WELL, THE REPUBLICANS HAVE FINALLY ANNOUNCED HOW THEY ARE
GOING TO REPEAL AND REPLACE OBAMA CARE, THE AFFORDABLE
CARE ACT.
IT IS NOT GOOD NEWS.
TO BE FAIR, IT'S BEEN ON WHO YOU ARE.
IF YOU ARE YOUNG, THERE IS ACTUALLY A LITTLE BIT OF GOOD
NEWS IN THERE.
IF YOU ARE OLD, NOT SO MUCH.
IF YOU ARE RICH, WONDERFUL NEWS AND THERE.
IF YOU ARE POOR NEED HEALTH INSURANCE, NOT SO MUCH.
LET'S GO TO DESCRIPTION.
THE PLAN ENDORSED BY HOUSE SPEAKER PAUL RYAN BY CONTRAST
TO OBAMA CARE OFFERS LESS FINANCIAL ASSISTANCE TO LOW
INCOME PEOPLE, LIKELY RESULTING IN MILLIONS OF AMERICANS
LOSING THE HEALTH COVERAGE THEY HAVE TODAY, AND PROVIDES TAX
CREDITS TO PEOPLE WITH HIGHER INCOMES.
WELL, ISN'T THAT NICE OF THEM.
THE BILL SCRAPS KEY CONSUMER PROTECTIONS.
CONSUMERS, DO WE REALLY HAVE TO PROTECT THEM?
WHY DO WE PROTECT THE RICH INSTEAD?
THE LEGISLATION AS A VEHICLE FOR MASSIVE TAX CUTS FOR RICH
PEOPLE AND CORPORATIONS, BEFORE BY SLASHING ASSISTANCE TO POOR
AND MIDDLE-CLASS PEOPLE.
ENJOY.
IF YOU ARE BY THE WAY ONE OF THOSE POOR ELDERLY PEOPLE WHO
VOTED FOR DONALD TRUMP THINKING I AM FINALLY GOING TO GET
CHANGE, CONGRATULATIONS.
YOU ARE ABOUT TO GET CHANGE.
NOW I AM GOING TO GIVE YOU THE DEPTH OF HOW MUCH YOUR BILL CAN
GO UP IN A SECOND, BUT BEFORE WE DO THAT ACTUALLY, LET'S PAUSE
HERE TO BRING IN DONALD TRUMP
BECAUSE I WAS LED TO BELIEVE BY TRUMP DURING THE CAMPAIGN THAT
YOU WERE NOT GOING TO LOSE YOUR INSURANCE AND IT WASN'T GOING
TO COST YOU ANYMORE AND YOU ARE GOING TO GET ALL THE BENEFITS.
PHONES FOR EVERYBODY, CARS FOR EVERYBODY.
YOU GET A CAR, YOU GET A CAR.
YOU THINK I'M KIDDING.
WHAT, IT'S NOT HYPERBOLE.
WAS TRUMPED OUT WHAT YOUR PLAN FOR OBAMA CARE?
>> OBAMA CARE IS GOING TO BE REPEALED AND REPLACED ON IT IS
A DISASTER.
IF YOU LOOK AT WHAT IS GOING ON WITH PREMIUMS WHERE THEY ARE UP
45, 50, 55%.
>> AUDIO FIX-IT?
>> THERE MANY WAYS BY THE WAY.
EVERYBODY HAS TO BE COVERED.
THIS IS AN UN-REPUBLICAN THING TO SAY BECAUSE A LOT OF TIMES
THEY SAY NO THE LOWER 25% CAN AFFORD PRIVATE.
>> UNIVERSAL HEALTHCARE.
>> I'M GOING TO TAKE CARE OF EVERYBODY, I DON'T CARE
BECAUSE WE BOTH ARE NOT EVERYONE IS GOING TO BE THINK MUCH
BETTER THAN THEIR TINKERBELL.
>> THE UNINSURED PERSON IS GOING TO BE TAKEN CARE OF?
>> YES.
I WOULD MAKE A DEAL WITH EXISTING HOSPITALS TO TAKE
CARE OF YOU.
