tv Congresssional Democrats Predict Health Care Repeal Will Result in Chaos... CSPAN January 5, 2017 5:26am-5:55am EST
of uncertainty. and to the health care system, nd a lot of rule hospitals -- rural hospitals will be in trouble. there be -- will be quite a bit of problems. so he encouraged us to fight. we made it clear we were going to do anyway. >> democrat leaders in the house and senate held a press conference to talk about the meeting. >> good morning. we had a caucus with the
president. he was very inspiring. we were working out our strategy and we had a great deal of optimism that the good thing that is have happened in aca are going to stay and that our republican colleagues don't quite know what to do. they're like the dog who caught the bus. they can repeal but they have nothing to put in its place and that means so many good thing goss away. that was basically the summary f the meeting.
the first big fight of this new congress will be over health care. republicans are plotting and soon will be excuting a full-scale assault on the three pillars that support the american health care system. the affordable care act, medicare, and medicaid. the the republican plan to cut health care wouldn't make america great again, it would make america sick again and lead to chaos instead of affordable care. they have no idea what to put in place. for years they talked about repeal but for five years now they have had nothing to put in its place. it is all starts with the aca. as we all know the aca is a
delicate balance. president-elect trump even expressed support for the three most important parts of the law, preexisting conditions, allowing children to stay on their parents' plan until age 26. but republicans will soon learn you can't keep the good parts and remove the rest of the law and still have it work. that is what they are struggling with and that is why they are not getting anywhere. what they would do is throw the entire insurance marketplace would increase costs. it would blow a $1 trillion hole in the deficit. and now i see the president-elect tweeting again this morning saying republicans shouldn't let the schumer clowns out of his web. well, i think republicans should stop clowning around
with the people's medicare, medicaid, and health care. the republicans are stuck. for years they promised every conservative group in america that they will repeal the aca group root and branch. until today they could make those extreme promises without suffering any consequences because they knew democrats or president obama would ultimately block any rollbacks in aca. but now republicans in congress are again like the dog who caught the bus. they can't keep all the thing that is americans like about the aca and get rid of the rest without throwing the entire health care system -- not just those on aca but those with private insurance, into chaos. one of the things they will hurt the most is rural hospitals right in the heartland. the minute they enact this repeal are going to suffer dramatically in 11 state
capitals many in red states today rural hospitals are protesting the republican action. so we are here today to warn the american people that the republican plan to cut medicare , medicaid, repeal the ac amp, will make america sick again. instead of working to further ensure affordable care for all americans, they seek to rip health care away for millions f americans, creating chaos in our entire economy. now, as my colleagues will outline shortly, the republican plan would kick millions off coverage whether it be medicare, medicaid, or the affordable care act. it would cause premiums of many 75 le to skyrocket, the million who are covered by private insurance, their premiums will go up, too.
it would harm hospitals in rural areas and it would put insurance companies back in charge. we stand here united -- united. we are a united caucus. we are two united caucuses and we are united in our opposition to these republican attempts to make america sick again. now, i want to turn over the podium to leader pelosi. >> i associate myself. i too want to join in commending the president for his presentation to us. it was one of confidence, one of values. that the affordable care act was transformative in terms of what it meant in the lives of the american people and that health care in our country is a right not a privilege. ifd there been no other reason for us to pass the affordable care act one compelling reason
was cost. the cost of the individuals to families to businesses small and corporate and to our public sector was totally unsustainable. so we had three goals. one was to lower costs, others to improve benefits, and to increase access. in all three of those arenas the affordable care act has been a big success. when we talk about rolling back the affordable care act also having ab impact on medicare. the affordable care act prolonged the life, extended the solvency of medicare. it had expanded medicaid. this is very important for america's families. a former speaker once said politics is local. well in this case all politics is personal. so when leader schumer talks about the 75% of the people who get their benefits in the workplace, and that is so, they
are affected by the affordable care act in that the cost increase in premiums is the lowest it has been in the 50-some years that they have been tracking that. so it has contained costs. it has increased the benefits package. and as the leader said in terms of no discrimination in terms of preexisting conditions, no lifetime limits, no annual limits, instead of -- staying on your parents' premiums, being a woman is no longer a preexisting condition. so the package is better. the rate of growth of costs decrease. and the fact of many more people being insured by the 20 million people who are now insured who did not have access before. the most privileged person in merica has is has better health if everyone has health. the republicans say repeal and
replace. they have no replacement plan. they have no replacement plan because they just -- they can't agree. they don't have the vote for a replacement plan. so to repeal and then delay is an act of cowardice. that means we don't really know what we're doing. nd recognizes that the consequences to them of just straight out repeal without some replacement. so we have a values debate on our hands. it's very personal and alive to the american people. a friend of mine just told me his grandson was diagnosed with leukemia. that child will have a preexisting condition for the rest of his life. lifetime limits, that's a problem. if you are a senior. medicaid is about long-term health care.
