Latest / The SEANC View / Navigating North Carolina's Healthcare Storm
Transcript
- 0:00Music.
- 0:08Hello and welcome to another edition of the Scenic View podcast.
- 0:12We've got what has become somewhat of a normal crew in here for us, the usual group.
- 0:17I'm Jonathan Owens, the communications director here at Scenic,
- 0:20alongside Artis Watkins, executive director, Suzanne Beasley,
- 0:24the government relations director, and Sam Klein, our digital communications
- 0:28specialist slash podcast producer. How are you folks doing this morning?
- 0:32Great. We're doing well. Finally warmed up. I feel like we need to tell people
- 0:36when we're recording because a few times we'll say like today or yesterday.
- 0:41So we're recording on Thursday, January 9th. And with things changing so fast,
- 0:45at least you'll know when we're recording.
- 0:47On what would have been the ceremonial inaugural weekend.
- 0:51But the weather had other plans, we found out last night, right?
- 0:54It's going to be cold, maybe icy.
- 0:56Governor Josh Stein announced that much of his, I guess all of his inaugural.
- 1:00I mean, the whole thing, all the events. The Black Party.
- 1:04The ball? Are they going to reschedule? They said the ball would probably be
- 1:09rescheduled for the spring.
- 1:11This happened once before, I remember. I think it was maybe McCrullough.
- 1:15Well, I mean, we've had lots of things happen. We've had COVID.
- 1:18Yeah. And there has been a winter weather event. I remember that a few years back.
- 1:23I feel like whenever we get a winter weather event, it always falls near MLK Junior Day.
- 1:29It is a big time. time for, because I always, I think of things in terms of
- 1:33basketball games and it's always around the NC State game, the caravana,
- 1:37which is this weekend, two state universities will be facing off on the hardwood,
- 1:41but it's always either the state or the Duke game.
- 1:44So we have DOT crews out salting the roads and getting ready for this weekend's weather event.
- 1:50Do you think it'll be enough to make a snowman? I doubt that.
- 1:53And you know, we don't usually get the nice fluffy snow, even when it snows
- 1:57enough, there's always ice in the mix, so it's not a good snowman.
- 2:00Lots of memories of making really pitiful snowmen out of a half inch of ice
- 2:05when I was younger. Anyway...
- 2:07So we're going to move on to the top. Wait a minute. The DOT guys out there.
- 2:12It's not just guys out there for DOT, to be clear. So I apologize.
- 2:17But the DOT folks working the roads. It's a thankless job on a good day.
- 2:22But considering the vacancies they have in some of the maintenance yards and
- 2:26some of the places that are so vital to keeping our roads open and safe,
- 2:30and especially those secondary roads.
- 2:32Yeah. And they're still busy up in the West trying to rebuild a lot of roads, too.
- 2:36Absolutely. They've made a lot of progress, from what I understand,
- 2:39but there's so much damage up there.
- 2:41I wonder if you can even build roads while there's snow, you know,
- 2:44while you're— Oh, that's true.
- 2:45So maybe they have to slow down that operation, but— It's a lot of roads. It's a lot of roads.
- 2:50But, yeah, so hats off to the folks at DOT and be safe. We're thinking of you.
- 2:56I know that's not—you know, you have our thoughts and prayers,
- 2:59but you need better pay. We're going to work on that, too. Heck, yeah.
- 3:03Speaking of pay and everything that we do— Well, you have to pay for life.
- 3:08Yeah. So everything does come back to, can you pay?
- 3:10So this episode will focus a
- 3:12lot on health care, the state health plan and just health care in general.
- 3:17If you're not a state employee and you found us somehow, just keep listening
- 3:20because we're going to we're going to talk about the whole shebang, if you will.
- 3:23We're going to talk about the whole system and just how it relates to state
- 3:26employees and retirees in North Carolina as well.
- 3:28But I think that they're experiencing a lot of the same problems everyone is with health care.
- 3:33Yeah. If you don't know a state employee, you're not a state employee. You don't even know one.
- 3:37You're not related to one. And you think, why do I care what happens in the
- 3:40state health plan? We'll tell you why.
- 3:42The state health plan is about 8 percent of the market for health care in North Carolina.
- 3:46So as goes the state health plan, pretty much so go your costs.
- 3:51And as John said, it's a nationwide problem. The American health care crisis
- 3:55is one of our own making by allowing absolutely no holds barred taking advantage of the citizens.
- 4:01And we've been fighting this issue for years. It does seem to be getting more
- 4:06and more attention from the public, I think, because we've gone beyond the breaking
- 4:10point where too much of people's wages is taken.
- 4:13So we're going to talk about the state health plan, but understand anything
- 4:16that's happening there will affect your health care.
- 4:19And kind of the impetus for this discussion is the story this week from the
- 4:24Carolina Public Press that a new state treasurer, Brad Briner,
- 4:28wasted a little time when he got into office.
- 4:30A week after taking the oath, he's already talking about raising premiums for state employees.
- 4:35We will kind of delve into that issue first, I guess.