AND YOU KNOW WHAT,
>> "THE HOOP IS REQUESTED
>> THE GOVERNMENT ARE GOING TO PAY FOR IT PEOPLE ARE GOING TO
BE ABLE TO NEGOTIATE GREAT PLANS WITH LOTS OF DIFFERENT
COMPETITION, WITH LOTS OF COMPETITORS, WITH GREAT
COMPANIES AND THEY CAN HAVE THEIR DOCTORS, THEIR PLANS,
THEY CAN HAVE EVERYTHING.
>> TURNS OUT, NOT SO MUCH.
UNIVERSAL HEALTHCARE, PAID FOR BY THE GOVERNMENT, AND THEY
CAN HAVE EVERYTHING.
THAT IS WHAT HE JUST PROMISED YOU.
THAT'S WHAT YOU JUST SAW.
REWIND AND WATCH IT AGAIN IF YOU WANT.
THAT WOULD ACTUALLY BE FAIRLY PROGRESSIVE.
IT WOULD BE MUCH
MORE PROGRESSIVE THAN OBAMA CARE.
THAT IS NOT WHAT WE GOT HERE.
WE GOT PRETTY MUCH THE EXACT OPPOSITE.
THE BILL DOESN'T SAY HOW WOULD PAY FOR IT SPENDING AFTER
SCRAPPING THE TAXES THAT FINANCED THE AFFORDABLE CARE
ACT.
THE TAXES THAT WENT TO THE RICH AND LARGE CORPORATIONS AND
OBAMA CARE WASN'T BECAUSE OBAMA AND THE DEMOCRATS ARE
SOCIALISTS WHO HATE RICH PEOPLE.
NO, IT'S BECAUSE YOU HAD TO FIND A WAY TO PAY FOR IT.
STUFF DOESN'T GROW ON TREES.
YOU HAVE TO BE RESPONSIBLE.
IT ACTUALLY DECREASE THE DEFICIT.
DID YOU KNOW THAT?
THE AFFORDABLE CARE ACT ACTUALLY DECREASE THE DEFICIT.
IT WAS
PLANNED TO.
WHEN YOU TAKE AWAY THOSE TAXES THAT WENT TO THE
RICH AND GIANT CORPORATIONS, THEY NEED TO HAVE ANY MONEY
LEFT.
THEN YOU HAVE CREATED A GIANT HOLE IN THE DEFICIT AND YOU
CAN'T PAY FOR THE PLAN.
REMEMBER WHEN SCOTT KELLY ASKED HIM, WHAT ABOUT THE HOSPITALS?
WHO'S GONNA PAY FOR?
THE GOVERNMENT.
WITH WHOSE MONEY?
IN FACT, THE HOUSE REPUBLICAN LEADERS ARE POISED TO MOVE THE
MEASURE FORWARD BEFORE SCOREKEEPERS OF THE
CONGRESSIONAL BUDGET OFFICE HAVE MADE AN ASSESSMENT.
BECAUSE THAT IS A NONPARTISAN GROUP WHEN THEY COME IN AND
THEY SAY YEAH, YOU JUST PUT LIKE $1 TRILLION HOLE IN THE
DEFICIT THE REPUBLICANS ARE GOING TO BE LIKEÖ.
SORRY WE ARTIE PASSED IT.
WHAT CAN WE DO?
DEFICIT?
DON'T WORRY ABOUT IT, THEY DON'T MATTER.
THIS IS HIGHLY IRRESPONSIBLE.
NOW LET'S GET TO THE DETAILS OF WHAT IT DOES.
IT DOES GIVE CHEAPER PREMIUMS FOR YOUNGER AND HEALTHIER PEOPLE
AND NEW TAX BREAKS FOR MORE AFFLUENT OR AFFLUENT CONSUMERS.
IF YOU ARE RICH OR YOU ARE YOUNG, YOU DO GET A LITTLE BIT
OF A BREAK.
KEEP A ROW, THAT DOES HAPPEN TYPE YOU ARE YOUNG AND HEALTHY
AS LONG AS YOU ARE SURE YOU ARE GOING TO STAY HEALTHY YOU
DON'T HAVE TO PAY QUITE AS MUCH.
IF YOU'RE ONE OF THOSE PEOPLE THAT DOESN'T CARE ABOUT OTHER
PEOPLE OR WHAT MIGHT HAPPEN TO YOU LATER DOWN THE LINE YOU
ARE LIKE SCORE.
EVERYONE ELSE.
AS A HER?
