This is real money, you are the most important part of the show. Tell me what is on your mind. President obama is extended a helping hand to an extra 5 million mens struggling to pay off college debt. Why . Congress wont. In an executive order they expand elegibility to all holders of federal Student Loans. This recaps repayments on loans at 10 of a borrowers income. The programme is important. It offers relief to people spending a third or half an income to service loans. By better managing payments they can reduce chances of default. Previously borrowers that took out loans between october 2007 and october 2011 were eligible to put a cap on the monthly payments. Starting next year that changes because of the president s orders. Pay as you earn may not be for everyone. When borrowers carry loan balances for a longer period, the cost of repaying it is more expensive. In some cases it can forgave loan balances in borrowers are current for 20ors or more. 20 years or more. President obama is acting the government to renegotiate Interest Rates to providers like sally may and for the education to help student better manage debt. Why is any of this necessary . The cost of a 4year degree tripled over the past three decades and Household Income barely budged. So long as americans believe in the value of a higher education, more will take out loans. Reporter in the last decade Student Loans exploded from 240 million to 1. 4 trillion. The number of borrowers and amounts they ode increased 70 . A rise robert miltonsmith credits to cuts in state funning. Cuts in state funding is the major cause. Reporter since 2008 stayed funding has dropped 27 nationally. Tuition at four public colleges increased 20 . A rise that gives Student Loans a distinction of being the only form of Household Debt to increase through the great res session. As tuitions climbed students borrowed more. Graduates who took out loans left school in 2012 owing 29,400 on everything. A 25 increase over 2008. Repaying the loans is difficult. As of march 11th of loans were 90 days late or in default, the worst delinquency rate. Falling behind borrowers socked with late fees and penalties. Theres no easy escape once the spiral starts. Scoount loans cannot Student Loans cannot be discharged unless the borrower can prove undue hardship. A new film ivory tower explores the value of a College Degree in america, featuring interviews with students and educators. Take a look. In america, its been successful for centuries. Now things are changing. Because the scale and the cost is enormous. We have a product that is expensive that a lot of people cant pay for it and they have to go into debt. Its not viable. In the documentary, andrew rossy looks at alternatives to universities and solutions to growing student debt. I spoke about the crisis and asked how things became outed of control. The fm model for the universities is massive. It needs to grow bigger and better, including ameant yes and buildings amenities and buildings that are not necessary. We used to think the school dorm was part of the experience, now we see kids choosing colleges on the basis of dorms and modern amenities. The kids choose the colleges, and colleges have to provide it for kids to choose. As state funding declines, they need to find a way to get the students on to the campuses. They build these things to persuade the young to choose a school, but they are not necessarily parts of learning. Theres a lot of misleading statsment but the unemployed rate for College Students is at a low. In the end doesnt the debt get paid off. That statistic is valuable and important to consider a million more over the course of the arranges. Wholent students that dont finish. 68 dont finish the curriculum in four years. They are paralyzed and a have a lot of difficulty getting a job or getting on their feet. We need to factor them in. What do we do about kids taking a long time at school. Is it a school westbound . Theres so many complex factors. In some cases a Party Culture emerges and students are distract from the work and fear they will not be able to pay off the mounting debt and quit in the middle. You have accumulated the debt and you dont have the deg. Previously. What about moc, massive online courses. They are exciting. They offer an opportunity to lower cost and increase access. Attempts to utilize them without a component, a professor leads to terrible outcomes. They tried that in california with remedial classes and the pass rate was 25 . O and a lot of and a lot of people taking the courses it was extra kuicular. In the case of san antonio, it was from creddate. Others already have b axes and are trying to pursue lifelong earnings. What did you find about alternatives . Theres a movement in San Francisco in the bay area, which is an attempt to give people a bundle of services, in terms of skills delivery. Credentialing through social media, and peer to peer. It was a great documentary. Good to see you. More and more americans are saying why go to the doctor when you can go to the new clip k at the drug store. At the Doctors Office you have to wait for an appointment. Here, you come in same day and its