YCQM: October 13, 2013 - WCAX.COM Local Vermont News, Weather and Sports-

YCQM: October 13, 2013

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BURLINGTON, Vt. -

GOOD MORNING, I'M KRISTIN CARLSON. WE'LL TALK ABOUT HEALTHCARE REFORM AND THE EXCHANGE. JOINING ME ARE TWO CRITICS OF THIS WHO HAVE CONCERNS ABOUT THE ROLLOUT SO FAR. THEY ARE BOTH WITH HEALTHCARE. THERE HAS BEEN A LOT OF TALK ABOUT THE HEALTHCARE EXCHANGE AND YOU HAVE BEEN TRACKING IT AND STATE DECIDED TO BUILD ITS OWN EXCHANGE AND DOZENS OF OTHER STATES WITH THE FEDERAL EXCHANGE. HOW DO YOU RESPOND TO THAT?

>> I THINK IT WAS NOT ROLLED OUT THE WAY THE GOVERNOR HAD HOPED. IT WAS A FEW BUMPS IN THE ROAD. WHAT WE ARE FINDING THERE ARE A LOST ROADS NOT BROKE IN THE STRUCTURE. HOW THE PROVIDERS AND COMPANIES ARE GOING TO GET THEIR DATA. THOSE ARE TWO BIG PIECES THAT IF THOSE ARE NOT RESOLVED PEOPLE WILL NOT BE ABLE TO PURCHASE HEALTH INSURANCE. VERY CONCERNED ABOUT PEOPLE THAT CURRENTLY HAVE INSURANCE EXPIRES ON DECEMBER 31 AND THEY MAY OR MAY NOT BE ABLE TO GET THE NEW EXCHANGE INSURANCE BECAUSE THE SYSTEM DOESN'T WORK. WE THINK THAT IS SOMETHING.

>> AND LET'S TALK ABOUT THE PAYMENT THAT IS A PROBLEM THAT HAS BEEN THE GOVERNMENT AS ADMITTED IT IS A PROBLEM. THE GOVERNOR AND HE WANTS TO PAI FOR SOMETHING AND IT'S NOT REALLY A BIG DEAL LIKE HE SAYS.

>> IT'S A BIG DEAL BECAUSE IT'S PAST THE TIME LINE AND PEOPLE CAN SIGN UP AND PAY. IF YOU ARE NOT SIGNED UP AND PAID BY DECEMBER 15th YOU ARE NOT GOING TO HAVE YOUR HEALTH INSURANCE ON JANUARY 1st. THAT IS BIG DEAL. WHAT WAS MAYBE 967 DAYS DOWN TO LESS THAN 65 DAYS AND THAT IS IF IT ALL GOES WELL.

>> AND YOU'VE BEEN WATCHING THIS, WHAT IS YOUR INITIALING THOUGHTS?

>> MY INITIAL THOUGHTS IT'S IMPORTANT TO MAKE THE CONNECTION BETWEEN ALL THESE COMPLEX DETAILS ABOUT FINANCING AND LEGISLATION AND WHAT ACTUALLY HAPPENS IN THE DOCTOR'S OFFICE AND WHAT HAPPENS AT THE BEDSIDE IN THE HOSPITAL. THAT HASN'T BEEN PART OF THE DISCUSSION. WHERE WE ARE NOW IN VERMONT, WHEN PATIENTS ARE CONFUSED ABOUT COVERAGE, THEY TEND TO AVOID MEDICAL CARE. THEY ARE AFRAID THEY ARE GOING TO END UP WITH A BILL THAT IS GOING TO BE DIFFICULT FOR THEM TO PAY. THAT IS WHAT I THINK YOU'LL BE SEEING IN THE DOCTOR'S OFFICES AND THE HOSPITALS IS A CERTAIN AMOUNT OF UNFORTUNATE CLINICAL OUTCOMES BECAUSE PEOPLE ARE AFRAID TO GET TREATMENT.

>> THEY WILL BE AFRAID TO GET TREATMENT IF THEY DON'T HAVE HEALTH INSURANCE?

