Untitled Document

[00:00:36] yeah [00:03:37] now [00:04:09] yes [00:07:46] all right behind me is the only thing [00:07:51] between you and single-payer health care [00:07:54] a small band of brothers looking for a [00:07:58] sister so we're going to unveil a bill [00:08:04] that's been in the making for a bout of [00:08:06] months now and bill cassie is going to [00:08:09] walk you through the details rick [00:08:11] santorum's going to tell you how history [00:08:13] is on our side [00:08:14] Ron Johnson's gonna talk about numbers [00:08:16] because that's what he does and Dean [00:08:19] Heller is going to tell you about how [00:08:21] this is a good deal for Nevada and the [00:08:23] country as a whole [00:08:24] and I'm gonna start with the following [00:08:26] proposition if you believe repealing and [00:08:29] replacing Obamacare is a good idea this [00:08:32] is your best and only chance to make it [00:08:36] happen because everything else has [00:08:38] failed except this approach which will [00:08:41] work if we get behind it if you want a [00:08:44] single-payer health care system this is [00:08:46] your worst nightmare Bernie this ends [00:08:51] your dream of a single-payer health care [00:08:54] system for America so we need people on [00:08:58] board now to stop what I think is [00:09:01] inevitable if we fail which is [00:09:04] single-payer health care for all which [00:09:06] is the end of quality and the end of a [00:09:10] sustainable federal budget there are [00:09:12] three choices [00:09:14] prop up Obamacare Bernie care or our [00:09:19] bill that's where you're at count me out [00:09:24] for propping up Obamacare hell no - [00:09:27] Bernie care count me in for an idea that [00:09:30] gives a patient a voice they would never [00:09:34] have under single-payer health care [00:09:35] count me in for people in my state [00:09:38] making decisions about health care [00:09:40] versus some bureaucrat in Washington [00:09:42] there's a lot of fight left in the [00:09:45] Republican Party when it comes to [00:09:46] repealing and replacing Obamacare the [00:09:50] reason I know that as I spent all of [00:09:52] August talking about our failure and [00:09:55] nobody was very happy with the idea that [00:09:58] the Republican Party after seven years [00:10:01] promised to repeal and replace Obamacare [00:10:03] made an effort failed and apparently [00:10:06] willing to quit the question is is there [00:10:09] any fight left in Washington to repeal [00:10:12] and replace Obamacare is there any fight [00:10:15] in the Republican Senate in the White [00:10:18] House [00:10:19] I can tell you there are a lot of [00:10:21] colleagues that are dying to have [00:10:23] another shot at health care there are a [00:10:25] lot of colleagues of mine that would [00:10:26] like to talk about taking money and [00:10:28] power out of Washington and returning it [00:10:31] to their state closer to the patient and [00:10:34] in the hands of people you can actually [00:10:38] complain to under Obamacare if you don't [00:10:42] like it who do you complain to you can [00:10:44] complain to me but I don't run Obamacare [00:10:46] under this Block Grant approach which [00:10:49] bill will describe to you you can [00:10:51] actually complain to a State House [00:10:53] Representative who probably lives in [00:10:55] your neighborhood goes to the same [00:10:57] hospital you send your family you can [00:11:00] complain to a governor that you can vote [00:11:02] for under Bernie care you complain to a [00:11:07] faceless bureaucrat under Bernie care [00:11:10] and Obamacare there really is no [00:11:14] innovation under this approach 50 states [00:11:19] have a chance to deliver health care in [00:11:21] overtime guess what some will figure it [00:11:25] out better than others and those who [00:11:28] badly we'll copy those who do well under [00:11:31] Obamacare you're no better than the [00:11:33] bureaucrat are the most liberal member [00:11:36] of the House and the Senate this is a [00:11:38] defining fight for the future of health [00:11:41] care and the Republican Party we refused [00:11:45] to quit we have been working on a bill [00:11:48] that I think should have been our first [00:11:51] approach to repeal and replace of [00:11:52] Obamacare not our last but it is now our [00:11:56] last four states under Obamacare get 40% [00:12:01] of the money New York California [00:12:04] Massachusetts and Maryland if that [00:12:07] bothers you this is a chance to do [00:12:09] something about it if you live in a [00:12:12] state and you want to keep sending money [00:12:14] to Maryland New York Massachusetts and [00:12:17] California then vote for Bernie's bill [00:12:23] prop up Obamacare if you believe your [00:12:26] state should have more money more [00:12:28] flexibility and more choice than vote [00:12:30] for our approach I've been involved in a [00:12:34] lot of things in the last 20 years this [00:12:38] is the most important thing I believe I [00:12:40] will ever be involved in as a member of [00:12:42] the United States Senate I know what [00:12:45] awaits our country if we fail the [00:12:49] consolidation of health care in the [00:12:51] hands of the federal government from [00:12:52] cradle to grave unlimited unsustainable [00:12:57] spending that wrecks the federal budget [00:13:00] there are two approaches we take care we [00:13:03] deal with Medicaid in a very reasonable [00:13:06] fashion more flexibility more control [00:13:09] and we begin to slow the growth to [00:13:11] Medicaid down in your eight if we do [00:13:15] nothing by 2027 Medicaid will be over [00:13:21] six hundred and fifty billion dollars in [00:13:23] spending we're spending 549 billion [00:13:26] today on the military let me say that [00:13:29] again to do nothing means that we'll be [00:13:32] spending more in the next decade on [00:13:34] Medicaid than we do to defend our [00:13:36] country this bill changes that [00:13:40] 40% of the money under obamacare where [00:13:44] is that chart 40% of the money under [00:13:48] Obamacare goes to four states we level [00:13:57] out spending ten years from now 2026 [00:14:02] every state gets to basically the same [00:14:05] contribution from the federal government [00:14:06] will allow you to adjust for risk if you [00:14:09] have an older population and sicker [00:14:11] population you can get more money but [00:14:14] the goal is by 2026 to make sure that [00:14:18] every patient no matter where you live [00:14:19] gives basically the same contribution [00:14:21] from the federal government I think most [00:14:24] Americans believe that's fair our bill [00:14:27] levels out an inequity in funding it [00:14:31] allows flexibility that Obamacare would [00:14:33] never embrace it gives patients a voice [00:14:36] into health care they'll never have [00:14:38] those single-payer health care system [00:14:39] and from my point of view it's the best [00:14:43] and last hope for the Republican Party [00:14:47] to show that we have ideas and that our [00:14:51] ideas are better than our friends on the [00:14:53] other side last thought liberals will [00:14:56] fight like Tigers to the bitter end to [00:15:00] get what they want to those in the [00:15:05] Republican Party who felt like feel like [00:15:08] we have not fought as hard as we could [00:15:11] you're right [00:15:12] to those conservatives who feel let down [00:15:15] by this debate you have every reason to [00:15:19] be let down here's my call to the [00:15:22] Republican Party and