Episode Transcript
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Speaker 1 (00:00):
The Watchdog on Wall Street podcast explaining the news coming
out of the complex worlds of finance, economics, and politics
and the impact it we'll have on everyday Americans. Author,
investment banker, consumer advocate, analyst, and trader Chris Markowski time.
Speaker 2 (00:16):
Burns some healthcare truth bombs. Yeah, and again, we are
going to miss out. We are, We're going to miss out.
I believe this is going to be the case and
one of the greatest opportunities. Republicans have had a long
time to get rid of Obamacare, the misnomer the Affordable
Care Act, kill it, get rid of it. They could
(00:38):
do it, but they're not. Anyway, story Wall Street Journal.
The average cost of a family healthcare insurance plan is
now twenty seven thousand dollars. Hire spending on chronic diseases,
weight loss drugs, and hospital bills help drive the increase. Okay,
(01:05):
weight loss drugs, weight loss drugs. Why in the world,
Why in the world are we paying for weight loss
drugs and insurance? Why? I why not? Why not offer
up gym memberships or something like that. Hey, if you
want to weight loss drive, go pay for it yourself anyway. Anyway,
(01:30):
not neither here nor there. Taking a look the annual
contributions to premiums for family coverage between the worker contribution
contribution and the employer contribution. Story after story businesses that
used to pay for their employees entirety of their health
insurance and that's that's gone. You can't afford it any more.
(01:55):
It was a story that came out on CNBC and
it didn't go the way CNBC and the writers wanted
it to. It reminded me of that scene in the
Other Guys when Mark Wahlberg and Will Ferrell with Lion
versus Tuna. But Pharil's like, that didn't go away. You
thought it was going to go, did it? But anyway,
(02:19):
Bill and Shelley gall okay break out, break out, really
tiny violins here, Okay say they'd be rich if it
weren't for their medical bills. The early retirees who are
on an insurance plan purchased through the Affordable Care Act
(02:39):
marketplace spent upwards of twenty thousand dollars on healthcare expenses
and insurance premiums in twenty twenty three and in twenty
twenty four, largely due to chronic health issues and emergency
eye surgeries. The couple is on pace for a slightly
smaller sum this year if they're lucky, But next year,
(03:00):
oh no, the Galls are bracing for their costs to
grow significantly. Based on figures available through they live in IDO,
Idaho's online insurance marketplace, Bill sixty one and Shelley sixty
expect to pay almost seventeen hundred dollars in monthly health
(03:22):
insurance premiums in twenty twenty six if Biden's enhanced premium
tax credits, if they expire at the end of the
year as scheduled, that's a three hundred percent increase from
their current four hundred and forty two dollars premium. That
would add fifteen thousand dollars a year to their household
(03:44):
medical costs. Again, hold on, listen. They're among twenty two
million ACA marketplace enrollees, about ninety two percent of the
enrollees who face the prospect of higher premiums. Hmmm. And
they go on and they're talking about people going up.
(04:06):
The Galls here the Gaulf family, well, they're they're not
happy about this. They're not happy about this because you know,
they're they're going to be paying out a pocket and
they're not going to be able to go on as
many vacations. Yeah, yeah they're not. Maybe they might miss
(04:27):
that Viking cruise. You're an early retiree. You're you're, and
you just you decided not to work anymore. Medicare hasn't
kicked in yet. And again their last name is gall.
(04:51):
You have the gall to ask your fellow taxpayers to
subsidize your health and sure, yeah, uh. Funny thing is
you had uh what with Cloudbacher and a couple other
Democrats see the story and jump all over it and
pace comments on Twitter at wah that blew up, But
(05:15):
quickly people like are you kidding me? They were tired
in their late fifties. That was by choice, by choice.
We'd be rich if it wasn't for healthcare. Well, you
know what, you might be rich if you went back
and get yourself a damn job for crying out loud.
It was your choice to stop working for crying out loud. Again,
(05:38):
you get to here. Here, here's Kirsten Gillibrand here from
center from New York Without Key Affordable Care Act tracks
credits to person making sixty five thousand dollars a year
in Tompkins County York's going to pay close to ten
thousand dollars a year for health insurance and that's the
cheapest plan available. Yeah, it's going from twenty three one
(06:02):
hundred dollars a year to nine thousand, six hundred and
seventy five dollars a year. In case you haven't realized it.
