00:00:00>> SUPPORT COMES FROM THE LAW
FIRM OF WRIGHT, PORTER, LLP
00:00:08HELPING PEOPLE SOLVE COMPLEX
PROBLEMS AROUND OHIO, THE
00:00:12COUNTRY, AND THE WORLD.
FROM THE OHIO INDICATION
00:00:16ASSOCIATION REPRESENTING
131,000 TEACHERS AND FACULTY.
00:00:23OHEA.ORG.
ADDITIONAL SUPPORT MADE POSSIBLE
00:00:30BY ETECH OHIO.
>> ANOTHER EXECUTION LOOMS AS
00:00:36THE GOVERNOR REFUSES CLEMENCY.
ANOTHER HISTORY MAKING WEEK IN
00:00:38GAMBLING IN OHIO, AS A CASINO
AND A RACINO OPEN FOR BUSINESS.
00:00:41WE'LL HEAR FROM TWO KEY PLAYERS
IN THE LAWSUIT THAT SOUGHT TO
00:00:44STOP ELECTRONIC SLOT MACHINES
FROM BEING PULLED AT THE
00:00:46STATE'S SEVEN HORSERACING
TRACKS.
00:00:55AND AS WE WAIT FOR A RULING
FROM THE U.S. SUPREME COURT, WE
00:00:58BRING YOU THE SECOND HALF OF A
CONVERSATION ABOUT THE IMPACT OF
00:01:00THE AFFORDABLE CARE ACT -- OR
OBAMACARE -- IN OHIO.
00:01:02CAPTIONED BY THE
NATIONAL CAPTIONING INSTITUTE
00:01:04--WWW.NCICAP.ORG--
ALL THIS WEEK IN "THE STATE OF
00:01:07OHIO."
THE STATE'S SECOND EXECUTION OF
00:01:09THE YEAR COULD TAKE PLACE NEXT
WEEK, AS GOV. JOHN KASICH HAS
00:01:11REJECTED CLEMENCY FOR A
CONDEMNED INMATE SCHEDULED TO
00:01:13DIE NEXT MONTH FOR KILLING HIS
ESTRANGED WIFE AND BROTHER-IN-
00:01:17LAW IN THE CUYAHOGA COUNTY
COURTHOUSE IN 1992, WHERE THE
00:01:21FAMILY WAS TO WORK OUT DIVORCE
AND CUSTODY ISSUES.
00:01:24LAWYERS FOR ABDUL AWKAL ARGUE
THE 53-YEAR-OLD MAN SUFFERS
00:01:28FROM SEVERE MENTAL HEALTH
PROBLEMS AND SHOULD BE SPARED,
00:01:31BUT THE STATE SAID AWKAL
CAREFULLY PLANNED THE KILLINGS.
00:01:35THE OHIO PAROLE BOARD ALSO
RECOMMENDED AGAINST CLEMENCY.
00:01:39MEANWHILE, THE STATE'S PRISON
DIRECTOR SAYS CHANGES IN LAWS
00:01:43AIMED AT SHRINKING THE NUMBER
OF INMATES ARE HAVING A SLOWER
00:01:46EFFECT THAN ANTICIPATED, BUT
THAT THE STATE'S PRISON
00:01:55POPULATION IS AT ITS LOWEST
LEVEL IN FOUR YEARS.
00:01:56THERE ARE NOW AROUND 49,900
INMATES IN OHIO'S PRISONS --
00:01:59DOWN FROM THE PRISON POPULATION
PEAK OF JUST OVER 51,000 IN
00:02:072008.
BUT DIRECTOR GARY MOHR SAYS HE
00:02:10HOPES TO DROP THAT NUMBER BY
SEVERAL HUNDRED IN JUST THE
00:02:11NEXT TWO MONTHS.
THE STATE'S TRANSPORTATION
00:02:17AGENCY HAS BIG FINANCIAL
PROBLEMS, BUT ITS LEADERS SAID
00:02:23THEY'RE PUSHING FORWARD PLANS TO
DEAL WITH IT, AND OUTLINED
00:02:25THOSE STEPS IN A FIRST-OF-ITS-
KIND PRESENTATION -- THE "STATE
00:02:31OF ODOT." DIRECTOR JERRY WRAY
STARTED WITH SOME NUMBERS THAT
00:02:33AREN'T NEWS, BUT STILL CAN BE
SURPRISING.
00:02:35>> THERE IS A $1.6 BILLION
FUNDING SHORTFALL FOR
00:02:37CONSTRUCTION PROJECTS -- THOSE
ARE PROJECTS THAT HAVE BEEN
00:02:39VETTED THROUGH THE PROCESS,
READY TO GO TO CONSTRUCTION,
00:02:41AND WE DON'T HAVE ENOUGH MONEY
TO BUILD THEM.
