Meet the Press | December 01, 2013
>> reality check. i want to turn to dr. ezequiel emanuel. welcome to both of you. the reality test. here's the report saying dramatic progress, substantial progress, more work to do. you wrote in an op-ed some weeks ago that this is the time. this thanksgiving weekend, the deadline is here. is it good enough progress?
>> i think it's good enough progress. clearly, just like google and facebook and all the internet sites are constantly tweaking their sites, constantly improving them. this one still has a way to go. but it certainly is working reasonably well, i, in particular, want to shop and compare. the white house said it will improve either late tonight or tomorrow to the key area where people can see what's available, what the prices are. it's not working that well, but they're promising to have it improved. i think we are going the right direction, and for the first time, most importantly, we actually have effective management overseeing. we have an integrater who is over it.
>> do they have enough young people to go and actually sign up?
>> there are three things to getting folks to sign up. on the one hand, sir subsidies. the congress said one of the reasons they don't sign up is cost. they're going to get hundreds and trillions of dollars in the market for subsidy. that's the reason they'll go in and be part of it. another piece of it is the individual mandate. you guys were talking about this a couple moments ago, but at the end of this year, you're going to be paying a percentage of kwo your income if you don't sign up for health insurance . that gets them in the market, too. the other thing that hasn't launched yet, but a couple months ago before the obama administration believed that the fall would be all about it not working, they thought it would be about a massive outreach effort they were going to launch usingmayors, using governors, trying to get their mothers involved to get folks to sign up, by getting trusted valuable dar -- validaters to talk about it.
>> in california the website is working and up, and there the portion of kids signing up is a portion of the population. so it does look like we are going to have enough if you have that data point. and if we can get the word out, we'll get enough young people .
>> when you hear the politicians that were just talking, and you hear the political debate , a lot of viewers have to be hearing that saying, what about the bottom? when is this actually going to get solved?
>> the website no doubt is going to get solved. tae that's a technical problem.
>> there are other tests down the road.
>> of course, there are other tests down the road. in the long run, in the next few years and end of the decade, this is going to have dramatic improvement. you'll have competition in the exchangers. we're already keeping costs down and will keep them down further. you have improvements in the health care system . hospitals have to work on infections, readmissions.
>> but there is a more pessimistic case, which could be what?
>> the more pessimistic case would be you have insurance moving to the exchanges. the funny thing about this debate is republicans believe that over time would be great. all of their plans, including paul ryan 's 2010 plan, was about breaking down the base and moving people over. one of the things frustrating about this debate is we've gone to a place in politics where we've refused to accept the fact of this reform. the individual market is a place where the recent prices are what they are as we discriminate against the sick and the old and women and people who can't read the fine print of insurance. we are fixing that and it's going to be important that we fix it. it doesn't mean no one will have a tough time in the changeover, and we need to help those folks, but we also need to recognize if we're going to make things better, there is a process of difficulty to do that.
>> i'm out of time, but this is really where i think the administration wants to argue the plus side that you've already seen on the affordable care act and argue the real peril of the status quo. i have to leave it there. but thank