>> PEOPLE ARE AFRAID TO GET TREATMENT IF THEY DON'T HAVE HEALTH INSURANCE. THROUGHOUT MY PRACTICE I DONATED 20% OF MY TIME TO CHARITY CARE. THAT DOESN'T GET DISCUSSED A LOT IN THIS DISCUSSION OF HEALTHCARE REFORM. THE OTHER THING THAT PEOPLE THAT DO HAVE HEALTH INSURANCE COVERAGE TODAY THE NEW HEALTH EXCHANGE IS A DISRUPTION FOR THEM. MOST PEOPLE IN VERMONT DO HAVE HEALTH COVERAGE SO WE ARE PROBLEM TO PEOPLE THAT HAVE ALREADY HAVE IT ARE CONFUSED AND CONCERNED. AND THEY ARE EVEN STAYING AWAY.

>> SO YOU ARE SAYING YOU ARE FINDING THAT PEOPLE THAT CURRENTLY HAVE HEALTH INSURANCE THAT ARE NOT IMPACTED CURRENTLY ARE STILL HAVING PROBLEMS. THAT ISING IS I HAVEN'T HEARD OF.

>> I AM A PSYCHIATRIST AND THERAPIST. THE PATIENTS I SEE WILL TELL ME ABOUT THEIR EXPERIENCES LOOKING FOR SURGEONS, LOOKING FOR PRIMARY CARE. I HEAR LOTS OF STORIES ABOUT PEOPLE TRYING TO GET INTO PSYCHIATRY AND PEOPLE TRYING TO GET INTO THEIR INTERNIST. I HEAR STORIES ALL THE TIME ABOUT PATIENTS WHO TELL ME ANY TIME THERE IS UNCERTAINTY ABOUT THEIR COVERAGE THEY THINK TWICE BEFORE GOING TO SEE THE DOCTOR. THIS IS NEW FORM OF UNCERTAINTY ABOUT HEALTH COVERAGE. IT'S THE MILLION OF OCTOBER. MAYBE I LITERALLY HAVEN'T HEARD OF THE STORIES IN THE FIRST TWO WEEKS ABOUT A PATIENT STAYING AWAY.

>> AND THEY ARE ACTUALLY DOING IT?

>> I GOT AN EMERGENCY PHONE CALL THAT WAS CONCERNED WHETHER SHE WOULD GET HER PRESCRIPTIONS UNDER OBAMACARE.

>> WHAT DID YOU TELL HER?

>> I TOLD HER AS FAR AS I KNEW WITH THE PARTICULAR PLAN SHE HAS I THINK THE COVERAGE WILL CONTINUE. SHE WAS WORRIED. THERE WAS A PHONE CALL TO THE DOCTOR AND CAUSED PSYCHIC DISTRESS IN HER LIFE.

>> THE GOAL IN THIS, TO BE CLEAR, SOME PEOPLE HAVE HEALTH INSURANCE AND THERE IS OBAMACARE TO TRY TO COVER THE WHOLE COUNTRY WHO DOESN'T HAVE HEALTH INSURANCE. I AM IMPACT IN VERMONT, DHIO THE WHOLE COUNTRY WIDE WILL BE AFFECTED?

>> I THINK THE WHOLE COUNTRY WIDE IS PROBLEMATIC AND I FOLLOW THAT TO SOME EXTENT BUT I HAVE BEEN FOLLOWING WHAT HAS GOING VERMONT MORE CLOSELY.

>> IT'S HOW MANY PEOPLE HAVE VISITED IT AND 4200 ACCOUNTS HAVE BEEN SET UP AND 115 PEOPLE HAVE SELECTED. SO SOME PEOPLE MIGHT SAY, THAT IS A SUCCESS?

>> THERE WERE PEOPLE THAT HAVE NUMBERS AND 42 ACCOUNTS THAT HAVE BEEN PARTIAL SET UP, 4200, THERE IS A REASON WHY THEY ONLY HAVE BEEN PARTIALLY SET UP. THE ROLLS OF PERSONAL DATA THAT IS REQUIRED FROM THIS SYSTEM HAS REALLY SPOOKED A LOT OF PEOPLE AND JUST WANT TO MAKE SURE THEY HAVE HEALTH INSURANCE ON JANUARY 1st. THEY ARE STOPPING AND NOT CONTINUING THE PROCESS OF SETTING UP BECAUSE OF THE PERSONAL DATA THAT IS REQUIRED THEY HAVE NEVER HAD TO GIVE BEFORE. SO THEY DON'T GO BACK AND FINISH.