00:02:42PLUS, THERE'S ANOTHER $10
BILLION WORTH OF PROJECTS,
00:02:44FUTURE PROJECTS THAT ARE IN THE
DEVELOPMENT PROCESS FOR WHICH
00:02:46THERE IS NO MONEY.
>> WRAY SAYS THE AGENCY IS
00:02:48WORKING TO PLUG THAT HOLE BY
CHANGING SOME POLICIES, CUTTING
00:02:50400 STAFF MEMBERS THROUGH
ATTRITION, RE-EVALUATING ITS
00:02:52VEHICLE AND EQUIPMENT
PURCHASES, AND CREATING
00:02:54SPONSORED SERVICE PLAZAS OR
NAMING RIGHTS FOR BRIDGES AND
00:02:58INFRASTRUCTURE, AND SAYS ODOT
HAS FOUND SOME 250 MILLION
00:03:02DOLLARS IN SAVINGS THROUGH THOSE
EFFORTS.
00:03:05BUT EVEN THOUGH THERE WERE SOME
LAWMAKERS AT THE SPEECH WHO
00:03:27SUGGESTED THE TIME WAS RIGHT TO
AT LEAST TALK ABOUT A GAS TAX
00:03:35INCREASE, WRAY MADE IT CLEAR
THAT WASN'T ON THE TABLE.
00:03:36MEANWHILE, THE PANEL THAT MAKES
THE DECISIONS ON ODOT'S
00:03:39CONSTRUCTION PROJECTS AND WHEN
THEY WILL BE BUILT MEETS FOR A
00:03:41FINAL VOTE ON TUESDAY, AND IT'S
UNCLEAR WHETHER THE SAVINGS
00:03:42WILL AFFECT THE DRAFT LIST OF
DELAYED PROJECTS THAT INCENSED
00:03:45COMMUNITIES AND DRIVERS BACK IN
JANUARY.
00:03:46WE'LL BRING YOU DETAILS OF THAT
VOTE NEXT WEEK.
00:03:48OHIO IS ONE OF EIGHT STATES
THAT THIS WEEK GOT A BREAK FROM
00:03:50THE FEDERAL NO CHILD LEFT BEHIND
LAW.
00:03:52SUPERINTENDENT STAN HEFFNER
TALKED ABOUT FILING FOR THE
00:03:56WAIVER ON THIS SHOW IN MARCH.
THE OBAMA ADMINISTRATION HAS
00:03:59GRANTED WAIVERS FROM 19 STATES
IN EXCHANGE FOR PROMISES THAT
00:04:01THE STATES WILL IMPROVE HOW
THEY PREPARE AND EVALUATE
00:04:03STUDENTS.
CONGRESS IS STILL REWRITING THE
00:04:05BUSH-ERA LAW, AND LAWMAKERS ARE
STILL DEBATING CHANGES THAT
00:04:06NEED TO BE MADE IN IT.
AND CONGRATULATIONS TO OHIO'S
00:04:20OWN JOHN GLENN -- ASTRONAUT,
U.S. SENATOR AND NOW RECIPIENT
00:04:22OF THE NATION'S HIGHEST
CIVILIAN HONOR -- THE
00:04:29PRESIDENTIAL MEDAL OF FREEDOM.
GLENN WAS THE FIRST AMERICAN TO
00:04:32ORBIT THE EARTH, AND JOINED
FORMER SECRETARY OF STATE
00:04:34MADELEINE ALBRIGHT, LONGTIME
TENNESSEE WOMEN'S BASKETBALL
00:04:37COACH PAT SUMMITT, AND ROCK
LEGEND BOB DYLAN IN RECEIVING
00:04:40THE HONOR AT THE WHITE HOUSE
THIS WEEK.
00:04:42THE STATE'S FIRST TWO CASINOS
ARE OPEN FOR BUSINESS.
00:04:50TOLEDO'S HOLLYWOOD CASINO OPENED
ON TUESDAY, JUST TWO WEEKS
00:04:52AFTER THE HORSESHOE CASINO
CLEVELAND MADE ITS DEBUT.
00:04:53PENN NATIONAL OPERATES THE
TOLEDO FACILITY, AND WILL OPEN
00:04:56ITS HOLLYWOOD CASINO COLUMBUS
SOMETIME AROUND THANKSGIVING.
00:04:57AND THIS WEEK, ITS FIRST RACINO
HAS JOINED THOSE TWO FULL-
00:04:59FLEDGED CASINOS IN WELCOMING
GAMBLERS.
