Medicare is costing less, has more options under Trump: Dr. Siegel


STOPPED IT FROM COMING IN. LET’S BRING IN FOX NEWS MEDICAL CORRESPONDENT DR. MARC SIEGEL ALL SO DR. WHAT IS THE PRESIDENT ‘S HEALTH PLAN EXACTLY AND WILL IT WORK?>> WELL DAVID, IT’S PIECE BY PIECE. IT’S NOT ONE WHOLE PLAN BUT I’LL TELL YOU SOMETHING HE ENDED WITH THE WORDS MEDICARE ADVANTAGE IN THE CLIP. MEDICARE ADVANTAGE IS HUGE. IT’S EXPANDING, YOU’RE SEEING 1,200 MORE CHOICES ON MEDICARE ADVANTAGE THIS YEAR ALONE, AND DECREASING PREMIUM MEDICARE ADVANTAGE 28%, SINCE 2017. COSTING LESS, MORE OPTIONS, YOU GOT TO LIKE THAT AND FOR SENIORS , MORE PRICE TRANSPARENCY , LESS SURPRISE BILLS AND MORE CHOICE SO THAT’S THE PRIVATIZATION OF MEDICARE. THAT’S ACTUALLY BEEN EXTREMELY POPULAR AND HAS BEEN MAKING MONEY FOR EVERYONE AND SAVING SENIORS MONEY. I LIKE THAT HE SAID THAT AND BY THE WAY I CAN NOT RESIST AN OPPORTUNITY HERE TO SAY THAT MEDICARE FOR ALL IS NOT EVEN MEDICARE, BECAUSE WHEN YOU GO TO EXTEND MEDICARE ACROSS THE COUNTRY TO EVERYONE, AND YOU KNOCKOUT THE EMPLOYER-BASED HEALTHCARE SYSTEM, YOU’RE TALKING ABOUT SOMETHING THAT ENDS UP BEING SO HIGHLY REGULATED AND RESTRICTED THAT IT’S MORE LIKE MEDICAID THAN MEDICARE. IT’S NOT GOING TO BE THE MEDICARE THAT SENIORS NO. DAVID: JONATHAN?>> THANK YOU FOR BEING WITH US DOCTOR. AREN’T THE REPUBLICANS A LITTLE BIT HYPOCRITICAL HERE? IF MEDICARE IS GOOD IF THE PRESIDENT IS FIGHTING TO SAVE MEDICARE, THEN TO PLAY DEVILS ADVOCATE WHY NOT MEDICARE FOR ALL, WHICH IS WHAT ALL OF THE DEMOCRATS ARE ADVOCATING FOR AND THE REPUBLICANS SAY THEY LOVE MEDICARE SO MEDICARE IS GREAT, WHY NOT MEDICARE FOR ALL?>> JONATHAN I THINK THE ANSWER IS THAT THE MEDICARE HE’S TRYING TO SAVE IS THE ONE WITH AGAIN, MORE PRIVATE OPTIONS, A LARGER MEDICARE ADVANTAGE, MORE AND MORE EXPANDED MEDICARE ADVANTAGE MEDICARE PART D, WHICH WASN’T POPULAR WHEN IT WAS FIRST PASSED UNDER THE BUSH YEARS, ACTUALLY, IT HAS GONE DOWN IN COST AS WELL , MORE OPTIONS WITH PART D, MORE PRIVATIZATION OF PART D, MORE CHOICES AND DRUG PRICES. DRUG PRICES COMING DOWN. AGAIN, IT’S PIECE BY PIECE HERE, AND EVERY PIECE I LIKE. THE PRICE TRANSPARENCIES PIECE, THE CHOICES PIECE, THE NO SURPRISE BILL PIECE, SO IT’S NOT THAT HE’S EXTENDING THE MEDICARE AS YOU KNOW IT. IT’S CHANGING MEDICARE INTO SOMETHING THAT’S MORE WORKABLE AND LET’S NOT FORGET THE MOST IMPORTANT PIECE OF ALL, ME AS A PRACTICING PHYSICIAN MEDICARE PAYS ME LESS. MEDICARE FOR ALL WILL PAY ME 40% LESS, NOT TO MENTION WHAT IT WILL DO FOR HOSPITALS WHO ARE ALREADY USED TO EATING IT ON MEDICARE AND GETTING LESS MONEY, IF THEY LOSE PRIVATIZATION, PRIVATE HEALTH INSURANCE, SOME OF THEM ARE GOING TO GO BELLY UP>> DOCTOR I THINK THAT’S THE KEY POINT