to all who believe [00:15:25] that health care should be closer to the [00:15:29] patient not stuck in Washington we need [00:15:33] your help the only thing stopping us [00:15:36] from having this idea debated on the [00:15:39] floor of the United States Senate is [00:15:41] lack of leadership [00:15:48] bill Cassidy [00:16:13] if you were [00:16:13] or that's where you went and I learned [00:16:15] that if a politician controls the dollar [00:16:17] if a politician controls the dollar the [00:16:19] system lines up to control the system [00:16:22] lines up to serve the politician if the [00:16:24] patient controls the dollar the system [00:16:26] lines up to serve her the theme of what [00:16:28] we're trying to do is to give the [00:16:30] patient the power we want the system to [00:16:32] line up for that patient wherever she [00:16:34] may live now some will say my gosh [00:16:36] what's wrong with the status quo we [00:16:39] should continue it there's a saying out [00:16:41] there though that Obamacare only works [00:16:42] if you don't and I will use the example [00:16:45] of a fella named moon grifone who is a [00:16:47] talk show host in Louisiana [00:16:49] he is a self-employed person Moon's got [00:16:53] a special needs child moon's premium per [00:16:57] year is over $40,000 with a $5,000 [00:17:02] deductible and an additional [00:17:04] pharmaceutical deductible think about [00:17:07] that he is going to pay $50,000 a year [00:17:11] between his premium and his deductibles [00:17:15] the mortgage of a $500,000 home and [00:17:19] Louisiana is considered to be one of the [00:17:21] states in which the individual market is [00:17:23] working relatively well it doesn't work [00:17:26] if you work we try and change it to give [00:17:29] a patient like moongra phone or that [00:17:30] self-employed person wherever she or he [00:17:32] may live the ability to have affordable [00:17:34] health insurance now by the way I've [00:17:36] been accused of partisanship the New [00:17:39] York Times editorial yesterday opined [00:17:41] draconian cuts as a little amused [00:17:44] because we haven't introduced the bill [00:17:46] yet so in all due respect to the [00:17:48] Editorial Board of the New York Times [00:17:49] you haven't seen the bill how do you [00:17:51] know that there are draconian cuts [00:17:52] similarly some of our Democratic [00:17:54] colleagues have accused us of [00:17:56] partisanship let me also say you haven't [00:17:59] read the bill yet but let me just give [00:18:01] some numbers we're not being partisan [00:18:03] what we do is we equalize the treatment [00:18:06] of whatever that patient was if she [00:18:08] currently lives in a state represented [00:18:11] by a Democratic Senator which did not [00:18:13] expand Medicaid they do far better [00:18:15] because by 2026 wherever she lives [00:18:18] whether a blue state or a red state [00:18:20] still be about the same amount of money [00:18:22] provided for her care we don't think of [00:18:25] blue states or red states in this bill [00:18:26] we [00:18:27] of American States of American patients [00:18:29] and we think those who are eligible for [00:18:31] assistance should get about the same one [00:18:33] example though the difference between [00:18:34] what we provide versus what they will [00:18:36] receive that some of these states will [00:18:38] receive under status quo is Indiana will [00:18:41] receive 1.3 billion more in 2026 [00:18:44] relative to status quo a state [00:18:47] represented by a Democratic senator [00:18:48] Missouri 1.1 billion wisconsin 1.1 [00:18:52] billion Virginia 2.7 billion dollars [00:18:56] more in 2026 alone under our plan [00:18:59] relative to status quo this is not a [00:19:02] partisan bill this is a bill about the [00:19:05] American patient wherever she lives let [00:19:08] me also say that then some in fairness [00:19:11] Tim Kaine senator from Virginia I'm told [00:19:13] after I left committee yesterday said he [00:19:15] didn't accuse us of partisanship but he [00:19:17] wished that there would be a better [00:19:18] process and Senator Carper said he [00:19:20] wished that there would be a hearing [00:19:21] upon our bill I agree I hope there is a [00:19:24] hearing but let's let's not be [00:19:26] disingenuous so far from the other side [00:19:29] of the aisle [00:19:29] there's been no cooperation whatsoever [00:19:31] and attempting to address the issues of [00:19:33] someone like moongra phone who's paying [00:19:36] $50,000 a year under the status quo we [00:19:39] can do better as regards the policy [00:19:41] itself we take all the dollars that are [00:19:43] we first we repeal the individual [00:19:45] mandate we repeal the employer mandate [00:19:48] those penalties go away we get rid of [00:19:52] the medical device tax we take the [00:19:54] dollars that are left and we split it [00:19:56] among the states the way we decide what [00:19:58] state gets what is we look at everybody [00:20:00] in the nation who earns between fifty [00:20:05] and a hundred and thirty eight percent [00:20:07] of federal poverty level then we take [00:20:09] each state's percent of that national [00:20:13] population and that is where you begin [00:20:16] beginning in 2021 the dollars are [00:20:19] allocated depending on what percent you [00:20:21] have of the federal of the total [00:20:24] national population within that income [00:20:26] level the state can spend it on those [00:20:28] who are a little bit richer or a little [00:20:30] bit less rich but that is where we [00:20:33] decide to spend that's how we divide the [00:20:34] money beginning in 2022 I think we put [00:20:37] in a risk adjustment we phase it in [00:20:40] so that states that our older and sicker [00:20:41] at the end will get a little bit more [00:20:43] per patient and those that are younger [00:20:46] and healthier perhaps a little less but [00:20:48] everybody will get about will get the [00:20:50] mean plus or minus 10% we also towards [00:20:53] the end begin to phase in that the [00:20:56] allocation will be based upon enrollment [00:20:58] if a state has enrolled a lot of people [00:21:00] they get a little bit more if they get [00:21:03] less people if they enroll less people [00:21:05] they get less why as much as the CBO is [00:21:08] going to ding us because we repeal the [00:21:10] individual mandate Jonathan Gruber the [00:21:12] Jonathan Gruber architect of the ACA has [00:21:15] an article research you did for MB er [00:21:18] which he published in the New England [00:21:20] Journal of Medicine as well in which he [00:21:22] says there is no statistically [00:21:25] significant effect of the individual [00:21:27] mandate in improving enrollment okay no [00:21:31] statistically significant effect of the [00:21:34] individual mandate in print improving [00:21:36] enrollment what does matter is if a gap [00:21:39] of a governor gets on board if a [00:21:41] governor gets involved it happens in our [00:21:43] state we have a new governor he decided [00:21:45] to expand Medicaid Louisiana enrolled [00:21:48] 450,000 people in 18 months if a [00:21:52] governor's on board you enroll people so [00:21:54] we incentivize governor's to enroll [00:21:56] saying towards the end that if you the [00:22:00] amount of money you get will depend upon [00:22:01] those who enroll but we're conservatives [00:22:04] we don't think that government health [00:22:06] care is the best of all so enrollment [00:22:08] and counts finding that the patient who [00:22:10] has