00:05:01SCIOTO DOWNS HAS BECOME THE
FIRST HORSERACING TRACK TO OPEN
00:05:04UP FOR GAMBLING AT ELECTRONIC
SLOT MACHINES, WITH 18-HUNDRED
00:05:06VLT'S, OR VIDEO LOTTERY
TERMINALS, IN OPERATION. THAT
00:05:08TERMINOLOGY IS IMPORTANT.
THE MACHINES ARE UNDER THE
00:05:11OVERSIGHT OF THE OHIO LOTTERY
COMMISSION, AS PART OF AN
00:05:15EXPANSION OF GAMBLING UNDER THE
LOTTERY DONE IN AN AGREEMENT
00:05:23MADE WITH CASINO OPERATORS LAST
YEAR.
00:05:25THE ANTI-GAMBLING GROUP THE
OHIO ROUNDTABLE HAD FILED A
00:05:27LAWSUIT LAST OCTOBER, SAYING
THE GOVERNOR DIDN'T HAVE THE
00:05:31AUTHORITY TO MAKE THIS DEAL AND
THAT VOTERS NEEDED TO DECIDE
00:05:33IT.
BUT FRANKLIN COUNTY COMMON
00:05:41PLEAS
>> THE QUESTION BECOMES, WHO HAS
00:05:49STANDING?
WHEN MULTIPLIED?
00:05:52-- WHEN WILL IT APPLY?
THAT WAS THE QUESTION PRESENTED
00:05:57IN COURT.
WHEN WE LOOK AT THE AMENDMENT
00:06:01THAT WAS PASSED IN 2009, THERE
WAS A BIT OF AN UPROAR WITH THE
00:06:09LOCATION IN COLUMBUS.
IF YOU REMEMBER THAT PUT
00:06:16TOGETHER A JOINT RESOLUTION AND
WE WENT TO BALLOT IN 2010.
00:06:19IF EVERYONE VOTED TO MEET THE
CASINO 8 MILES, ROUGHLY.
00:06:23WHY?
WHY DID THEY DO THAT?
00:06:28THE ADMINISTRATION FELT IT WAS
INHERENT TO AMEND THE
00:06:32CONSTITUTION THAT IT WAS NEEDED
TO BE DONE.
00:06:35ACCORDING TO THE CURRENT
ADMINISTRATION, THEY TOLD THE
00:06:44LEGISLATURE WHAT TO DO.
THE ARGUMENT THAT THIS WAS AN
00:06:53AMENDMENT TO THE CONSTITUTION
AND NOT A STATUTE IS FACETIOUS.
00:06:56<NO VIDEO><VIDEO OK>:;
>> THIS TO BE LIKE GIVING
00:07:24EVERYONE TO EVERY REASON TO
RELAPSE INTO BEING AN ALCOHOLIC.
00:07:26STANDING DOES NOT STRETCH THAT
FAR.
00:07:29THEY NEED TO HANG IT UP.
THE VOTERS HAVE SPOKEN TO
00:07:34APPROVE A FULL-FLEDGED GAMBLING
IN OHIO WITH CASINOS.
00:07:37THEN IT CAN CERTAINLY HAVE
SOMETHING LESS THAN THAT WHAT 7
00:07:43HORSERACING TRACK FOR PEOPLE
HAVE BEEN GAMBLING SINCE THE
00:07:461930'S.
THERE REALLY OUGHT TO GIVE IT UP
00:07:51BECAUSE OF IS BECOMING AN OLD
ISSUE AND I THINK IT IS TIME TO
00:07:56MOVE ON.
>> WALGATE CLAIMED THAT HORTON
00:08:04-- QUOTING HIM -- "HAS PRESIDED
OVER THE DEATH OF ARTICLE 15 OF
00:08:06THE OHIO CONSTITUTION," AND
SAID THAT IT PROVES WHO HE FEELS
00:08:09IS REALLY IN CHARGE WHEN IT
COMES TO GAMBLING ISSUES AT THE
00:08:15STATEHOUSE.
>> OF THEY HAVE THE RIGHT TO DO
00:08:23THAT UNDER THE AUSPICES OF THE
LOTTERY COMMISSION, WHY DID THEY
00:08:26NOT HAVE THE AUTHORITY TO PUT
THESE IN BARS ALL AROUND?
00:08:32WHY DID THEY PICK THE SEVEN
PLACES TO BE THE WINNERS AND
00:08:36LOSERS?
THEN THEY'RE NOT UPHOLDING THE
00:08:39CONSTITUTION WHEN IT COMES TO
THE 1987 AMENDMENT ABOUT ALL
00:08:42REVENUES AND THEY'RE BREAKING
OUT BOLDLY.
