Just days into 2019, Democrats are already making a their push for much more government involvement in health care.

In New York City, Mayor Bill de Blasio says his city will spend $100 million to cover the medical costs of 600,000 uninsured residents to primary care physicians and specialists.

De Blasio says his program is not insurance, so what is it? How much will it really cost, since even Democrats admit $100 million, won't be enough? And what will the impact be a few years down the road?

Galen Institute President Grace-Marie Turner says New York City residents will encounter a very complicated system that will use a person's income to determine what gets paid for by the city and what residents must take care of themselves.

Meanwhile, on Capitol Hill, House Budget Committee Chairman John Yarmuth (D-Kent.) is asking the Congressional Budget Office to report on the impact of moving all healthcare costs onto the federal government.

Turner also says this move is proof that Obamacare, also known as the Affordable Care Act, is a failure and would add massive costs to taxpayers.

Listen to the full podcast to hear Turner's full assessment of both endeavors and why more people are not really covered under Obamacare than had health insurance before that legislation took effect.