>> SO THE HEALTH INSURANCE, THEY HAVE ALL MY PERSONAL DATA AND I THINK SHARING THAT EGREGIOUS.

>> MULTIPLE LAYERS AND WHERE AN EMPLOYEE LIVED FIVE YEARS AGO, SOCIAL SECURITY NUMBERS, IT CONTINUES AND CONTINUES.

>> ISN'T THAT STANDARD FOR ANYTHING TO SIGN UP FOR HEALTH INSURANCE?

>> I DON'T BELIEVE IT IS. NOT PERSONAL DATA THEY ARE ASKING HISTORY OF PERSONAL DATA. THAT IS BECAUSE ALL OF THE INTERGOVERNMENT AGENCIES THAT THIS SYSTEM IS REQUIRED TO PASS THROUGH, NOT JUST FOR THE PURPOSE OF GETTING INSURANCE BUT RECORDS AND TAX PIECE OF IT THAT GOES TO THE IRS, THEY HAVE ALL OF THAT. THAT IS WHERE PEOPLE ARE BEGINNING TO UNDERSTAND IT'S TOO MUCH.

>> THERE ARE SOME PEOPLE THAT ARE SIGNED UP THAT ARE HAPPY TO HAVE COVERAGE. MAYBE EARLIER HAD BEEN EXCLUDED FROM HEALTHCARE.

>> SOME PEOPLE THAT SIGNED UP BUT WE HAVE TAKEN CARE OF THAT PROBLEM HERE A LONG TIME AGO.

>> BUT ACROSS THE COUNTRY?

>> IN VERMONT.

>> LET'S TAKE A STEP BACK AND TALK TO ME ABOUT DO YOU THINK VERMONT'S CURRENT HEALTHCARE SYSTEM BEFORE THIS?

>> THINK PATIENTS ARE GETTING CARE. I THINK IN A WAY WHEN YOU TALK ABOUT, IS THE SYSTEM WORKING OR NOT, ONE CAN ALWAYS FIND PROBLEMS IN ANY SYSTEM. ONE CAN FIND PARTS OF IT THAT WORK. ONE CAN FIND PARTS OF IT THAT DON'T WORK. WE TALK ABOUT THE SYSTEM. I DON'T THINK WE TALK ENOUGH ABOUT THE EXCHANGES OF INDIVIDUAL PATIENTS. HOW IS IT GOING FOR EACH INDIVIDUAL PATIENT? CAN THEY GET INTO THE DOCTOR QUICKLY? DOES THE DOCTOR HAVE ENOUGH TIME TO HAVE AN ADEQUATE LENGTH OF TIME TO TAKE A HISTORY AND MAKE A DIAGNOSIS. IS THE DOCTOR ACTUALLY LOOKING AT THE PATIENT AND LISTENING TO THEM OR DO THEY HAVE THEIR HEAD BURIED IN A COMPUTER SCREEN. MY PATIENTS TELL ME WHEN THEY CALL FLESHER ALLEN FOR PSYCHIATRY. IN MY PRIVATE PRACTICE I DON'T HAVE A WAITING LIST. PEOPLE CAN CALL ME AND GET IN MY PRACTICE WITHIN A WEEK. THAT IS UNHEARD OF IN PSYCHIATRY. IT'S BECAUSE I HAVE A CASH BASED FEE FOR SERVICE PRACTICE. WHEN PEOPLE ARE PAYING OUT OF THEIR OWN POCKET THEY WILL STAY IN TREATMENT AND THEN MOVE ON WHEN THEY'VE GOTTEN WHAT THEY NEED. PEOPLE TELL ME THERE IS A SIX MONTH WAITED FOR AN APPOINTMENT WITH AN INTERNIST AS A NEW PATIENT. I HAVE TO WAIT SIX MONTHS FOR A ROUTINE APPOINTMENT WITH FLETCHER ALLEN INTERNIST. THERE IS PROBLEMS WITH ACCESS WITH THIRD PARTY REIMBURSEMENT. IN MY PRIVATE PRACTICE IS WORKING SUCCESSFULLY. I HANDLE ALL MY PHONE CALLS PERSONALLY. PEOPLE GET PERSONAL ATTENTION FROM ME. THEY ARE ABLE TO GET IN TO SEE ME QUICKLY. AS I MENTIONED BEFORE, 20% OF MY TIME IS DEVOTED TO CHARITY CARE. WHEN I FOCUS ON WHAT I'M DOING, THERE IS NOTHING BROKEN ABOUT IT.