- 4:39As you said, the state health plan covers about 8% of the state's citizens.
- 4:44You know, the folks who have health care in this state.
- 4:48About 743,000 people total, 256,000 of them are retirees. So it's not just state employees.
- 4:56It's state employee families, dependents. A huge swath of North Carolina is
- 5:01affected by this plan and by the decision of whether or not to raise premiums
- 5:06and out-of-pocket costs.
- 5:08So what were your takeaways?
- 5:10Did you expect him to come out this soon calling for a premium increase?
- 5:14Well, I think the article's kind of unclear about what Treasurer Briner at the
- 5:19end of the day is going to suggest. We don't know that yet.
- 5:21We don't know how much he wants to come out of the pockets of state employees.
- 5:26But I think his statements are kind of clear. That's where they're going to look.
- 5:29But without putting words in his mouth, because I don't know what his plan is
- 5:31going to be. He did say he will have a plan to revamp the way we do things.
- 5:36It will not be Treasurer Falwell's plan. What will it be?
- 5:39I don't know. But when the headline says uncomfortable things are necessary
- 5:44to fix the North Carolina health plan, new treasurer says. Uncomfortable for whom, right? Yeah.
- 5:50Well, I guess maybe we should back up and point out what the main topic is,
- 5:53that there's a $507 million debt in the state health plan right now,
- 5:57according to this article.
- 5:59Yeah, by fall of 2026. Yeah.
- 6:03And Briner's comment was the expectation that the General Assembly can or should
- 6:07fix this problem is not based in reality. We are going to have to do a number
- 6:11of uncomfortable things with a $507 million shortfall.
- 6:15The uncomfortable pieces are now inevitable.
- 6:18The obvious one is premiums. Those have been held flat for a decade,
- 6:22and I commend Treasurer Falwell for focusing on that.
- 6:26But unfortunately, it's time that we keep up with inflation.
- 6:30That sticks with me because state employees are already running 9% below market in salary. Okay.
- 6:37The issue I take with that statement, it's time that we keep up with inflation.
- 6:41The only fact we have about the health plan, because remember,
- 6:44these are secret contracts.
- 6:46And these days, it's super, super unpopular and talked about a lot because of
- 6:51the efforts that Elon Musk and Vivek Ramaswamy and others, the Doge efforts.
- 6:56And on the state level, folks wanting the state auditor to look at the money
- 7:00that's going to be spent under Governor Stein's watch on hurricane relief.
- 7:05Why is no one concerned that these are secret contracts between the insurance
- 7:10company for the health plan and the providers?
- 7:12Because the only piece of information we have
- 7:15comes from Siegel Consulting that works for the plan and said, hey,
- 7:19the range of what providers, meaning hospitals or doctors, is paid can go from
- 7:23anywhere as low as 80-90% of Medicare reimbursement, as a reference point, to 800-plus percent.
- 7:31So if we're talking about keeping up with inflation, we have way overcompensated,
- 7:36very clearly, according to Siegel, a good number, or I don't know how many,
- 7:40actually nobody knows how many providers.
- 7:41So how can you come to the employees for anything until you know exactly which
- 7:47providers are getting what.
- 7:48Shouldn't that be your obvious first uncomfortable conversation?
- 7:53And this should be a concern for taxpayers. Yeah, it should be.
- 7:56You don't know what you're paying for. There's just no oversight.
- 7:57It's the Wild West. That's been our argument for, gosh, two decades now. Since I've been here.
- 8:04It used to be you couldn't even see the third party administrator,
- 8:07so the insurance company contract.
- 8:08Couldn't even see that. We had to fight tooth and nail to make that open.
- 8:11Well, that only tells you what you're paying them.
- 8:14It doesn't tell you what they negotiate literally on your behalf.
- 8:17So the state's paying it, but this third party's negotiating it.
- 8:21Taxpayers should want to know. Again, not only is it taxpayer money,
- 8:25but at the end of the day, if they negotiate prices that stink for the consumer,
- 8:30taxpayers are getting hit not only in their tax money that goes to the health
- 8:33plan, but they're getting hit because their prices are going to go up.
- 8:36And costs in North Carolina are especially bad.
- 8:40Forbes had a study in 2024, I guess we'll call that last year now,
- 8:44that North Carolina ranks as the most expensive state in the country for health care.
- 8:49Another study said that our performance and what we're getting for that is among
- 8:54the bottom of the nation.
- 8:56So crazy. That's consistent. That wasn't just last year.
- 9:00I mean, we've consistently for a while now been the expensive place for health
- 9:04care and the place where the outcomes aren't considered the best in the nation.
- 9:09What we do have is a lot of places to get it.
- 9:12So we rank pretty high in a pretty good way on availability of health care.
- 9:16But availability just means there's a place there you can go to.
- 9:20Can you afford it? Is it going to bankrupt you?
- 9:22That's a whole other question. So these are the things that, again,
- 9:26I am astounded that people who are concerned about transparency and about monitoring
- 9:31public nickels and dimes and dollars are not keyed in on this mess because that's
- 9:37where the big, big money is, y'all.