VA benefits is enrolled in the VA [00:22:13] the person who could get it through her [00:22:15] employer if she had a little extra money [00:22:18] for premium support can receive premium [00:22:21] support in order to get it through her [00:22:23] employer [00:22:23] we also by the way she mentioned [00:22:25] incorporate Ted Cruz's amendment which [00:22:27] was in the you Cassidy Collins bill [00:22:28] which allows a state to put money in a [00:22:31] health savings account for the person to [00:22:33] purchase her own insurance I can go on [00:22:36] but our goal is to give patients the [00:22:38] power we think this is a great reform [00:22:40] I'll now turn it over to Dean Heller [00:22:46] bill thank you and Lindsay thank you I [00:22:49] want to thank my colleagues and former [00:22:51] colleagues to be standing with you today [00:22:54] what what I think is a very important [00:22:57] moment blast last night I did one of my [00:23:00] weekly telltale whole meetings and I [00:23:03] actually had a nurse get on the phone [00:23:04] and the nurse said finally finally into [00:23:07] the Graham Cassidy Heller Johnson bill [00:23:09] Congress gets it they finally understand [00:23:13] what's good for America and finally they [00:23:15] understand what's best for the state of [00:23:17] Nevada I remember back in 2012 when [00:23:20] Obama was running for re-election and he [00:23:21] was running against Romney and Obamacare [00:23:24] had been in place for two years I said [00:23:26] if Romney doesn't win it's gonna make it [00:23:28] very very tough to reverse Obama care as [00:23:32] we know it today and I think the last [00:23:34] eight months has proven that that has [00:23:36] been a very very difficult task in fact [00:23:39] right now Republicans have come up with [00:23:41] two plants two plants one to repeal but [00:23:44] not replace one to replace but not [00:23:47] repeal that's what we have been doing [00:23:50] for the last eight months and both have [00:23:52] failed miserably so finally finally [00:23:55] we've come up with the third option and [00:23:58] that is to repeal and to replace and I [00:24:01] will tell you this that Obamacare has [00:24:03] not worked for all in the Baden's and [00:24:04] I'll give you a couple of examples just [00:24:06] a couple of months ago 14 of 17 counties [00:24:09] 14 of 17 counties Nevada was going to go [00:24:12] bare after the first of next year [00:24:15] fortunately with the work of my office [00:24:17] and the governor's office we were able [00:24:18] to find a single carrier that would [00:24:21] actually work for those 14 or 17 [00:24:23] counties but unfortunately we found one [00:24:25] carrier which means there's no [00:24:27] competition and there are no choices and [00:24:29] you know that that's only going to [00:24:31] increase costs in those 14 or 17 [00:24:34] counties another example of how this [00:24:36] doesn't work for all Nevadans we as [00:24:38] spend in the state of Nevada pay the [00:24:40] federal government over 18 million [00:24:42] dollars by individuals about 80,000 of [00:24:45] them because they can't afford the [00:24:47] product that the government tells them [00:24:50] they have to buy so they're paying the [00:24:53] fine most of them make less than $50,000 [00:24:55] a year over 80% of them make less than [00:24:57] 50,000 so the least fortunate have [00:25:00] to pay this fine have to pay this fund [00:25:03] because they can't afford to pay the pay [00:25:05] before this product that the government [00:25:08] says that they have to buy as I said [00:25:12] Obamacare does not work for all of [00:25:14] add-ins [00:25:15] so last week this is even more [00:25:17] interesting to me and that is that I had [00:25:20] an interview with a show called Nevada [00:25:22] newsmakers and the host of that show [00:25:24] said that in a discussion with Senator [00:25:26] Reid a couple years ago he said that [00:25:29] Senator Reid said that the single-payer [00:25:31] systems ultimate goal was or that the [00:25:34] Obamacare's ultimate goal was to become [00:25:36] a single-payer system so seven years ago [00:25:39] we set up a system that the purpose of [00:25:41] it was to get us to a single-payer [00:25:43] system quoting the the majority leader [00:25:46] of the Senate at that time think about [00:25:49] that that was the goal was to put [00:25:51] together a piece of legislation that was [00:25:52] supposed to fail and obviously that's [00:25:55] working out I don't think Americans [00:25:57] deserve this and frankly I don't think [00:25:59] Nevadans deserve it also so we need to [00:26:03] find a way forward and we figured that [00:26:05] out through Graham Cassidy Heller [00:26:07] Johnson and this plan is the way forward [00:26:10] it is the most reliable workable [00:26:12] solution to achieve our health care goal [00:26:14] form reforms and it returns powers to [00:26:17] the states provides ultimate flexibility [00:26:20] to governors and legislatures regardless [00:26:22] of whether they expanded Medicaid or not [00:26:25] so under this proposal our proposal [00:26:27] Nevada actually sees more funding than [00:26:29] we currently do under Obama care so our [00:26:32] plan gives Nevada more money to cover [00:26:34] healthcare costs as it sees fit this is [00:26:38] the way forward this is how we're going [00:26:40] to move not only health care forward but [00:26:42] America for our economy forward by [00:26:44] having a health care plan that works for [00:26:47] everyone [00:26:47] and with that Ron Johnson Thank You Dean [00:26:52] first of all I want to thank Bill [00:26:54] Cassidy for all his hard work Lindsey [00:26:57] Graham selling the program Rick Santorum [00:26:59] and Dean Heller just in terms of their [00:27:01] effort of really doing what senator [00:27:03] Graham said is our last chance of [00:27:06] repealing what I think has been a law [00:27:08] that has done a lot of harm to a lot of [00:27:10] Americans it's done some good but it's [00:27:12] also done a lot of harm [00:27:13] Lindsay said I was gonna mention some [00:27:16] numbers I don't want to disappoint he's [00:27:18] talking about 650 billion dollars spent [00:27:20] on Medicaid in the next 10 years do you [00:27:22] realize only nine years ago we were [00:27:23] spending 200 billion dollars this year [00:27:25] we'll spend about four hundred billion [00:27:27] dollars again ten years in the future [00:27:28] 650 clearly unsustainable now from my [00:27:32] standpoint I represent state of [00:27:33] Wisconsin we didn't need Obamacare [00:27:36] according to the Wisconsin Department of [00:27:38] Health Services in their family health [00:27:40] survey prior to Obamacare 94 percent of [00:27:44] Wisconsin i'ts had health coverage all [00:27:46] or part of the year under Obamacare now [00:27:48] it's up to 96 percent so okay I'll [00:27:50] concede the fact that 212 Wisconsin i'ts [00:27:52] now I have coverage because of Obamacare [00:27:54] but over a hundred thousand Wisconsin [00:27:58] i'ts are choosing to pay the penalty 82 [00:28:01] percent of those make less than $50,000 [00:28:03] a year and like it has been the average [00:28:06] premium increase in in America [00:28:09] throughout America coordinating HHS [00:28:10] Wisconsin's premiums have by and large [00:28:13] doubled because of the artificial nature [00:28:17] the the faulty architecture of Obamacare [00:28:19] in many cases premiums had tripled and [00:28:23] one thing I appreciate about President [00:28:26] Bill