Title: Broadside: Will Obama cure the health care system

" Roberts is professor of political economy and health policy at Harvard University he's the co author of getting health reform. Ryan -- mark mostly that's just moved him so I thought -- Only got everything that you think he wants what do you secured what ails the health care system and you know I don't think so right. Because he's not willing to put forward something that's sufficiently radical to actually do the job but what. Like changing the payment system to decapitated systems remain in English could mean right now -- get paid the same when my grandmother used to be paid accuses seamstress. They get paid based. Peace work on how much they do good for service fee for service and Mitt you know you why was my -- were together to sell more -- when I was associate react when he's paid piece where it gets in the so more. We have the most intensive patterns of practice in the world we do a lot of stuff that doesn't do people any good our health care costs are. Twice what they are in many European countries are life expectancies are shorter so."

" It turns out that every sane person understands that the fee for service is an old and bad idea and paying people for outcomes and getting people healthy. Is better let me ask the question you'll mock me for so I except that in advance. Who oppose. Paying for outcomes rather than them just how much you do -- work."

" Almost everybody thought because every health care cost is someone's health -- income. And health care cost containment and healthcare income limitation and the people losing comes will suffer are gonna who oppose it. And the insurance companies are relatively comfortable. With the current system the doctors and hospitals are relatively comfortable --"

" Outcome is a great mr. Herbert Bob Herbert that a piece in the New York Times a week goes so. Painfully stunning talking about -- they make 400 billion a year in profit. For eight billion Euro over the next ten years through the Obama people I'm not an imperfect but for health care they essentially bought no further changes no further incursions. Why would the what's the agenda why would the Obama administration buying into such a cheap plan for -- a convertible."

" Well because I think the Obama administration's not Mary. Willing to take risks on the politics of this thing. They know that the polling data says that most people even if they -- happy with your insurance insurance companies are happy with their health care. And if you do anything that looks like it's gonna come between your doctor and the patient and or ration our care or any of that people go --"

" But they're happy with their doctor or -- sort of -- happy with ten plus percent -- cost increases let's take a look at here what Republican leaders in congress said today in anticipation. Of Obama's health through his speech tonight."

" Tonight we're gonna see the president address the nation in the joint session. Clearly the total is very. President Obama. His task is going to be to convince the American people. That's the proposal of a government option doesn't mean a government replacement of the health care system. As we know the question I."

" Is -- has the president been listening to the American people. I think the American people made it pretty clear. That they don't really want another lecture they want new plan. They understand that we have a good system. That that works well for many people. Everybody understands that we got problems of the current system that can be addressed. But to replace the entire current system. But the big government run plan does not. What the American people want certainly isn't what I."

" And one thing I hope so we don't hear tonight. Is that we need to do a massive. Comprehensive bill. Or nothing. That it strikes us is not the way to go forward."

" Barack Obama -- a professor Roberts I've not been authorized to speak -- but well politics is the art of the possible. -- prescription is impossible I can't even get democratic votes much less Republican votes somehow get my foot in the door. Get something good started won't come back in the year and start moving your direction was gonna."

" I'll I think it's a very sensible idea remember he started is that union organizer or community organizer with -- is key in Chicago and that's classical Lynn ski advocacy tactics -- clearly what he's intending to do. The question is. Will he ever be able to get. The momentum again in the next five or six years noticeably alias is trying to get the middle class scared. Because Americans are not gonna vote for health care reform for the sake of the poor. The only way to move the congress is to convince the middle class that they ought to be nervous and that's clearly the tactic they're gonna take a printing and emphasize it. -- have thirty seconds apart right now restaurants there were no it's your turn what the outcome would we got a Christmas present and what does it look like quickly how it sibelius sighed and gave it away when she's at Olympia -- very interesting the trigger for the -- thing no public action now -- private insurers I was gonna say continue to disappoint my review more balanced metal. If they don't meet certain goals we've got it down one right and I think I think that's the way to cut the baby and that's what they're looking -- it does lead to what some people fear if that happens ultimately we do have single Payer health -- is that no because the public option will not create single Payer health -- why not. Because the public insurance plan will not be able to drive out all the private insurance plans will wind up with competitive system Mark Roberts thank you so much."