- 9:39And back to the statement that you asked about a specific statement,
- 9:42that asking the General Assembly to fix it is just not based in reality. So let's talk reality.
- 9:47The reality of this situation is we do need half a billion dollars to make this
- 9:52fund hold by fall of 2026.
- 9:54So that's two budget cycles. The state health plan, though, is still owed $323
- 10:00million that the legislature got specifically from the federal government to
- 10:05pay for state health plan costs.
- 10:07They gave some of it, but $323 million of it never made it to the state health plan.
- 10:12So that's... That's a whole. That's, yeah, that's 323 of that half a billion.
- 10:17And then more importantly, these staff vacancies we keep talking about.
- 10:21The Office of State Budget and Management in August of 23, so it's gotten a larger number by then.
- 10:26But in 23, the Office of State Budget and Management said over a billion dollars
- 10:31had been put in the reserves because of vacancies.
- 10:35Because of staff vacancies. What does that mean? Over a billion dollars got
- 10:39put in North Carolina's reserves because state employees were doing the job of more than one person.
- 10:44And trying to provide the public services taxpayers expect, taxpayers have no
- 10:49idea there's all these vacancies.
- 10:51So if you look at the $323 million still owed for COVID,
- 10:56the $1.17 that went into reserves at least by 2023 because of vacancies,
- 11:01you're looking at about $1.5 billion that went in the state's coffers or stayed in the state's coffers.
- 11:07So $1.5 billion, roughly, is still held by the General Assembly of money that
- 11:15would have gone to state employees, $323 million of it, specifically designated for the health plan.
- 11:21So to think it's not reality to go to folks who keep holding state health plan
- 11:26money, and I get it, the General Assembly's got a hard job.
- 11:28They're trying to make everything work. And you know what?
- 11:31That $1.17 billion plus that went into reserves, that sure was needed after the storm.
- 11:36But the bottom line is, let's be honest about where it came from.
- 11:40Those reserves didn't come from just, hey, everybody made great decisions.
- 11:44No, state employees were doing the work of more than one person.
- 11:47And to not seek that money and instead go try to get that money from,
- 11:52you know, state employees who already don't make what their private sector counterparts
- 11:58make and are suffering under inflation, it just seems wrong to me.
- 12:02See, I'm confused because if the General Assembly and the state received so
- 12:07much money for pandemic relief and it hasn't been paid back to the state health
- 12:10plan. Who else are we supposed to go to for that money?
- 12:13Right. Well, traditionally, the idea is in politics, you go to the path of least resistance.
- 12:19And the fact of the matter is, if you were to try to go to the health care industry,
- 12:22again, we don't know what we're paying them. We just know the range.
- 12:26The range tells us we're wildly overpaying some of them.
- 12:30But rather than go to the ones that are being wildly overpaid and say,
- 12:33we're not going to do that anymore, or all of y'all have to take a cut of some
- 12:36kind because it's got to be, quote, uncomfortable for everybody.
- 12:39That's a really resistant path. They have, and good on them.
- 12:43They've got a really organized, deeply, deeply funded lobby.
- 12:48They do. And I think that's the source of not only state employees and retirees,
- 12:52but the whole country's frustration against.
- 12:55Americans are fed up. Yeah. Hey, Donald Trump agrees with us on this in terms of drug prices.
- 13:02I'm not sure he knows what he was.
- 13:05Well, no, I mean, he and he had said things in his previous term that indicated
- 13:09on pharmaceutical pricing, which is a big piece of the whole health plan problem,
- 13:14the health care problem in this country.
- 13:15But he had been critical of why are we spending more than other countries?
- 13:19Obviously, President Biden.
- 13:21Had been the same page. So you've got two very wildly different men,
- 13:26different presidents who are on the same page with, why are we doing this?
- 13:30I think that's just a little tangent, but I think that's kind of,
- 13:33I mean, it is why Trump is so popular with everyday people is sometimes he does
- 13:38just step out of line and say things like that, that no one has told him that
- 13:42the corporation wants you to say this.
- 13:44Sometimes he does like take a stand that usually gets Well, I agree.
- 13:51And that's one of the reasons I don't think it's not reality to go to the legislature.
- 13:55I've talked to, I know, Suzanne, you surely have had conversations with legislators
- 14:01in the North Carolina General Assembly who say this isn't right.
- 14:05They're not comfortable with it. They're not comfortable with going to state
- 14:09employees or anyone else in
- 14:11their community that makes working folk wages and asking them to pay more,
- 14:16knowing full well that we're not going and asking anyone else to sacrifice ever,
- 14:20ever, ever. They're uncomfortable with that themselves.
- 14:23So, I mean, what's your... I mean, they know. Yeah, we're having a lot of conversations.
- 14:27There's a growing amount of dissension over just looking the other way.
- 14:31And it's on a national level, too.
- 14:33I think everyone would appreciate someone standing up for...
