves. folks trying to make ends meet. missou

in medicaid this is the logic around the affordable care act which is the independent payment advisory board with the powers to adjust the payment policies under certain circumstances. it is unclear if the ipa bshgsb as it is often called will get off of the ground given the congressional opposition and the structure, but hthis type of delegation makes sense to adjust the spending on uncertainty many in medicare. in my paper i discuss delegation as well to address policy adrift in medicare or other areas. this includes alarm bell trigger s and other adjustments. these are to force congress to the address an area even as the circumstances change, and instead of having the policy to adapt, the idea is to force congress' hand to focus on an area and compromise if something changes. these mechanisms come in tradeoff ss and in my a talk i focus on the adaptability to new circumstances, and along these lines, automatic adjustments seem to be spearuperior where they can be developed, and so that is the first place i turn, but others may give greaterr weight to some of the other factors identi

we reformed the state's medicaid program and created an innovative system that gives senior citizens and people with disabilities easier access to care and greater choice. our whole emphasis has been to deliver the right level of service to the right person, in the right place. as a result, we've increased and improved the options of assistance and care provided in a home setting and in the community, while reducing our reliance on more traditional institutional care, whether in nursing homes or developmental centers. this approach has worked under medicaid, improving services and holding down costs for seniors those with developmental disabilities, and for all eligible citizens and families. under my administration, new jersey's medicaid spending growth on these groups has trailed the national average and has been cited as the second lowest in the region. we are also taking this model directly to our communities. [applause] last fall we created the facing addiction task force, a 12-member team chaired by pastor joe carter of newark's new hope baptist church and co-chaired by former

medicaid is an issue we talked about many times before. paul ryan talked about it in block grants. give it back to the states. what we do in wisconsin is different than new york or california or texas or even illinois. why not empower innovators at the local and state level to do the things that are in the best interests of their taxpayers and in the best interests of the people they are there to serve instead of the one size fits all mentality. we have something you talked about for years, we are talking about maintenance of effort. why is it that a state or local leader can't make an innovation without federal regulation kicking in that says you can't do that unless you kick certain people off of your program. we were lucky because of the supreme court. i said i would rather keep the money at the state and local money. transportation, instead of sending a dollar washington where they skim off costs and send it back to me, why not keep it local. say when it comes to education instead of sending that money here, why not keep that dollar back in the local community so that the local

it's a victory for medicaid reform. it could become a model for states across the country. >> do we want it to become a model for states across the country? >> other states are saying -- they have a lot of advantages saying can i put my stamp on it accept these dollars and still have credibility with the republican voters. but yes, should the federal government be entering into these partnerships? we'll see how this works in indiana. other experiences say it actually again, makes people not. use the care they need. >> igor in washington thank you for joining us this morning. >>> coming up the revolt on sorority row. >>> but up next, a wrong finally made right. i'll never look back, i will just look younger new olay total effects with more vitamins than the leading prestige moisturizer to fight 7 signs of aging. in just 4 weeks, skin looks up to 10 years younger. from the world's #1. olay. your best beautiful >>> on this day many 1961 the arrest of a group of college students at a lunch counter marked a critical turning

john: they send you a bill afterward and maybe medicaid will pay for it amax. >> insurance, medicaid and medicaid, other subsidies we want. >> that includes private sector financed rebuilding and maintaining over a long time 558 bridges veteran faster and cheaper than the traditional way of procuring things and they will save 20% on the cost of delivering and maintaining each bridge. john: in chicago they may privatize the park -- parking meters. >> yes, they were the first to privatize the parking meters they got some things right and other things wrong. one thing they were criticized on if they got a billion dollars of fun, for 75 years. the politicians spent eight. so that falls more to the privatization and other cities and jurisdictions have followed since then. john: in indianapolis a privatized parking meters that were making $519,000 before privatization. almost 3 million after because the government meters usually were broken and it took days or weeks to fix them. >> that is right. they would sit on meters that were broken for weeks. they have to keep those things up and run

. >>> doctors are facing cuts in medicaid payments. under the affordable health care act doctors will see their fees reduced 43% on average. that is according to the urban institute. some doctors and consumer advocates warn that those reductions could make it more difficult for medicaid patients to get treatment. >>> the pilots at american airlines will vote on a proposed new contract. the union will accept it and put it through to a ratification vote. if improved the pilots get an immediate 23% pay raise. the ma-- if the majority reject it it will go to arbitration. >>> at the box office the "hobbit" was at the top again. it earned more than $21 million in ticket sales. in second place was "into the woods," and "unbroken" was third. anne-marie? >> jill wagner at the new york stock exchange. thanks a lot jill. >>> straight ahead, your monday morning weather and in sports remembering longtime espn anchor stuart scott. want to have to think about regularity. natural benefiber helps support digestive health...and maintain...that word. you

social security, medicare and medicaid. defense is the department. and who can guess the last one, the line item in the budget? that's the toughest one. it is sort of tricky but the interest payments we make on the debt. even though those are fairly low right now because we have record low interest rates the interest we pay is undernow, i think, in normal times that's up at four, five, maybe higher. once that goes back up, that line-item will get even bigger. it is already one of the five biggest we have in the federal budget. so that just goes to show that out of all of the priorities that we fund through the federal government, a big majority of them is just in those five pieces. and a lot of that goes to retirees, medicare, and social security almost go entirely to the older generations. the interests on the debt goes to the people who own our debt and then you got defense, which goes to protecting the entire country and medicaid which goes to specific well income populations. but, bill, i wanted to start on that and get your thoughts as to when w