HIGHER OUT-OF-POCKET COST, HIGHER PREMIUMS FOR OLDER AND
SICKER PEOPLE, AND ULTIMATELY MANY MORE UNINSURED.
THAT'S THE THING ABOUT INSURANCE.
I AM HEALTHY NOW THAT MY POSITIVE I'M GOING TO BE
HEALTHY NEXT YEAR OR FIVE YEARS FROM NOW, TOMORROW?
THAT IS I BEGAN HEALTH INSURANCE BECAUSE WE ARE NOT REALLY
SURE, ARE WE?
AS LONG AS YOU ARE HEALTHY NOW, YEAH, YOU WANT TO PAY THAT MUCH
BECAUSE IT DOESN'T COST THE
HEALTHCARE COMPANIES AND INSURANCE COMPANIES THAT MUCH
TO ENSURE YOU.
BUT THE MINUTE YOU TURN SAID, SAD DAY FOR YOU.
THAT IS THE WHOLE POINT OF HEALTH INSURANCE.
BECAUSE WE THINK WE'RE GOING TO GET SICK AT SOME POINT AND YOU
DON'T COVER THOSE PEOPLE AS MUCH.
WELL THEN, WHAT IS THE POINT?
IT IS A VERY CLEVER PLAN THAT THEY'VE COME UP WITH.
YOUR FINE IF YOU'RE HEALTHY.
WHEN YOU GET SICK THOUGH, GOOD LUCK.
THE AFFORDABLE CARE ACT LIMITED INSURERS FROM CHARGING OLDER
CUSTOMERS WITHIN THREE TIMES WHAT THEY CHARGE YOUNGER ADULTS.
THE HOUSE BILL WOULD RAISE THAT THE FINE TIMES THAT THIS MAY
ENABLE YOUNGER CONSUMERS TO FIND CHEAPER COVERAGE, BUT OLDER
POLICYHOLDERS WOULD FACE HIGHER RATES.
NOW I WANT TO EXPLAIN TO YOU WHY THEY DO THAT.
IT IS NOT THAT THE INSURANCE COMPANIES HE OLDER PEOPLE.
THAT WOULD BE A VERY RANDOM DISCRIMINATION.
NO, OLDER PEOPLE GET SICK OR MORE, THEY ARE MORE LIKELY TO
HAVE BIGGER HEALTH PROBLEMS AND IT IS MORE LIKELY TO COST THEM
MONEY.
IF ALL YOU CARED ABOUT WAS A FREE MARKET, YOU WOULD SAY
THAT'S IT, ONCE YOU GET TO A CERTAIN AGE DOESN'T PAY ME TO
COVER YOU SO GO AHEAD AND DIE.
YOU ARE NOT GOING TO BE ABLE TO AFFORD IN LEISURE INCREDIBLY
WRISTS AND THEN WHEN YOU GET SICK, YOU'RE GOING TO DIE.
FREE MARKET, REQUEST THAT WE DON'T LIKE THAT NOT ONLY IS
AMERICANS ALL ACROSS THE WORLD.
IN FACT, WE ARE FAR MORE RIGHT-WING THAN THE REST OF
DEVELOPED WORLD, THE REST OF WESTERN SOCIETY, THE REST OF
EUROPE, ETC.
THOSE FOLKS HAVE FIGURED OUT, HEY, THE POINT OF INSURANCE IS
TO MAKE SURE WE ARE ALL OKAY WHEN WE GET SICK, WHEN WE GET
OLDER.
WHEN WE NEED HEALTHCARE.
NOW THIS PROGRAM BASICALLY SAYS IF YOU ARE HEALTHY, THAT IS OKAY
BUT IF YOU ARE OLDER, I KNOW
THEY HAVE TO CHARGE YOU MORE.
EVEN OBAMA CARE, OLDER PEOPLE COULD BE CHARGED UP TO THREE
TIMES MORE THAN YOUNGER PEOPLE.
THIS PLAN MOVES IT TO FIVE TIMES AS MUCH.
IF YOU ARE AN OLDER AMERICAN WHO THATCHER WAS GOING TO DELIVER
FOR YOU, YOU HAVE ANOTHER THOUGHT COMING TO YOU.
IF YOU THOUGHT YOUR INSURANCE IS GOING TO BE CHEAPER, YOU HAVE
A LOT OF NEW THOUGHTS COMING YOUR WAY AND A LOT OF NEW
BILLS COMING YOUR WAY.