down. Will you get the care you need. Ill have a look. That story and more coming up. Keep it here. He actually told people in the halfway house, that he was amazed that they had given him parole the system with Joe Burlinger only on Al Jazeera America ja lets say you got an ache, a pain, a sore throat, you need a shot. But you cant or dont want to go to the Doctors Office. You need help. To get to a number of people are heading to clinition inside Drug Store Chains like c b sc. Or walgreens. These clinics are projected to double between 2012 and 2015. With 8 Million People insured under obamacare. Pharmacy chains are cashing in. We have this story. How can i help you . Reporter when it comes to health care at the drug store, this is a scene to which most are accustomed. Pharmacies and maybe a place to get a flu shot. For gary skinner they are more. Im 60. When you are 60 they say you should look at the possibility of getting a shot for shingles. Reporter walking into a walgreens, gary heads to a Retail Clinic instead of his doctor. It has tripled in numbers. At a doctorss office you to wait, make on appointment. Here you make an appointment in its done. Reporter clinics have certified nurses and they are open nights and weekends when Doctors Offices are closed. 44 occurred during the weekend and evening hours. When other primaries are closed. We see the patients here, if they cant get into the primary we can consult with them and manage their conditions. Convenience is a model. If you walk into a store, you may get the cholesterol checked. Its a onestop shop deal. With more than 8 million enrolled. Business is booming. Wall greens has 400 clinic and plans to open more. Its needed. If patients didnt home here the options are emergency, e. R. C. B. S. Has twice as many clin ecks and plans to build 1500 in the next four years. They see the opportunity. They have the traffic coming into the store. Very have credibility. We have a pharmacy, let higher a Nurse Practitioner, set up a clinic, lets set up flu shots, get the Blood Pressure checked and well have a referral system. Reporter in rural areas leek the mississippi delta, clinics may offer new ways to meet the market. Theres ab opportunity for knew customers who havent spent much on health care. Theyve only gone to an Emergency Department once in a while. The idea is to reach the customers, bring them in. The Retail Clinic trend may put primary care positions at risk, losing patient like cary, who opt for the convenience of a walgreens. Doctors, for their part, say they are cautious, and point to a recent poll. If you come here, you can take a seat. Most like the cop screens of convenience of clinics. 75 have concerns. Acceptance may be a battle. Is the trend good or batted . Is the quality good enough . These are tough questions. I think you are trying to balance access with cost and quality. Clinics could be a cheaper option, depending on your insurance plan. Since obamacare many plans have higher coe pays and deductibles. Patients may have to pay pocket. Retail clinics are about 50 for wellness sprars. 15 less than gong to the doctor. To going to the doctor. To help brick it down i spoke to a Health Care Analyst an a brokerage form and said the combination of a growing population and shortage of doctors is making clinic a necessity. Your feature mentioned 14 million new lives in the system. Expanding up to 40 million. If you think about that, and the fact that we dont have enough doctors in the u. S. Therell be overcrowding of the system. As it is, doctors see anywhere from 30 to 50 patients a day if you are a primary care physician. If youre a doctor, seeing patients for 5 minute at a time and you have people lining up wanting access. We need to final ways to find that care, access, the wellness visit to those people, and the only way to do it is to expand it by opening up the clinics and the e. R. S in your video. The clinics take the lowhanging fruit, not chronic conditions, dealt with quickly and treat them with an engineers practitioner or mash Nurse Practitioner or maybe a doctor. The cost structure is cheeper. Does that affect traditional doctors in clinics. I think youll see a shift where the doctors will have to see people who are sicker. A doctor does not need to see a patient with a cold. That doctors time is better spent with a guy who has diabetes who could cost the Health Care System more money. I think youll see a shift whereas a Nurse Practitioner, care extenders, co provide necessary care. Youll see people. Youll see them shift to these settings such as clinics. Doctors will be given the time to focus on patient who need a high degree of medical care. You saw polling indicating that people are not there, they are not convinced that a clinic and a drug store will offer the same quality that the doctor will. Its a cultural shift. Theres two sides. Its a yougeer pop younger population that is consumer focused, brand focussed. Driven by convenience factor. Theyll be the guys saying lets go to a clinic because its down the street. The guys focused on i need care, im older, i want to see a doctor, theyll say im going to see the primary care guy. Theres