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Speaker 1: I understand the appeal of Medicare for all, but folks

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Speaker 1: supporting it should be clear that it means getting rid

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Speaker 1: of Obamacare, and I'm not for that. So that was

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Speaker 1: Joe Biden earlier in a week. This is all the

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Speaker 1: polls show. This is number one topic pretty much for

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Speaker 1: all voters in both parties. Um is the whole healthcare

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Speaker 1: thing and insurance and where we're going with that. And

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Speaker 1: everybody on the debate stage the other night raised their

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Speaker 1: hand for doing away with private insurance. It's it was astounding.

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Speaker 1: Joe Biden read the polls and saw that that does

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Speaker 1: not poll well. So we put out the video earlier

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Speaker 1: this week about how we're gonna have a public option

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Speaker 1: and that's what we're gonna go with well. Scott Atlas

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Speaker 1: wrote a piece in The Wall Street Journal yesterday said

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Speaker 1: the public option kills private insurance, does the same thing

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Speaker 1: as as the other programs. Scott Atlas is a Senior

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Speaker 1: Fellow of the Hoover Institution of Stanford University and member

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Speaker 1: of Hoover Institutions Working Hello Group on Healthcare Policy. As

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Speaker 1: we scroll down and Scott joins us, now, Scott welcome,

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Speaker 1: How are you, sir, Great how are you. Oh, it's terrific.

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Speaker 1: It's always good to get a chance to talk. What's

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Speaker 1: the problem with the public option? I mean, the idea

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Speaker 1: that some poor folks can afford insurance and and the

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Speaker 1: government steps up for Well, let's start with what is

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Speaker 1: a public option? What does that even mean? Well, what

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Speaker 1: what they mean is instead of outright banning private insurance

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Speaker 1: and immediately disrupting insurance for hundreds of millions of Americans

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Speaker 1: about AD eight to be exact, they want to have

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Speaker 1: this so called option, uh, in the guise of introducing choice,

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Speaker 1: by having the option to say, Okay, I'll take a

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Speaker 1: federal government run program like Medicare or something analogous to that. Well,

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Speaker 1: like Joe just said, that sounds fantastic. What's the problem? Yeah? Sure?

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Speaker 1: What the problem is that the the well, I mean,

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Speaker 1: the first thing that happens is that there is the

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Speaker 1: death of affordable private insurance. Introducing a public option as

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Speaker 1: a choice is not a moderate or compromised proposal. It

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Speaker 1: is the same thing, but slightly slower as forbidding private

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Speaker 1: insurance for everybody except people with a lot of money.

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Speaker 1: And for a party who stresses inequality as a problem,

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Speaker 1: that doesn't really make sense. It leads to a situation

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Speaker 1: where private insurance is unaffordable for a variety of reasons,

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Speaker 1: and and that the real question then is, well, why

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Speaker 1: is that a problem to get rid of private insurance? Well,

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Speaker 1: the problem is that, as we know, not just in

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Speaker 1: the United States but all over the world from the

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Speaker 1: countries with decades of experience with single payer federal government programs,

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Speaker 1: that when people have that kind of thing, their healthcare

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Speaker 1: is consistently proven much worse than US healthcare worse meaning, uh,

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Speaker 1: they restrict care and the trying to control costs once

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Speaker 1: once there's a single dominant pair for care, like the government,

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Speaker 1: and so they have worse outcomes, factually worse outcomes than

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Speaker 1: the U S system from almost all serious diseases that

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Speaker 1: means cancer, diabetes, high blood pressure, stroke, heart disease. Advocates

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Speaker 1: of single payer care, Uh, frankly are disregarding established data,

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Speaker 1: in ignoring decades of data from countries with socialised medicine. Well,

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Speaker 1: and I know, part of the problem if you did

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Speaker 1: that as well, is that private insurance and those of

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Speaker 1: us you know, taxpayers who pay fully the doctor and

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Speaker 1: the hospitals and the rest of it we're subsidizing all

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Speaker 1: of the government insurance recipients because those government payments way

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Speaker 1: underpay the health providers, and if the health providers had

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Speaker 1: to exist on those payments, they would go away. They

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Speaker 1: would go away. And in fact, this is one of

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Speaker 1: the mechanisms where a single payer option eliminates affordable private

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Speaker 1: insurance because, as you just mentioned, government insurance under pays.

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Speaker 1: I'm talking about in the United States, Medicare, Medicaid they underpaying.

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Speaker 1: What I mean by underpay is they underpaid based on

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Speaker 1: the cost of delivering the service. I'm not talking about

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Speaker 1: just underpaying compared to private insurance. Under payment on cost.

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Speaker 1: And so the latest data is that Medicare and Medicaid

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Speaker 1: pay roughly eighty seven percent of the cost to deliver

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Speaker 1: the care. Almost eighty billion dollars of under payments were

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Speaker 1: therefore shifted to people paying for private insurance. And what

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Speaker 1: that adds up to is roughly eight hundred eighteen hundred

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Speaker 1: dollars or more, you know, almost uh significant money basically

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Speaker 1: for everybody paying private insurance. And so as you get

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Speaker 1: more and more people using this under paying government insure,

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Speaker 1: you're shifting more and more costs to people with private

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Speaker 1: insurance and therefore private premiums skyrocket. Well, I appreciate you

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Speaker 1: coming on to explain that, because that's going to be

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Speaker 1: maybe the hot topic clear on through the presidential election.

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Speaker 1: I just wish you could be there on the debate

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Speaker 1: stage or someone like you and challenge some of these

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Speaker 1: candidates with their fanciful unicorn ideas and because I'd like

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Speaker 1: to hear what their answers would be. Scott Scott Adlis

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Speaker 1: of the Hoover Institutions with the Scott does Hoover have

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Speaker 1: a solution for poor folks? Oh? Truly? In fact, I've

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Speaker 1: written personally about this quite a bit. You know. The

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Speaker 1: problem is that the narrative is difficult to combat when

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Speaker 1: it's filled with stuff that has no factual basis, and

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Speaker 1: much of the media is all in on on an

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Speaker 1: agenda driven reporting basis. So yes, the situation is. Frankly,

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Speaker 1: what the goal of all healthcare reforms should be is

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Speaker 1: to broaden access to the same excellent healthcare that everybody

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Speaker 1: else in the United States cats because we have factually

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Speaker 1: the best health care in the world. So how do

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Speaker 1: you broaden access, particularly for poor people who are the

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Speaker 1: only one stock with the government program? Because as I mentioned,

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Speaker 1: everybody who has any money opts pays those taxes, of course,

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Speaker 1: but then they pay more and get private insurance. And

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Speaker 1: by the way, this is what's happening all over the

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Speaker 1: world in countries with that. So our our plan, my plan,

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Speaker 1: I should say, is that you take the money that's

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Speaker 1: given for medicaid, which is the poor person's private Okay,

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Speaker 1: we give that money to get them as a bridge

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Speaker 1: the private insurance. We fund seed fund h s a's

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Speaker 1: health savings accounts, and we get them into the private

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Speaker 1: system that we all enjoy, and then let real competition

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Speaker 1: go to work to lower costs because there's so much

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Speaker 1: chrony ism right now that that doesn't happen. Scott Atlas

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Speaker 1: will have a link to his latest piece and you

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Speaker 1: can find more is writing on this subjects is terrific. Scott,

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Speaker 1: thanks very much, sure, thanks for having me Armstrong and

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Speaker 1: Getty