00:00:00 | >> SUPPORT COMES FROM THE LAW FIRM OF WRIGHT, PORTER, LLP |
00:00:08 | HELPING PEOPLE SOLVE COMPLEX PROBLEMS AROUND OHIO, THE |
00:00:12 | COUNTRY, AND THE WORLD. FROM THE OHIO INDICATION |
00:00:16 | ASSOCIATION REPRESENTING 131,000 TEACHERS AND FACULTY. |
00:00:23 | OHEA.ORG. ADDITIONAL SUPPORT MADE POSSIBLE |
00:00:30 | BY ETECH OHIO. >> ANOTHER EXECUTION LOOMS AS |
00:00:36 | THE GOVERNOR REFUSES CLEMENCY. ANOTHER HISTORY MAKING WEEK IN |
00:00:38 | GAMBLING IN OHIO, AS A CASINO AND A RACINO OPEN FOR BUSINESS. |
00:00:41 | WE'LL HEAR FROM TWO KEY PLAYERS IN THE LAWSUIT THAT SOUGHT TO |
00:00:44 | STOP ELECTRONIC SLOT MACHINES FROM BEING PULLED AT THE |
00:00:46 | STATE'S SEVEN HORSERACING TRACKS. |
00:00:55 | AND AS WE WAIT FOR A RULING FROM THE U.S. SUPREME COURT, WE |
00:00:58 | BRING YOU THE SECOND HALF OF A CONVERSATION ABOUT THE IMPACT OF |
00:01:00 | THE AFFORDABLE CARE ACT -- OR OBAMACARE -- IN OHIO. |
00:01:02 | CAPTIONED BY THE NATIONAL CAPTIONING INSTITUTE |
00:01:04 | --WWW.NCICAP.ORG-- ALL THIS WEEK IN "THE STATE OF |
00:01:07 | OHIO." THE STATE'S SECOND EXECUTION OF |
00:01:09 | THE YEAR COULD TAKE PLACE NEXT WEEK, AS GOV. JOHN KASICH HAS |
00:01:11 | REJECTED CLEMENCY FOR A CONDEMNED INMATE SCHEDULED TO |
00:01:13 | DIE NEXT MONTH FOR KILLING HIS ESTRANGED WIFE AND BROTHER-IN- |
00:01:17 | LAW IN THE CUYAHOGA COUNTY COURTHOUSE IN 1992, WHERE THE |
00:01:21 | FAMILY WAS TO WORK OUT DIVORCE AND CUSTODY ISSUES. |
00:01:24 | LAWYERS FOR ABDUL AWKAL ARGUE THE 53-YEAR-OLD MAN SUFFERS |
00:01:28 | FROM SEVERE MENTAL HEALTH PROBLEMS AND SHOULD BE SPARED, |
00:01:31 | BUT THE STATE SAID AWKAL CAREFULLY PLANNED THE KILLINGS. |
00:01:35 | THE OHIO PAROLE BOARD ALSO RECOMMENDED AGAINST CLEMENCY. |
00:01:39 | MEANWHILE, THE STATE'S PRISON DIRECTOR SAYS CHANGES IN LAWS |
00:01:43 | AIMED AT SHRINKING THE NUMBER OF INMATES ARE HAVING A SLOWER |
00:01:46 | EFFECT THAN ANTICIPATED, BUT THAT THE STATE'S PRISON |
00:01:55 | POPULATION IS AT ITS LOWEST LEVEL IN FOUR YEARS. |
00:01:56 | THERE ARE NOW AROUND 49,900 INMATES IN OHIO'S PRISONS -- |
00:01:59 | DOWN FROM THE PRISON POPULATION PEAK OF JUST OVER 51,000 IN |
00:02:07 | 2008. BUT DIRECTOR GARY MOHR SAYS HE |
00:02:10 | HOPES TO DROP THAT NUMBER BY SEVERAL HUNDRED IN JUST THE |
00:02:11 | NEXT TWO MONTHS. THE STATE'S TRANSPORTATION |
00:02:17 | AGENCY HAS BIG FINANCIAL PROBLEMS, BUT ITS LEADERS SAID |
00:02:23 | THEY'RE PUSHING FORWARD PLANS TO DEAL WITH IT, AND OUTLINED |
00:02:25 | THOSE STEPS IN A FIRST-OF-ITS- KIND PRESENTATION -- THE "STATE |
00:02:31 | OF ODOT." DIRECTOR JERRY WRAY STARTED WITH SOME NUMBERS THAT |
00:02:33 | AREN'T NEWS, BUT STILL CAN BE SURPRISING. |
00:02:35 | >> THERE IS A $1.6 BILLION FUNDING SHORTFALL FOR |
00:02:37 | CONSTRUCTION PROJECTS -- THOSE ARE PROJECTS THAT HAVE BEEN |