INSURERS COULD CHARGE HIGHER PREMIUMS TO PEOPLE WHO DID NOT
MAINTAIN CONTINUOUS COVERAGE ñ A LAPSE OF MORE THAN 63 DAYS
ñ 30% MORE FOR THEIR POLICIES WHEN THEY SIGN A BIG AND.
NOW, IT GETS COMPLICATED IN THE WEEDS HERE, BUT IT IS FUNNY.
THAT PROVISION IS CRITICIZED BY BOTH SIDES.
THE RIGHT WING SAYS NO, WE SHOULD COVER THEM AT ALL.
WHO CARES?
LET THEM DEAL WITH IT.
I DON'T WANT TO GIVE ANY MONEY AWAY TO PEOPLE WHO NEED
INSURANCE IF THEY CAN'T AFFORD IT.
THAT IS CALLED WELFARE.
I DON'T WANT IT.
ON THE OTHER HAND, IF YOU THOUGHT, WELL, I DON'T WORRY
ABOUT PRE-EXISTING CONDITIONS ANYMORE AND REPUBLICANS KNOW
THAT IS POPULAR, THAT OBAMA CARE GOT RID OF THE PRE-EXISTING
CONDITION LOOPHOLE THAT THE HEALTHCARE COMPANIES USED TO
USE, HEALTH INSURANCE COMPANIES, AND THEY SAID DON'T WORRY,
DON'T WORRY ABOUT PRE-EXISTING CONDITIONS.
NIGHT HAVE TO WORRY AGAIN BECAUSE YOU SWITCHED JOBS, YOU
LOSE INSURANCE FOR SOME REASON, THEY'RE GOING TO CRANK UP YOUR
PREMIUMS THE MINUTE THEY HAVE AN OPPORTUNITY TO.
CHEAPER FOR YOU?
NO.
WHAT HAPPENED?
I THOUGHT IT WAS GOING TO BE CHEAPER FOR EVERYONE?
STARTING IN 2020, THE FEDERAL GOVERNMENT WOULD NO LONGER
PROVIDE THOSE FEDERAL FUNDS FOR
PEOPLE WHO NEWLY QUALIFY UNDER THE EXPANDED ELIGIBILITY
STANDARDS.
LESS PEOPLE QUALIFYING TO GET COVERAGE THROUGH MEDICAID PLUS
MEDICAID GETS TURNED INTO BLOCK
GRANTS AND THEY ARE CAPPED SO THEY DO NOT NECESSARILY MEET
THE NEEDS OF THE CITIZENS OF THAT PARTICULAR STATE.
IF AFTER A WHILE IT DOESN'T KEEP UP WITH INFLATION AND THERE'S
JUST NOT ENOUGH MONEY, ONCE AGAIN, THAT IS CALLED SAD DAY
FOR YOU.
YOU NO LONGER HAVE INSURANCE.
DID I SAY EVERYBODY WOULD BE INSURED?
WHY DID YOU TRUST ME?
I AM DONALD TRUMP AND BY THE WAY, I AM A REPUBLICAN.
DID YOU NOT GET THE MEMO AFTER ALL OF THESE YEARS THAT THE
REPUBLICANS WORK FOR THEIR RICH
DONORS WHETHER THEY ARE RICH INDIVIDUALS OR THEY ARE
MULTINATIONAL CORPORATIONS.
THEY SIGN THE CHECKS AND THE REPUBLICANS WORK FOR THEM.
IF YOU SAY A LOT OF TIMES DEMOCRATS WORK FOR THEM TOO, I
HEAR YOU BROTHER.
IN FACT, OBAMA CARE WAS NOT SOME SORT OF LEFT-WING PROPOSAL
THOUGHT IS ALMOST EXACTLY THE HERITAGE FOUNDATION'S, THE
ORIGINAL PROPOSAL THAT THE HERITAGE FOUNDATION IS A
RIGHT-WING THING THINK THAT'S THE SAME PLAN THAT MITT ROMNEY
DID MASSACHUSETTS.
YOUR TWO OPTIONS WERE RIGHT-WING AND MASSIVELY, RIDICULOUSLY
RIGHT-WING.
THAT IS WHAT HAPPENS WHEN THE DONORS WRITE THE CHECKS AND
BUY OFF ALL OF OUR POLITICIANS.