And I highly recommend go back and listen to some
of Barack Obama's speeches when it comes to Obamacare, the
(06:24):
Affordable Care Act, everything, everything that he was complaining about
and everything he said he was looking to prevent has happened,
and then some and then some. Matthew Hennessy had a
(06:45):
interesting piece in the Wall Street Journal. Hospital's e slash
m add on turned me into a radical? Oh, Matthew,
I've been a radical for a long time. It comes
to this. He how do you come up with things
to write about? That was a young George will asking
William F. Buckley. He said, well, the world irritates me
(07:08):
three times a week. Does that to me a hell
of a lot more? There? Yeah, quite frankly. But anyway,
he's telling you about a story again. He talks about
his mother in law, eighty six years old, has been
ill for a while. She lives in a nursing home
and the facility provides her with long term care for
(07:31):
memory loss and other chronic diseases. But anyway, make a
long story short. She went for her annual checkup. She
wasn't complaining of any particular problems or in need of
any new medications. Okay, it was a well visit. Well,
is it right? We have that phrase all the time.
(07:52):
You got to do your well visit. We tell you
the last time I went on a freaking well visit,
I can't because I don't recall your bloody apple watch
can give you a well visit every day for crying
out anyway, anyway, Okay, these visits oh yeah, oh, typically
(08:14):
covered and they encourage you to do it by insurance providers.
Right anyway, Well, they got the bill, got the bill
for his mother in law's visit. Two brand new charges.
One was a one hundred and fifty dollars facility fee.
The other was for forty dollars and it was itemized
(08:37):
as the evaluation and management add on, So two hundred
bucks tacked on to a bill for a well visit.
So they inquired about what this E and M thing was,
and I got a little ticked off. This was the
reply that they got. The evaluation and managed add on
(09:01):
is used to account for the complexity of EM services
that serve as the continuing focal point for all needed
healthcare services, or with medical care services that are part
of ongoing care related to a patient single serious conditioning
or a complex condition. Word freaking salad. Okay, I would
(09:21):
say that was coming from Kamala Harris. But the words
are too big, all right, word salad, he says, Because
I work with words for a living, I am hardwired
to try to untangle sentence like this. My brain immediately
begins breaking down the parts and reassembling them in a
way that a person moderately familiar with the English language
(09:42):
might find decipherable. I defy you to tell me what
this blithering piffle actually means. Naturally, there was more piffle,
and it too blithered. The complexity captured by the evaluation
and management add on is not in the clinical condition itself,
but in the cognitive load and the continued responsibility of
(10:06):
being the focal point for all needed services for the patient.
It emphasizes the importance of the longitudinal relationship between the
practitioner and the patient in the diagnosis and treatment plan.
Yeah yeah, yeah, yeah, they actually put that out. And again,
(10:29):
if anybody else treated you this way, okay, if you
went to your shoe repair guide, Okay, you went to
your dry cleaner and they tacked on a fee and
they explained it like this, how quickly would you leave?
How quickly would you move your business? But they got you,
(10:50):
and they can Nichol and Dini all the hell they want. Anyway. Anyway,
what are we hearing right now from politicians Bernie sand
But basically they're admitting you got Roe Conna, you got
Bernie Sander, basically admitting that, you know what, deathcare is
not affordable and the money is going to insurance companies,
(11:11):
just like I told you it was gonna do back
when Obamacare pushed this thing through.
Speaker 3 (11:15):
You know what, there's I can't let fifteen million people
lose their healthcarecter. I can't be responsible for fifteen million
people losing their healthcarecter.
Speaker 2 (11:24):
Oh yeah, Oh is a great politician right there? Oh
look at that.
Speaker 3 (11:28):
Yeah, look he's looking out for the folks.
Speaker 2 (11:34):
What are they really saying. What they're really saying is
I can't allow those fifteen million people to stop giving
their money to health insurance companies. I need to get
my check. They're they're not. They don't give it. Damn
about fifteen million people they give it. Damn about the
(11:55):
money the premiums Okay. Basically, it was a great way
of putting this. Dutch Rojas put this out. It's like saying,
I'm not gonna let my dealer lose fifteen million customs customers. Meanwhile,
United denies your MRI. Oh yes, you know again. They will,
(12:17):
you know, basically toss us around. Warren Buffett will invest
more in United Healthcare. We go, and I'm down the list, Okay.
I mean I've actually seen boats. Ro has to do
with the back of the boat saying deductible. Okay. And
of course, like I said, Congress gets their commission checks.
(12:39):
I so this past year, and I forgot about it
because I laughed. I'm not a big fan. It is
what it is. I get it. You know, they baseball
team's got to raise money. I never thought for a while.
You see advertisements on a New York Yankee uniform. You
see that Montefiora Einstein partnership. Oh, that's a hospital in
(13:02):
the Bronx. Oh yeah, that's a hospital in the Bronx.