00:02:39 | VETTED THROUGH THE PROCESS, READY TO GO TO CONSTRUCTION, |
00:02:41 | AND WE DON'T HAVE ENOUGH MONEY TO BUILD THEM. |
00:02:42 | PLUS, THERE'S ANOTHER $10 BILLION WORTH OF PROJECTS, |
00:02:44 | FUTURE PROJECTS THAT ARE IN THE DEVELOPMENT PROCESS FOR WHICH |
00:02:46 | THERE IS NO MONEY. >> WRAY SAYS THE AGENCY IS |
00:02:48 | WORKING TO PLUG THAT HOLE BY CHANGING SOME POLICIES, CUTTING |
00:02:50 | 400 STAFF MEMBERS THROUGH ATTRITION, RE-EVALUATING ITS |
00:02:52 | VEHICLE AND EQUIPMENT PURCHASES, AND CREATING |
00:02:54 | SPONSORED SERVICE PLAZAS OR NAMING RIGHTS FOR BRIDGES AND |
00:02:58 | INFRASTRUCTURE, AND SAYS ODOT HAS FOUND SOME 250 MILLION |
00:03:02 | DOLLARS IN SAVINGS THROUGH THOSE EFFORTS. |
00:03:05 | BUT EVEN THOUGH THERE WERE SOME LAWMAKERS AT THE SPEECH WHO |
00:03:27 | SUGGESTED THE TIME WAS RIGHT TO AT LEAST TALK ABOUT A GAS TAX |
00:03:35 | INCREASE, WRAY MADE IT CLEAR THAT WASN'T ON THE TABLE. |
00:03:36 | MEANWHILE, THE PANEL THAT MAKES THE DECISIONS ON ODOT'S |
00:03:39 | CONSTRUCTION PROJECTS AND WHEN THEY WILL BE BUILT MEETS FOR A |
00:03:41 | FINAL VOTE ON TUESDAY, AND IT'S UNCLEAR WHETHER THE SAVINGS |
00:03:42 | WILL AFFECT THE DRAFT LIST OF DELAYED PROJECTS THAT INCENSED |
00:03:45 | COMMUNITIES AND DRIVERS BACK IN JANUARY. |
00:03:46 | WE'LL BRING YOU DETAILS OF THAT VOTE NEXT WEEK. |
00:03:48 | OHIO IS ONE OF EIGHT STATES THAT THIS WEEK GOT A BREAK FROM |
00:03:50 | THE FEDERAL NO CHILD LEFT BEHIND LAW. |
00:03:52 | SUPERINTENDENT STAN HEFFNER TALKED ABOUT FILING FOR THE |
00:03:56 | WAIVER ON THIS SHOW IN MARCH. THE OBAMA ADMINISTRATION HAS |
00:03:59 | GRANTED WAIVERS FROM 19 STATES IN EXCHANGE FOR PROMISES THAT |
00:04:01 | THE STATES WILL IMPROVE HOW THEY PREPARE AND EVALUATE |
00:04:03 | STUDENTS. CONGRESS IS STILL REWRITING THE |
00:04:05 | BUSH-ERA LAW, AND LAWMAKERS ARE STILL DEBATING CHANGES THAT |
00:04:06 | NEED TO BE MADE IN IT. AND CONGRATULATIONS TO OHIO'S |
00:04:20 | OWN JOHN GLENN -- ASTRONAUT, U.S. SENATOR AND NOW RECIPIENT |
00:04:22 | OF THE NATION'S HIGHEST CIVILIAN HONOR -- THE |
00:04:29 | PRESIDENTIAL MEDAL OF FREEDOM. GLENN WAS THE FIRST AMERICAN TO |
00:04:32 | ORBIT THE EARTH, AND JOINED FORMER SECRETARY OF STATE |
00:04:34 | MADELEINE ALBRIGHT, LONGTIME TENNESSEE WOMEN'S BASKETBALL |
00:04:37 | COACH PAT SUMMITT, AND ROCK LEGEND BOB DYLAN IN RECEIVING |
00:04:40 | THE HONOR AT THE WHITE HOUSE THIS WEEK. |
00:04:42 | THE STATE'S FIRST TWO CASINOS ARE OPEN FOR BUSINESS. |
00:04:50 | TOLEDO'S HOLLYWOOD CASINO OPENED ON TUESDAY, JUST TWO WEEKS |
00:04:52 | AFTER THE HORSESHOE CASINO CLEVELAND MADE ITS DEBUT. |
00:04:53 | PENN NATIONAL OPERATES THE TOLEDO FACILITY, AND WILL OPEN |
00:04:56 | ITS HOLLYWOOD CASINO COLUMBUS SOMETIME AROUND THANKSGIVING. |
00:04:57 | AND THIS WEEK, ITS FIRST RACINO HAS JOINED THOSE TWO FULL- |