- 14:36Well, I mean, the bottom line, I think you may have said this already,
- 14:39though, but if it's affecting the state health plan in North Carolina,
- 14:43it's going to affect everybody else's insurance at some point and the country.
- 14:48And I know, I mean, we've had some really good conversations with Senator Berger
- 14:52and his staff in the past that gave me great hope.
- 14:55Obviously, we've not closed that deal because they've still got an awful lot
- 14:58of the money that should go to the health plan. Now, do they have it anymore?
- 15:03No, probably not. Yeah. But does that mean, oh, well, then we have to go to the employees?
- 15:07No. Not at all. The piece of this that doesn't get talked about is the piece
- 15:12that's holding all the money.
- 15:13That's the industry. Have we seen any projections for surplus this year or if there will be one?
- 15:18I know we've talked about there'll be a lot of strings on it with the hurricane relief and whatnot.
- 15:23I don't see how you have a surplus in this situation.
- 15:26I mean, that's great if we do. But I mean, you need to look.
- 15:29Everything is always on the table.
- 15:31And tax cuts are great. But tax cuts, no matter how great you make them,
- 15:36probably never put back the amount of money that those increased health care costs on everybody.
- 15:41So if you're losing more and more of your wages to health care and your taxes
- 15:45go down a little bit, are you better off?
- 15:47The priorities, I think, are going to be reexamined by the General Assembly.
- 15:51Yeah, I've done a lot of surface level research this week trying to find out more about this topic.
- 15:57And what I found is North Carolinians pay about 14 percent of their income on
- 16:02premiums and deductibles right now.
- 16:04And that's up from 11 percent in 2008. And it's steadily increasing.
- 16:09And that's a percent. So that's not like. And that's North Carolinians.
- 16:13That's not just the state health plan. And that's all North Carolina,
- 16:16not just state employees.
- 16:18So 14 percent of your salary is a large. I mean, that's twice what you pay in taxes, right?
- 16:23The state taxes, at least. Oh, it's more than that. And state employees are
- 16:26making 9% under market, so... Right, right.
- 16:30So if you think about it, 14 percent of your income is going to health care costs.
- 16:35In 2025, the state income tax rate is 4.25 percent. So that's three times what the tax rate is.
- 16:42In 2026, that's going down to 3.9 percent. There's a amendment on the table
- 16:46right now to set it at 5 percent capped. Right.
- 16:49So this is a way to understand for families than even your tax rate.
- 16:54And people get so mad about taxes, you know.
- 16:57Well, yeah, yeah. It's like, look over here. Look at the taxes.
- 17:00They're killing you. No, health care is killing you. Yeah, exactly.
- 17:04Health care is killing you. But I think that more and more people are starting to understand that.
- 17:11And that's why I do think you will see some changes, if not in this year,
- 17:16in the next few years in the General Assembly.
- 17:18I think people are going back home and more and more people,
- 17:21more constituents, more people on the campaign trail are saying,
- 17:25look, this is killing me.
- 17:26And, you know, you don't get a lot out of your I mean, you you obviously get
- 17:31a promise of paying health care costs whenever you have a problem.
- 17:36But at least with taxes, you're getting like roads to drive on and prisons to keep you safe.
- 17:42And, you know, we've always fought the public perception of state employees
- 17:46and public services and what the general public thinks they're getting for their tax dollars.
- 17:52A lot of them just don't understand all the services that are provided.
- 17:56By state employees. But if they were not there and if there's not money to fill
- 18:00vacancies and, you know, something to entice more employees,
- 18:04you know, public services suffer.
- 18:06So, listeners, we warned you before you started this podcast that we're going
- 18:09to go on some tangents. We're going deep and there will be some tangents,
- 18:14but we think it's important.
- 18:15Obviously, we're impassioned about this and you should be, too. So, yeah.
- 18:20Where do you see this fight going? that.
- 18:22Okay, so to wrap it up, Tresher Reiner, I mean, we said it at the beginning
- 18:26of when he first was about to take office. Look, he's going into a terrible
- 18:31situation, but he has to figure out how he addresses it.
- 18:34We don't know exactly what he's going to do yet, so we can't judge what he's
- 18:38done because he hadn't done it yet.
- 18:39The only thing we know is his public comments in the last week, and those are not great.
- 18:44There hadn't been one word about going to the industry for anything.
- 18:47I'm hopeful he will indeed say, look, I hear what the entire nation's saying. Right.
- 18:54That, you know, multi-million dollar CEO salaries for these hospitals and all
- 18:59of these things we've talked about before in terms of spa-like birthing facilities and stuff like that,
- 19:04that this is not OK when we're talking about going to some of the state's lowest
- 19:10paid folks and asking them to give even more of their hard-earned dollars for health care.
- 19:15So we've got to give him a minute to figure out what he wants to do.
- 19:18But we have to be clear from the beginning. I mean, it's not fair to him if
- 19:22we don't make it clear that our folks are because our phones did ring off the
- 19:27hook after this article came out.
- 19:30People telling us exactly what we would expect.