THAT YOU JUST MADE. PEOPLE I SAY OH, MEDICARE IS CHEAPER THAN PRIVATE INSURANCE, THAT’S BECAUSE PRIVATE INSURANCE SUBSIDIZES MEDICARE IF YOU GET RID OF THE PRIVATE INSURANCE THEN THERE’S NOBODY TO SUBSIDIZE THE COST OF MEDICARE, BUT I THINK THAT YOU MADE A REALLY IMPORTANT POINT, THAT FOR ALL OF THE IDEA THAT TRUMP ISN’T DOING ANYTHING ABOUT HEALTH CARE COST THAT’S WRONG. HE HAS ALL OF THESE PROGRAMS THAT GIVE PEOPLE MORE CHOICES, ALLOW PEOPLE TO OPT OUT OF OBAMACARE, AND IT SOUNDS LIKE WHAT YOU’RE DESCRIBING IS VERY MUCH AN EXTENSION OF THAT, OF LET PEOPLE HAVE OTHER OPTIONS TO REDUCE COST.>> I THINK ALSO, CAN I JUST WEIGH IN? I AGREE THAT WE’RE TALKING ABOUT POLITICAL ISSUES HERE, RIGHT? THIS IS PROBABLY THE NUMBER ONE ISSUE, HEALTHCARE COMING IN IN TERMS OF POLICY, FOR 2020. I JUST THINK THAT THIS IS AN INCREDIBLY BRILLIANT PIECE BECAUSE TRUMP IS GOING TO RUN AGAINST SOCIALISM. WHAT IS MORE SOCIALISTIC THAN MEDICARE FOR ALL? AND AS HE STARTS TALKING ABOUT MEDICARE BEING UNDER THREAT FROM THAT, I THINK ALL OF THOSE OLDER VOTERS WHO BY THE WAY ALREADY VOTE REPUBLICAN GENERALLY SPEAKING, THEY ARE GOING TO BE INCENTIVIZED TO COME TO THE POLL S. THIS IS, I MEAN, I HATE TO SAY IT BUT NOTHING IS GOING TO BE DONE NOW THAT DOES NOT, WE DON’T TALK ABOUT THROUGH THE PRISM OF THE 2020 ELECTION AND I THINK WHAT YOU SAID IS ABSOLUTELY RIGHT. THE MORE YOU CAN DRAW CONTRAST BETWEEN MEDICARE AND MEDICAID AND ALL THAT.>> AND LET’S NOT FORGET THE MONEY IS COMING OUT OF THE TAXPAYER POCKET, $30 TRILLION IN TRANSITION FEE, START ASKING A WORKING CLASS PERSON ABOUT THAT, WHETHER THEY WANT THAT, AND THEN THE MEDICARE THAT THE SENIOR HAS , AND DOESN’T END UP BEING THE MEDICARE THEY END UP WITH AND I FORGOT TO MENTION, GENERIC DRUGS BEING APPROVED AT AN UNPRECEDENTED RATE WHICH IS FINALLY FLATTENING OUT PRESCRIPTION DRUG PRICES.>> THE PRESIDENT SUPPORTS GOVERNOR RON DESANTIS IN FLORIDA IN TERMS OF IMPORTING DRUGS FROM CANADA BECAUSE THEY ARE CHEAPER. DO YOU SUPPORT THAT AS WELL?>> I DO SUPPORT THAT BUT I LIKE BETTER AND I’VE SAID IT HERE ON THIS PROGRAM, I LIKE BETTER THE IDEA OF EXPORT TAXES. I DON’T WANT TO HAVE TO PLAY CATCHUP, BECAUSE THE PROBLEMLY IS WE CAN’T VOUCH FOR THE QUALITY. AND WE’RE ALREADY HAVING PROBLEMS WITH CONTAMINATES GETTING INTO PRESCRIPTION DRUGS COMING IN FROM OTHER COUNTRIES WHERE WE’VE BEEN TALKING ABOUT THAT ALL WEEK WITH ZANTAC, AND THE BLOOD PRESSURE MEDICINES I USE. I LIKE BETTER EXPORT TAXES TO PREVENT THE DRUGS, TO PREVENT COUNTRIES FROM GOUGING US IN THE FIRST PLACE. HAVING SAID THAT IF WE CAN’T GET THERE, I THINK WITH EHAVE TO DO SOMETHING TO EVEN THE PLAYING FIELD.>> BUT THAT’S BEING ENCOMPASSED IN THE U.S. MCA THEN?>> ABSOLUTELY. IS THAT?