00:04:59 | FLEDGED CASINOS IN WELCOMING GAMBLERS. |
00:05:01 | SCIOTO DOWNS HAS BECOME THE FIRST HORSERACING TRACK TO OPEN |
00:05:04 | UP FOR GAMBLING AT ELECTRONIC SLOT MACHINES, WITH 18-HUNDRED |
00:05:06 | VLT'S, OR VIDEO LOTTERY TERMINALS, IN OPERATION. THAT |
00:05:08 | TERMINOLOGY IS IMPORTANT. THE MACHINES ARE UNDER THE |
00:05:11 | OVERSIGHT OF THE OHIO LOTTERY COMMISSION, AS PART OF AN |
00:05:15 | EXPANSION OF GAMBLING UNDER THE LOTTERY DONE IN AN AGREEMENT |
00:05:23 | MADE WITH CASINO OPERATORS LAST YEAR. |
00:05:25 | THE ANTI-GAMBLING GROUP THE OHIO ROUNDTABLE HAD FILED A |
00:05:27 | LAWSUIT LAST OCTOBER, SAYING THE GOVERNOR DIDN'T HAVE THE |
00:05:31 | AUTHORITY TO MAKE THIS DEAL AND THAT VOTERS NEEDED TO DECIDE |
00:05:33 | IT. BUT FRANKLIN COUNTY COMMON |
00:05:41 | PLEAS >> THE QUESTION BECOMES, WHO HAS |
00:05:49 | STANDING? WHEN MULTIPLIED? |
00:05:52 | -- WHEN WILL IT APPLY? THAT WAS THE QUESTION PRESENTED |
00:05:57 | IN COURT. WHEN WE LOOK AT THE AMENDMENT |
00:06:01 | THAT WAS PASSED IN 2009, THERE WAS A BIT OF AN UPROAR WITH THE |
00:06:09 | LOCATION IN COLUMBUS. IF YOU REMEMBER THAT PUT |
00:06:16 | TOGETHER A JOINT RESOLUTION AND WE WENT TO BALLOT IN 2010. |
00:06:19 | IF EVERYONE VOTED TO MEET THE CASINO 8 MILES, ROUGHLY. |
00:06:23 | WHY? WHY DID THEY DO THAT? |
00:06:28 | THE ADMINISTRATION FELT IT WAS INHERENT TO AMEND THE |
00:06:32 | CONSTITUTION THAT IT WAS NEEDED TO BE DONE. |
00:06:35 | ACCORDING TO THE CURRENT ADMINISTRATION, THEY TOLD THE |
00:06:44 | LEGISLATURE WHAT TO DO. THE ARGUMENT THAT THIS WAS AN |
00:06:53 | AMENDMENT TO THE CONSTITUTION AND NOT A STATUTE IS FACETIOUS. |
00:06:56 | <NO VIDEO><VIDEO OK>:; >> THIS TO BE LIKE GIVING |
00:07:24 | EVERYONE TO EVERY REASON TO RELAPSE INTO BEING AN ALCOHOLIC. |
00:07:26 | STANDING DOES NOT STRETCH THAT FAR. |
00:07:29 | THEY NEED TO HANG IT UP. THE VOTERS HAVE SPOKEN TO |
00:07:34 | APPROVE A FULL-FLEDGED GAMBLING IN OHIO WITH CASINOS. |
00:07:37 | THEN IT CAN CERTAINLY HAVE SOMETHING LESS THAN THAT WHAT 7 |
00:07:43 | HORSERACING TRACK FOR PEOPLE HAVE BEEN GAMBLING SINCE THE |
00:07:46 | 1930'S. THERE REALLY OUGHT TO GIVE IT UP |
00:07:51 | BECAUSE OF IS BECOMING AN OLD ISSUE AND I THINK IT IS TIME TO |
00:07:56 | MOVE ON. >> WALGATE CLAIMED THAT HORTON |
00:08:04 | -- QUOTING HIM -- "HAS PRESIDED OVER THE DEATH OF ARTICLE 15 OF |
00:08:06 | THE OHIO CONSTITUTION," AND SAID THAT IT PROVES WHO HE FEELS |
00:08:09 | IS REALLY IN CHARGE WHEN IT COMES TO GAMBLING ISSUES AT THE |
00:08:15 | STATEHOUSE. >> OF THEY HAVE THE RIGHT TO DO |
00:08:23 | THAT UNDER THE AUSPICES OF THE LOTTERY COMMISSION, WHY DID THEY |
00:08:26 | NOT HAVE THE AUTHORITY TO PUT THESE IN BARS ALL AROUND? |
00:08:32 | WHY DID THEY PICK THE SEVEN PLACES TO BE THE WINNERS AND |
00:08:36 | LOSERS? THEN THEY'RE NOT UPHOLDING THE |