- 19:33We've talked about health care a lot over the last 10 years here.
- 19:36So it's not surprising that people call us and said, I hope you are doing something
- 19:39about that mess right now.
- 19:40So we are. And honestly, it's kind of like any time you take a new job or a
- 19:45new adventure in your life, you know, I'm sure he goes into office and he sees
- 19:49this terrible debt coming up and he wants to react and fix that problem.
- 19:54And I commend that. Yeah. But he also needs to realize the largeness of the
- 19:58system and how much power he has. Yes. Yeah.
- 20:01And I think that, you know, I've made the offer to him and also for Thomas Friedman,
- 20:07the executive administrator of the plan, that they're welcome to come on this
- 20:10podcast because we're not going to just talk about them.
- 20:13We would love to have them be able to have their voice at the table and say,
- 20:16what y'all aren't thinking about is X, Y and Z.
- 20:18Let's have that discussion. I think discussions are what has to happen. They have to happen.
- 20:24We may not know everything about the situation and they cannot imagine it.
- 20:28But yes, I mean, that's not totally not the case, right?
- 20:33I think the treasurer Falwell even didn't realize at first that he represents
- 20:3710 percent of the state's health commercially insured people.
- 20:41Yes. Yeah. And that's a huge that's huge. It's huge power. It's it's insane.
- 20:45He can affect change. He can make he can affect. He can make pharmaceutical
- 20:49companies squirm. You know, he can.
- 20:52So I think that maybe he's just got to gain his footing and.
- 20:55And we'll give him a minute for that. Yeah. Look forward to talking with him. He's a personable man.
- 21:00Another thing that changed in the state health plan was the new administrator
- 21:04took over on January 1st.
- 21:06Aetna has now taken the reins of the state health plan over from Blue Cross Blue Shield.
- 21:11We've seen a little response from some employees who've had some issues.
- 21:15Not a wave of problems yet, but as we were talking, it's early, right?
- 21:21People aren't even using their health care. I mean, it's a massive plan.
- 21:26Anytime an employer switches over a health plan, period, I don't care the size
- 21:30of the employer, you're going to have some hiccups.
- 21:32But with this size plan, you would think there'd be a fair number.
- 21:36But our phones, like you said, it's early. Our phones are not ringing about that right now.
- 21:41So have we said it? Health care is so frustrating in general.
- 21:43Tell us a little bit about that, Sam. Well, I have underlying conditions that
- 21:47affect my body in drastic ways.
- 21:50I skip most of my appointments for that. I have the medications that I need in case it messes up.
- 21:55And there are certain appointments that I'm supposed to do every six months, once a year.
- 21:59There are so many issues within health care that I'm like, I'm not going to
- 22:02get blood work every six months when the company that my blood work goes to
- 22:06tells me, hey, you didn't pay the $30 you owe us. And I'm like, I paid it two months ago.
- 22:11And they're like, we didn't get it. And so I have to pay a second time only
- 22:14to get one of those eventually refunded after another four months. So you're saying.
- 22:19And then also just some of the cost of these appointments.
- 22:22I can't afford to go get an ultrasound every single year. There's the big thing.
- 22:26It's $800 for me to get an ultrasound with my insurance.
- 22:29I can't afford to do that every single year when I have other doctor's appointments that I have to make.
- 22:34Well, I think therein lies the problem. Health care is out of reach for people
- 22:38who need health care. One of my friends we were talking about last night.
- 22:42Perfectly put. One of my friends, one of my really good friends,
- 22:45her family member had a lot of medical bills and another family was covering
- 22:50those for her and could not afford to take herself to the doctor.
- 22:53And by the time that family member had passed away and she was no longer covering
- 22:57those medical bills, she went to the doctor.
- 22:59She found out she was in stage four cancer.
- 23:02Oh, my God. Because she had. Because she was not taking care of herself because
- 23:06she had to take care of this family member because that family member could
- 23:09not afford to take care of her own medical. So many sad situations.
- 23:13Goodness. It is. And I think that, you know, we're going to try on this podcast
- 23:17to have more experts around the table because, you know, we said it jokingly,
- 23:21but none of us are health care experts.
- 23:23Unfortunately, we've had to learn more about the health care system and how
- 23:27it affects employees than we ever wanted to. But we need some experts around
- 23:31the table and we need some policymakers around the table.
- 23:34So somebody from the General Assembly to talk about health care and what they're
- 23:37doing or, you know, what their plans are for this year would be really big.
- 23:42Yeah, I find myself kind of in the same mindset as everyone on this.
- 23:46I'm no expert on this. And it just seems from the outside looking in that health
- 23:50care is something everyone needs.
- 23:52And the people who provide it know that and can charge what they want to for
- 23:57it. And we're all, I think everyone just feels kind of helpless, kind of powerless.
- 24:03That's where CDE comes in. We're not powerless. It feels anxiety-inducing.
- 24:08Of course it is. Every time I have to schedule a doctor's appointment for anything,
- 24:11I'm like, how much is this going to cost me? Yeah.
