Relatable with Allie Beth Stuckey - Ep 318 ｜ Trump vs. Biden 2020： Health Care

00:00:00.000 hey guys welcome to relatable happy monday we are this is my this is my last subject to talk about

00:00:16.480 before the election we'll continue to talk about it over the next couple weeks um but this is my

00:00:21.740 last big subject and we're going to be talking about health care last week we talked about

00:00:25.300 climate change and the environment today we're talking about health care which is a really big

00:00:29.640 deal to a lot of people according to pew research it's the second most important issue to voters

00:00:35.000 right after the economy has a direct effect on your life of course it's important and it should

00:00:39.120 be important um we're going to talk about the affordable care act aka obamacare the reason why

00:00:43.880 that's relevant to this campaign to this election is because joe biden has promised to expand obamacare

00:00:49.660 but as i'll explain his plan actually actually obliterates obamacare and it's a it's a step

00:00:55.120 towards single-payer health care and that shouldn't be surprising because the champion

00:00:59.400 of single-payer health care in the senate is bernie sanders and bernie sanders as the head

00:01:03.800 of the unity task force for joe biden he is the farthest left member of the democratic party but

00:01:09.400 as the head of the unity task force for joe biden he has helped him craft his health care policy

00:01:16.220 proposal and it very much looks like medicare for all um but let's talk about let's talk about

00:01:23.220 obamacare because there also are some similarities and it kind of gives us some context for the

00:01:28.480 difference in perspectives on health care policy between republicans and democrats um so republicans

00:01:34.180 have always been against obamacare aka the affordable uh care act because not because republicans

00:01:41.020 don't want people to have health care but because they believe it to be ineffective and

00:01:45.140 unconstitutional the individual mandate in obamacare find people for not having health

00:01:50.940 insurance in national federation of independent business versus sebelius scotus ruled that the

00:01:56.380 individual mandate is just a tax and so it is constitutional now amy coney barrett you probably

00:02:02.920 heard a lot recently like in the hearings she disagreed with that argument which is why people are

00:02:09.660 saying that your health care is on the line if acb is confirmed which is not actually

00:02:14.780 factual uh disagreeing with the constitutionality of a particular decision does not mean that acb

00:02:20.920 necessarily has the power desire to take away your health care but there is a case coming up after the

00:02:25.720 election that acb would be sitting for um and would be helping decide uh that has to do with the

00:02:35.100 affordable care act and the constitutionality of it and so that is why people are afraid but of course

00:02:41.660 like obama if they wanted something to be solid they should have done something constitutionally

00:02:46.640 that's what republicans have been saying all along in 2017 trump's tax cuts and jobs act eliminated the

00:02:54.180 penalty of the individual mandate biden says he wants to bring back the individual mandate and the

00:02:59.700 penalty associated with it after the penalty from the mandate was repealed republican attorneys general

00:03:04.840 argued that it was unenforceable that is what the case going before the supreme court is going to

00:03:10.320 decide after the election uh the u.s health care system is different just getting into a little

00:03:16.540 bit of background it's different than most countries in that it is not a nationally paid health service

00:03:21.460 that of course is what a lot of people on the left would like uh it's not a single payer it is not

00:03:27.720 uh or a multi-payer health fund the u.s health system can be described as really a hybrid system it's

00:03:33.740 complicated network of multiple payers involving both private and government health insurance options

00:03:39.920 america is the only developed country without universal health care we do have publicly funded

00:03:46.060 aka government-run insurance companies we have medicare we have medicaid we have children's health

00:03:52.120 insurance program or uh chip and the va about a third of americans are covered by medicare medicaid or

00:04:00.020 chip um the reason why obamacare was enacted the affordable care act was enacted back in 2010

00:04:08.980 uh is because there are still people that are uninsured or underinsured maybe they don't get

00:04:14.760 coverage through their employer they couldn't qualify for medicare or medicaid especially if

00:04:19.440 you are like a young adult who is in a state that didn't expand medicaid uh maybe you didn't apply for

00:04:25.660 it at all and so obamacare was meant to cover you and the purpose of the legislation was to make it

00:04:31.860 more affordable to purchase health insurance they also wanted to lower the cost of health care

00:04:36.160 reduce the growing costs of medicare and medicaid throughout the country promised to do it by

00:04:41.660 offering consumers discounts known as tax credits on government-sponsored health insurance plans and

00:04:47.320 by expanding the medicaid assistance program to include more people who don't have it in their

00:04:51.980 budgets to pay for health care also changed a lot of the rules that insurance companies have to