00:08:39 | CONSTITUTION WHEN IT COMES TO THE 1987 AMENDMENT ABOUT ALL |
00:08:42 | REVENUES AND THEY'RE BREAKING OUT BOLDLY. |
00:08:48 | WE TALKED ABOUT LAST WEEK HOUSE CERTAIN COMMUNITIES ARE BORING |
00:08:53 | TO GET CERTAIN DOLLARS, BUT THAT'S NOT CONSTITUTIONAL. |
00:08:56 | THE PEOPLE TWO BLOCKS FROM HERE DO NOT CARE. |
00:08:58 | THEY DO NOT CARE. LET ME REPHRASE THAT -- THEY DO |
00:09:02 | NOT CARE BECAUSE IT PROVES THAT GAMBLING INTERESTS ARE RUNNING |
00:09:06 | THE SHOW. THEY'RE GETTING EVERYTHING THEY |
00:09:08 | WANT. >> SEITZ SAYS HE WAS ONE OF |
00:09:11 | THREE STATE SENATORS WHO WORKED ON THE VLT DEAL, AND SAYS |
00:09:13 | THAT'S JUST NOT THE CASE. >> ONE OF THE THINGS THEY WANTED |
00:09:18 | WAS THE RIGHT TO TRANSFER OWNERSHIP OF THEIR CASINOS |
00:09:22 | WITHOUT PAYMENT OF AN ADDITIONAL FEE. |
00:09:24 | WE REVISITED THAT VERY STRENUOUSLY. |
00:09:28 | THEY DO NOT LIKE INTERNET CAFES AND THEY ARE SCREAMING ABOUT |
00:09:32 | THAT. THEY DO NOT LIKE THE FACT THAT |
00:09:35 | BARS WILL NOW BE ABLE TO KEEP A LARGER PERCENTAGE OF THEIR SALES |
00:09:41 | OF CHARITABLE. TICKETS. |
00:09:41 | THE LEGISLATOR IS NOT ROLLING OVER FOR ANYONE. |
00:09:54 | NOBODY GOT THE WHOLE ENCHILADA. >> AS FOR WHAT HAPPENS NEXT, |
00:09:59 | WALGATE SAID HE'S NOT SURE, BUT THAT THE OHIO ROUNDTABLE IS |
00:10:01 | WEIGHING ALL OF ITS LEGAL OPTIONS. |
00:10:03 | FURTHER LEGAL CHALLENGES. AND ONE FINAL NOTE ON WALGATE'S |
00:10:10 | CLAIM THAT THE VLT DEAL VIOLATES THE PROVISION THAT |
00:10:12 | REQUIRES THAT THE ENTIRE NET PROCEEDS OF GAMES CONDUCTED BY |
00:10:17 | THE LOTTERY COMMISSION ARE EARMARKED FOR THE BENEFIT OF |
00:10:19 | PUBLIC EDUCATION. SEITZ SAYS THAT'S STILL THE |
00:10:23 | CASE -- THAT ANY MONEY FOR CITIES DOESN'T COME OUT OF |
00:10:25 | LOTTERY PROCEEDS, AND THAT THE TRACKS ARE PAID IN THIS DEAL |
00:10:27 | JUST AS LOTTERY TICKET VENDORS ARE PAID. |
00:10:34 | THERE ARE RUMORS THAT A DECISION FROM THE US SUPREME COURT ON |
00:10:37 | THE CONSTITUTIONALITY OF THE FEDERAL HEALTH INSURANCE LAW |
00:10:39 | CALLED THE AFFORDABLE CARE ACT COULD COME ANYTIME, OR THAT IT |
00:10:44 | MIGHT HAPPEN AROUND JUNE 25. BUT REGARDLESS OF WHEN IT DOES |
00:10:47 | COME DOWN, IT WILL BE HUGE NEWS, WITH MAJOR IMPLICATIONS |
00:10:49 | FOR THE UNINSURED, FOR THOSE WHO WANT TO CHANGE THEIR INSURANCE, |
00:10:56 | FOR THE HEALTH INSURANCE INDUSTRY, AND FOR PEOPLE RUNNING |
00:10:57 | FOR OFFICE IN THIS BIG ELECTION YEAR. |
00:10:59 | LAST WEEK I SAT DOWN WITH TWO EXPERTS ON THE AFFORDABLE CARE |
00:11:13 | ACT, WHICH OPPONENTS CALL "OBAMACARE," TO TALK ABOUT WHAT |
00:11:15 | THE DECISION WILL MEAN SPECIFICALLY IN OHIO. |
00:11:17 | TIM MAGLIONE IS THE SENIOR DIRECTOR OF GOVERNMENT |
00:11:19 | RELATIONS FOR THE OHIO STATE MEDICAL ASSOCIATION, WHICH |
