that is little bit naive assumption. they were getting care before. they were getting care inefficiently. unfor the lately a lot of people will get different treatment. jenna: different doctors have different points of views. sure. jenna: you have been a practicing physician in your time. a pediatric heart surgeon wrote in the wall street journal little more anecdotal talking about feeling it is to practice medicine. compensation levels are falling to doctors to medicare and medicaid. that is not a good thing. the new law did not stop lawsuit and malpractice premiums. his thinking it is really creating a bifurcated market. where you have physicians, limited amount will accept medicare and medicaid and lines will be longer to see them. more people will be able to see them. right. jenna: you will get other doctors that will be concierge doctors, where if you re wealthy you can afford to go to them get great care. if you re not, middle class or lower class you will not be able to do
mr. mcdonough on matters related to the health care law. that could be a full-time job. right. and he s also supposed to be advising on executive orders and climate policy. one thing that s interesting to note is that john podest out a n the affordable care act was saying medicare took me five minuters to sign up, and then he asked the question, single-payer system, anyone? a lot of people, he s someone that is very far left, and they may be worried about the solutions he will come up with, but also he s been very big with the center for american progress on the climate side as well. jon: just as an aside, what does he need medicare for? isn t he one of those people who should just be voluntarily? he is. that s another thing is that while he may be really qualified in terms of a strategic stand point be, he is also the founder of center for american progress which is the most influential liberal think tank in d.c. he s worth a lot of money, his brother s actually tony podesta who s
says they expect 32 million more people to enter into the insurance market. right. jenna: they re looking year by year, their projections 2015 seeing a doctor shortage of nearly 63,000. so, you re saying technology, having more nurse practitioners and nurses and other people that can help you beside doctors will make up the difference but how can it make up difference for an additional tens of millions of people? people are getting medical care right now are getting medical care inefficiently. simply giving them insurance card doesn t mean they will become more efficient users of medical care. in fact we know when people enter into better insurance schemes or insurance schemes treatment patterns don t change a lot often times unfortunately. when people go from medicaid to medicare, medicare being much better insurance benefit they access medical care the same way they did when they were medicare beneficiaries. assuming 30 million more people are getting care. they weren t getting c