00:04:57.440 follow for example in the past if you had a pre-existing medical condition you could be turned down

00:05:02.740 for insurance uh from these companies or the coverage for your cost would be astronomical but

00:05:08.780 the affordable care act said you can't be turned down just because you have a pre-existing condition

00:05:13.100 that is actually a very popular part of the affordable care act uh you only receive discounts

00:05:19.120 according to this law to help offset health insurance costs if your household income is between

00:05:23.920 one and four times the federal poverty level which is the number the government uses to determine the

00:05:28.740 minimum amount of money needed for food shelter and other basic needs uh americans who meet certain

00:05:35.300 income-based criteria must by law have insurance that's where the individual mandate comes in that's where

00:05:41.060 that penalty comes in you have to pay a penalty if you don't have some kind of health care coverage

00:05:46.820 and that individual mandate was the most controversial part as we already talked about of the affordable

00:05:52.540 care act democrats included it because they figured that it would force young healthy individuals

00:05:58.040 to report in the house or to enroll in the health care exchanges as something they said would offset the

00:06:04.460 higher cost of covering people with chronic diseases they also assumed people would take care of

00:06:10.120 themselves which would theoretically reduce future health care expenses but republicans were and still

00:06:16.340 are very opposed to this mandate they believed and believed that the penalties would be an unneeded burden

00:06:22.540 on families who maybe weren't covered by private insurance didn't want or couldn't afford

00:06:26.840 uh obamacare but now had to pay the coverage or else they'd get penalized they saw this as both

00:06:32.700 counterproductive and tyrannical it's one thing to expand medicaid so that more people can be covered it's

00:06:38.920 another thing to force people who don't have insurance onto a government plan they were afraid that this

00:06:44.280 would harm low-income families the most and republicans were right about that according to the irs more than

00:06:50.740 half of the total penalty payments uh that people who didn't get obamacare had to pay uh because of the

00:06:57.640 individual mandate come from people earning less than fifty thousand dollars so most of the people

00:07:04.360 paying the penalty because of the individual mandate in obamacare were making less than fifty thousand

00:07:10.160 dollars a year eighty six percent of those people paying that penalty because they didn't have health

00:07:15.480 coverage uh came from people making less than a hundred thousand dollars a year that's why uh ted

00:07:23.040 cruz and other conservatives put up a fight about this in 2013 it ended in a government shutdown

00:07:27.580 and trying to defund obamacare uh now that ended up being unsuccessful ted cruz took a lot of flack

00:07:33.500 from both the right and the left for for threatening to push the government into a shutdown but it's also

00:07:38.840 what launched him into uh the forefront uh of the political scene so maybe that uh did pay off for him

00:07:46.320 um in 2017 republican controlled congress eliminated the mandate that went to into effect uh last year

00:07:54.860 uh democrats wanted to use that to say that you are kicking millions of people off of their insurance

00:08:02.020 by doing this no you're just making sure that people aren't forced to be on insurance um and so it's not

00:08:07.640 the same thing as kicking off but that's just a rhetorical play that democrats have done advocates

00:08:12.520 of obamacare will say that it slowed the rise of health care costs and that it did this through

00:08:17.840 providing insurance for millions and made preventative care free it's good because it requires insurance

00:08:23.120 plans to cover essential health benefits including mental health addiction and chronic diseases

00:08:27.040 insurance companies can no longer deny anyone for pre-existing conditions or raise your costs

00:08:31.940 due to pre-existing conditions but critics of the ACA will cite the harm that it did 3 million to 5

00:08:39.200 million people lost their employment-based health insurance because a lot of businesses found it more

00:08:43.900 cost effective to actually pay the penalty and let their employees purchase insurance plans on the

00:08:49.460 exchanges rather than provide insurance for their employees other small businesses find they can get

00:08:54.560 better plans through state-run exchanges so a lot of people lost plans that they liked and they lost the

00:09:00.080 quality coverage that they actually preferred and this is where the big lie was uncovered if you like

00:09:06.100 your doctor you can keep your doctor even politifact says that this was a huge lie and it was obama

00:09:11.300 repeated that over and over again and then in 2013 said that oh you know that's not really what i said or

00:09:17.260 that's not what i meant but he did and it was a promise republicans knew from the beginning when he made

00:09:22.840 that promise that he could not keep politifact explains it it says uh the affordable care acts tried to allow

00:09:29.040 existing health plans to continue under a complicated process called grandfathering which basically said

00:09:34.080 insurance companies could keep selling plans if they followed certain rules the problem for insurers