00:08:48WE TALKED ABOUT LAST WEEK HOUSE
CERTAIN COMMUNITIES ARE BORING
00:08:53TO GET CERTAIN DOLLARS, BUT
THAT'S NOT CONSTITUTIONAL.
00:08:56THE PEOPLE TWO BLOCKS FROM HERE
DO NOT CARE.
00:08:58THEY DO NOT CARE.
LET ME REPHRASE THAT -- THEY DO
00:09:02NOT CARE BECAUSE IT PROVES THAT
GAMBLING INTERESTS ARE RUNNING
00:09:06THE SHOW.
THEY'RE GETTING EVERYTHING THEY
00:09:08WANT.
>> SEITZ SAYS HE WAS ONE OF
00:09:11THREE STATE SENATORS WHO WORKED
ON THE VLT DEAL, AND SAYS
00:09:13THAT'S JUST NOT THE CASE.
>> ONE OF THE THINGS THEY WANTED
00:09:18WAS THE RIGHT TO TRANSFER
OWNERSHIP OF THEIR CASINOS
00:09:22WITHOUT PAYMENT OF AN ADDITIONAL
FEE.
00:09:24WE REVISITED THAT VERY
STRENUOUSLY.
00:09:28THEY DO NOT LIKE INTERNET CAFES
AND THEY ARE SCREAMING ABOUT
00:09:32THAT.
THEY DO NOT LIKE THE FACT THAT
00:09:35BARS WILL NOW BE ABLE TO KEEP A
LARGER PERCENTAGE OF THEIR SALES
00:09:41OF CHARITABLE.
TICKETS.
00:09:41THE LEGISLATOR IS NOT ROLLING
OVER FOR ANYONE.
00:09:54NOBODY GOT THE WHOLE ENCHILADA.
>> AS FOR WHAT HAPPENS NEXT,
00:09:59WALGATE SAID HE'S NOT SURE, BUT
THAT THE OHIO ROUNDTABLE IS
00:10:01WEIGHING ALL OF ITS LEGAL
OPTIONS.
00:10:03FURTHER LEGAL CHALLENGES.
AND ONE FINAL NOTE ON WALGATE'S
00:10:10CLAIM THAT THE VLT DEAL
VIOLATES THE PROVISION THAT
00:10:12REQUIRES THAT THE ENTIRE NET
PROCEEDS OF GAMES CONDUCTED BY
00:10:17THE LOTTERY COMMISSION ARE
EARMARKED FOR THE BENEFIT OF
00:10:19PUBLIC EDUCATION.
SEITZ SAYS THAT'S STILL THE
00:10:23CASE -- THAT ANY MONEY FOR
CITIES DOESN'T COME OUT OF
00:10:25LOTTERY PROCEEDS, AND THAT THE
TRACKS ARE PAID IN THIS DEAL
00:10:27JUST AS LOTTERY TICKET VENDORS
ARE PAID.
00:10:34THERE ARE RUMORS THAT A DECISION
FROM THE US SUPREME COURT ON
00:10:37THE CONSTITUTIONALITY OF THE
FEDERAL HEALTH INSURANCE LAW
00:10:39CALLED THE AFFORDABLE CARE ACT
COULD COME ANYTIME, OR THAT IT
00:10:44MIGHT HAPPEN AROUND JUNE 25.
BUT REGARDLESS OF WHEN IT DOES
00:10:47COME DOWN, IT WILL BE HUGE
NEWS, WITH MAJOR IMPLICATIONS
00:10:49FOR THE UNINSURED, FOR THOSE WHO
WANT TO CHANGE THEIR INSURANCE,
00:10:56FOR THE HEALTH INSURANCE
INDUSTRY, AND FOR PEOPLE RUNNING
00:10:57FOR OFFICE IN THIS BIG ELECTION
YEAR.
00:10:59LAST WEEK I SAT DOWN WITH TWO
EXPERTS ON THE AFFORDABLE CARE
00:11:13ACT, WHICH OPPONENTS CALL
"OBAMACARE," TO TALK ABOUT WHAT
00:11:15THE DECISION WILL MEAN
SPECIFICALLY IN OHIO.
00:11:17TIM MAGLIONE IS THE SENIOR
DIRECTOR OF GOVERNMENT
00:11:19RELATIONS FOR THE OHIO STATE
MEDICAL ASSOCIATION, WHICH
00:11:21OPPOSES THE LAW.
CATHY LEVINE IS THE EXECUTIVE
00:11:24DIRECTOR OF THE UNIVERSAL HEALTH
CARE NETWORK OF OHIO, WHICH
00:11:26SUPPORTS THE LAW.
