and doctor james r cuny is whipping master poet i'll think m_d_ and uh...
professor emeritus executive in residence at the saint louis university
college for public health
and social justice and welcome to the program thanks much
but be here what do you see as the biggest issues right now
ccm hockey affordable care etc in the implementation well i think the biggest
issue is implementation we have the legislation swap the land there are a
lot of things need to be done state-level community level inorganic
really work
and it's critical to make it work because if we don't have to be a
backsliding away from universality
and it really uh... affordable care actually a step toward marcia project
abroad
is a large part of that you're going to be informing people that starting in
october they could sign up for this program and getting you'll get him on
with the program and and that for probably
a significant portion of america help us out forty seven percent preferably um...
they can get it for basically free or they'll though the government subsidies
for the movie government subsidies up to forty percent of harvard so uh... yeah
right
it's a good deal the problem is you're one of the promises that the kind of two
french people out there that people who when the reactive portable care
do those who understand it nationals public and then those who don't want to
be sexy comes up good part of the politicians so you've got this dynamic
of uh... we really need to be informing the public but they're getting married
they've been getting
has sort of a uh... menu of slogans that are concerned for her and not a lot of
facts about the things that are going to happen things already have happens
advocates a twenty-six mean covered on parents
pre-existing conditions for children are gone
a lot of good things to happen but they're not really giving communicator
how do you respond to the fox news message that they this careful to
paladin literally everyday virtually every day
uh... that once affordable period goes into a factor employers will dump all
their employees off the employees will be a little pick up health care for
ninety five bucks a month and get that that uh... taxed the sea
uh... if somebody gets sick they can you'd pick up insurance for the time of
their secondly don't count that sick anymore they can drop the insurance
and it's that's a messy free for all and everybody's going to be in the system
well you know i think people try to gain the church no i think that uh... i think
of anything spilled into the regulations are coming out now around before or
character
that keep you from gaming the system in the way that you've described and
certainly those are counterproductive the idea that someone can uh... go bare
then when they get sick and insurance that's not gonna watch and i i just
don't think you know in the short sure it's gonna sell insurance but its legal
as well but but but but
therein if they're coming in of sick
and they have to be refused to take insurance
i think that they i think that that's one of the things and that there will be
adjusted overtime it's been effect sort of thing happens then they're going to
change in job portal parents not perfect
nah it's full of compromises on muslim solution comes out of this town
and i think that overtime as we have a many other kinds of legislation we're
gonna see adjustments made
as people try to game the system charged
for that
nine hundred and fifty dollars a year ninety dollar amount or whatever it is
that penalty the you pay the taxes but if you choose not to have health
insurance
do get anything to do any coverage of people covered or are they just uh...
they're just you know it's a penalty for refusing to coverage and
you know and
it's it's a financial penalty but people the refused to coverage you really think
about what they're doing and and and larger currents community turns down on
their own health
but if they refuse coverage and they're going to merge chapter treatment there's
transferring their personal responsibility which box let's talk a
lot their transferring their personal responsibility at the community and a
through insurance premiums for other people through government programs
so you know i there's an element of personal responsibility in this business
uh...
responsibly to mac bahia responsibly right um... i was in india once in the
airport had heard about and there were some guidance coffins guts out of the
wastebasket and uh... about a quarter population there is infected with t_v_
some fairly large number of only about ten percent among contagious but
it was their petri dish you had with you know somebody dropped a over there by
congress to speak perfect circle around the sky nobody would come closer to
fifty feet to everybody knew it was going on
op isn't that the sort of thing that
happens in countries that don't have universal coverage and isn't that why we
should try to make that
nine hundred fifty million penalty have some sort of basic coverage associate
with a things like that happen in this country idiotic i know i know i don't
know because we don't have complicates i mean it's not quite as dramatic as the
fifteen th circle
but you know there are a lot of people
who are out there
not getting treatment as a miniature inside that are spreading conditions
starting to see chevron you know this how we can say that
young even though we have the affordable care they were going to cover yet
another
ferguson people
relieving eleven million
uh... uninsured
uh... undocumented workers using out there and status of public health issue
friendship
when setting aside the morality it's another health issue so really doable
well i think that you know i mean i think that's part of the adjustments you
can afford to have to cover
people
who'd represent threat to the public health
not because threaten people because going to have conditions
that can be spread if they're not treated sure and finance in on some any
of these conditions become uh... you know more nasty these bugs picked up the
real once yeah
is deputy i think for carriage tremendous opportunity it's a step on
them
on the world which we've been on that road since nineteen twelve when teddy
roosevelt suggestion of universal coverage and we're going to reached
number one
with the implementation of this
than we're taking another step towards what we really need to cheers coverage
really 'cause massachusetts i mean they're they're the prototype how they
handle people who don't higher parent if if somebody gets sick at children's
hospital welding and matches ninety seven percent
time now for a cure
so all those freeloaders info boxes hysterical about despite largent assists
well-served argentines are keenly m_v_p_ it's and ph
saint louis university college for public health and social costs