00:09:38.360 with that was that the obama care rules were strict if the plans deviated even a little they would lose

00:09:43.740 their grandfathered status in practice that meant insurers canceled plans that didn't meet the new

00:09:48.640 standards so a lot of people lost the coverage that they liked because of obama care and

00:09:53.120 ultimately i believe that is the goal to get people off of the the private health insurance that they

00:09:58.980 like and to get them on to government-run health care health care coverage uh obama care required

00:10:04.600 services that many people don't need uh like maternity care that meant if someone had an insurance plan 0.93

00:10:10.640 that didn't cover maternity care that plan had to be canceled so that was one of the rules which was

00:10:15.300 really awful for a lot of people for example if you're a 60 year old man or woman uh with health

00:10:20.600 insurance but she didn't purchase an insurance plan that covered maternity or pediatric care because

00:10:25.260 why would you your plan got canceled this happened to millions and millions of people and replacing the

00:10:30.300 affordable plan that these people liked with another plan cost a lot of money to people uh obama and his

00:10:35.920 team lied about that over and over again saying that there's nothing in the plan that pushed people

00:10:40.760 off their health care coverage but that just wasn't true that was demonstrably not true obama actually

00:10:45.760 did somewhat apologize somewhat somewhat apologize in 2013 for misleading people uh and i just want to

00:10:54.360 say that when people say that the obama biden a presidency was scandal free this was actually a huge

00:11:01.460 scandal not to mention benghazi not to mention fast and furious in the irs uh but that is uh that that

00:11:07.920 that's a different story the fact of the matter is it's just not true that their presidency was

00:11:11.900 scandal free uh there were a lot of people that were upset about this about this lie in 2013 a pew

00:11:18.120 research poll found that the number of people who saw obama as untrustworthy rose by 15 points

00:11:23.160 in 2013 because of all of this here's the thing people don't like their health care coverage messed

00:11:29.100 with if they like it and a lot of people do a lot of people really like their health care coverage

00:11:33.800 a lot of people are satisfied with the coverage that they get from their employer the center for

00:11:38.800 medicaid and medicare services titled think obama care for the rise in the uninsured also talks about

00:11:44.120 how obama care didn't actually solve the problems that it set out to do while obama care promised

00:11:49.400 affordable health insurance for every american and even penalized those who refused to buy it the law

00:11:54.180 did nothing to control underlying costs the very structure of the law which imposed billions of

00:11:59.400 dollars in new costly regulations also led to higher and higher insurance premiums as a result when

00:12:04.780 president trump took office in 2017 average individual market health insurance premiums in

00:12:09.700 states using healthcare.gov had already doubled when compared to 2013 the year before obama care's

00:12:15.400 main regulations took effect average premiums went up by another 26 percent in 2018 at the same time

00:12:22.060 individual market premiums were spiking out of control centers for a medicare and medicare and

00:12:27.180 medicaid services data show a substantial enrollment drop among unsubsidized people on the individual

00:12:32.820 market who do not receive federal premium tax credits in just two years for 2016 and 2018 unsubsidized

00:12:39.620 enrollment declined by 2.5 million people a 40 percent drop these numbers clearly show obama care has

00:12:46.400 created a serious affordability problem on the individual market and this was all put in motion

00:12:51.200 before president trump took office let's remember that insurers process for setting rates for 2018 was well

00:12:58.440 underway at the beginning of 2017 when president trump took office and based on policies set in place under

00:13:04.240 the obama administration simply put there are too many people without subsidies who cannot afford coverage

00:13:10.160 under obama care there was also under obama care the very controversial contraceptive mandate which requires

00:13:16.860 insurance companies and employers who provide health insurance to cover the cost of birth control the problem is

00:13:22.960 there are a lot of religious organizations who are opposed to birth control for religious reasons so

00:13:28.060 forcing them to pay for it would be an infringement upon religious liberty the contraceptive mandate wasn't 0.92

00:13:34.540 actually in obama care legislation uh but it originally or but it came uh later in 2011 it offered only

00:13:42.140 narrow exceptions to churches but did not include religious non-profits like little sisters of the poor there was a

00:13:48.400 supreme court case also in 2014 involving hobby lobby which is a corporation owned by christians and the

00:13:54.440 court ruled that closely held religious for-profit corporations did not have to provide birth control

00:14:00.040 for their insurance plans uh little sisters of the poor endured is still enduring years of court battles

00:14:06.080 until in may 2016 the supreme court ruled um the well they're still they're still going through this but

00:14:13.760 in 2016 we actually thought the battle was over because the supreme court ruled in their favor um and