>> WE WOULD LIKE TO SEE REFORM. WE THINK REFORM SHOULD BE BASED IN THE FREE MARKET AND NOT BASED ON GOVERNMENT CONTROL OF TAKING OVER THE MARKET, FROM THIRD PARTIES. WE WANT TO SEE MORE PEOPLE INSURED AND SO DOES THE GOVERNOR BUT WE HAVE DIFFERENT WAYS TO GET THERE.

>> HOW DO WE GET THERE?

>> JUST LIKE BOB SAID, TO TAKE THE THIRD PARTY PAYER OUT OF IT WHERE WE CAN, ALLOW CHOICE AND ALLOW PATIENTS AND DON'T LIMIT TO CERTAIN PLANS. THAT IS NOT GOING TO BE WHAT THEY NEED.

>> WE HAD A SYSTEM WHERE -- IN VERMONT BEFORE THERE WAS A LOT OF COMPETITION AND LOTS OF INSURANCE COMPANIES IN THE STATE.

>> THAT IS TRUE. THAT WAS A PROBLEM OF WHY WE ARE SEEING THE PROBLEMS OF INCREASED COSTS AND PROBLEMS THAT LED TO THE GOVERNOR WANTING TO GO IN THE DIRECTION HE WANTED TO. THAT IS NOT NECESSARILY THE SOLUTION. THERE ARE A LOT OF DIFFERENT SOLUTIONS OUT THERE. I THINK THE PROBLEM FOR US COME JANUARY 1st, WE'RE GOING TO HAVE MORE UNINSURED IN VERMONT THAN WE HAD BEFORE WE STARTED HEALTHCARE REFORM. WHY DO I SAY THAT? PEOPLE WON'T GET SIGNED UP WITH THE I.T. PROBLEMS.

>> YOU DON'T THINK THEY WILL BE WORKED OUT THEY SAY THEY HAVE BEEN WORKING ON THEM.

>> THREE MONTHS FROM NOW IS WELL BEYOND JANUARY 1st. OR TWO AND A HALF MONTHS. AND ON JANUARY 1st, THAT IS THE BIG PRIMARY CONCERN. WE DON'T WANT TO SEE PEOPLE HAVING A LAPSE WITH CRISIS. THE OTHER PIECE IS WE'VE TALKED ABOUT THE TRANSFER OF DATA TO THE PROVIDERS TO THE INSURANCE COMPANIES, BUT AFTER THAT PIECE IS DONE, THEY WILL STILL HAVE TO BE TRANSFERRED TO THE PHARMACEUTICAL COMPANIES OR THE PHARMACY. SO IF YOU GO ON JANUARY 3rd WITH A PRESCRIPTION AND THAT PIECE HASN'T WORKED YOU WON'T GET A PRESCRIPTION. THAT IS A PROBLEM FOR A LOT OF PEOPLE, ESPECIALLY WITH A STATE WITH OLDER POPULATION. THEY WANT TO GET THEIR PRESCRIPTIONS IN A TIMELY MANNER.

>> THEY GET THE SYSTEM UP. WE WON'T EXCLUDE ANYBODY INSURANCE FROM SIGNING UP AND PROTECT THOSE THAT HAVE INSURANCE AND THEY STAY INSURED WHICH IS OUR GOAL.

>> WE'RE GOING TO TAKE A QUICK BREAK AND TALK ABOUT

>>> WELCOME BACK EVERYONE. WE ARE TALKING ABOUT HEALTHCARE REFORM AND JOINING BY TWO CRITICS HEALTH CONNECT. DR. BOB EVANS AND LET'S TALK ABOUT THIS PLAN, DR. EMMONS, WHAT ARE YOUR CONCERNS THERE?