WE BEGAN THE SECOND PART OF OUR
00:11:27DISCUSSION WHERE WE ENDED THE
FIRST PART -- TALKING ABOUT HOW
00:11:29A RULING FOR OR AGAINST THE LAW
WILL AFFECT THE ONE AND A HALF
00:11:30MILLION UNINSURED OHIOANS.
>> LET'S START WITH THE 1.5
00:11:36MILLION UNINSURED ESTIMATED TO
NOT HAVE HEALTH INSURANCE.
00:11:39HOW DO WE PREVENT THOSE PEOPLE
FROM DRIVING THE COSTS UP IN THE
00:11:44SYSTEM?
THEY DO NOT HAVE ACCESS TO
00:11:46MEDICAL TREATMENT FOR CHRONIC
AILMENTS THAT CAN GET EXPENSIVE
00:11:54AND OFTEN GO TO THE EMERGENCY
ROOM.
00:11:56HOW DO WE DEAL?
>> THERE ARE WAYS THAT ARE
00:12:01CURRENTLY OUT THERE, THE HIGH
RISK POOLS.
00:12:05SUBSIDIZED INSURANCE PLANS FOR
INDIVIDUALS BASED ON A
00:12:10PARTICULAR NEED.
I WOULD SEE THAT THOSE CONTINUE
00:12:15REGARDLESS OF WHAT HAPPENS WITH
THE SUPREME COURT.
00:12:17>> YOU THINK THEY WILL OR THEY
DEFINITELY WILL?
00:12:21>> KEEPING YOUNGER CHILDREN ON
THEIR HEALTH INSURANCE PLANS
00:12:27WILL CONTINUE EVEN IF THIS GETS
AN APPEAL.
00:12:31>> WOULD HAVE TO BE RE-ENACTED.
>> THERE IS CONSENSUS.
00:12:40THIS GIVES THEM A PORTAL, IF YOU
WILL, OF ALL THE AVAILABLE
00:12:53OPTIONS AND SEEK OUT THE BEST
PLAN FOR THEIR AVAILABLE NEEDS.
00:12:56CERTAINLY, THERE IS TALK ABOUT
BEING ABLE TO PURCHASE INSURANCE
00:13:02ACROSS STATE LINES.
BY HAVING BROADER COMPETITION IN
00:13:05THE INSURANCE MARKET, YOU MIGHT
HAVE PRESSURE ON PREMIUMS WHICH
00:13:09WILL MAKE IT MORE AFFORDABLE FOR
CERTAIN PEOPLE.
00:13:13THERE ARE OTHER WAYS TO PROVIDE
ACCESS.
00:13:16IT JUST A QUESTION OF WHETHER OR
NOT THE INDIVIDUAL MANDATE IS
00:13:26GOING TO BEAT INCLUDED.
>> OHIO HAS STUDIED THE
00:13:34FEASIBILITY OF DOING A HIGH-RISK
POOL FOR YEARS BUT IT IS NOT
00:13:38FINANCIALLY FEASIBLE TO PROVIDE
PEOPLE WITH COMPREHENSIVE
00:13:44COVERAGE.
THEY COST A LOT OF MONEY.
00:13:46THE REASON THAT MITT ROMNEY
EXPANDED COVERAGE THE WAY HE DID
00:13:56IN MASSACHUSETTS WAS THE MOST
ECONOMICAL AND SENSIBLE WAY TO
00:14:00EXTEND TO PEOPLE WITH PRE-
EXISTING CONDITIONS WAS TO
00:14:05REMOVE THE BAN ON THEM IN THE
POOL WITH EVERYONE ELSE.
00:14:09>> I WANT TO GET TO THAT -- THE
MANDATE.
00:14:15THAT IS WHAT THEY ARE CALLING
THE HEART OF THE STATUTE.
00:14:18THERE IS A QUESTION ABOUT
WHETHER THE WHOLE LAW FALLS OR
00:14:27IF PART.
HOW DO YOU KEEP THIS AFLOAT IF
00:14:34NOT EVERYONE IS IN THE POOL?
IT IS NOT LIKE DOCTORS CANNOT
00:14:40TREAT THESE PEOPLE, RIGHT?
>> WE NEED TO PROVIDE INCENTIVES
00:14:46FOR INDIVIDUALS TO PURCHASE
HEALTH INSURANCE.
00:14:48YOU CAN PROVIDE VOUCHERS THAT IS
SUBSIDIZED IN A WAY TO HELP
00:15:00PEOPLE AFFORD COVERAGE.