00:14:20.260 instructed the lower courts to provide the government an opportunity to find a way to provide services to

00:14:24.460 the women who want them without involving the little sisters so that the little sisters of the poor 0.93

00:14:29.200 wouldn't be forced to cover birth control because uh birth control it's just true we did an episode on

00:14:35.800 birth control and ivf and all of that you can go back and listen to that i think it's in the title so you can

00:14:41.200 just type it into your podcast app uh but uh birth control pills have abortifacient uh the components

00:14:49.100 to them and so you are not going to get a catholic organization who are unequivocally pro-life to pay

00:14:57.300 for birth control that's something that they are against and yet the obamacare uh legislation said

00:15:03.180 that they must do so that is cruel obama and his administration was continually cruel towards christians

00:15:11.000 and religious liberty you can look up the uh irs scandal to see more proof of that this is from

00:15:17.840 beckittlaw.org in may 2017 president trump issued an executive order directing hhs and other federal

00:15:24.360 agencies to protect the little sisters of the poor and other religious non-profits from the mandate

00:15:29.680 on october 6 2017 the government issued a new rule with a broader religious exemption that is under

00:15:34.800 president trump in june 2018 uh the little sisters original case was resolved with an order by the

00:15:42.220 u.s court of appeals for the 10th circuit and on november 7th uh 2018 hhs issued a rule finalizing

00:15:48.460 the little sisters religious exemption but actually in 2020 they won another supreme court battle and it

00:15:54.320 is likely to keep going in front of the supreme court so thanks so much obamacare for your attack

00:15:59.100 on religious liberty uh you hear democrats say republicans don't want you to have health care

00:16:05.080 coverage well republicans don't want you to be forced to have health care coverage that you don't

00:16:09.420 want republicans didn't want you to be fined for that uh they don't think that forcing higher taxes

00:16:14.220 to pay for obamacare is a good idea especially since as we've seen obamacare actually didn't fulfill

00:16:19.660 a lot of the promises that it uh that it gave in the beginning republicans don't think the federal

00:16:24.800 government needs to be so involved in health care republicans don't want the federal government to

00:16:29.020 infringe upon religious liberty so it's not so black and white as saying republicans don't want

00:16:33.320 poor people to be covered that's just not true um and yet this is what many democrats are saying and

00:16:39.660 and what they want is more federal involvement uh in the health care system and more of obamacare

00:16:47.080 and what they actually want what a lot of democrats want is something called medicare for all not just

00:16:51.660 health care for all which would mean there could be a mix of private insurers and public options

00:16:55.540 but medicare for all meaning that we are all on medicare there is no choice you get no private

00:17:00.500 health insurance provided by your employer we are all on government funded health care like canada or

00:17:05.620 uh other countries that have entirely government funded health care now joe biden has not explicitly

00:17:10.900 endorsed medicare for all but his health care plan again was crafted by bernie sanders the champion of

00:17:16.320 medicare for all and as i will explain soon has the same goal which is the eventual total government

00:17:22.420 control of health care which as we will explain will lower the quality of care that we receive

00:17:27.860 so even though joe biden's plan isn't called medicare for all i still think it's important to

00:17:33.860 explain medicare for all uh since it's so popular among democrats and to super liberal voters and is

00:17:40.660 connected is very similar to medicare for all uh democrats say that medicare for all will lower the

00:17:46.460 cost of medicine and basic care this will obviously eliminate premiums and deductibles because it will

00:17:52.040 be funded by the government which as you know means it is funded by you and me by taxpayers it is not

00:17:57.700 free for anyone unless you are a part of the low tax bracket that essentially pays nothing in taxes then

00:18:03.400 you are getting something for absolutely nothing and everyone else is paying for it for you kamala 0.88

00:18:09.020 harris vp candidate jumped on board with this idea a few months ago saying at a cnn town hall the idea is that

00:18:15.740 everyone gets access to medical care and you don't have to go through the process of going through an

00:18:19.580 insurance company having them give you approval going through the paperwork all the delay that

00:18:24.320 that might require let's eliminate all of that let's move on as if going through bureaucracy eliminates

00:18:30.700 paperwork and eliminates hoops to jump through everyone knows that going to the dmv or any government

00:18:37.060 controlled institution is super easy and without any headaches because all of the employees are so happy to be

00:18:43.300 there um and not only that but she had to go back on that not just for the reason that i just listed

00:18:50.380 because that's so insane that's such an insane point to make even if you are going to try to support