Clinton when he was talking about [00:28:27] Obamacare this this craziest thing in [00:28:29] the world he was talking about the [00:28:31] Forgotten men and women people out there [00:28:33] busting it sometimes working 60 hours a [00:28:35] week their previous have doubled I will [00:28:38] say sometimes tripled or more their [00:28:39] coverage cut in half they can't afford [00:28:42] Obamacare and that's simply the truth [00:28:45] and what I love about this plan is those [00:28:48] forgotten men women people like Vern and [00:28:50] Sherri Colby who wrote to me saying they [00:28:52] literally had to cash in their 401k sell [00:28:56] their house because they had to pay back [00:28:58] the subsidies they got under Obamacare [00:29:00] because they made close to sixty [00:29:02] thousand dollars a week though a year [00:29:05] sorry six thousand dollars a year and [00:29:08] they had to pay back and they had to [00:29:10] can't cash in their 401k and basically [00:29:13] lose their house those are the Forgotten [00:29:16] men and women of Obamacare that are [00:29:18] forgotten by bureaucrats here in [00:29:20] Washington DC those men and women won't [00:29:22] be forgotten by governors and by state [00:29:25] legislators because government closed [00:29:26] the [00:29:27] is going to be far more responsive what [00:29:29] Graham Cassidy Heller Johnson does is it [00:29:32] returns at power to the States [00:29:34] it makes States more responsible more [00:29:36] responsive and so hopefully those [00:29:39] premiums will come down because States [00:29:41] will be granted more flexibility and of [00:29:43] course this just can be a whole lot [00:29:44] fairer [00:29:45] now in Wisconsin is proof positive this [00:29:48] Wisconsin because the leadership of [00:29:50] Governor Walker and our state [00:29:51] legislature we're the only state that [00:29:52] closed the coverage gap the denied [00:29:55] coverage any subsidies for people work [00:29:58] that working poor below Hobson the [00:30:00] poverty level that was good work that [00:30:02] was good flexibility but we got no [00:30:03] credit for it under Obama care under [00:30:05] Graham Cassidy Kelly Johnson it'll be a [00:30:07] whole lot fairer process and in states [00:30:09] like Wisconsin doing right by their [00:30:12] constituents will be granted the funding [00:30:15] for that this is a far fair process so [00:30:18] let me conclude by pointing out what [00:30:20] senator Graham also said for my [00:30:22] Republican colleagues that this isn't [00:30:24] quite good enough it doesn't do enough [00:30:27] of a repeal this is our last shot I come [00:30:31] from manufacturing background I will [00:30:32] never let perfect be the enemy that good [00:30:34] I'm in to continuous improvement Graham [00:30:36] caste hella Johnson is a vast [00:30:38] improvement not perfect we're still got [00:30:41] a ways to go there still be fixes we got [00:30:43] it initiate but this is far better than [00:30:47] Obamacare that literally is leading [00:30:49] behind those forgotten them men and [00:30:51] women like Sherri and Vern Colby we [00:30:53] can't forget those people gran casa [00:30:55] hella johnson will and again i just want [00:30:57] to commend all my colleagues I want to [00:30:58] commend Governor Walker for showing [00:31:00] great leadership rounding up the [00:31:02] governor's that hopefully they can have [00:31:04] a pretty good show of support next week [00:31:05] so with that I'll turn you over to Rick [00:31:07] Santorum thank you I know it seems like [00:31:14] I've been here but it's been ten years [00:31:15] since I've been a United States Senator [00:31:17] and I'm here because I was watching this [00:31:20] process as someone sitting home who is [00:31:23] on the Obamacare exchanges and paying [00:31:25] over $30,000 in premiums a year and over [00:31:28] $40,000 because most of you know I have [00:31:30] a disabled child with my deductible [00:31:32] sunlight so this was affecting our [00:31:34] family personally and I was watching [00:31:36] what was going on in Washington and [00:31:38] seeing what I saw was [00:31:40] the frustration that I think most [00:31:41] Americans see is the defunct dysfunction [00:31:43] of not get anything done and so I [00:31:46] brought an idea forward to Senator [00:31:48] Graham I've been working with Senator [00:31:49] Graham and frankly with members of the [00:31:51] freedom caucus with Governor Walker he's [00:31:54] one of the first people I called to to [00:31:55] bounce this idea off for him because I [00:31:58] learned from experience 20 years ago [00:32:00] that when reforming an entitlement that [00:32:03] the best way to to do that particularly [00:32:05] an entitlement that shouldn't be at the [00:32:07] federal level that should be at the [00:32:08] state level that you talk to governors [00:32:10] and you get governor's input and [00:32:11] governor's idea and you have them [00:32:13] provide some leadership so over the past [00:32:16] several months more intensively over the [00:32:18] past two months we've been working with [00:32:20] governors and as as Ron said Governor [00:32:22] Walker has been incredible I mean really [00:32:25] providing tremendous leadership in in [00:32:28] helping put together this package that [00:32:31] you see here today other governors have [00:32:33] been also helpful Governor phil Bryant [00:32:35] governor ASA Hutchinson governor Doug [00:32:36] Ducey all have tremendously contributed [00:32:39] to to this process but the the real [00:32:43] credit goes to to Lindsey Graham and [00:32:45] then bill Cassie who had been working [00:32:47] day and night on this bill and and and [00:32:49] Dean and and Ron also for for pitching [00:32:52] in and helping pull this thing together [00:32:54] this is the own as Lindsey said not only [00:32:58] the last choice but the best choice you [00:33:00] know Winston Churchill said America [00:33:01] always does the right thing ever after [00:33:03] it tries everything else first well [00:33:05] that's sort of where we are here we've [00:33:07] tried everything else first and this is [00:33:09] actually the best idea [00:33:10] and it's an idea that that will work [00:33:12] because it's proven to work it's proven [00:33:15] because back in 1996 we actually passed [00:33:18] say the only reform of an entitlement in [00:33:21] the major entitlement in the history of [00:33:22] the country and that was welfare and was [00:33:25] aid to families with dependent dependent [00:33:27] children which I was heavily involved in [00:33:29] and the reason I came up with this idea [00:33:31] is because it's the same principles and [00:33:33] that is get the money out of Washington [00:33:34] give it to the 50 states given the [00:33:36] flexibility to design the program and [00:33:38] let them treat the the population that [00:33:40] that the money is designated for in a [00:33:43] way that meets the needs of the people [00:33:44] sitting across the table from them not [00:33:46] as Lindsay said with bureaucracies it [00:33:49] worked in 1996 and we got bipartisan [00:33:51] support and I understand that was a [00:33:52] different era [00:33:54] and bipartisanship is is a something [00:33:57] that's not in the current lexicon in [00:33:58] Washington DC but the idea of compromise [00:34:01] and building consensus should be and [00:34:04] that's what this bill does Bronson was [00:34:06] right this bill doesn't repeal [00:34:08] everything at Obamacare and so if you're [00:34:10] a