00:11:21 | OPPOSES THE LAW. CATHY LEVINE IS THE EXECUTIVE |
00:11:24 | DIRECTOR OF THE UNIVERSAL HEALTH CARE NETWORK OF OHIO, WHICH |
00:11:26 | SUPPORTS THE LAW. WE BEGAN THE SECOND PART OF OUR |
00:11:27 | DISCUSSION WHERE WE ENDED THE FIRST PART -- TALKING ABOUT HOW |
00:11:29 | A RULING FOR OR AGAINST THE LAW WILL AFFECT THE ONE AND A HALF |
00:11:30 | MILLION UNINSURED OHIOANS. >> LET'S START WITH THE 1.5 |
00:11:36 | MILLION UNINSURED ESTIMATED TO NOT HAVE HEALTH INSURANCE. |
00:11:39 | HOW DO WE PREVENT THOSE PEOPLE FROM DRIVING THE COSTS UP IN THE |
00:11:44 | SYSTEM? THEY DO NOT HAVE ACCESS TO |
00:11:46 | MEDICAL TREATMENT FOR CHRONIC AILMENTS THAT CAN GET EXPENSIVE |
00:11:54 | AND OFTEN GO TO THE EMERGENCY ROOM. |
00:11:56 | HOW DO WE DEAL? >> THERE ARE WAYS THAT ARE |
00:12:01 | CURRENTLY OUT THERE, THE HIGH RISK POOLS. |
00:12:05 | SUBSIDIZED INSURANCE PLANS FOR INDIVIDUALS BASED ON A |
00:12:10 | PARTICULAR NEED. I WOULD SEE THAT THOSE CONTINUE |
00:12:15 | REGARDLESS 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 |
00:12:27 | WILL CONTINUE EVEN IF THIS GETS AN APPEAL. |
00:12:31 | >> WOULD HAVE TO BE RE-ENACTED. >> THERE IS CONSENSUS. |
00:12:40 | THIS GIVES THEM A PORTAL, IF YOU WILL, OF ALL THE AVAILABLE |
00:12:53 | OPTIONS AND SEEK OUT THE BEST PLAN FOR THEIR AVAILABLE NEEDS. |
00:12:56 | CERTAINLY, THERE IS TALK ABOUT BEING ABLE TO PURCHASE INSURANCE |
00:13:02 | ACROSS STATE LINES. BY HAVING BROADER COMPETITION IN |
00:13:05 | THE INSURANCE MARKET, YOU MIGHT HAVE PRESSURE ON PREMIUMS WHICH |
00:13:09 | WILL MAKE IT MORE AFFORDABLE FOR CERTAIN PEOPLE. |
00:13:13 | THERE ARE OTHER WAYS TO PROVIDE ACCESS. |
00:13:16 | IT JUST A QUESTION OF WHETHER OR NOT THE INDIVIDUAL MANDATE IS |
00:13:26 | GOING TO BEAT INCLUDED. >> OHIO HAS STUDIED THE |
00:13:34 | FEASIBILITY OF DOING A HIGH-RISK POOL FOR YEARS BUT IT IS NOT |
00:13:38 | FINANCIALLY FEASIBLE TO PROVIDE PEOPLE WITH COMPREHENSIVE |
00:13:44 | COVERAGE. THEY COST A LOT OF MONEY. |
00:13:46 | THE REASON THAT MITT ROMNEY EXPANDED COVERAGE THE WAY HE DID |
00:13:56 | IN MASSACHUSETTS WAS THE MOST ECONOMICAL AND SENSIBLE WAY TO |
00:14:00 | EXTEND TO PEOPLE WITH PRE- EXISTING CONDITIONS WAS TO |
00:14:05 | REMOVE THE BAN ON THEM IN THE POOL WITH EVERYONE ELSE. |
00:14:09 | >> I WANT TO GET TO THAT -- THE MANDATE. |
00:14:15 | THAT IS WHAT THEY ARE CALLING THE HEART OF THE STATUTE. |
00:14:18 | THERE IS A QUESTION ABOUT WHETHER THE WHOLE LAW FALLS OR |
00:14:27 | IF PART. HOW DO YOU KEEP THIS AFLOAT IF |
00:14:34 | NOT EVERYONE IS IN THE POOL? IT IS NOT LIKE DOCTORS CANNOT |
00:14:40 | TREAT THESE PEOPLE, RIGHT? >> WE NEED TO PROVIDE INCENTIVES |
00:14:46 | FOR INDIVIDUALS TO PURCHASE HEALTH INSURANCE. |
00:14:48 | YOU CAN PROVIDE VOUCHERS THAT IS SUBSIDIZED IN A WAY TO HELP |
00:15:00 | PEOPLE AFFORD COVERAGE. RATHER THAN EXPANDING EXISTING |