- 24:14Yeah. It could be a general— And you have insurance. What if you didn't have
- 24:17insurance? It could be a general appointment, and I'm still sitting there.
- 24:20Okay, that's a question.
- 24:22When you think to yourself, how much is this going to cost me,
- 24:24do you call and ask them? How much is this going to cost me ahead of getting the treatment?
- 24:28I'll usually look through like the papers that I have and be like, OK, how much do they pay?
- 24:34How much this is typically cost? And I have a mom who works in health care.
- 24:38She's a nurse. So I'll usually contact her and be like, how much do you think this is going to run?
- 24:42And the reason I ask is because, of course, that was the big issue that Treasure
- 24:47Falwell was obsessed with,
- 24:49was the fact that you could call different places within a 10 mile radius in
- 24:54a big city and get prices that were very wildly different for the same procedure.
- 24:58But we don't know what it's going to cost us.
- 25:04But he always pointed out in the grocery store, we wouldn't go up to the cash
- 25:07register unclear about what the can of peas is going to cost.
- 25:12We would never accept that no price on the can of peas.
- 25:15Sometimes if you have to go to a specific doctor, they'll only give a referral
- 25:19to certain places for you to get something else done That they say,
- 25:24oh, you need a follow-up test. We don't do that here. We'll send your referral.
- 25:29And they don't necessarily give you a choice on where your referral is sent
- 25:32to say. No, because they probably own the place they're sending you to.
- 25:36That's the bottom line this day,
- 25:38more and more and more. And we're on a tangent right now. Big tangent.
- 25:41Another tangent. But insurance companies, you know, they've negotiated whatever
- 25:46this test or procedure is going to cost.
- 25:49And the cash price of that may be completely different. So you see all that
- 25:53connection with, you know, providers, hospitals.
- 25:56Gets a problem when you can save money by not using your insurance.
- 25:59Yeah, by not using your insurance. That's crazy.
- 26:01And, you know, well, this is a really deep. Tangent on. Tangent on.
- 26:05We're really deep, and maybe this will stay in.
- 26:08But when things are this complicated and this huge, you need government to step
- 26:15in and regulate, especially the health care industry. Well, I mean,
- 26:18it's the Wild West right now.
- 26:19So, again, let's see what Treasurer Briner's wanting to do.
- 26:23Let's see what the legislature says about it. Because, obviously,
- 26:25it doesn't sound like Treasurer Briner wants to ask them to,
- 26:28the General Assembly being them, to bridge any of this half-a-billion-dollar
- 26:32gap. But we're certainly asking them. Yeah.
- 26:35We need the treasurer to ask them, to be clear. That would be huge.
- 26:38And if I'm the legislature, I am probably going to say I'm not doing that. But y'all need to go.
- 26:43You know where the deep pockets are. But the legislature has to say we're fine
- 26:48with the secrecy being taken away from these contracts.
- 26:52The legislature does have to do that. They don't have to come up with half a
- 26:55billion, but they have to say we we will not stand in the way of making these
- 26:59things transparent so the public
- 27:01knows what tax dollars are being used in what way on this health care.
- 27:04So if if he won't go to the General Assembly and ask for that funding,
- 27:09maybe he'll go and ask for raises to make up for the premium.
- 27:13That's just that perpetuates the cycle.
- 27:16At some point, you have to, we do need raises, but raises to make up for the
- 27:20overpriced health care just keeps it going, right? Doesn't change anything.
- 27:25Because then they start raising health care again. And then they're like,
- 27:28if you don't get the raise the next year, your health care is still gone up.
- 27:31I guess that's how inflation happens, right? Yeah.
- 27:34Oh, what a topic. Yeah. The health care, we're now three hours into this. Right.
- 27:41Remember the SpongeBob thing is like three hours later.
- 27:45Here we are. Well, if you are a state employee, we are probably going to be
- 27:50putting together, I would imagine, some town halls on this issue around health care.
- 27:53And so we will be able to hear from you.
- 27:56And that's the most important thing. I have a question.
- 28:00How does this happen? So what needs to happen? I guess the board of trustees
- 28:04will have to make a decision on increasing premiums, correct?
- 28:07On what they will recommend.
- 28:10What's the timing on something like that? So it's usually the January meeting
- 28:14where they make those kind of decisions.
- 28:16I'm not sure, y'all, what this specific date of the meeting will be.
- 28:19It's not posted on the website yet, but it's generally at the end of January.
- 28:24But, yeah, that's where they make those decisions, which technically doesn't
- 28:26change anything there. But that's what they recommend to the General Assembly
- 28:29to make their decisions on.
- 28:31So it's, you know, really important that the trustees take this to it.
- 28:35So would the premium increase have to be approved by the legislature in the
- 28:40budget? It would be appropriated in the budget. Anything that has to do with
- 28:44state health plan, retirement system, it all has to come through budget and be appropriated.
- 28:49And usually that means that if there is a premium increase, that would happen next year, January 1.