Now that that same hospital lost money on Medicaid but
still was able to pony up fifteen million dollars to
pay for that Yankee Patch. And again, I'm sure they
(13:25):
got a nice luxury box as well. I'm sure all
the hospital they got a nice luxury box at Yankee
Stadium that they're able to go to at any point
in time. Marjorie Taylor Green continues to hit the ball
out of the park. It's kind of funny because Trump
hasn't really gone after her yet, hasn't gone after again.
(13:49):
Kind of shows the type of power that she's kind
of holding on to with the MAGA crowd. Trump's afraid
of her. Okay, let's just leave it at that. More
of my Republican colleagues are finally talking about the unaffordable
health insurance crisis. But yesterday on our GOP conference call,
Speaker Johnson said he has ideas and pages of policy,
(14:14):
but did not say a single policy plan. I think
that's unacceptable. Democrats created this nightmare fifteen years ago than
made it worse than twenty twenty one by extending the
ACA tax credits that are now expiring, and I find
it unacceptable that Republicans are sitting on the sidelines doing
nothing to fix this health care disaster that is leading
(14:35):
many Americans into financial ruin. America gave us the House
and Senate majority and trusted us to legislatively deliver the
agenda they voted for it. Along with that comms a
responsibility to help Americans America first. Remember not leave Americans
wondering if or when Congress will finally fix the healthcare industry.
Why they look ahead not knowing if they will even
(14:56):
be able to afford health insurance. Democrats are complaining day
in and day out about the coming massive insurance hikes
because of the expiring tax credits that they put in place,
as the healthcare exchange rates go back to the original
Obamacare system Democrats put in place. By doing so, they
are admitting they screw the whole health insurance system, and
(15:18):
they are admitting original Obamacare is now way too expensive. Republicans,
it's time to build build the off ramp of Obamacare
in a responsible way, deregulate healthcare and pharmaceuticals, and demand
price transparency across the board, and incentivize the market in
such a way to open up competition which will drive
(15:40):
down cost. Pick up your bat and ball and get
in the game. As representatives, it's our responsibility to lead
and work for our districts. Our districts voted for us.
Our districts sent us to Congress. No one else, no
one or any lobby deserves our loyalty and support. Only
our districts. Marjorie gets it now again, she's getting better
(16:05):
and better here. She's starting to see it too and
what's actually going on and understanding the disaster that this
is and it needs to be dealt with. We all
due respect to all of you people that are paid
seven thousand, but I don't know what Trump pays his
little influencers online. But no one really gives a rot
(16:26):
ass about the boats you're blowing up off of Venezuela. Okay,
they don't, they don't care. Here's a problem that affects
almost everyone. Deal with it. You have a historic opportunity
right now. Again, we can talk a little bit more. Oh, nonprofits.
(16:53):
There's another kicker too. There's a great researcher when it
comes to all the problems healthcare. Name is again dutch Row.
I cited him before, and he talks about the scam
that is nonprofits. I'd say the same thing about an
interesting thing. Another thing gets subsidized getting nonprofits in there.
Colleges and universities. Well, hospitals too, and oftentimes those hospitals
(17:16):
are often attached to colleges and universities. All of America's
biggest hospitals are nonprofits. With air quotes right there, Sure sure, yeah,
you know the CEO makes you know, twelve million bucks,
kind of like how the you know, football coach will
make about fifty million bucks at one of the big schools. Anyway,
(17:42):
he said last week, in U said, I was in
a nonprofit health system with valet parking, a sushi bar,
and more marble than the Vatican. You know you're in
trouble when the receptionist offers you an old fashioned before
you even meet the billing department. Yeah. Talks about you know,
(18:02):
the as well, the difficulty being an independent doctor compared
to a nonprofit. Why would you go out on your
own If you're an independent doctor, you have to pay taxes,
you have to sign personal guarantees, you have to put
up collateral. Yeah yeah, and then they're told, oh, you're
a for profit. Ah, that's a bad thing. Yeah, nonprofits
(18:25):
they don't pay taxes, they collect subsidies, they issue tax
exempt bonds, and then they use that money to buy
doctors who funded them. Basically, it's wealth transfer disguised as morality. Again,
it's the whole narrative. Okay, nonprofit has become a marketing advantage,
disconnected from actual behavior. The label was meant to signal
(18:49):
community service. But when it's used primarily as a financial
tool to consolidate power and eliminate competition, Uh yeah, story
is rotted right. Independent physician stakes, personal capital, accept personal risk,
signs our name to their work, gets painted as greedy. Yeah,
(19:13):
we were rewarding. Okay, tax exempt status doesn't supposed to
be community benefit right right? Sure? Anyway, the whole thing
needs to go, needs to go, and it needs to go,
but quick again, a historic opportunity for the Republican Party.
(19:39):
Odds that they'll do something, I'm going slim in none
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