With making a false bomb threat at Jacksonville International airport. The suspect told tsa agents he had a bomb, but no explosives were found. The new york city opera is going silent after 70 years. It is shutting its doors and filing for bankruptcy. The Opera Company had hosted an emergency fundraising appeal, but fell short of the 7 million it needed to stay in business. Those are the headlines. Consider this is up next, and for news updates all day long, head to our website, aljazeera. Com. On inside story, we bring together unexpected voices closest to the story, invite hardhitting debate and desenting views and always explore issues relevant to you. Millions who need assistance now. We appreciate you spending time with us tonight. Up next is the golden age of hollywood going golden but elsewhere. Why l. A. s mayor has declared a state of emergency for the Entertainment Industry there. Next. c] enrollment in obamacare kicked off on tuesday with the expected glitches and questions. Tonight in our ongoing look at the new law we consider that i in 2012 the average hospital stay in the United States cost about 12,000. Thats the most expensive in the world. Germany was next at only 5,000. Its a bitter pill for the sick who often face the real fear of bankruptcy over their medical costs. Can the system really change under the new law . To talk about how obamacare will effect hospital costs, holt of Healthcare Connect on xm sirius radio, and neil shaw, the executive director of costs of care in boston. Thats where he joins us from tonight. Thank you both for joining us. Im sure it was a busy day with all those calls. It was really busy. Now medical bills as were saying are a very important matter for anybody who gets sick in this country. Medical bills are the leading cause of bankruptcy in the United States. Its only 12 of uninsured people end up paying their hospital bills. The question i just asked, is there any chance that this new law will control costs . Its a great question. I dont think its going to lower costs. I think there are a lot of people who have Great Expectations of healthcare reform, whether youre for it or against it, its not going to lower costs in this country. What we have a shot at doing is controlling costs. The escalations that weve seen for people where insurance premiums have been going up year over year, well start to see that come down. Whether its obamacare or medicare in general, they have launched initiatives to get this under control. The speed of the increases may slow down. We want to talk about costs in a minute. But we want to talk about choice. We will see lower costs or at least a slowing down of the increase in costs. Is one of the issues that insurance plans are going to limit hospital options and limit choice . Well, i think its important to be clear. The scope of obamacare or the Affordable Care act is really just to give middle income americans access to a mechanism to get insurance. I think independently of that because healthcare costs are rising, health plans have increasingly started to restrict choice in the sense that they essentially make it less expensive to go to hospitals that are less expensive for them and more expensive to go to hospitals that are more expensive for them. With obamacare we have not talked that much about t but the prices at hospitals can vary dramatically. The recent study found knee surgery at barely in dallas cost 43,852. A few miles away the charges were nearly four times as much. 160,000. Is there anything in obamacare that will change that . Because obviously whoever got that 160,000 bill is worse thaf than the other person. This is one of the most confusing things for people in this country. Why are these costs so crazy and why do they differ from one hospital to another. Its a game thats been played for a long time from hospitals and doctors and Insurance Companies. Charges dont really have a lot of meaning in the Healthcare System unless youre uninsured and youre paying the charges. Its a mechanism that doctors and hospitals use to negotiate with the Insurance Companies. We at the doctor or Hospital Organization need to set a charge and settle on a price in the middle. If we charge more than hospital across the street, it does not necessarily mean that were getting paid more by the Insurance Companies. Like a lawyer who sues someone and asks for a ridiculous amount. Exactly. You settle somewhere in the middle. Now medicare paysif the surgery is the same. Medicare pays the same rate across the street from one hospital to the next. Its up to the hospital to make it work on that payment. You mentioned that people are still very confused about whats going on. We sent our producer hermela aragawi out to see what people knew about obamacare as today it came in to being. Hermela. What did you find . We talked to people in new york city to get a sense of what they know about the Affordable Care act now that its the first day of open enrollment. Lets take a look. What do you know about the Affordable Care act . Ive heard about it. I dont know too many details. I heard of it. Do you know about obamacare. I heard of it. Im in the dark about it. Do you know about the open enrollment. Under obamacare . No. I know you come across this nation a lot. Why dont people know anything about the Affordable Care act, and if this continues how is it going to impact the success or failure of the law, and will that impact hotels. For the past several years all weve really been listening to as we watch television and the newspapers is the political battle taking place. Is Health Reform good for this country or not, and were talking about it again today with the government shutdown. There has not been a lot of discussion about what is in the healthcare law. I think as the state exchanges go live, and we know today was a rough day enrolling millions of americans and crashing systems. I could not get on the new york state he is change to see how they were going to work. Once people start to log on and see how they are work the information will start flowing and people wont be so scared of this thing. Even before healthcare reform people didnt understand healthcare that much. This just made it a lot harder to understand. Its worth mentioning that it depends on who you ask. There are 50 million americans who dont have a mechanism to Access Health insurance right now. My 26yearold brother is one of them. He just finished law school, hes not working for a big employer, and the open enrollment is the only mechanism for him to get affordable healthcare. There is a big segment of the population that understand the direct benefit of this, but there is a large segment