RATHER THAN EXPANDING EXISTING
00:15:07ENTITLEMENT COLLECTIONS, LIKE
MEDICAID, RATHER THAN DOING
00:15:14BACK, WE COULD LOOK IT UP BEFORE
WE DECIDE TO EXPAND THEM
00:15:21FURTHER.
>> THE AFFORDABLE HEALTH CARE
00:15:31ACT DOES MORE TO SHORE UP ANY
LAW BY MAKING CHANGES TO MAKE IT
00:15:35MORE COST-EFFECTIVE.
I DO NOT THINK GETTING RID OF
00:15:39THE AFFORDABLE HEALTH CARE ACT
WILL HELP MEDICARE ANY.
00:15:42IN TERMS OF EXPANDING HEALTH
CARE TO THE UNINSURED, A LOT OF
00:15:48THEM ARE PEOPLE WHO WORK FULL
TIME TO BARELY GET THEM ABOVE
00:15:57THE POVERTY LEVEL.
NOW A LOT OF THEM ARE NOT
00:16:00ELIGIBLE FOR MEDICAID.
BUT THIS LAW EXPANDS MEDICAID SO
00:16:05THAT LOW-INCOME WORKING PEOPLE
CAN HAVE A COVERAGE WHEN YOU
00:16:08WORK FULL-TIME IN A FAST-FOOD
PLACE.
00:16:11>> SOME CRITICS SAY THAT PUTS AN
UNDUE BURDEN ON THE STATES AND
00:16:15IS UNSUSTAINABLE OVER TIME,
THESE ISSUES THAT MAKE IT REALLY
00:16:20EXPENSIVE.
>> THE LAW PAID FOR THIS
00:16:24MEDICAID EXPANSION UNTIL 2018 AT
LEAST.
00:16:27>> AND THEN THE BURDEN IS ON THE
STATES?
00:16:29>> PART OF THE BURDEN GOES ON
THIS DATE.
00:16:33>> IT IS ABOUT $1.50 BILLION TO
THE STATE OF OHIO AND WE HAVE
00:16:38HAD A PRETTY SERIOUS BUDGET
CRUNCH HERE SO ADDING THIS OVER
00:16:47TIME, WE DIFFICULT FOR STATES
THAT ARE ALREADY HAVING
00:16:52DIFFICULTY BALANCING THEIR
BUDGETS DEALING WITH THIS NEW
00:16:56RESPONSIBILITY.
RATHER THAN EXPANDING THE
00:16:58PROGRAM, LET'S CREATE AN
OPPORTUNITY FOR PEOPLE TO BE
00:17:02ABLE TO PURCHASE INSURANCE FROM
THE PRIVATE MARKET WITH A SYSTEM
00:17:06OF EITHER VOUCHERS OR SOME KIND
OF ASSISTANCE TO MAKE IT
00:17:10AFFORDABLE.
IT GETS TO THE SAME PLACE THAT
00:17:13THE MANDATE OF, BUT IT JUST DOES
IN A DIFFERENT WAY.
00:17:16>> LET'S EXPLAIN WHAT THE
EXCHANGE IS.
00:17:21OUR DIFFERENCES ARE IN BASIC
DETAILS.
00:17:24THE EXCHANGE IS THE MARKETPLACE.
IT WILL BE A WEB SITE LIKE
00:17:30TRAVELOCITY OR EXPEDIA.
THAT IS AT LEAST THE IDEA.
00:17:36THEY HAVE NOT PUT TOGETHER
ANYTHING.
00:17:40>> IF OHIO DOES NOT, THE FEDERAL
GOVERNMENT WILL.
00:17:44NO ONE WANTS THAT IN THE
ASSEMBLY.
00:17:49IF THE LAW IS UPHELD, I THINK
YOU'LL SEE OHIO GET ITS ACT
00:17:53TOGETHER.
REGARDLESS OF WHAT OHIO DOES,
00:17:57THEY WILL HAVE ACCESS TO THIS
EXCHANGE.
00:17:59THIS WILL INCREASE CHOICE AND
COMPETITION AMONG INSURERS AND
00:18:06PEOPLE WILL BE ABLE TO MAKE
APPLES TO APPLES COMPARISONS
00:18:11BETWEEN PRODUCTS.
THEY WILL KNOW THEY HAVE CHOICES
00:18:13AND LEVELS.
IF I PAY MORE UP FRONT, COST
00:18:17SHARING IS LESS.
PEOPLE WILL HAVE A MUCH EASIER
00:18:22WAY AND MORE RESOURCES AND
BETTER PRICES AND THEY WILL BE
00:18:26ABLE TO GET SUBSIDIES, TAX
CREDITS TO HELP PURCHASE
00:18:30INSURANCE AND IT WILL COVER
THEIR HEALTH NEEDS.