00:18:56.760 medicare for all that's not a good reason to support it that you won't have to jump through any hoops or do

00:19:00.880 any paperwork but also because insurance is 18 of our economy and so if you're trying to get rid of that

00:19:09.600 get rid of health insurance you're getting rid of a huge industry and a lot of people like i said

00:19:15.900 really like the health care plans that they have so just an unpopular thing to say she is not a good 1.00

00:19:21.680 politician she's just not she's not good at debates she's not good at town halls she's not good at 0.98

00:19:26.260 interviews it's just kind of crazy how people idolize her in a way that i just don't think that she has

00:19:31.900 earned uh there's also a problem with medicare for all of how hospitals would stay in business the

00:19:37.740 reason is because hospitals get paid significantly less by medicare than they do by private insurance

00:19:43.160 so this is according to the new york times for a patient's knee replacement medicare will pay a

00:19:48.620 hospital seventeen thousand dollars the same hospital can get more than twice as much or about

00:19:53.400 thirty seven thousand dollars for the same surgery on a patient with private insurance that's because

00:19:58.220 medicare pays hospitals about 87 cents for every dollar of their cost compared with private insurers

00:20:04.180 that pay a dollar forty five so smaller rural hospitals and health care centers would probably

00:20:09.580 have to shut down because they can't afford to provide the same services or you're going to see

00:20:14.220 hospitals laying off droves of employees in order to stay afloat and you know hospitals have already

00:20:19.100 done that during the pandemic because the the emergency rooms in most places weren't as busy weren't as

00:20:27.000 teeming as they originally thought that they were going to be uh that is the problem one of the

00:20:31.920 problems with medicare for all it cuts revenue drastically which means a few things hospitals

00:20:35.900 have to close down they have to fire employees or lower their quality of care now proponents of

00:20:41.140 medicare for all say no no that's just not true health care can just cut costs and cut profits without

00:20:47.140 doing any of those things we'll just take a little bit of sacrifice but those are people who it should

00:20:52.700 not surprise us don't understand basic economics socialists don't understand basic economics these are the

00:20:58.200 same people who believe that employers of small businesses are just going to raise the minimum wage

00:21:02.800 of their employees to fifteen to twenty dollars take a huge cut to their own profits so that they

00:21:07.820 can't feed their families without firing employees or automating employee tasks entirely these are

00:21:13.300 people again who do not understand the basics of economics so we should not trust them to reconfigure

00:21:18.780 our health care system and it might be true in some cases that hospitals are charging too much

00:21:23.460 absolutely there are problems with the insurance industry that is for sure but medicare for all is

00:21:29.480 not going to solve the problem that the vast majority of hospitals have which is simply that

00:21:35.740 they are not going to be able to afford to function in a medicare for all system the new york times also

00:21:40.860 says this those in favor of the most far-reaching changes including bernie sanders who unveiled his

00:21:45.700 latest medicare for all plan as part of his presidential campaign have remained largely silent on the

00:21:50.860 question of how the nation's 5 300 hospitals would be paid for pay and uh would would be paid for

00:21:57.540 patient care if they are paid more than medicare rates the final price tag for the program could

00:22:02.680 balloon from the already stratospheric estimate of upward of 30 trillion dollars over a decade uh so

00:22:10.060 what that last part part means is that if hospitals are paid more than they currently are now under

00:22:15.680 that's going to cost us the taxpayer trillions and trillions of dollars more than the 30 trillion

00:22:21.820 dollars that we're already going to have to pay for something like medicare for all um and so oh but

00:22:27.260 if they don't if they are not paid more than current medicare rates then they're not going to be able to

00:22:32.460 afford to function we're going to have fewer hospitals to choose from we're going to have less

00:22:36.220 quality care uh just another reminder that nothing is free health care cannot be free

00:22:41.560 college cannot be free taxpayers are paying for these so-called free services that many on the

00:22:48.380 left offer once again it is not compassionate simply to vote for politicians who promise to take

00:22:53.940 money from people richer than you and give it to people poorer than you like that is not compassion

00:22:58.760 and it doesn't end well the redistribution of wealth doesn't end well socialism doesn't work as

00:23:03.680 margaret thatcher said because eventually you run out of other people's money the profit margins on

00:23:08.640 medicare for all for hospitals is too thin it's too thin for these hospitals to function so imagine if

00:23:15.960 the entire system was medicare again you cut staffers to stay afloat which creates significant

00:23:21.100 limitations on care that you can offer patients there's a reason why in the uk and in canada which

00:23:26.420 both have universal health care people have to wait so long for major surgeries in a lot of cases