purist you can say and say well [00:34:11] everything isn't repealed well let me [00:34:13] assure you that in 1996 we didn't repeal [00:34:15] everything in welfare in fact we spent [00:34:18] more money initially than what was being [00:34:20] spent on welfare that's not the case [00:34:22] here but we spent more money and in fact [00:34:25] targeted for more money for quite some [00:34:27] time and there were a lot of purist [00:34:28] conservatives who actually were against [00:34:30] welfare reform when we passed it spoke [00:34:32] out against it because it wasn't perfect [00:34:35] it wasn't it wasn't a good compromise [00:34:38] what this is what welfare turned out to [00:34:41] be because it's been the most successful [00:34:43] reform of a program in the history it's [00:34:46] also been great for the American budget [00:34:48] anybody know how many times the TANF [00:34:50] Block Grant that was established in 1996 [00:34:53] has been increased since 1996 never do [00:34:57] you ever hear a governor come to [00:34:58] Washington and complain about now you [00:34:59] have enough money for their welfare [00:35:01] program no you don't why because we gave [00:35:03] them the money and the flexibility to be [00:35:05] able to design a program that worked for [00:35:06] them that's what this bill does [00:35:08] governor's will wellmaybe him and haw [00:35:10] about how much money is in the formula [00:35:12] but we give them the combination of [00:35:14] money and flexibility to be able to [00:35:16] design something that works best for [00:35:18] them they will save money they will get [00:35:20] better healthcare for people in their [00:35:22] states and just like we did with welfare [00:35:24] we will get this out this problem out of [00:35:27] Washington DC and have the debate at the [00:35:29] local level where it belongs this is a [00:35:31] tremendous opportunity to do something [00:35:34] transformational and I know it's it may [00:35:36] appear last-minute but well it is [00:35:39] last-minute but it is it is it is the [00:35:43] right approach at the right time [00:35:45] welfare reform worked because we were [00:35:49] able to balance the interest of making [00:35:51] sure that we gave governor's enough [00:35:52] money and enough flexibility and for the [00:35:55] purists yeah it's a lot of money for the [00:35:57] purist yes we keep taxes in place but we [00:36:00] get the money out of Washington we give [00:36:02] the governor's flexibility we and as [00:36:04] Lindsey said the any hope of [00:36:05] single-payer health care try to take [00:36:06] that money [00:36:07] back from the states after its had it [00:36:09] for 10 years no chance we are going to [00:36:11] have a can fundamentally the biggest [00:36:14] reform that we've seen in my lifetime in [00:36:17] Washington DC if this bill passes and so [00:36:20] for anybody who says they're for getting [00:36:23] power to the people and for getting [00:36:25] power out of Washington to not [00:36:27] enthusiastically embrace this you have [00:36:29] to question whether they really mean [00:36:31] what they say because that's exactly [00:36:32] what this bill does [00:36:48] well we had a good meeting with Mitch I [00:36:51] think Mitch would vote for it but he [00:36:52] said go get 50 votes I need 50 votes [00:36:55] we'll bring it up we'll debate you got [00:36:57] to get a score we've had to think at CBO [00:37:00] for about a week I'm asking Mitch to [00:37:03] help me get a score from CBO make them [00:37:05] work overtime Bernie will not tell you [00:37:08] how much is Bill cost and how he's going [00:37:10] to pay for it we can tell you exactly [00:37:12] what this cost it's about 1.2 trillion [00:37:14] dollars and we pay for it by leaving [00:37:16] taxes on the wealthy in place something [00:37:19] a lot of conservatives don't like [00:37:20] including me but we took the the the [00:37:24] taxes in Obamacare and basically left [00:37:26] them in place but block granted the [00:37:28] money so that four states wouldn't get [00:37:30] 40% and level it out so I can tell you [00:37:33] unlike Bernie how we pay for it Mitch [00:37:36] said get 50 votes if you're Republican [00:37:38] out there disappointed in our efforts to [00:37:40] repeal and replace Obamacare help me get [00:37:43] 50 votes help us the president talked to [00:37:46] the vice president yesterday Mike Pence [00:37:48] has been awesome said he'd give me a [00:37:50] statement I don't have a statement mr. [00:37:52] president help us president said if you [00:37:55] could get twenty governors he'd stand [00:37:57] with them help us get twenty governors [00:37:59] the idea that the Republican Party has [00:38:03] done its best repeal and replace [00:38:05] Obamacare is a joke the idea that we can [00:38:09] do this by ourselves is unreasonable we [00:38:13] have given a pathway forward that is [00:38:17] fair that fundamentally transforms [00:38:21] medicine in the country gives patients [00:38:23] stronger voice repeals and replaces [00:38:26] Obamacare forever and everybody's [00:38:29] telling us get us 50 votes and we'll [00:38:32] help you so here's my challenge to the [00:38:34] Republican leadership act like this [00:38:37] matters because it does I am NOT ready [00:38:39] to move on are y'all ready to move on [00:38:41] I'm not ready to move on if this bill [00:38:44] dies it's because Democrats say no is [00:38:47] the only acceptable outcome to me I [00:38:49] don't want this bill to die because [00:38:51] we're just tired of dealing with [00:38:53] healthcare to the president I am all in [00:38:55] for your agenda pick up the phone call [00:38:58] some governor's see if you could get us [00:39:01] to 20 tell them this matters to you that [00:39:03] you weren't kidding about repealing and [00:39:05] replacing Obamacare you actually meant [00:39:07] it so mr. president help us because [00:39:10] we're trying to help you it's a work in [00:39:26] progress [00:39:27] work in progress even though if you look [00:39:42] at the numbers for Virginia you'd have [00:39:44] to ask governor McAuliffe why you would [00:39:45] not so so there may be some partisanship [00:39:49] but it won't be from our side it'll be [00:39:50] from the other here's what I can say 18 [00:39:53] Republican governors gives you a [00:39:55] majority of 18 of Republican governors [00:39:57] will get there we just need a little [00:39:59] help we've got about 14 or 15 in the [00:40:01] bank a few phone calls from the [00:40:03] president vice president you get to 20 [00:40:05] pretty quickly to Senator McConnell he's [00:40:08] supportive of the idea help us get a CBO [00:40:11] score let the conference know we're back [00:40:14] in the fight here we've got plenty of [00:40:16] time I don't know what we're gonna do [00:40:17] between now and September the 30th but [00:40:20] how about this idea [00:40:21] argue about something that matters to [00:40:23] the American people how about this idea [00:40:25] don't quit on repealing and replacing [00:40:27] Obamacare keep fighting to the very last [00:40:30] tick of the clock [00:40:32] yeah yes you know when it comes to [00:40:35] different states obviously non-expansion [00:40:38] States Larry Wisconsin are going to [00:40:40] finally get some equity in terms of the [00:40:42] distribution of Obamacare dollars and so [00:40:45] for example my junior senators senator [00:40:46] Baldwin ought to be completely in [00:40:48] support of this because this really [00:40:49] benefits Wisconsin there