going to be that generational bifur kags that you see going forward. At the same time, i think the lack of access. One statistic that i toss at you is if you look at Residency Training programs, what you see is 70 of doctors are choosing not to go into officebased practices. If you think about that, as we have more people that need care, seniors coming to the system. We dont have enough doctors. One way or the other. This will solve that problem. Great to talk to you. Its the rise of the machines, its not science effect. Its an economic reality. Coming up, i look at what could happen when computers link to each other and keep us humans out of the loop. Keep it here. Welcome to the second machine age. Like the first machine age the industrial revolution, this is about Technology Changing the nature of work. The first time around machines took over mechanical tasks that humans used their bodies to do, ushering in mass production and created a productivity center. The middle class shared in the wealth that technology brought about. The stop stage is technology its a new ball dame. Digital technology and the elugs of the internet create smart machines, im talking 200 billion devices. This is about ash eaches doing brain machines doing brain power, raising the question of what happens to humans. Unlike the last machine age, this is seeing increases in productivity without jobs or rising income. Income and equality is agreeing, raising scary questions for the future of the middle class. This is the crutch of a second class. Its a back written by two economists at the Massachusetts Institute of technology. I spoke to them and asked why pros pert ni in this age may not be as widespread. Recently we had changes where jobs are not created at the assume rate as being destroyed. Technology doesnt have a single cores. It depends how we adapt and adjust to it. How we change the skills, what News Industries are invented. I think we have an opportunity to take the technologies and use them not to just make the pie bigger but create shared prosperity. For 200 years, people like the luddites have been saying the era is around the corner and they have been wrong pt the question is important. As eric and i looked at the evidence, its clear na the middle class is hollowed out. Its clear that the superstars benefit and the rest are not, and capital is benefitting at the expense of labour. The trends have been visible for a year. And it seems clear to us that tech progress is part of the story. You illustrate the story of instagram versus kodak and a lot of reviewers go to that. I dont know if its a standout example that it is. Or the fact that others do it. In the very same year that kodak declared bankruptcy instagram was sold for 1 billion, and the billionaires created on instagram, seven versus kodaks one, were 10 times as rich as George Eastman ever was. Clearly the pie is getting bigger. Theres a bigger pie. The issue is distribution. You have ideas about that in your book. This example illustrates characteristics of technologies different from the past. Digital goods can be copied, zero cost and distributed around the world easily. The characteristics are different, creating a winner take all markets. A small group of people conserve the market. It creates millionaires and billionaires. It doesnt lead to mass prosperity for all the people doing related jobs. We need to make changes in the way we make our work. We need to invent new industries and changes in the tax structure to encourage the widespread work and consider a basic income. Lets talk about that. Putting aside the fag that it may be possible. We are distributing wealth. The distribution is not caused by the second machine aim, but we are not sure it will be better. The good news is the pie is bigger. Technological progress is the only free lunch we believe in. The distribution appears to be getting unequal. We point that out. They say great. The problem is if some dont have enough money, lets give them money. What we like is lets make a negative income tax, for every government you own, you take om 1. 30 or 1. 50. It encourages work. Everything we came across points to the fact that it is an important line. If for every dollar the government gives you money, you incentivise work, are you not insent vicing brainyacks. Someone has to pay the 16 million bill. We know a few, and its true they were happy with the economic windfall that they got. If they got to take home 510 less, would they have hung up the key boards. Absolutely not. Good to talk to you. Thank you for taking the time to be with us. The coauthors of . Next week, immigration reform, an issue that defeated eric cantor in virginia. Ahead the u. S. Chamber of comes says antiimmigration is bad for business. Ill talk to tom donohue, and how the economy is sending boomers back to their room. That is the show for today. Im ali velshi, thank you for joining us. Next. Hello. I am rim arrested gizberg. One ye after Edward Snowden exposed spying, can the internet be reset. Egypt and one of the best known bloggers is a convicted criminal looking at 15 years in jail. There. Its not paranoia if they really are out to get you