. >> called today to change pennsylvania's medicaid program. state senator vincent hues was at philadelphia city hall. the healthy pennsylvania program. healthy pennsylvania was governor corbett's plan to expand medicaid coverage for low-income residents and senator hughes says it's full of glitches and problems. >>> the race for philadelphia mayor is heating up. a local judge, former judge now throwing his hat in the ring for the nomination. nelson diaz announced his candidacy today. diaz served in the philadelphia court of common pleas. he was the youngest judge ever elected to court and the first latino in pennsylvania history. the focus of his campaign is improving public education in city schools. diaz joins five other candidates vying for the nomination and they include former district attorney len abraham and kenneth trujillo and state senator tony williams. doug oliver has thrown his hat into the ring and former nutter's press secretary and former state legislator milton street has announced his intention to run. >>> he recovered from a

new jersey's medicaid spending now imagine this. the medicaid spending growth has trailed the national average now the second lowest in the region. and for those who are paying for them and that is how government is supposed to work. [applause] so now we will take this model directly to our communities. last fall we created the addiction taskforce, a 12 member team shared by pastor joe carter by the baptist church with a predecessor mr. mccready thank you for standing up to be a part of the solution. [applause] this group is working to fight drug addiction to end the stigma associated with this disease to focus on treatment and prevention. i think all of them for their willingness to step up for the fight and come forward with a one-stop model to connect comprehensive services to tax offenders battling addiction as they leave drug court or incarceration and re-enter society. by helping individuals connected dots to employment and training services, think about what we're doing. we are hoping family their own foundation for a success

it's k-12 education, public pensions medicaid. over the past several years, in addition to providing medical care in war zones around the world, lieutenant governor collier has led our efforts to improve services and controlled costs in medicaid. the results have been good. services are up. costs are growing but at a slower rate than before. on pensions, we have enacted reform and succeeded in voting considerably more resources to what was a badly underfunded pension system. in 2010, according to the pugh center, kansas had the second worst funded pension center in america among all the states. thanks to reforms taken here done with bipartisan support, our rankings have succeeded and we're in the middle of the pack. understand, though the underlying capability vastly exceeds any issue with our year to year budget. it dwarves every other item on the state balance sheet. all those truly interested in fiscal prudence should support putting our state retirement system on a sound, long-term footing. [applause] >> now, in the matter of

the fifth reform with medicaid by setting per capita limits on federal medicaid spending. each of these ideas has at some time in the recent past enjoyed the support of members of both parties. this is not a republican wish list of terrible things we'd like to do to medicare and medicaid. these are reasonable ideas that i put forward to begin the discussion on entitlement reform. of course we also need to talk about social security a program with $25 trillion and unfunded obligations. the disability insurance trust fund in social security is projected to be exhausted, sometime around 2016. so there really is an urgency to act. that's not anyone creating a false crisis it is attacked. even social security's trustees who include officials from president obama's administration urge action and agree. in fact, in their words, not mine, quote, legislative action is needed as soon as possible, unquote. now, i will be working with a bicameral and bipartisan legislation to motivate dialogue and begin to confront social security's financial changes in this congress. that will requir

the driver's side are medicare and medicaid program and to some extent social security. i think, and i talk about this in the book and i advocated this in my senate campaign. i don't want to make changes for people like my mother who are in the system now or people near retirement. the good news is if we act now we can save medicare, social security. we can plates our country on a sustainable spending path without making disruptive changes to medicare and social security for current beneficiaries. rose: you have said in this book, it has been eye opening to me how many roads to restoring the american deem lead to education. the ultimate wage enhancer is a good and relevant education. >> good and relevant. that's the second point. you know, the president last friday announced that we are going to have free community college which in theory sounds like a great idea. the problem is, yes, if it leads to degree did that lead to jobs. so an aa degree -- rose: you applaud the president for taking the initiative? >> of the issue. rose: you say you agree with senator elizabeth wa

. >>> doctors are facing cuts in medicaid payments. under the affordable health care act, primary care docktorktors who see medicare patients will see their fees reduce fourth degree % on average. that is according to the urban institute. some doctors and consumer advocates warn that those reductions could make it more difficult for medicaid patients to get treatment. >>> the pilots at american airlines will vote on a proposed new contract. the union board accepted the final contract and will put it to a ratification vote. if approved the pilots will get an immediate 23% pay raise. if the majority of the pilots reject the tentative agreement, the dispute will go to arbitration. >>> and at the weekend bach office, "the hobbit" was at the top again. "the hobbit: battle of the five armies" was at the top again. it earned more than $21 million in ticket sales. in second place was "into the woods," and "unbroken" was third. anne-marie? >> jill wagner at the new york stock exchange. thanks a lot, jill. >>> straight ahead, your monday remembe