are other [00:40:50] centers for example senator McCaskill [00:40:53] Missouri would highly benefit from this [00:40:55] so I think Senator Graham's approach on [00:40:57] this thing is and senator Cassidy's been [00:40:59] let's let's make this equal and theirs [00:41:01] ought to be a great deal of pressure on [00:41:02] Democrat senators as well to do right by [00:41:05] their states starting with Senator [00:41:06] Baldwin [00:41:09] let's do the cost-sharing reduction [00:41:26] payments are not included here the [00:41:27] parliamentarian had ruled the [00:41:29] cost-sharing reduction payments cannot [00:41:31] be included in a reconciliation bill so [00:41:33] what we're doing does not compete with [00:41:35] that which is going through help it [00:41:37] complements that which is going through [00:41:39] help okay yes ma'am [00:41:55] you know I'll let my colleagues comment [00:41:58] but you deal then you play with the hand [00:42:01] that's dealt you well we have liked this [00:42:03] to be the first option as opposed to the [00:42:05] last absolutely but the heart and soul [00:42:08] of what we're doing here was included in [00:42:10] Cassidy Collins and I went to ten [00:42:13] between Susan and I went to ten [00:42:14] different Democratic senators I think a [00:42:16] top of mind maybe eight maybe eleven and [00:42:18] all of them said they couldn't [00:42:20] collaborate with us now it's a little [00:42:23] disingenuous to suggest that we had all [00:42:25] these hearings it would have made a [00:42:26] difference when behind closed doors [00:42:29] folks it's re great ideas and yes [00:42:32] there's people in my state being hurt [00:42:33] but we can't help you for political [00:42:35] reasons [00:42:36] so of course I'd like to better process [00:42:38] but you play with the cards that are [00:42:39] dealt to you can i address it first off [00:42:45] a big chunk of this bill is the Medicaid [00:42:48] Block Grant slash per capita cap don't [00:42:51] know chip dance well no the first block [00:42:53] for the first Block Grant so that's been [00:42:55] out there for a long long time it's been [00:42:57] voted on there's nothing new there the [00:42:59] second is is a fairly simple concept [00:43:01] this is not very complicated that has [00:43:04] taken all the Obama care spending [00:43:05] getting rid of it getting rid of the the [00:43:07] tax credits getting rid of the [00:43:08] cost-sharing reduction payments and [00:43:10] getting and getting rid of the Medicaid [00:43:11] expansion dollars Medicaid expansion [00:43:13] ends at the end of 2019 under this bill [00:43:15] and then we do a block grant this is not [00:43:17] complicated you can say we need a lots [00:43:19] of hearings the reality is is a very [00:43:21] simple concept one that's been around [00:43:23] for a long time so I think that this is [00:43:26] me me think stopped us protest too much [00:43:28] when it comes to not having a knowledge [00:43:31] of that what's in this bill hasn't [00:43:46] changed in fact I'm doing exactly what I [00:43:49] said I would do and that is work with [00:43:51] the governor of our state and yes you [00:43:53] are accurate correct that we are a [00:43:55] Medicaid expansion state we actually get [00:43:57] a 30% increase in health care spending [00:44:00] in the state of Nevada with this piece [00:44:01] of legislation so far governor and our [00:44:03] legislature like the Medicaid program [00:44:05] that we currently have not only can they [00:44:07] keep it but they could expand it if [00:44:09] that's what they choose to do with the [00:44:11] 30% increase in spending so we're [00:44:12] telling all 50 states do what's best for [00:44:15] your constituency and this is a bigger [00:44:18] and better product to me it's like Apple [00:44:20] coming out with the iPhone 10 all right [00:44:23] if you don't want to buy it you can keep [00:44:25] your iPhone 7 but there is an iPhone out [00:44:28] there a bigger and better product if in [00:44:30] fact your governor in your legislature [00:44:32] wants to put that package together if [00:44:33] you like your iPhone 10 or 7 you if you [00:44:36] like the Medicaid program that you have [00:44:37] you can keep it [00:44:38] we're not dictating to the state's what [00:44:40] they can do so we're giving our governor [00:44:43] and our legislature the opportunity to [00:44:44] keep what they have and and in if they [00:44:47] choose they can expand it or take a look [00:44:49] at other health care products that are [00:44:50] out there and move in that direction the [00:44:54] second block grant that would have been [00:44:56] money going to refundable tax credits [00:44:58] and to bail out insurance companies is [00:44:59] now block granted back to the states [00:45:01] over a 10-year period that achieves [00:45:04] parity you can take up to 15 percent of [00:45:06] that Block Grant to help with [00:45:07] traditional Medicaid so the bottom line [00:45:10] is we're making traditional Medicaid [00:45:11] sustainable somebody needs to do that [00:45:13] and we're putting money back into the [00:45:16] hands of states that they would never [00:45:17] never see and basically they can design [00:45:20] systems that work for them if you want [00:45:23] to repair Obamacare you can if you only [00:45:25] impose the individual mandate employer [00:45:27] mandates you can but you don't have to [00:45:29] if you want to do something new and [00:45:31] novel you can as to the process we [00:45:34] passed Obamacare on New Year's Eve [00:45:36] Christmas Eve I remember I remember it [00:45:38] very well [00:45:39] I think we can do a hearing on this bill [00:45:42] I'm asking senator hatch to give us some [00:45:45] time to explain our bill to the Finance [00:45:47] Committee [00:45:48] we can go right back to the floor and [00:45:50] continue where we left off in voting [00:45:53] we've got time to bring this up before [00:45:55] September 30th all we need is leadership [00:45:58] I'm urging the White House to get on the [00:46:01] phone to call governors I'm urging the [00:46:04] White House to urge the Senate [00:46:06] leadership to re-engage I'm asking Mitch [00:46:09] McConnell to make time for this bill in [00:46:12] this debate and help me get 50 votes I'm [00:46:15] telling the Republican Party we have not [00:46:18] tried everything as a matter of fact the [00:46:20] best idea has not been tried so I want [00:46:23] to make sure that when we leave health [00:46:24] care if we do and we fail this because [00:46:27] Democrats said no to a transformational [00:46:30] idea I like New York California Maryland [00:46:33] and Massachusetts [00:46:34] they're wonderful States they're fine [00:46:36] people I don't like them so much as to [00:46:39] give them twice what everybody else gets [00:46:52] so we run the program through the chip [00:46:54] we run it through chip if you will and [00:46:58] and the same kind of block grant [00:47:00] approach chip originally was the state [00:47:03] will get a certain amount of money for [00:47:06] those between 50 and 138 percent of [00:47:07] federal poverty level President Trump [00:47:09] when running for president very much [00:47:11] emphasized he wish to take care of those [00:47:12] with pre-existing conditions so we [00:47:15] continue right now the a statement that [00:47:21] you need to be able to provide insurance [00:47:23] part of the problem of those with who [00:47:25] are sicker and older is their risk pool [00:47:27] becomes very concentrated so