>> A CENTRAL ASPECT OF THE ENTIRE THING GOING IN VERMONT.

>> WHAT DO YOU CALL IT?

>> LEGISLATION PERTAINING TO MEDICAL FINANCING. THE CENTRAL IDEA AND IT'S REPEATED MULTIPLE TIMES IS THE STATE WANTS TO ELIMINATE FEE FOR SERVICE PRACTICE, LIKE ME. I AM PERSONALLY SCHEDULED FOR TERMINATION IN THE STATE OF VERMONT. THE OTHER THING IS IF I'M NOT PRACTICING IN VERMONT THERE IS NOT GOING TO BE ANOTHER PSYCHIATRIST COMING INTO THE STATE AND TAKING MY PLACE. THE CENTRAL IDEA IN PAYMENT REFORM IS THEY WANT TO PAY DOCTORS BASED ON CLINICAL OUTCOMES. THEY CALL THAT PAYING FOR VALUE. I WANT TO READ SOMETHING FROM THE ETHICAL AND JUDICIAL AFFAIRS OF THE AMERICAN MEDICAL ASSOCIATION. THIS IS A STATEMENT ON ETHICS. A PHYSICIAN'S FEE SHALL NOT BE MADE CONTINGENT ON THE SUCCESSFUL OUTCOME OF MEDICAL TREATMENT. SUCH ARRANGEMENTS ARE UNETHICAL BECAUSE THEY IMPLY THAT SUCCESSFUL OUTCOMES ARE GUARANTEED, THUS CREATING UNREALISTIC EXPECTATIONS OF MEDICINE AND FALSE PROMISES TO CONSUMERS. THIS IS THE CENTRAL PREMISE IN THE ENTIRE HEALTHCARE REFORM PLAN.

>> YOU DON'T THINK THE SYSTEM, THE PATH TO MAKE SURE THAT TEACHERS ARE NOT DOING THEIR JOB IN THE EDUCATION SYSTEM. YOU DON'T THINK DOCTORS SHOULD BE HELD TO A SIMILAR STANDARD. LET'S SAY I'M HELPING PATIENTS THAT HAVE DEPRESSION?

>> I THINK IT'S GREAT IF YOU BRING UP THE PUBLIC SCHOOL SYSTEM BECAUSE IF YOU TALK TO ANY TEACHER THAT WORKS IN THE PUBLIC SCHOOL SYSTEM, ALL THIS MEASUREMENT DOESN'T WORK. IN THE TERMS OF EVALUATING OUTCOMES, MY PATIENTS EVALUATE THE OUTCOMES AND TREATMENT. I TELL WHAT THE PATIENTS WHAT I AM GOING TO DO WITH THEM AND WHAT TO EXPECT AND THE PATIENT MONITORS WHETHER I DELIVER WHAT I PROMISE ON. PATIENTS ARE A LOT BETTER AND MEASURING CLINICAL OUTCOMES BECAUSE GOVERNMENT IS TOO FAR REMOVED.

>> PART OF THE PROBLEM WITH THE HEALTHCARE SYSTEM AMONGST OTHER PROBLEMS PEOPLE NOT TAKING OWNERSHIP OF THEIR DISEASE AND ILLNESS. IN SOME RESPECTS, WE LOOK TO PATIENTS TO DO FOR CERTAIN THINGS BUT IT HASN'T WORKED FOR CERTAIN PATIENTS AND NOT GOOD OUTCOMES.

>> THE PATIENTS I WORK WITH.

>> HOW MANY DO YOU WORK WITH?

>> I ACTUALLY HAVE A RELATIVELY SMALL CASELOAD WHICH IS THE REASON I CAN DELIVER HIGH QUALITY CARE.

>> HOW ARE THE PATIENTS DOING?