00:15:07 | ENTITLEMENT COLLECTIONS, LIKE MEDICAID, RATHER THAN DOING |
00:15:14 | BACK, WE COULD LOOK IT UP BEFORE WE DECIDE TO EXPAND THEM |
00:15:21 | FURTHER. >> THE AFFORDABLE HEALTH CARE |
00:15:31 | ACT DOES MORE TO SHORE UP ANY LAW BY MAKING CHANGES TO MAKE IT |
00:15:35 | MORE COST-EFFECTIVE. I DO NOT THINK GETTING RID OF |
00:15:39 | THE AFFORDABLE HEALTH CARE ACT WILL HELP MEDICARE ANY. |
00:15:42 | IN TERMS OF EXPANDING HEALTH CARE TO THE UNINSURED, A LOT OF |
00:15:48 | THEM ARE PEOPLE WHO WORK FULL TIME TO BARELY GET THEM ABOVE |
00:15:57 | THE POVERTY LEVEL. NOW A LOT OF THEM ARE NOT |
00:16:00 | ELIGIBLE FOR MEDICAID. BUT THIS LAW EXPANDS MEDICAID SO |
00:16:05 | THAT LOW-INCOME WORKING PEOPLE CAN HAVE A COVERAGE WHEN YOU |
00:16:08 | WORK FULL-TIME IN A FAST-FOOD PLACE. |
00:16:11 | >> SOME CRITICS SAY THAT PUTS AN UNDUE BURDEN ON THE STATES AND |
00:16:15 | IS UNSUSTAINABLE OVER TIME, THESE ISSUES THAT MAKE IT REALLY |
00:16:20 | EXPENSIVE. >> THE LAW PAID FOR THIS |
00:16:24 | MEDICAID 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 |
00:16:38 | HAD A PRETTY SERIOUS BUDGET CRUNCH HERE SO ADDING THIS OVER |
00:16:47 | TIME, WE DIFFICULT FOR STATES THAT ARE ALREADY HAVING |
00:16:52 | DIFFICULTY BALANCING THEIR BUDGETS DEALING WITH THIS NEW |
00:16:56 | RESPONSIBILITY. RATHER THAN EXPANDING THE |
00:16:58 | PROGRAM, LET'S CREATE AN OPPORTUNITY FOR PEOPLE TO BE |
00:17:02 | ABLE TO PURCHASE INSURANCE FROM THE PRIVATE MARKET WITH A SYSTEM |
00:17:06 | OF EITHER VOUCHERS OR SOME KIND OF ASSISTANCE TO MAKE IT |
00:17:10 | AFFORDABLE. IT GETS TO THE SAME PLACE THAT |
00:17:13 | THE MANDATE OF, BUT IT JUST DOES IN A DIFFERENT WAY. |
00:17:16 | >> LET'S EXPLAIN WHAT THE EXCHANGE IS. |
00:17:21 | OUR DIFFERENCES ARE IN BASIC DETAILS. |
00:17:24 | THE EXCHANGE IS THE MARKETPLACE. IT WILL BE A WEB SITE LIKE |
00:17:30 | TRAVELOCITY OR EXPEDIA. THAT IS AT LEAST THE IDEA. |
00:17:36 | THEY HAVE NOT PUT TOGETHER ANYTHING. |
00:17:40 | >> IF OHIO DOES NOT, THE FEDERAL GOVERNMENT WILL. |
00:17:44 | NO ONE WANTS THAT IN THE ASSEMBLY. |
00:17:49 | IF THE LAW IS UPHELD, I THINK YOU'LL SEE OHIO GET ITS ACT |
00:17:53 | TOGETHER. REGARDLESS OF WHAT OHIO DOES, |
00:17:57 | THEY WILL HAVE ACCESS TO THIS EXCHANGE. |
00:17:59 | THIS WILL INCREASE CHOICE AND COMPETITION AMONG INSURERS AND |
00:18:06 | PEOPLE WILL BE ABLE TO MAKE APPLES TO APPLES COMPARISONS |
00:18:11 | BETWEEN PRODUCTS. THEY WILL KNOW THEY HAVE CHOICES |
00:18:13 | AND LEVELS. IF I PAY MORE UP FRONT, COST |
00:18:17 | SHARING IS LESS. PEOPLE WILL HAVE A MUCH EASIER |
00:18:22 | WAY AND MORE RESOURCES AND BETTER PRICES AND THEY WILL BE |
00:18:26 | ABLE TO GET SUBSIDIES, TAX CREDITS TO HELP PURCHASE |
00:18:30 | INSURANCE AND IT WILL COVER THEIR HEALTH NEEDS. |
00:18:32 | >> ONE REASON WE ARE TOLD THEY HAVE NOT SET UP THIS EXCHANGES |