00:18:32>> ONE REASON WE ARE TOLD THEY
HAVE NOT SET UP THIS EXCHANGES
00:18:38BECAUSE THE LAW IS SO BIG THAT
THEY'RE STILL TRYING TO FIND OUT
00:18:41ALL THAT IS IN IT.
TO THE COMPLEXITY AND THE
00:18:45BREADTH OF THIS LAW POTENTIALLY
HURTING ITS GOAL?
00:18:47>> I'M LAUGHING BECAUSE 34
STATES IN THE DISTRICT OF
00:18:53COLUMBIA HAVE ALREADY PUT MONEY
INTO CREATING THEIR EXCHANGES.
00:18:59IT IS A SMOKESCREEN.
JUST THE OTHER DAY, WE DELIVERED
00:19:09A LETTER TO THE LIEUTENANT
GOVERNOR AND OTHER OFFICIALS
00:19:13THAT THE FEDERAL GOVERNMENT
ISSUED REGULATIONS ON WHAT THE
00:19:18FEDERAL EXCHANGE WILL LOOK LIKE.
THERE WAS REGULATIONS AND MORE
00:19:24GUIDANCE ON SETTING UP THE
EXCHANGE.
00:19:26>> I THINK THE ADMINISTRATION IS
WAITING FOR IN THE LEGISLATURE
00:19:36IS WAITING ON THE SUPREME COURT
BEFORE THEY INVEST ALL THIS TIME
00:19:40AND ENERGY IN SETTING UP
SOMETHING THAT MAY BE A MOOT
00:19:43POINT.
>> WOULD IT EVEN BE A MOOT
00:19:46POINT?
YOU SAY IT IS SOMETHING THE
00:19:48STATE SHOULD EVEN LOOK INTO.
>> THE WAY THAT THE FED IS
00:19:53WRITING THE RULES FOR HOW IT HAS
TO LOOK AT, THAT MADE THE --
00:19:59MAYBE TIES THE STATE'S HANDS.
THE DECISION IS MADE AT THE
00:20:05SUPREME COURT LEVEL, YOU WILL
SEE THE STATES GET MORE SERIOUS.
00:20:08IT NEEDS TO GET RE-ENACTED AS
SOON AS POSSIBLE.
00:20:17THE PEOPLE ARE NOT SICK, THEY
WILL NOT BE SPENDING RESOURCES.
00:20:28TO THE EXTENT PEOPLE CAN GET
ANNUAL EXAMS AND PREVENTATIVE
00:20:34CARE WITHOUT OUT OF POCKET
EXPENSES, THAT WILL GO A LONG
00:20:37WAY.
>> HOW DO YOU PAY FOR THAT?
00:20:41>> IT PART OF THE COVERAGE.
>> ARE THERE LITTLE THINGS LIKE
00:20:45THAT TO MAKE CRITICS SAY, HOW DO
WE PAY FOR THIS?
00:20:48IS THIS DRIVING UP THE COST?
THE OTHER THING THAT'S IMPORTANT
00:21:01TO REMEMBER IS INFORMATION
TECHNOLOGY, THERE'S A LOT IN
00:21:04THIS WALL PROMOTING THE USE OF
ELECTRONIC MEDICAL RECORDS AND
00:21:08COMPARING EFFECTIVE RESEARCH ON
HOW TO TAKE CARE OF IT PATIENCE.
00:21:16IF WE CAN FOCUS ON MANAGING
CHRONIC DISEASES, PREVENTION AND
00:21:20WELLNESS, INFORMATION
TECHNOLOGY, IT WILL SAVE THE
00:21:24SYSTEM A LOT OF MONEY.
>> I AGREE, BUT YOU'RE STILL
00:21:37LEAVING 1.5 MILLION PEOPLE WITH
TO AFFORD HEALTH CARE.
00:21:44TODAY, WHAT HAPPENS IS THEY NEED
TREATMENT?
00:21:59THE TARP CRIME-PREVENTION AND
YOU CANNOT REALLY LOOK AT
00:22:06MANAGEMENT OF CHRONIC PHYSICIANS
ABOUT HAVING PRIMARY HEALTH
00:22:09CARE.
THIS PROVIDES PEOPLE WITH THE
00:22:12BASIC PRIMARY HEALTH CARE AT
AFFORDABLE PRICE.
00:22:15THE THAT GOES AWAY, THAT'S JUST
THERE.
00:22:25>> OHIO WAS BY THE STATES THAT
JOINED THE LAWSUIT.
00:22:28>> THERE'S STILL SOME DEBATE
ABOUT THAT, LEGALLY IT WILL NOT
00:22:39HAPPEN.