you want grandma living in the guest room? you've repealed the affordable care act. go along with this is part of an initiative that is part of the ryan budget that says we are going to voucherize medicare, we are going to block medicaid. so this has a tremendous assault on the health and health security and financial security that goes with the affordable care act. and so make america sick again. is that what the republicans want to do? i certainly hope not. hopefully, we can work together to find a path to address some of the concerns they may have but not to undermine this pillar of economic and health security for the american people. it stands right there with social security which they want to undermine, medicare and medicaid, which they want to undermine the affordable care
act. so the president asked us are you ready? you have the fight in you. he didn't need to ask us that question i don't think. with that i am pleased to yield . patty murray. >> thank you so much leader pelosi. republicans have made all kinds of empty promises about how ripping apart the health care system with no plan to replace it somehow won't hurt anyone. but i would like to focus on just one promise that the republicans made. that if they repeal the affordable care act, privatize medicare, and cap medicaid, families are somehow going to be magically better off. republican leader said exactly this. in fact, three days after the election, president-elect trump even said he would deliver better health care for much
less money. well, president-elect trump might be able to make that kind of promise fro his tower but workers and families cannot take it to the bank. studies show that if republicans in congress rush to dismantle our health care system, people across our country are going to pay more. premiums will skyrocket. prescriptions drug costs will increase. out-of-pocket costs will rise. and the republican lan to un ravel the guaranteed benefits of medicare will leave seniors vunnable when they can least afford it. all that will do is make america sick again. and it shouldn't have to be said but that is the wrong direction for our families and for our economy. if republicans think creating chaos and causing chaos in our health care system heightening
economic uncertainty and burdening our seniors and our families with higher health care costs somehow makes our country great again, stronger again, they have got another thing coming. they should step back from the brink, stop putting politics ahead of families health care and agree to join together on efforts to make our health care system work better for our families instead of destroying it before it's too late. ere that i am pleased to intro deuce -- >> the president did a great job today of reminding everybody of how now the aca, medicaid, medicare, and social security are all linked. it is because of certainty. in the case of medicare, a reminder that we have extended the life of the trust fund as nancy noted by ten years. but there is also another important conversation here.
it is about the intergenerational benefit that medicare provides. folks in their 40's and 50s frying send their kids to college they could never simultaneously hope to provide health care to aging parents. that's the important of medicaid. we have not paid a lot of attention to it, medicaid has become a middle class benefit because of the notion of long-term care. the idea of the growth of dementia recognized as earlier stages now and alzheimer's disease louisiana now provided the whole notion of security. the edicare, that is argument that is coarsing through the american political system and they are now linked in the public's mind in subtracting or fracturing any part of that guarantee change he whole argument. >> not a whole lot that i can add to what the previous
speakers have said but let me quote somebody who i suspect i will not often be quoting. on may 7, 2015, donald trump tweeted, "iffers the first and only -- i was the first and only g.o.p. candidate to state there will be no cuts to social security, medicare, and medicaid. " now, the point is trump didn't just say this in passing, he didn't say it in a particular interview. this was a cornerstone of his campaign. he said it over and over and over again. donald trump said he will not cut social security. he will not cut medicare. he will not cut medicaid. therefore, one of two things are true. either donald trump simply lied
to the elderly and the working peel of this country, and just made campaign promises that he had no intention of ever keeping. that is one reality. or there is another reality. and that is right now before congress wastes an enormous amount of time donald trump has got to comb forward, plabe maybe through one of his tweelingts, and say clearly that donald trump will veto any legislation that cuts medicaid, that cuts medicaid, or that cuts social security. and if he makes that clear to his republican colleagues we can save us all a whole lot of time and start getting to work doing what this country desperately needs to have done. > questions?