- 28:56So you would see increased costs in January. We have a year, well, not a year.
- 29:00We have about 15 days to talk about it. But we will still be advocating at the
- 29:06legislature regardless of that.
- 29:07Stay tuned to this issue. Speaking of the legislature, they did come back this week for one day.
- 29:14One day. Swearing in. So we have a new legislature that came in.
- 29:19We do. What are some of the changes?
- 29:21So leadership changed in the House. A couple of things in the Senate.
- 29:25But the House, they obviously have a new Speaker of the House.
- 29:28Former Rules Chair Destin Hall, Representative Destin Hall, is now Mr. Speaker.
- 29:33Majority Leader John Bale is now Mr. Chairman of the Rules Committee.
- 29:37Representative Mitchell Setzer, who's been a great friend to Scenic,
- 29:41is now the Speaker Pro Tem. He unseated Sarah Stevens for that position.
- 29:46Reeves remains the minority leader in the Senate. Not a lot changed.
- 29:50The biggest thing I think is Sidney Batch is now the minority leader.
- 29:54Senator Blue is no longer going to take that spot.
- 29:57Some of our officers made it down to the legislature yesterday for the swearing
- 30:01in. I saw some pictures with some of those folks you just mentioned.
- 30:04Yeah, and I'm sure we've got a lot more to go through. Sam came down with the camera.
- 30:09And, oh, we had such a good day yesterday. First Vice President Wendell Powell,
- 30:14Second Vice President Emily Jones, and our General Treasurer,
- 30:17Stacey Crabtree, joined the team on the ground.
- 30:19And we just really got to talk to so many people yesterday, from Senator Berger
- 30:25on down to some of the newbies at the General Assembly.
- 30:28I love opening day because it's happy.
- 30:31Nobody's getting mad at each other yet. It's very ceremonial,
- 30:34the swearing in, and lots of family members are there. So that's kind of fun,
- 30:38too, to have legislators introduce you to their family members.
- 30:42Was Lieutenant Governor Rachel Hunt there? She presided, yeah.
- 30:46Did the governor come over? I did not see him if he did. I remember one year.
- 30:49I did not see him. Yeah, I remember one year.
- 30:52I remember seeing him over there and swearing in there.
- 30:55That doesn't mean he wasn't there. I just didn't see him. But I did run into
- 30:59Senator Tom Tillis. Okay.
- 31:01Former Representative Beverly Earle, who's one of my favorite people.
- 31:05Former Senator Floyd McKissick, who's just an amazing human being.
- 31:09I was really happy to see him.
- 31:11And then, you know, all of our old friends, we made some new friends yesterday,
- 31:14just got familiar with faces, which still will take a little time because there are a lot of new faces.
- 31:19But it was a great day. I was tickled to have, you know, some of our officers on the ground.
- 31:23That's always important to have that presence. And I think it's always important
- 31:26for legislators to hear directly from our people, specifically the folks who
- 31:30are leading this organization. So we had a great day yesterday.
- 31:33I'm looking forward to anyone else that wants to come and join us at the legislature
- 31:37during session and speak to your lawmakers.
- 31:39We'll we'll hook you up and love to have you on the ground with us.
- 31:41And you say they'll come back January 28th.
- 31:44January 28th. And get really get down to business. That's when we get down to
- 31:47business. What are you expecting this year?
- 31:49Is it going to be a quick session or a long, long, long? Oh,
- 31:52I think it'll be long. Okay.
- 31:54Look, I've gotten over expecting short sessions. So this past short session,
- 31:58which, you know, given they didn't agree on anything and just cut the rope and went home.
- 32:02Yeah, that's the first short, short session we've had in some time.
- 32:05So, yeah, I just don't expect anything short.
- 32:07I go ahead and set my sights on it being long, and then I'm pleasantly surprised
- 32:11when it ends. Any other topics we need to get to?
- 32:14Oh, I don't think we have time for any more topics. We've probably podcasted people out today Well,
- 32:19in honor of this We've already talked about the DOT workers And everyone needs
- 32:23to be safe We have employees who will get to the job Lots of essential folks
- 32:28Who are going to get to the job
- 32:29We always remember the employee who rode to the prison on his lawnmower.
- 32:34He sure did and got to that prison despite the weather.
- 32:37And, you know, I wish the public knew more about that kind of effort people
- 32:41make. And they do that so that their co-workers aren't left in the lurch.
- 32:45There are also a lot of college students about to go back to school this weekend and traveling.
- 32:51Please be safe in the possible snow. Please pay attention.
- 32:57Maybe that's the big thing. Pay attention, y'all. Here in North Carolina,
- 33:00when it snows, we all lose our minds.
- 33:01Speaking of snow, go ahead. I saw something funny that said,
- 33:04the scariest part about driving in snow isn't the road conditions.
- 33:07It's the fact that you can't see the lane.
- 33:09So everyone is basically out here playing Mario Kart.
- 33:13Frogger. But stay home if you can. Yes. Eat lots of breads.