00:23:31.140 there aren't enough physicians to go around because these hospitals can't afford to pay their

00:23:35.660 physicians because they're not getting enough money from government-run programs fraser institute found

00:23:40.360 that canada has some of the worst wait times for emergency rooms for basic sick care so not just for

00:23:45.560 life-saving surgery but for basic sick care and for elective surgeries in fact in 2016 canadians waited an

00:23:52.060 average of five months for medically necessary specialist treatments you'll remember my friend and my fellow

00:23:58.120 blaze tv host lauren chin and they live in canada her dad has the health care coverage that canada

00:24:06.020 provides well he was diagnosed with cancer almost a year ago now and they have continued to defer his

00:24:12.580 treatments and to defer seeing him not just because of the pandemic which of course kind of put everything 0.99

00:24:18.040 on hold that's another reason why the lockdowns were so stupid and counterproductive to public health 0.99

00:24:23.420 but also because their health care system is bogged down they can't deal with something like a pandemic 0.99

00:24:28.000 and still be able to run effectively and efficiently because like all government-run things it doesn't

00:24:34.020 it doesn't work well and so he has had to come to the states they now have to pay out of pocket

00:24:38.860 in order for him to get the cancer treatment that they want this is true for thousands that they need

00:24:44.600 this is true for thousands of people living in places like canada and the uk every year they come

00:24:49.360 here because america is the best innovation we have the best life-saving care that's not to say

00:24:55.840 that our system doesn't have serious problems but i'd prefer this any day over a place like canada

00:25:02.480 and the uk where they have to come here to get the life-saving care that they need 60,000 of 60,000

00:25:08.880 canadians visit the u.s and other countries for medical care each year 60,000 in the uk uh they have

00:25:14.720 had 70 years to figure out how to run a government-controlled health care system and right

00:25:19.120 now over 80 percent of doctors in the uk say their workplaces are understaffed that probably

00:25:25.100 explains why over 50,000 non-urgent surgeries were canceled in 2018 when their system was overwhelmed

00:25:31.240 by flu season just flu season that's not even coronavirus just flu season their system was

00:25:36.200 overwhelmed and 50,000 quote non-urgent surgeries we don't know what all that uh encompasses were

00:25:43.240 canceled in 2018 because of the flu because they can't run the government-run health care doesn't

00:25:48.820 run well according to the heritage foundation by 2030 americans already face a serious and

00:25:54.040 potentially dangerous physician shortage ranging between 50,800 and 49,300 primary primary care

00:26:00.600 doctors and between 30,000 and 70,000 non-primary care doctors accelerated retirements job-based

00:26:07.480 burnout and growing demoralization fuel that shortfall and medicare for all will only

00:26:12.680 make that worse because places will be understaffed and people will be underpaid now the biden plan

00:26:19.720 like i said is not medicare for all it's not called medicare for all but it is admittedly the step

00:26:25.440 before medicare for all and it is meant to be that nbc news report uh says that biden campaign officials

00:26:32.620 have already said that biden's public option especially advantaged government plan to compete

00:26:36.920 against all private health plans could quote pave a path to a single-payer health program in the future

00:26:44.180 his plan offers a public option to quote compete with private options which sounds okay except that

00:26:51.420 public options do not fairly compete with private options they purposely obliterate them this is

00:26:56.700 according to robert moffitt at the heritage foundation their unity task force recommendations call for the

00:27:02.600 creation of a robust public option a new government health plan that would be deployed in competition

00:27:07.640 against private health insurance companies the target of this joint effort would include the

00:27:11.840 employment sponsored health plans covering approximately 156 million americans roughly half the country

00:27:18.280 this is an odd proposal initially a provision of obamacare the public option has been a staple of

00:27:24.100 progressive health policy for almost two decades today six major congressional bills meticulously detail the key

00:27:30.520 components of this approach like the biden sanders proposal these bills would deliberately rig the

00:27:35.620 health insurance markets to guarantee the new government health plan advantages denied to private

00:27:41.560 health plans why because government health programs generally cost more than initially advertised

00:27:47.480 and taxpayers can expect to pick up the tab one way or another to cover any financial losses incurred

00:27:52.960 forget fair competition on a level playing field like the congressional bills the unity task force proposal

00:27:59.200 it's a progressive political engineering project to distort health insurance markets it is designed to

00:28:05.200 erode and eventually eliminate america's private health plans it would create new taxpayer subsidies for

00:28:12.260 enrollment in the government plan it would eliminate deductibles for primary care and impose government