>> I HAVE A CASELOAD OF ABOUT 60. REMEMBER I'M GOING DOING INTENSIVE PSYCHOTHERAPY. WHEN YOU ARE SEEING SOMEBODY ONCE OR TWICE A WEEK YOU DON'T HAVE THAT BIG A CASELOAD. THIS IS A BIG POINT ABOUT QUALITY. $400 MILLION IS BEING PUMPED INTO ADMINISTRATION OF MEDICINE IN VERMONT OVER THREE YEARS. IF YOU PUT THAT TOWARD CLINICAL CARE, IF YOU PUT THAT MONEY AND DIDN'T SPEND ON ADMINISTRATORS AND SPENT IT ON DOCTORS, YOU COULD FUND 2700 NEW PRIMARY CARE DOCTORS IN VERMONT FOR TEN YEARS USING THAT AMOUNT OF MONEY THAT IS BEING SPENT ON ADMINISTRATION. THOSE PRIMARY CARE DOCTORS WILL HAVE SMALLER CASE LOADS IF THERE WERE MORE OF THEM. THAT IS QUALITY CARE.

>> LET'S TALK ABOUT WHAT DO YOU THINK THE SOLUTION IS. IF THERE REALLY WERE, TO TO DEFINE ABOUT THE HEALTH EXCHANGE, DO YOU THINK IT IS NEEDED?

>> IT CERTAINLY NEEDED TO PROTECT CONSUMERS WHO HAVE INSURANCE RIGHT NOW.

>> WE WOULD LIKE TO SEE THE INDIVIDUAL MANDATE. VERMONT IS THE ONLY STATE WHERE INDIVIDUALS AND SMALL BUSINESSES ARE REQUIRED... WE WOULD LIKE TO SEE THE ENVIRONMENT STAGE THAT WORKS GREAT AND ENVIRONMENT EXPENSE. IF YOU WANTED ALTERNATIVES, YOU CAN BUY IT ACROSS STATE LINES. WE DON'T THINK IT'S A RESTRICTIVE SYSTEM. YOU SHOULD BE ABLE TO GROW AND PROVIDERS THAT ARE PROVIDING INSURANCE AND LET THE CONSUMERS MAKE THE BEST CHOICE THAT WORKS FOR THEM. IF IT IS AN EXCHANGE, THAT IS GREAT. THEY SHOULD BE ALLOWED AND ONLY STATE IN THE COUNTRY.

>> LET'S TALK ABOUT SOME OF THE CONCERNS YOU'VE HAD. THERE HAVE BEEN PROBLEMS WITH THE TECHNOLOGY ROLLED OUT. STATE HAD TO DOUBLE THE CONTRACT WITH THE I.T. COMPANY BUMPING UP TO $847 MILLION. YOU ARE TALK TO THE GOVERNOR THAT IS BECAUSE OF THE CHANGE BUT A LOT OF PEOPLE ARE QUESTIONING THE COST AND WHAT DID THE STATE GET FOR $84 MILLION. HAVE YOU EXPLORED THOSE ISSUES?

>> CERTAINLY FOR $84 MILLION, THIS IS NOT A BAND-AID OR SOMETHING THAT HELPS ONE PERSON --.

>> BY ASKING THEM TO GO I.T. IS TO GO TO AN EXCHANGE?

>> THE GOVERNOR SAYS WE WILL HAVE BUMPS ON THE ROAD. WE DON'T HAVE THOSE ON THE I.T. SYSTEM. WE DON'T HAVE A ROAD TO TRANSFER THE DATA -- WE DIDN'T HAVE A ROAD TO ALLOW FOR CONSUMER TO PURCHASE RIGHT NOW. MAYBE WE WILL BE THE FIRST. IF WE DON'T AT THAT POINT I THINK IT'S AN ABSOLUTE MUST. VERMONTERS SHOULD BE DEMANDING IT BECAUSE THE ABILITY TO PURCHASE INSURANCE ON JANUARY 1st IN JEOPARDY. WE DON'T KNOW -- WE'VE BEEN ASKING AND PUBLIC RECORDS REQUEST AND ASKING FOR DOCUMENTATION THEY CONNECT TO THE FEDERAL DATA LIKE THEY SAID THEY DO. HE HASN'T PROVIDED THAT INFORMATION AND HASN'T PROVIDED WE UNDERSTAND THE CERTIFICATION LETTER THAT WE GOT WHEN THE CONNECTION IS PROVEN. WE HE WON'T ALLOW ANY DE MOGS TO ANY OF MEDIA OUTLETS. OTHER STATES HAVE PROVIDED THOSE TO PROVE THAT IT IS WORKING. WE WOULD LIKE TO SEE THAT HAPPEN AND PROVE THAT SO WE KNOW SO WHAT WE GOT FOR $84 MILLION.