00:18:38 | BECAUSE THE LAW IS SO BIG THAT THEY'RE STILL TRYING TO FIND OUT |
00:18:41 | ALL THAT IS IN IT. TO THE COMPLEXITY AND THE |
00:18:45 | BREADTH OF THIS LAW POTENTIALLY HURTING ITS GOAL? |
00:18:47 | >> I'M LAUGHING BECAUSE 34 STATES IN THE DISTRICT OF |
00:18:53 | COLUMBIA HAVE ALREADY PUT MONEY INTO CREATING THEIR EXCHANGES. |
00:18:59 | IT IS A SMOKESCREEN. JUST THE OTHER DAY, WE DELIVERED |
00:19:09 | A LETTER TO THE LIEUTENANT GOVERNOR AND OTHER OFFICIALS |
00:19:13 | THAT THE FEDERAL GOVERNMENT ISSUED REGULATIONS ON WHAT THE |
00:19:18 | FEDERAL EXCHANGE WILL LOOK LIKE. THERE WAS REGULATIONS AND MORE |
00:19:24 | GUIDANCE ON SETTING UP THE EXCHANGE. |
00:19:26 | >> I THINK THE ADMINISTRATION IS WAITING FOR IN THE LEGISLATURE |
00:19:36 | IS WAITING ON THE SUPREME COURT BEFORE THEY INVEST ALL THIS TIME |
00:19:40 | AND ENERGY IN SETTING UP SOMETHING THAT MAY BE A MOOT |
00:19:43 | POINT. >> WOULD IT EVEN BE A MOOT |
00:19:46 | POINT? YOU SAY IT IS SOMETHING THE |
00:19:48 | STATE SHOULD EVEN LOOK INTO. >> THE WAY THAT THE FED IS |
00:19:53 | WRITING THE RULES FOR HOW IT HAS TO LOOK AT, THAT MADE THE -- |
00:19:59 | MAYBE TIES THE STATE'S HANDS. THE DECISION IS MADE AT THE |
00:20:05 | SUPREME COURT LEVEL, YOU WILL SEE THE STATES GET MORE SERIOUS. |
00:20:08 | IT NEEDS TO GET RE-ENACTED AS SOON AS POSSIBLE. |
00:20:17 | THE PEOPLE ARE NOT SICK, THEY WILL NOT BE SPENDING RESOURCES. |
00:20:28 | TO THE EXTENT PEOPLE CAN GET ANNUAL EXAMS AND PREVENTATIVE |
00:20:34 | CARE WITHOUT OUT OF POCKET EXPENSES, THAT WILL GO A LONG |
00:20:37 | WAY. >> HOW DO YOU PAY FOR THAT? |
00:20:41 | >> IT PART OF THE COVERAGE. >> ARE THERE LITTLE THINGS LIKE |
00:20:45 | THAT TO MAKE CRITICS SAY, HOW DO WE PAY FOR THIS? |
00:20:48 | IS THIS DRIVING UP THE COST? THE OTHER THING THAT'S IMPORTANT |
00:21:01 | TO REMEMBER IS INFORMATION TECHNOLOGY, THERE'S A LOT IN |
00:21:04 | THIS WALL PROMOTING THE USE OF ELECTRONIC MEDICAL RECORDS AND |
00:21:08 | COMPARING EFFECTIVE RESEARCH ON HOW TO TAKE CARE OF IT PATIENCE. |
00:21:16 | IF WE CAN FOCUS ON MANAGING CHRONIC DISEASES, PREVENTION AND |
00:21:20 | WELLNESS, INFORMATION TECHNOLOGY, IT WILL SAVE THE |
00:21:24 | SYSTEM A LOT OF MONEY. >> I AGREE, BUT YOU'RE STILL |
00:21:37 | LEAVING 1.5 MILLION PEOPLE WITH TO AFFORD HEALTH CARE. |
00:21:44 | TODAY, WHAT HAPPENS IS THEY NEED TREATMENT? |
00:21:59 | THE TARP CRIME-PREVENTION AND YOU CANNOT REALLY LOOK AT |
00:22:06 | MANAGEMENT OF CHRONIC PHYSICIANS ABOUT HAVING PRIMARY HEALTH |
00:22:09 | CARE. THIS PROVIDES PEOPLE WITH THE |
00:22:12 | BASIC PRIMARY HEALTH CARE AT AFFORDABLE PRICE. |
00:22:15 | THE 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 |
00:22:39 | HAPPEN. 51% OF OHIO THINKS THE LAW |
00:22:44 | SHOULD BE OVER TIME -- OVER TURNED. |