00:28:16.880 payment schedules on doctors the government enforced provider payment reductions would enable the new

00:28:22.700 taxpayer-backed government health health care plan to undercut private plan competition with

00:28:28.360 artificially low premiums so the goal is to eventually obliterate uh obliterate private health insurance

00:28:37.740 plans by making them unaffordable by making it really hard to compete against the government plans

00:28:43.640 because the government plans rig the system that is the goal that is how it leads to medicare for all

00:28:50.140 according to christopher jacobs author of the case against single payer he writes this for the federalist

00:28:56.020 by creating a government-run public option like sanders's the biden plan would also take away health

00:29:00.860 health coverage for millions of americans as i've previously explained a government-run plan would

00:29:06.680 sabotage private insurance using access to treasury dollars and other inbuilt structural advantages

00:29:12.560 in 2009 the lewin group concluded that a government-run health plan available to all individuals and

00:29:19.280 paying doctors and hospitals at medicare rates less than private insurance would lead to 119.1 million

00:29:25.480 individuals losing employer coverage biden staff estimates the plan will cost 750 billion dollars in the

00:29:32.340 coming decade on top of the estimated 1.6 trillion plus dollars the federal government will already spend

00:29:38.720 on obamacare subsidies but if many individuals end up losing their private insurance to go on to this

00:29:44.820 newly expanded program costs will soar exponentially also according to biden's plan illegal immigrants 0.99

00:29:51.900 can be covered by taxpayer uh taxpayer funded uh government health care plan so that is you and me

00:30:01.880 paying for the health care coverage of those who have come into the country unlawfully so the question

00:30:07.880 is since we know i believe that biden's health care plan will be an absolute disaster

00:30:13.120 will be a disaster will be unaffordable the regulations and the burdens will be unbearable

00:30:19.380 the cost will be astronomical the quality of care will go down um since we know that the question is

00:30:27.100 what is trump's plan because our health care system does have problems what did the republicans

00:30:30.980 propose well republicans understand a few things americans are concerned about high costs they like the

00:30:37.840 guarantee of pre-existing condition coverage but most americans do like their plans they don't want

00:30:43.060 to be thrown off their plan and forced onto a government plan but they want to be able to afford

00:30:47.680 things like insulin which is cheaper in other countries we also want america to be a place of

00:30:53.440 leading medical innovation as it is now when the private market shrinks competition shrinks innovation

00:30:59.140 shrinks and we are no longer the place where people from places like like canada and the uk can come for

00:31:05.280 their heart surgery or their cancer treatment we become just like them with long lines no guarantee of

00:31:10.260 lower quality care understaffed hospitals the trump administration and republicans want people to

00:31:16.980 be covered but they want people to have more options not fewer options uh much less one option

00:31:23.680 like medicare for all uh he issued an executive order last year to improve health care for u.s seniors

00:31:30.200 the federalist describes it like this the executive order promotes innovative benefit structures for

00:31:35.640 medicare advantage the program in which an estimated 24 million beneficiaries receive medicare subsidies

00:31:40.680 via a network of private insurers it discusses reducing barriers to obtaining medicare medical

00:31:46.320 savings accounts a health savings account like mechanism that gives beneficiaries incentives to

00:31:51.940 serve as smart consumers of health care to accomplish that last objective the order references broader access

00:31:57.440 to cost and quality data improving seniors ability to make decisions about their health care that work

00:32:04.200 best for them so it's looking to add expanded access uh more providers monetary savings entitlement

00:32:12.760 reform um and so this is putting more power in the hands of seniors it's giving them more options

00:32:19.880 biden's plan does the exact opposite of those now executive orders are limited ultimately we need

00:32:26.360 legislation through congress to really accomplish and implement um these things and of course executive

00:32:32.920 orders do have power when uh they are they are implemented by the various agencies that are in charge of

00:32:41.240 whatever the executive order is about but ultimately we want things like this to be passed democratically

00:32:47.560 but it's an executive order that ultimately leftists should like because it is setting out to improve the health

00:32:54.440 care of seniors but they actually don't because instead of giving more power to the federal government

00:33:00.360 you're giving more options and power to people to make their own health care decisions uh there was

00:33:06.040 also the american health care act uh the american health care act looks to uh keep certain provisions

00:33:13.320 of the affordable care act under obama like being able to stay on your parents plan until you're 26

00:33:19.720 um the exchanges run by the federal government and states which listed individual and small business

00:33:25.160 health insurance plans would continue uh the ahca would also continue to provide subsidies for

