cost situation changed so much or they can do what ty ve been doing exit affordable care marketplace ente martnd no longer sell plans to individuals. so that s part of what the issue is with these cost sharing subsidies. let s bring into the discussion a practicing physician with johns hopkins university. she was deputy staff director for health education, labor and pensions committee chaired by senator ted kennedy. good to see you, thanks for being with us. thanks for having me. this is a way to kill obamacare without killing obamacare through legislation. that s right. as you said, these aren t bailouts, these are really payments to offset the out of pocket cost for low income families. so in a way, this is sort of a back door to getting to government paying for health care, because the government is subsidizing people who can t pay their premiums. is this the most elegant way to do it? we ve created back door killing