00:22:51 | SHOULD >> READ OBJECTIVE INFORMATION AND I THINK IT |
00:22:55 | SHOULD PROTECT THEM FROM UNFAIR INSURANCE PRACTICES. |
00:23:09 | IT PROVIDES MORE OPTIONS, MORE CHOICES. |
00:23:13 | THEY ARE UNINSURED. NOW WHEN PEOPLE LOSE THEIR JOBS, |
00:23:19 | THEY'VE GET THE SUBSIDY IN THE VENTURE. |
00:23:24 | THIS GIVES EVERY FAMILY MORE SECURITY. |
00:23:37 | >> THESE ARE SOME POINTS IN THE LAW THAT A LOT OF PEOPLE REALLY |
00:23:44 | LIKE. IF THE LAW IS GOING TO GET |
00:23:48 | THROWN OUT, DO YOU WORRY THAT PEOPLE WILL GET UPSET WITH THOSE |
00:23:51 | WHO OPPOSE THE LAW AND WILL BE CONCERNED ABOUT THESE THINGS |
00:23:55 | COMING BACK? >> LIKE WE START THE |
00:23:59 | CONVERSATION, THERE IS A GENERAL INTEREST IN REFORMING A LOT OF |
00:24:03 | THINGS WE DO IN HEALTH CARE. THERE ARE LOT OF DIFFERENT WAYS |
00:24:07 | TO GET ACCESS TO MORE AFFORDABLE COVERAGE. |
00:24:10 | IT IS JUST A THE LISTS OF PEOPLE THIS AGREEMENT. |
00:24:15 | I BELIEVE THERE ARE OTHER WAYS TO ACCOMPLISH THE SAME GOALS |
00:24:18 | THAT WE ARE COMMITTED TO. REGARDLESS OF WHAT HAPPENS WITH |
00:24:22 | THE SUPREME COURT, WE WILL BE INVOLVED IN THOSE DISCUSSIONS. |
00:24:25 | >> HOW ARE YOU GOING TO PROVIDE AFFORDABLE COVERAGE THAT ALSO |
00:24:33 | HAS THE COVERAGE THAT PEOPLE NEED? |
00:24:36 | I CAN GO OUT AND BUY INSURANCE BECAUSE I AM PERFECTLY HEALTHY. |
00:24:39 | I DO NOT KNOW WHAT IS COMING. >> THAT'S WHY YOU HAVE |
00:24:43 | INSURANCE. THIS LAW WAS CREATED TO MAKE |
00:24:58 | SURE THAT PEOPLE HAVE A SAFETY NET. |
00:25:00 | THEY HAVE SECURITY OF SOMETHING BAD HAPPENS. |
00:25:03 | >> MEDICARE AND MEDICAID ARE ALREADY STRESSED IN TERMS OF |
00:25:10 | FUNDING. THIS LAW HAS EXPANDED THE |
00:25:14 | PROGRAMS WHICH ARE ON SHAKY FOOTING ANYWAY. |
00:25:16 | THAT SHOULD NOT BE THE BASIS BY WHICH WE BUILD A MODEL. |
00:25:19 | THERE'S PROBABLY A BETTER WAY AND THAT IS WHAT WE WILL BE |
00:25:23 | TALKING ABOUT. >> WE WILL HAVE MORE DETAILS |
00:25:27 | WHEN IT IS HANDED DOWN, LIKELY LATER THIS MONTH. |
00:25:31 | RADIO AND TELEVISION, THANKS FOR -- IT FOR MY COLLEAGUES AT |
00:25:40 | OHIO PUBLIC RADIO AND TELEVISION, THANKS FOR WATCHING. |
00:25:44 | MAKE COMMENTS, OR WATCH THIS WEEK'S SHOW OR EARLIER |
00:25:51 | EPISODES, PLEASE VISIT OUR WEBSITE AT STATENEWS.ORG. |
00:25:56 | YOU CAN ALSO CHECK US OUT ON TIME FOR "THE STATE OF OHIO." |
00:26:07 | SUPPORT COMES FROM THE >> LAW OFFICE OF PORTER, WRIGHT, LLP, |
00:26:15 | HELPING INDIVIDUALS SOLVE COMPLEX PROBLEMS IN OHIO, THE |
00:26:19 | COUNTRY, AND THE WORLD. AND FROM THE OHIO EDUCATION |
00:26:25 | ASSOCIATION REPRESENTING 131,000 TEACHERS, SUPPORT PROFESSIONALS |
00:26:30 | , AND HIGHER EDUCATION BY APPLE TO WORKING FOR GREATER PUBLIC |
00:26:33 | SCHOOLS THERE EVERY CHILD. ONLINE AT OHEA.ORG. |
Note : Transcripts are compiled from uncorrected captions