>> ABSOLUTELY AND I BELIEVE IT WOULD BE ACROSS-THE-BOARD, WITH PRIVATE INSURANCE AS WELL. I DON’T THINK IT HAS TO BE ONLY MEDICARE. ONE OF THE THINGS WE ALWAYS FORGET IS WHEN WE TALK ABOUT NEGOTIATING WE’RE ONLY TALKING ABOUT MEDICARE AND OF COURSE MEDICARE NEGOTIATING ACROSS-THE-BOARD IS GOING TO DECREASE QUALITY AND WE’LL LOSE INNOVATION THAT WAY SO I’M NOT SUPPORTING MEDICARE NEGOTIATING ALL DRUG PRICES. DAVID: JONATHAN?>> DOCTOR, THE PRESIDENT ALSO MADE A BIG POINT OF EMPHASIZING THAT REPUBLICANS WILL PROTECT INDIVIDUAL’S RIGHT TO HAVE HEALTHCARE EVEN WITH A PRE- EXISTING CONDITION. PREVIOUSLY ONLY DEMOCRATS HAD TALKED ABOUT THAT. DO YOU SEE ANY UNFORESEEN CONSEQUENCES, DOESN’T THAT ESSENTIALLY CONSTITUTIONALIZE HEALTHCARE AS A RIGHT, IF ANYONE CAN GET A HEALTH INSURANCE EVEN WITH A PRE-EXISTING CONDITION?>> JONATHAN I THINK THE PRESIDENT HAS BEEN PRETTY CONNELL: ON THIS. I THINK HE’S ALWAYS BACKED, WELL FOR THE MOST PART BACKED PREEXISTING CONDITIONS BUT LET ME REMIND YOU THERE’S ANOTHER WAY TO DO THIS OTHER THAN MAKING EVERYBODY BUY INTO OBAMACARE, ONE-SIZE-FITS-ALL. THAT’S THAT THEORY THAT IN OTHER WORDS IF YOU LIVE IN THE DESERT YOU HAVE TO PAY THE SAME FOR FLOOD INSURANCE AS IF YOU LIVE ON THE COAST. I DON’T BELIEVE TAX I’M A PERSON THAT BELIEVES IF YOU HAVE A CHEVY WE WANT YOU IN THE POLL BUT WE DON’T WANT YOU PAYING A FERRARI RATE. HERE IS WHAT I’M SAYING. DAVID: GOOD ANALOGY.>> LET ME TRANSLATE THAT, DAVID LOVES ANALOGIES AND METAPHORES. LET ME TRANSLATE THAT INTO HEALTHCARE TERMS. IT MEANS HIGH RISK POOLS AND INSTEAD OF SUBSIDIZING A ONE-SIZE-FITS-ALL INSURANCE, LET THE GOVERNMENT PAY FOR PEOPLE WHO CAN’T AFFORD INSURANCE, GIVE THEM SOME POLICY, AND REINVENT HIGH RISK POOLS THIS TIME, PROPERLY FUNDED. DAVID: I’VE GOT TO ASK STEVE A QUESTION BECAUSE THE PRESIDENT WAS CLEAR TODAY HE MADE A CASE TO THE PEOPLE OUT THERE, TO THE VOTERS SAYING LOOK, IT SOUNDS NICE TO HAVE ALL OF THIS FREE STUFF, WHETHER IT’S MEDICARE FOR ALL, OR STUDENT LOAN DEBT EXCUSED OR WHATEVER IT IS, BUT IT JUST CAN’T HAPPEN. THERE AREN’T ENOUGH TAXES TO PAY FOR HOW MUCH THAT WOULD COST. YOU JUST YOU’D HAVE TO TAX EVERYBODY 100% IN ORDER TO PAY FOR IT ALL. DO YOU THINK THAT MESSAGE WILL GET THROUGH? I KNOW IT GOT THROUGH TO THE SENIORS HE WAS TALKING TO. WILL IT BE THROUGH THE MAJORITY VOTERS?>> AND LIZ IS RIGHT. DEMOCRATS UNDERSTAND THAT THIS ISSUE OF MEDICARE FOR ALL IS AROUND THEIR NECK AND IT’S NOT GOING TO WORK POLITICALLY AND DAVID, THE DOCTOR GETS AN A IN ECONOMICS TODAY. YOU’RE FANTASTIC ON THIS STUFF. YOU GOT IT PERFECTLY RIGHT. DAVID: ALL RIGHT>> I WANT TO END BY SAYING THAT THE PONY EXPRESS IS NOT FEDERAL EXPRESS.>> [LAUGHTER]

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