access, you ll see industrialization of medicine in the united states barry doctors instead of delivering direct patient care, they ll manage nurses and providers and patients will have a hard time getting access to doctors. john: what would you do, you re king, fix it. i think that the doctors prices are fixed, they say this is what you go and determine doctor rates. this is the only service i know of where there s no difference in the level of compensation commensurate with talent, skills, reputation, all doctors earn the same under medicare and they basically don t have to compete. so on some level a lot of physicians like the system and private carriers were competing for doctor services and see a gradation for service what kind of service they were and what they were delivering. john: they like this and paid the same rate. right, they like it until there s a threat that the
access, you ll see industrialization of medicine in the united states barry doctors instead of delivering direct patient care, they ll manage nurses and providers and patients will have a hard time getting access to doctors. john: what would you do, you re king, fix it. i think that the doctors prices are fixed, they say this is what you go and determine doctor rates. this is the only service i know of where there s no difference in the level of compensation commensurate with talent, skills, reputation, all doctors earn the same under medicare and they basically don t have to compete. so on some level a lot of physicians like the system and private carriers were competing for doctor services and see a gradation for service what kind of service they were and what they were delivering. john: they like this and paid the same rate. right, they like it until there s a threat that the
representatives voted against allowing president obama raising the debt selling 2.4 trillion dollars. the the amount that was built into the august debt deal. my next guest says forget about the debt ceiling we need to be worried about hitting the debt wall. attorney and former policy advisor for president reagan, mark nutle is here. what do you think about the debt wall. it s an economic term, that point where governments can t borrow money at cheap rates. they can still get it, but a higher interest rate for it and becomes unaffordable. it affects the average person how? interest rates go up on car loans, authorities, small business have trouble dnsing the inventory. it s across the board in america that it becomes unaffordable. is this really basic law of supply and demand? it s a fact if you have a whole lot of money the interest rates go down. interest you don t have any interest rate, the doctor rates, demand exceeding the
i think the most dangerous part of the system right now is having people having insurance companies pick and choose who gets coverage and who doesn t, based on your health condition. it s a lot cheaper to insure people who promise never to get sick. i watched it as insurance commissioner. but segregating that market is not insurance. it s not pooling a risk. your proposal, mr. president, gets back to the fact that there would be a pool. there would be an opportunity to pool that risk and have the people that have the negotiating powers as governor and senator alexander, i am a former governor. we both ran our state employee health pools i don t know about tennessee, but in kansas that was the largest pool in the state, 90,000 covered lives. we had a lot of negotiating power. we could get aรง pretty good de on a couple of companies competing on hospital rates, on doctor rates. that s what this kind of pooling mechanism and new exchange would give everybody, and it s a set