we have [00:47:29] incentives in there are mechanisms in [00:47:31] there whereby the state can expand the [00:47:33] risk pool and instead of the individual [00:47:35] market what it currently is which is [00:47:36] just the older and sicker rather it [00:47:39] becomes a broader risk pool including [00:47:41] the younger and healthier a state for [00:47:43] example could do automatic enrollment [00:47:44] where all the young healthy folks are [00:47:46] then included and the state would give [00:47:48] that young person a premium sufficient [00:47:50] for their annual cost well now you've [00:47:53] included the younger people in and that [00:47:55] automatically lowers the cost for those [00:47:57] who are older and sicker [00:47:59] those are preexisting [00:48:01] BlueCross Louisiana has told us that [00:48:03] under such a mechanism we would reduce [00:48:06] premiums in Louisiana by as much as 20% [00:48:08] so we give States lots of options as to [00:48:10] how they can address those our [00:48:12] pre-existing conditions just because [00:48:15] bill gave a great answer it gave an [00:48:17] answer that I would give but I'm not too [00:48:18] sure he's specifically answered your [00:48:19] question so you would understand it so [00:48:22] no offense but he gave a very [00:48:24] complicated answer which he answered [00:48:25] your question but I'm not sure that he [00:48:27] necessarily communicated that so the [00:48:29] answer is the title one that says you [00:48:33] cannot discriminate against is not [00:48:35] changed in this bill nor is the [00:48:37] guaranteed-issue change in this bill [00:48:38] there are other things that are but [00:48:39] those two are not if we go through the [00:48:48] chip program hide protections are [00:48:51] maintained [00:48:51] yes yes okay I'll let bill talk about [00:49:02] that before we do that let me tell you [00:49:03] Rick came to me in the barber shop and [00:49:05] said we ought to do a block grant I had [00:49:07] opted out of Obamacare as an option [00:49:09] he said wants to just go bigger this is [00:49:11] what we did in 1996 said you know that's [00:49:14] really appealing then we started coming [00:49:16] up the idea of parody and Bill Cassidy [00:49:18] above all others has spent hours upon [00:49:21] hours working with Rick about the [00:49:24] minutiae to make sure that one you don't [00:49:25] build football stadiums with the money [00:49:27] you got to help sick people but we're [00:49:29] trying to give as many approaches to [00:49:30] helping sick people as there are out [00:49:33] there under Obama care the innovation is [00:49:36] almost zero under our Block Grant [00:49:38] approach the innovation is is pretty [00:49:41] wide but we do not there are guardrails [00:49:44] and we're trying to get more flexibility [00:49:46] to title one but I'll let bill talk to [00:49:49] you about what we do as you compliment [00:49:51] Santorum and cassadee cassadee complices [00:49:54] staff who put in more hours than I have [00:49:57] as regards the as well as Senator Gramm [00:50:01] staff and Senator Heller staff the crews [00:50:04] amendments there's two screws amendments [00:50:05] that's just be clear first cruz [00:50:07] amendment that I mentioned was allowing [00:50:09] the states to put money in health [00:50:10] savings accounts to purchase insurance [00:50:11] we include that amendment [00:50:13] the second cruz amendment will also [00:50:15] have kind of a flexibility in there the [00:50:17] parliamentarian I'm not sure is going to [00:50:19] be wild about that amendment so they [00:50:21] have another set of language that we're [00:50:23] including that we think would hopefully [00:50:26] pass muster with the parliamentarian it [00:50:28] may not we have to recognize that but by [00:50:30] putting it through the chip program we [00:50:31] recognize that the secretary has great [00:50:33] ability to provide waivers and no [00:50:36] governor has ever complained that I know [00:50:38] of about chip program being too [00:50:40] restrictive as to what she or he may be [00:50:42] able to do so we think by putting it [00:50:44] through the chip program is going to [00:50:46] give flexibility the AV value the [00:50:48] actuarial value included in the chip [00:50:50] program is less than that required of [00:50:52] the Medicaid expansion under Obamacare [00:50:54] on the other hand and never here [00:50:55] governor complain about the actuarial [00:50:57] value requirements of chip and so we [00:50:59] think with existing legislation we kind [00:51:02] of end up where we need to be scrapped [00:51:05] for two months so he's really smart and [00:51:08] I'm ready to vote I don't think anybody [00:51:12] those have you been covering this nobody [00:51:14] fought harder to bring down premiums of [00:51:16] an artificial artificial increase [00:51:18] because of title 1 of Obamacare but what [00:51:20] you're finding with the flexibility for [00:51:22] the states is block grant program for [00:51:23] example Maine in initiate a guaranteed [00:51:26] issue did not repeal it sue planted it [00:51:29] with an invisible high-risk pool [00:51:30] Minnesota's instituting somethin else [00:51:32] waiting for the waiver I'll hopefully [00:51:33] get that quickly so again I I believe [00:51:35] this bill by granting the flexibility [00:51:38] and the funding will give the states the [00:51:40] ability to do those very innovative [00:51:43] reinsurance types programs like [00:51:45] invisible high-risk pools that will [00:51:47] bring down premiums so again my [00:51:48] colleagues who fought with me to lower [00:51:50] premiums I think this bill will do [00:51:52] exactly that so again I want to support [00:51:53] that and one last point I'm chairman [00:51:55] Homeland Security if the either the [00:51:58] Finance Committee or help committee [00:51:59] won't hold a hearing I'll notice one [00:52:01] this afternoon we will hold a hearing on [00:52:03] this prior to November 30th [00:52:06] I just want to supplement what bill had [00:52:09] to say on on what flexibilities in the [00:52:11] bill there is language that we hope to [00:52:13] get by the parliamentarian that will [00:52:15] provide flexibility for the money in the [00:52:17] Block Grant so it will be tied to the [00:52:20] Block Grant and to the money in the [00:52:21] Block Grant it will provide some [00:52:23] flexibility through the waiver process [00:52:25] for governors to be able to get waivers [00:52:27] on certain element [00:52:28] of title one of of Obamacare yeah when [00:52:46] you're eight we begin to lower their [00:52:49] growth rates of Medicaid closer to [00:52:52] medical inflation what does medical [00:52:53] inflation bill okay so bottom line is [00:52:58] Medicaid is growing a lot faster than [00:53:00] medical inflation in general to the [00:53:02] point that it crowds out the federal [00:53:04] budget so in year eight for a category [00:53:07] of people we begin to lower the [00:53:09] inflation rate the belief is that the [00:53:11] flexibility we grant the governor's will [00:53:14] allow them to get a better result and [00:53:16] begin to bend the cost curve this is [00:53:19] unsustainable Medicare is even worse by [00:53:23] 2038 [00:53:24] all the money that you send in taxes go [00:53:27] to pay for health care interest on the [00:53:29] debt there'll be no money for anything [00:53:30] else to run the federal government so [00:53:33] this is a very slow [00:53:35] I think balanced approach to allow [00:53:39] states