>> AS WE ARE RECORDING THIS ON FRIDAY, PERHAPS ON SUNDAY THE NATION WILL BE UP AND MOVING AGAIN. THAT IS ANOTHER CONCERN. THAT THEY ARE TRYING TO STOP IT FROM BEING IMPLEMENTED AND DO YOU THINK THEY ARE DOING THE RIGHT TECHNIQUE IN PARTIAL SHUTDOWN OF THE GOVERNMENT BY TRYING TO STOP OBAMACARE?

>> IT'S A COMPLICATED ISSUE. MONEY FROM TAXPAYERS IN THE HOUSE. WAY THE OBAMACARE WAS WRITTEN IN THE PAST WAS A PATCHWORK. THE WAY THE BILL WAS ORIGINALLY PASSED. YOU HAVE TO REMEMBER VERMONT WE HAVE NEVER HAD A MAJORITY OF PEOPLE THAT HAVE BEEN SUPPORTING OBAMACARE BUT WE SEE THINGS A LITTLE BIT DIFFERENT. THERE ARE 30 STATES AND REPUBLICAN GOVERNORS WHO HAVE OPPOSED OBAMACARE FROM PROBABLY THE BEGINNING SO THAT WHAT THOSE ELECTED NUMBERS AND DIFFERENT DISTRICTS, THAT THEY SEE IT DIFFERENTLY. THERE HAS BEEN A NUMBER OF... I THINK IT IS IMPORTANT THAT GOVERNMENT GET WORKING AGAIN BUT ALSO WE GET TO SOME RESOLUTION OF WHERE WE ARE WITH OBAMACARE AND SOME OF THE THINGS THAT CAN BE DONE. I THINK ONE THE INDIVIDUAL MANDATE HE GAVE TO THE BUSINESSES IS APPROPRIATE AND IF IT COMES OUT OF THIS, IT WOULD BE GREAT. IT WOULD BE THE MEDICAL TAX DEVICE, MEDICAL DEVICE TAX WOULD BE, AS WELL.

>> YOU'VE BEEN IN POLITICS FOR DECADES. DO YOU SUPPORT THE IDEA OF ANY POLITICAL PARTY SHUTTING DOWN THE GOVERNMENT OVER A BILL THEY DON'T LIKE. DO YOU THINK IT'S APPROPRIATE TACTIC?

>> I DON'T THINK THAT IS UNUSUAL IN OUR HISTORY. THAT IS WHY OUR GOVERNMENT WAS DEFINED WAIT IT IS SO THERE ARE CHECKS AND BALANCES. THIS IS PART OF THAT. DEMOCRACY IS MESSY BUT IT HAS WORKED FOR US A LONG TIME AND I WOULDN'T HAVE ANY OTHER SYSTEM.

>> DO YOU SUPPORT THAT IDEA?

>> YEAH.

>> I WOULD LIKE TO MAKE A COMMENT. WE'RE DEBATING WHETHER REPUBLICANS ARE USING THE RIGHT TACTICS AND GETTING AWAY FROM THE PATIENT. WHAT I WILL TELL YOU ABOUT OBAMACARE, IT WILL BE A MASSIVE INCREASE IN PAPERWORK FOR PHYSICIANS. IT'S GOING TO TAKE AWAY TIME FROM DIRECT PATIENT-PHYSICIAN CONTACT. THAT IS WHAT WE SHOULD BE TALKING ABOUT NOT DEBATING ABOUT THE TACTICS OF REPUBLICANS ARE USING. YOU HAVE TO REMEMBER WITH OBAMACARE A NARROW MINORITY IS TRYING TO FORCE SOMETHING ONTO SUBSTANTIAL GROUP THAT DOESN'T AGREE WITH IT.

>> THANK YOU BOTH FOR YOUR TIME. HAVE A GREAT SUNDAY. TAKE CARE.

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