of the population who whenever you are going to make any kind of change in healthcare, immediately you get concerns. Weve been addressing this for a couple of weeks here and its in newspapers everywhere. Its striking when hermela goes out and people dont even know what shes talking about. We tried to focus on hospitals. Youre at harvard medical school, and really a great hospital center. One of the questions that has been craze been raised criticizing obamacare was doctors leaving the profession. What are you seeing . In massachusetts the healthcare sector is one of our largest industry. We just had a big hearing on healthcare costs today here in this state, and whenever you talk about containing healthcare costs there is a concern that it could mean something for employment on the back end. You know, everything that im seeing, all of the workforce projections are basically sho showing that we expect the opposite. The healthcare needs of society are growing. The problems is that the costs are growing at a much larger rate. The need for boots on the ground to care for americans is no smaller than its ever been. In fact, i think were going to see more of midtier providers. Not necessarily physicians but more nurse practitioners. Clearly more demand in addition to the baby boomers getting older, which will also increase demand. Under the Current System if you have insurance, and go to at out of Network Doctor it ends up costing a pretty penny. Does it get worse because of obamacare. It wont get worse because of obamacare, but it most likely will be worse for people who sign up on the state exchanges. The reason is to control the costs that people will pay on the premiums. The Insurance Companies needed a way to lower the premiums. The only way to do that is to restrict the physicians and hospitals who oh work under that premium. And then to say if you go out of network you have no coverage. I have that now, and its a choice i made so lower my premium. Other people are going to have to make that decision as well. Neel . I was going to say the other piece of it is that not only might you have a little bit more restricted scope in hospitals, which by the way doesnt mean anything in terms of quality. One of the things that we know is that there are a lot of lower cost hospitals that perform much better than the high cost hospitals in terms of making people healthier. But the piece of it that im going to see i think based on our experience in massachusetts were going have a lot more americans on highdeductible plans where you are taking the first 5,000 on the chin. So americans, you know, this is not necessarily something thats created by obamacare but its something that is not helped by it. Increasingly youre going to get americans get price sensitive about healthcare because our dollars will go into the services that we purchase. Something that we discussed, the hospital costs and all this stuff, i recently saw a report about just the enormous costs of having a child in this country. And the kind of costs that were being put on peoples bills. There was also a study about saline which costs companies 1 to produce, and adults are being charged more than 700 for an i. V. And in that same maternity story theyre being charged 100 for aspirin. Is that going to go away . Its really not going to go away. What youre talking about is how hospitals establish charges, and what they get paid by the Insurance Companies. There may be more strands parentcy in the future, but you would really have to transform the entire reimbursement system of how doctors and hospitals are paid, and i just dont see that happening in the short term. Its very difficult for the public to understand, its very distasteful to see these kinds of things showing up on bills. I work for a hospital. I understand that. But there is a lot behind it, and its worth looking at. Even though we have fabulous healthcare, when you look at these numbers, in the u. S. Its 12,000 for an average stay and in germany its 5,000. Its a complicated issue. Hundreds of millions of dollars right now in the Silicon Valley that create a yell for healthcare, so whatever that is worth. So you can go online and figure out where you want to go. Appreciate it. Thank you for being here tonig tonight. Iraqis and afghans are seen as traitors. What happens when social media uncovers unheard, fascinating news stories . They share it on the stream. Social media isnt an afterthought. It drives discussion across america. Al Jazeera America social media community, on tv and online. This is your outlet for those conversations. Post, upload, and interact. Every night, share undiscovered stories. [[voiceover]] gripping films from the world the worlds top documentary directors. Banging your head over and over again can be a bad thing. Every time i would do heading i would see stars. [[voiceover]] its all fun and games until tragedy strikes. A former player kills himself. We have to stop playing the game, or we have to find a solution. Todays day at a dive ekes out on the great and not so great traits of the smartest people. First, smart people are persistent. They set goals and share those goals with friends but they tend to be more anxious. Night owls. A survey of 20,000 students found the higher the i. Q. The later the bedtime. People of i. Q. S 125 and higher went to sleep around 12 30 a. M. However, sleep depravation leads to a higher risk of heart disease, obesity and depression. Not so smart. The most intelligence people are gig on reading, it helps memory, problems solving, verbal and writing skills, but intelligence does not equal sobriety. Boys with an i. Q. Higher than 107 were twice as likely to try drugs. Girls with an i. Q. Greater than 107 were three times as likely to try them. Smarter people like to throwback a few. Extensive research from Englands NationalDevelopment Studied found kids with an i. Q. Of 125 wound up as drunks four times as often. But if the geeks shall inherit the adult earth as adults theyt getting any kids. 12,000 adolescent 18 and older found the smarter the the teen, the less intercourse they were getting. Coming up, the middle east is full of rare antiquities. But as violence continues to thats all i have an real money. Victoria azarenko welcome to al Jazeera America, im stephanie, here are the stories were following for you. Government shutdown at a stand still. Millions of people logged in, but not everyone gets signed up for governmentbacked health care. Only a hoax. A florida airport reopens after reports of suspicious packages. There is no indication that hundreds of thousands of furloughed federal employees will return to work any time soon. There is no