to prepare for an inflation rate [00:53:42] that is more sustainable nobody gets cut [00:53:45] the inflation rate for populations [00:53:47] begins to change and I think we give [00:53:50] people plenty of time and we also allow [00:53:52] you to take fifteen percent from the [00:53:55] second block grant to help with [00:53:56] traditional Medicaid so Dean Heller was [00:54:00] the guy that everybody was looking to on [00:54:03] vikre Dean was the guy where will he go [00:54:06] because he's in a tough race what will [00:54:09] he be able to tolerate politically Dean [00:54:12] did something that I wish every senator [00:54:15] on our side would do instead of being [00:54:18] worried about how this looks politically [00:54:20] he started shopping around for better [00:54:23] ideas and when we approached him with a [00:54:26] block grant approach and showed him that [00:54:28] money will be coming back to your state [00:54:30] that would have gone to New York [00:54:32] California Maryland and Massachusetts [00:54:33] that your state will have more [00:54:35] flexibility that you can actually get [00:54:37] better outcomes and your people will be [00:54:39] listened to under this approach and will [00:54:42] never be [00:54:42] listen to under Obamacare he signed on [00:54:44] and the reason he signed on it turned [00:54:47] out to be good for Nevada but I'll tell [00:54:49] you this I think Dean and Ron of the [00:54:52] four of us up here really believe that [00:54:55] we have got to start getting our fiscal [00:54:57] house in order and if you take health [00:55:00] care off the table [00:55:01] it can never be reformed then our best [00:55:04] days are over [00:55:04] Bernie today is going to propose [00:55:07] single-payer health care Medicare for [00:55:10] all he won't tell you what it cost and [00:55:12] he won't tell you how he's going to pay [00:55:14] for it but I can tell you this Medicare [00:55:16] and Medicaid by 2042 alone are consumed [00:55:19] the entire revenue stream of taxes to be [00:55:22] collected in the future what bernie is [00:55:24] doing is a great disservice to our [00:55:26] country because it will make us Greece [00:55:29] what we're doing is getting money closer [00:55:32] to where the patient lives in the hands [00:55:34] of the people that you can complain to [00:55:36] if you don't like the outcome this is [00:55:39] truly transformational and they're right [00:55:55] that this plan says to the American [00:55:58] people [00:55:59] that we value input by people that we [00:56:04] believe the government closest to the [00:56:07] person is the best form of government [00:56:09] and we believe that health care closer [00:56:12] to where you live is better than health [00:56:14] care managed by somebody you'll never [00:56:16] meet who is not elected this is a debate [00:56:20] worthy of the United States Senate I [00:56:22] think what bernie is doing is going to [00:56:25] destroy quality over time gonna make it [00:56:29] unsustainable for future generations and [00:56:31] we will become Greece what we're trying [00:56:35] to do is be generous with money but [00:56:39] insist that people have the innovation [00:56:41] they will never have to deliver better [00:56:43] health care and eventually control cost [00:56:46] our values I'll let everybody answer [00:56:50] that question Isis is great here's my [00:56:52] value my value is to leave behind when [00:56:55] I'm gone [00:56:56] better healthcare that your grandkids [00:56:59] can afford give you somebody that you [00:57:02] know who's in charge that will listen to [00:57:04] you because you vote for them that's [00:57:07] what I value well quick point on [00:57:10] single-payer systems if you want to look [00:57:12] at what a single-payer government-run [00:57:14] bureaucratic health care system looks [00:57:15] like go to the VA system see how you [00:57:18] know how good we have found that system [00:57:22] be that that's exactly the path that [00:57:23] Bernie Sanders is leading us down in [00:57:25] terms of the Medicaid here's some rough [00:57:28] numbers under the Senate plan which this [00:57:30] largely maintains in terms of core [00:57:33] Medicaid we were saving about twelve [00:57:35] billion dollars spending close to three [00:57:38] thousand billion so we're just barely [00:57:40] beginning to restrict the the growth [00:57:43] rate of a completely unsustainable [00:57:45] entitlement and for my sample in [00:57:48] Wisconsin where we didn't expand people [00:57:50] on Medicaid the disabled elderly [00:57:52] children they were concerned about what [00:57:54] Medicaid expansion was going to do in [00:57:56] terms of threatening core Medicaid and [00:57:57] let's face it Medicaid expansion was [00:58:00] directed toward working aged childless [00:58:05] able-bodied adults and when I talked to [00:58:08] two people for example cerebral palsy [00:58:09] and I pointed that out their comment was [00:58:11] where those people shouldn't get [00:58:12] Medicaid and I think they're right and [00:58:14] it's it's that it's the Medicaid [00:58:16] expansion so Bannen care that's putting [00:58:18] at risk or Medicaid [00:58:31] I don't know well he delivered in the [00:58:38] house [00:58:38] it was the effort of President Trump [00:58:40] that got the house over one phone call I [00:58:45] think by the president will get us more [00:58:48] than a handful of Governors we're at 14 [00:58:50] or 15 already when the president United [00:58:52] States calls you as a governor asking [00:58:55] you to help him give you more money and [00:58:57] more power most people are going to say [00:58:59] yes and about values Bernie can't tell [00:59:02] you what his bill cost and can't tell [00:59:03] we're gonna pay he's gonna pay for it we [00:59:05] can we value being honest we're going to [00:59:08] tell you exactly what we're gonna spend [00:59:09] how we're going to pay for it so the [00:59:11] president United States is not just [00:59:13] somebody he's the most powerful person [00:59:15] in the country and he's the head of our [00:59:17] party so I really believe that the [00:59:19] president spent a little time with a [00:59:21] vice president making phone calls to [00:59:22] governors telling them how much better [00:59:24] they do how much more control they'll [00:59:26] have and how much better their states do [00:59:28] that we can sign up a bunch of people [00:59:30] pretty quickly so in with this today is [00:59:34] a monumental day for the American people [00:59:36] you got two different approaches to how [00:59:38] to deliver health care in the future the [00:59:41] Bernie model and our model I am so glad [00:59:46] that Bernie chose today because he's a [00:59:49] good man and in his heart of hearts he [00:59:52] believes the only way to be fair is to [00:59:55] have the federal government decide [00:59:56] health care for everybody no matter what [00:59:59] it cost and here's what we say the best [01:00:03] way to be fair is to make sure that the [01:00:05] people in the country get a basically [01:00:07] the same contribution no matter where [01:00:09] you live and the people in your local [01:00:13] community have control over the outcomes [01:00:16] so you'll have a voice if you don't like [01:00:19] their decisions - my Republican [01:00:22] colleagues don't let the health care [01:00:25] debate die don't leave the fill with [01:00:28] your tail between your legs keep [01:00:30] fighting - my republican senate [01:00:32] leadership helped us thank you all