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Dr. Claudia Fegan, past president of Physicians for a National Health Program and chief medical officer at John H. Stroger Jr. Hospital of Cook County, appeared on MSNBC’s “Up with Chris Hayes” on Nov. 24 as part of a panel that included Dr. Donald Berwick, former administrator of the Centers for Medicare and Medicaid Services; Jacob Hacker, professor at Yale University; Joy Reid, an MSNBC regular contributor; and Josh Barro, a journalist at

This 3-minute excerpt focuses on the planned expansion of Medicaid coverage under the Affordable Care Act, how the ACA will shift current federal DSH payments now going to safety-net hospitals to individuals enrolled in the Medicaid program, and how some enrollees may have difficulty finding providers willing to take them as patients. Later in the program, in a segment on cost control, Dr. Fegan speaks about her skepticism that the ACA will be able to control costs and, by way of contrast, notes the huge administrative savings a single-payer system would yield — enough to provide quality care to all.

The full segment is available here.