51% OF OHIO THINKS THE LAW
00:22:44SHOULD BE OVER TIME -- OVER
TURNED.
00:22:51SHOULD >> READ OBJECTIVE
INFORMATION AND I THINK IT
00:22:55SHOULD PROTECT THEM FROM UNFAIR
INSURANCE PRACTICES.
00:23:09IT PROVIDES MORE OPTIONS, MORE
CHOICES.
00:23:13THEY ARE UNINSURED.
NOW WHEN PEOPLE LOSE THEIR JOBS,
00:23:19THEY'VE GET THE SUBSIDY IN THE
VENTURE.
00:23:24THIS GIVES EVERY FAMILY MORE
SECURITY.
00:23:37>> THESE ARE SOME POINTS IN THE
LAW THAT A LOT OF PEOPLE REALLY
00:23:44LIKE.
IF THE LAW IS GOING TO GET
00:23:48THROWN OUT, DO YOU WORRY THAT
PEOPLE WILL GET UPSET WITH THOSE
00:23:51WHO OPPOSE THE LAW AND WILL BE
CONCERNED ABOUT THESE THINGS
00:23:55COMING BACK?
>> LIKE WE START THE
00:23:59CONVERSATION, THERE IS A GENERAL
INTEREST IN REFORMING A LOT OF
00:24:03THINGS WE DO IN HEALTH CARE.
THERE ARE LOT OF DIFFERENT WAYS
00:24:07TO GET ACCESS TO MORE
AFFORDABLE COVERAGE.
00:24:10IT IS JUST A THE LISTS OF PEOPLE
THIS AGREEMENT.
00:24:15I BELIEVE THERE ARE OTHER WAYS
TO ACCOMPLISH THE SAME GOALS
00:24:18THAT WE ARE COMMITTED TO.
REGARDLESS OF WHAT HAPPENS WITH
00:24:22THE SUPREME COURT, WE WILL BE
INVOLVED IN THOSE DISCUSSIONS.
00:24:25>> HOW ARE YOU GOING TO PROVIDE
AFFORDABLE COVERAGE THAT ALSO
00:24:33HAS THE COVERAGE THAT PEOPLE
NEED?
00:24:36I CAN GO OUT AND BUY INSURANCE
BECAUSE I AM PERFECTLY HEALTHY.
00:24:39I DO NOT KNOW WHAT IS COMING.
>> THAT'S WHY YOU HAVE
00:24:43INSURANCE.
THIS LAW WAS CREATED TO MAKE
00:24:58SURE THAT PEOPLE HAVE A SAFETY
NET.
00:25:00THEY HAVE SECURITY OF SOMETHING
BAD HAPPENS.
00:25:03>> MEDICARE AND MEDICAID ARE
ALREADY STRESSED IN TERMS OF
00:25:10FUNDING.
THIS LAW HAS EXPANDED THE
00:25:14PROGRAMS WHICH ARE ON SHAKY
FOOTING ANYWAY.
00:25:16THAT SHOULD NOT BE THE BASIS BY
WHICH WE BUILD A MODEL.
00:25:19THERE'S PROBABLY A BETTER WAY
AND THAT IS WHAT WE WILL BE
00:25:23TALKING ABOUT.
>> WE WILL HAVE MORE DETAILS
00:25:27WHEN IT IS HANDED DOWN, LIKELY
LATER THIS MONTH.
00:25:31RADIO AND TELEVISION, THANKS
FOR -- IT FOR MY COLLEAGUES AT
00:25:40OHIO PUBLIC RADIO AND
TELEVISION, THANKS FOR WATCHING.
00:25:44MAKE COMMENTS, OR WATCH THIS
WEEK'S SHOW OR EARLIER
00:25:51EPISODES, PLEASE VISIT OUR
WEBSITE AT STATENEWS.ORG.
00:25:56YOU CAN ALSO CHECK US OUT ON
TIME FOR "THE STATE OF OHIO."
00:26:07SUPPORT COMES FROM THE >> LAW
OFFICE OF PORTER, WRIGHT, LLP,
00:26:15HELPING INDIVIDUALS SOLVE
COMPLEX PROBLEMS IN OHIO, THE
00:26:19COUNTRY, AND THE WORLD.
AND FROM THE OHIO EDUCATION
00:26:25ASSOCIATION REPRESENTING 131,000
TEACHERS, SUPPORT PROFESSIONALS
00:26:30, AND HIGHER EDUCATION BY APPLE
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00:26:33SCHOOLS THERE EVERY CHILD.
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Note : Transcripts are compiled from uncorrected captions