>> do you think that part of the issue that the problem for democrats on this issue is still the marketing of obamacare? for the past 7 years you said we didn't get the message right. now you're trying to valveage this. what makes people think this will work now? >> our biggest problem was that once aca passed people attributed every problem they had with the health care system whether they were part of aca or not to aca. and our republican colleagues and their message machine did it. now they are going to own it. and all the problems in the health care system -- and there have been many throughout the years. no one has solved all of them -- are going to be on their back. that is why they're running to do this first, is a huge mistake for them and the
country. the huge mistake for them on the basis of aca, because they don't know what to do once they repeal. one of my colleagues called it repeal and run. but it's a huge problem as well because now they are responsible for the entire health care system. and it will be on their backs. and i believe a year from now they will regret that they came out so fast out of the box. >> donald trump mentioned you in a tweet this morning. >> i just want to say briefly in response to the question. the fact of the matter is that the republicans over the last six years tried to make this an ideological debate left versus right. and what we are saying that is not what this is. we put the aca in place because we found a lot of people couldn't get health insurance, their costs were going up, their benefit package was diminished. now i think the debate has to be practical. what does this really mean to the average person? if you repeal this what you are
going to do is go back to the days when you pay more out of pocket, your benefit package slinchings and you have some skeltle plan that doesn't cover anything. that is the difference. we are now talking about what this repeal means practically. forget this ideological debate. i am not interested in it any more. and that's i think what we're going to point out we are going to fight because i believe this meargets to the average person. >> what's your assessment of actually stopping repeal in the senate? it would just take if all the dems come together it would take three republicans to turn. do you think we can do that? >> rand paul has already said that he is not for repeal without some kind of replace. you have a good number of other republicans who are really worried about this. now, the initial vote is an easy vote for them. cut a billion dollars. do it from somewhere. i don't know if leader pelosi
said whether they will be able to get enough votes in their own caucus for an alternative. and i think they are going to have a lot of trouble. so i would say that they are going to have far more trouble than they ever imagined. as they move through it they are going to start losing people on their side. >> you have a number of red-state drabblingts up for reelection in which trump won overwhelmingly. are you willing to tell them not to work with republicans? >> we are telling the republicans if you are repealing, show us what you will replace it with first and then we will look at what you have and see what we can do. are not going to -- they're repealing. we're not. it's their obligation to come up with replace first. and i think we have unanimity with our democratic caucus on that position. > can you give us an idea what
president obama said specifically? that it's a st say different story to take something away from someone. so our argument in terms of the affordable care act is people have enjoyed the benefits of it. i'm sure you've seen the articles coming out of kentucky where people voted 8-1 for trump and yet many of them are enjoying over 60% of them are enjoying the benefits of the affordable care act and said i didn't vote to take that away. so it is one thing to say this is what we can get. it's another thing to say this is what will be taken away from you. that is a case that we will make. as i mentioned earlier, the president's message was one of
confidence in the affordable care act and what it means and does for people, confidence in its implementation, confidence in the humility that we have to other ideas if they have in there to replace something that works, that gets results, then we shouldn't be opposed to that. ut springing from not reducing benefits for people, not reducing the number of people who have access to care. this is about increasing access improving benefits and lowering costs. that sort of how our conversation went. >> it's important to stress the fact that smoke and mirrors are not going to do it for the republicans because this has real consequences. today in 11 different states rural hospitals are speaking out against the repeal of health care that is in this
proposal. tomorrow in michigan cancer doctors that work with children are going to be speaking out at the state capitol about what this means when you put caps on cancer treatment for children, when we say that they now have a preexisting condition or that the essential benefit package that we developed to make sure basic services were covered is turned away. so this is very real. we're not making up anything. this is happening across the country. we are going to be going state to state, community to community, working with people whether it's hospitalses in rural or you're bran areas, doctors, families, children, nurses. everybody who knows that this is real, it's 1/6 of the economy and they're pulling the string that's going to unravel he whole system. >> when they say repeal and
replace, the only thing that's guaranteed is the repeal part if there were a bona fide replacement as has already been said we would have seen what it looked like. the affordable care act cures a lot of problems. it didn't cure all of the problems. but there's a difference between not curing the problem and causing the problem. one of the thing that is the replacement has got to do and the reason they're going to have trouble is. when they come up with replacement they're going to show how it will improve things they've been complaining about. and the fact is if you are going to have a preexisting condition, you have to have some mechanism to ensure that everybody is covered. you have universal coverage. if you wait until you get sick then people will wait until they get to buy insurance. new york state showed exactly what happens when that happened because they had guaranteed issue without mandatory
insurance when the affordable care act they came in what did the cost go down, about 50%. that's what you get when you don't have it. so when the replacement comes and if we knew what it would look like -- it's hard to criticize an invisible plan -- we will not how it will address the things they were talking about. we didn't cause the problems they're complaining about, and they have a responsibility when they come up with a replacement, they will have to show what they've been complaining about. >> there are 20 million people who have health care now who didn't before this law was passed. if republicans repeal it and lose their coverage what are you going to say to them? are we going to say no we're not going to help them replace it? >> no. we're going to say let's see the plan. if we put forward a plan first they would reject it. we want to cover these 20
million. we did already. the problem is, as was said by frank, they are an ideological caucus and they want to repeal it and then try to hang it on us. not going to happen. it's there responsibility, plain and simple. and let me tell you, you talk to people in the redest of states. they are the states most affected. you take -- joe manchen was on morning joe talking about how west virginia benefits from many of the good provisions in the aca. his view is the view of all of us, let them show us what their proposal is. otherwise, stick with what we have. >> one more things. there is an integrity, a oneness about this. it was about lowering costs and improving benefits and increasing access, but it was a market-oriented solution. so when they throw this apple
of discord or this disarray into the system, it's going to have marked consequence that is they're not thinking of. they don't really care that much about the 20 million who are additionally insured. although they should because they don't like subsidies. but the fact is that 75% of the american people get their benefits in the workplace and have lower premiums and more benefits than they would have without the affordable care act. and the republicans do care about that. we'll see where they go.