00:33:31.640 premiums that are based on income although the formula would be completely different and the subsidy

00:33:36.200 would likely be much less for low income young americans it even includes a penalty for

00:33:42.920 individuals who don't get coverage so it's very similar actually to the individual mandate of the

00:33:47.480 the aca which is why a lot of republicans have been against this a hca uh the aca expanded medicaid

00:33:54.200 eligibility in 32 states the aca would reverse the eligibility expansion beginning in 2020 the aca expanded

00:34:02.840 required benefits under medicaid such as mental health and addiction services which would no longer be

00:34:08.600 required under the republicans plan which there's been no movement on the republicans plan this particular uh

00:34:14.440 plan in a few years anyway uh if you're on an individual plan under this the limits the aca set

00:34:22.120 would be adjusted to the younger people might see lower premiums and older people much higher premiums

00:34:27.160 uh the aca's complex cost sharing provisions that lowered costs for some low-income americans would be

00:34:33.160 eliminated the ahca would also prohibit federal funding from going to planned parenthood mostly through medicaid

00:34:40.600 for one year uh if you are covered by your employer fines would be eliminated for large employers that

00:34:46.360 don't provide health plans small business tax credits would end in 2020 uh not necessarily a

00:34:53.000 great plan like i said there hasn't been a lot of movement on it in a few years a lot of republicans

00:34:58.360 are even against that plan but there has been more movement i mean trump has worked to lower drug prices

00:35:04.600 that is something that his administration has uh fought to do they have fought to also try to end

00:35:10.840 the the opium addiction crisis that this country is experiencing there's also the republican fair

00:35:17.480 care act of 2020 um and here's what it tries to do it tries to codify the affordable care act

00:35:23.000 pre-existing condition protections in hipaa and so republicans realized that protecting pre-existing

00:35:28.360 conditions was a very popular provision of obamacare and there are republicans fighting to keep that i would

00:35:34.200 say most republicans realize that they have to fight to keep that offering greater protections for

00:35:38.840 patients with pre-existing conditions through an invisible guaranteed coverage risk pool and

00:35:43.320 guaranteed coverage medigap plans eliminating the employer health insurance mandate and allowing

00:35:48.280 those with employer-sponsored insurance offers to receive premium assistance expanding the use of

00:35:53.800 pre-tax dollars to cover more medical expenses including insurance premiums and direct primary care

00:36:01.240 arrangements requiring medical providers to send timely transparent bills to patients so that is

00:36:06.680 trying to get rid of those surprise bills that unfortunately a lot of people have they're like

00:36:11.000 what the heck i can't afford this right now so this republican health bill is trying to uh eliminate that 0.95

00:36:17.960 discouraging hospital consolidation and anti-competitive behavior while protecting rural hospitals from

00:36:23.320 closures that is going directly against what obamacare tried to do they tried to consolidate

00:36:28.360 hospitals and the provisions in a lot of cases did hurt rural hospitals as would medicare for all

00:36:35.000 uh modernizing medicare enrollment through a competitive bidding process which promotes medicare

00:36:39.720 advantage plans promoting fiscal accountability and solvency for medicare and medicaid and so

00:36:45.320 the republican plan you know the left says republicans don't have a plan the republicans believe in

00:36:50.200 competition they believe in working with the free market they believe in giving you

00:36:54.600 more options they don't believe in taking away all of your public options they don't want people to

00:36:59.080 not be covered they just don't want you to be forced onto a plan they don't want the taxpayers to pay

00:37:03.960 for health care coverage that is not actually effective and that is actually going to lower our

00:37:08.440 quality of care and hurt hospitals and so the republican plan it is always going to incorporate elements

00:37:15.000 of the free market and is going to try to get the federal government as out of health care as they

00:37:20.680 possibly can because that is what makes the health care system innovative while also holding

00:37:25.480 insurance uh insurance companies accountable so you can look up the republican fair care act of 2020 of

00:37:33.160 course it's not perfect and there are going to be politicians that try to uh work against that on

00:37:37.880 the right and left certainly but there is a competitive plan on the right as opposed to medicare for

00:37:43.400 all or for biden's plan which i think again is unaffordable and ineffective so oh i hope that at least

00:37:49.400 gave you an overview of the two issues or of the issue and the two sides there's so much more that

00:37:55.560 we could talk about in relation to this but unfortunately we just don't have time um okay

00:38:00.360 that's all i have for today we will be back here on wednesday

Relatable with Allie Beth Stuckey - October 26, 2020

Ep 318 ｜ Trump vs. Biden 2020： Health Care

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