- 33:18Get that bread for some of those. And just get fat and happy.
- 33:20You know what I was talking about.
- 33:23Okay. So our question of the week.
- 33:27Music.
- 33:33In keeping with the snow talk what is your best snow memory
- 33:36sam you gotta have something going to western carolina probably
- 33:39slid down a hill right i didn't do that much when it was snowing at western
- 33:44i had my dog and he did not like well he actually loved the snow i took him
- 33:48outside and he played in the dog park for like three hours and oh that's always
- 33:52fun when i came back inside I had to wash him because he was covered in mud
- 33:56and snow and it was disgusting.
- 33:58But I think my favorite snow memories were growing up when I lived in Tennessee,
- 34:02we would get snow almost every year and me and my brother would grab our little
- 34:06essentially trash can lids and be like, let's go sled in, go out there, play all day,
- 34:11make some snowmen and then come back inside and mom would have hot chocolate ready to go.
- 34:15What's it been, like four years since we got to get snow? At least. A long time.
- 34:20I think I was a senior in college last time I experienced my snow.
- 34:24What about you, Suzanne?
- 34:25Snow cream. Oh, yeah, snow cream. Don't eat the yellow snow cream.
- 34:29Don't eat the yellow snow.
- 34:31Speaking of dogs, that's it. Like I said earlier, we don't usually get that
- 34:35pretty white fluffy snow here, so you can't make snow cream with sleet and snow.
- 34:39That doesn't work. Hey, but the ground might be cold enough to do it this time.
- 34:43Maybe. Hopefully. Because I think it'll actually stick. I also have like a little
- 34:46doggy story, like Sam's talking about her dog.
- 34:49But I had, I had to say goodbye to Lily, little dachshund, miniature dachshund.
- 34:52She was my girl, but it snowed years ago.
- 34:56She was 13 when I put her down. So it's been 10 years ago at least.
- 34:59And we had snow. Was it 10 years ago?
- 35:01Anyway, there was enough snow that when I put her outside, she sunk.
- 35:05So yeah, we had to dig out some yard space to accommodate her situation.
- 35:10How about you, Arniss? moving to north carolina when i was 12
- 35:13from texas just seeing the snow was
- 35:16so magical and then friends got together my first
- 35:19christmas and bought me a sled oh nice you know but had
- 35:22to teach me to sled right right you know a flexible flyer but there were so
- 35:27many memories around that that i thought those are just gonna be my best memories
- 35:30forever but teaching kids to sled that's what i'll never yeah and i think that's
- 35:35easier to remember because at least we have video of that you know As opposed
- 35:38to back in the day. But yeah.
- 35:40And you have the most awesome place where you live. I live one block,
- 35:45you know, one street over from probably the best hill in town for. Wow.
- 35:48We had one of those hills in Tennessee that was a hill that my dad would say
- 35:54every time we'd go out there. If you're going to be dumb, you've got to be tough.
- 35:58You're like on Christmas vacation when he sprays the stuff out there.
- 36:02So mine is, my dad and I were just talking about this last night,
- 36:06which is why I brought up the question.
- 36:07Do you all remember in 2000 when we had that gigantic snow? I do.
- 36:13Oh, man. That's my least favorite snow memory because I was shoveling. It was so, so much snow.
- 36:18Roof in durham so it didn't cave in it was
- 36:21like literally i don't remember that shut everything
- 36:24down how were you then 2000 yeah i
- 36:28was born three months prior but so
- 36:32we were laughing because my dad was like you remember when that happened a week
- 36:36before the meteorologist in greensboro was like oh nothing's gonna happen right
- 36:41nothing's gonna he's just gonna be a little snow and then it happened and the
- 36:44guy and the guy the first episode back was like anyone looking for a meteor,
- 36:49i need a new job but our power didn't go out and we lived like out in the rural
- 36:55country and all my friends power went out so like everybody came to my house
- 37:00it was pretty awesome that would be a pretty epic memory yeah no parties yeah
- 37:05i also didn't even live in north carolina at the time We lived in Yuma, Arizona,
- 37:09so I guarantee you we were not getting snow. It was unbelievable.
- 37:14I think that's probably the biggest snow.
- 37:17Yeah, I think so. Oh, yeah. I remember a pretty good one.
- 37:22In 2011, I had just moved to North Carolina, and my parents told me,
- 37:26they were like, don't expect a lot of snow.
- 37:28Don't expect to get snow. Live in here. And that winter, we had just moved there in that winter.
- 37:34Huge snowstorm in January. That was the one. We were outside playing all day.
- 37:39That was the one where the infamous picture of the bell line.
- 37:43Was it the bell way or line? What do you call it? Was it Glenwood?
- 37:46Yeah, where the car's on fire.
- 37:48That was epic.
- 37:52Okay, there's our snow tangent. Snow.
- 37:55Well, thanks everyone for joining us. If you're still on here, God bless you.
- 37:59And we will be back next week with an even awesomer episode.
- 38:04Awesomer. Stay safe. Stay warm. you.
- 38:06Music.