NASHVILLE, Tenn. — When you stick Sen. Fred Thompson and former White House Press Secretary Dee Dee Myers in a room for a chat, you might not think they would have much to agree on. But in the case of defining the state of America's health care system, they both agree: it's a mess.

"We speculate on global warming, on how much is mandated, but this is much more than an imminent threat, this is a freight train coming down to get us," Thompson said during the health care reform debate April 7, the keynote address during day two of Benefits Selling Expo.

The former Tennessee Senator addressed the urgency of change for health care. But both he and Myers admitted during the debate they weren't sure how much, and when, it would change.

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The two first addressed the problem of affordability, Thompson calling it "absolutely out of hand." Myers said it was "plaguing not just people in the health care industry but has been plaguing our economy for decades," adding that her own insurance premium has more than doubled in the last five years. "That is unsustainable," she said. "Every 30 seconds someone in this country is going to go bankrupt because of health care costs."

What else is "unsustainable," she said, is that millions of people in the richest country in the world don't have health coverage. "We can do better than that," said Myers, who was the first White House Press Secretary under President Clinton for two years, and currently acts as a political commentator.

What garnered more debate between the two was what the government has done about health care in the past year.

"The Affordable Care Act has tried to address both these things [affordability and access]… with this 30 million people who didn't have coverage will get it, including people with preexisting conditions, and the cost of the system will be a billion dollars less than what it was. These are systematic changes that will reduce the cost of health care over the long-term," Myers said

While the Act isn't perfect, it's a step in the right direction, Myers explained.

As for its future, Myers said it won't get shut down: "There's more incentive for them to come to a consensus." Thompson, though, says the bill has too much to do with taxes, which has resulted in too many waivers and has angered too many people in the process.

"We've never had a piece of legislation of this significance in the past that was practically passed in secret against the will of the American people." Passing the Act was a case of rushing and doing what the government wanted, and the consequences were only an afterthought, he said. 

"People like myself believe we are in dangerous territory economically," Thompson said. "I talked about this when I was senator and while running for president. Anything that can't go on forever, won't."

Myers said to Thompson that most people are calling for specific changes to the plan and not a repeal of it.

As for what their respective parties should do about health care, Myers said Democrats need to continue to educate people about the plan, implement the system, and hope that people experience some benefit to it. There also needs to be flexibility: "We can't have a one-size-fits-all plan for 300 million people in a country as diverse and with as many adversities we have."

Thompson said Republicans only have limited opportunity to change it because "the president is the president" and Barack Obama is the one essentially calling the shots. "The Republicans are going to obviously have to have their own strong ideas about how we want to go." What's going to happen is reform is going to "cost a heck of lot more than people are expecting or people will be rationing care."

More people will end up losing their coverage, Thompson said, and the key to health care cost is "intertwined with Medicare and Medicaid, which is killing states right now."

Myers predicted Obama will definitely be reelected, explaining it has a great deal to do with the number of jobs he's recently helped create, resulting in a growing economy.

Thompson agreed Obama will be tough to beat in 2012 but he's not sure what will happen before Election Day in regards to reform. "We've come to the point where we can't go on like this," he said.

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