I DON'T KNOW WHAT THE NEXT STEP IS BUT SOME CONSERVATIVES ARE
PROMISING IT.
NATIONAL REVIEWS AGAINST THIS, THE COKE BROTHERS AGAINST
THIS, THEY SAY THIS TOO LENIENT ON THE POOR.
WE DIDN'T PUT OUR BOOT FIRMLY ENOUGH ON THEIR NECK.
THOSE GUYS STILL MIGHT SOMEHOW, SOME OF THEM STILL BE ABLE TO
RETAIN INSURANCE.
JUSTIN AMASH, ANOTHER REPUBLICAN CONSERVATIVE CALLS
THIS PLAN, DISTRICT CONEY AND
PLAN OBAMA CARE 2.0.
IT'S NEVER ENOUGH.
WHY DO THEY CARE?
WHEN WAS THE LAST TIME A POOR PERSON WROTE A CHECK TO
REPUBLICAN?
IF YOU'RE NOT WRITING CHECKS TO THEM, YOU DON'T EXIST.
YOU THINK THEY ARE FOR YOU?
YOU HAVE NO IDEA WHAT YOU ARE TALKING ABOUT.
HOW THIS GETS RESOLVED AT THE END IS GOING TO BE VERY
INTERESTING DYNAMIC BECAUSE THEY HAVE TO KEEP A COUPLE DOZEN
REPUBLICANS IN THE HOUSE, ASSUMING ALL THE DEMOCRATS VOTED
AGAINST IT AND WITH DEMOCRATS
AND THEIR CRAVEN ABILITY TO IT SELL OUT AND TO CAPITULATE TO
REPUBLICANS I WOULDN'T BANK ON THAT, BUT IF THEY LOSE SOME
CONSERVATIVE REPUBLICANS THEY MAY NOT BE ABLE TO PASS THE
BILL.
IN THE SENATE, THEY ONLY HAVE A TWO-PERSON MAJORITY SO YOU
LOSE BASICALLY THREE BECAUSE THE VICE PRESIDENT COULD BREAK THE
TIE, USE THE REPUBLICANS AND SENATORS IN THE SENATE YOU
WILL BE ABLE TO PASS IN THE SENATE.
AGAIN, DON'T WORRY, CORPORATE SHILLS LIKE JOE MANSION
PRETENDING TO BE A DEMOCRAT WILL PROBABLY STEP UP TO THE PLAY
AND HELP TRUMP THE REPUBLICANS, BUT YOU HAVE TO BE CAREFUL ABOUT
EACH VOTE THAT THE MODERATES DON'T LIKE THIS EITHER, EVEN
THE MODERATE REPUBLICAN SO LET ME TELL YOU THAT.
A MONDAY AFTERNOON, REPUBLICAN SENATORS ROB PORTMAN, SHELLEY
MOORE CAPITO, CORY GARDNER AND LISA MURKOWSKI ALL FROM STATES
HAVE EXPANDED MEDICAID WARN THAT THEY COULD NOT VOTE FOR A BILL
THAT TOOK AWAY FEDERAL MONEY FOR THE EXPANSION.
SO IT IS NOT A DONE DEAL YET.
THERE ARE NOT MANY MODERATE REPUBLICANS AT ALL IN CONGRESS,
BUT HEY, THEREFORE THAT ARE KIND OF MODERATE IN THIS CASE BECAUSE
THE PEOPLE IN THEIR OWN STATES
WOULD BE CRUSHED BY THIS BILL AND THEY ARE NOT GOING TO BE
HAPPY ABOUT IT SO LET THEM KNOW.
LET THOSE SENATORS KNOW, LET THE MODERATE REPUBLICANS, HOWEVER
TWO OR THREE OF THEM THAT REMAIN, LET THE CONSERVATIVE
REPUBLICANS KNOW ABOUT THE ONES THAT ARE JUST REGULAR OLD
MASSIVELY RIGHT-WING REPUBLICANS.
LET THE DEMOCRATS KNOW, IF THEY ARE GOING TO TAKE AWAY YOUR
INSURANCE, THEY'RE GOING TO INCREASE YOUR INSURANCE LET
THEM KNOW THAT YOU ARE NOT HAPPY WITH THAT.
IS A DICTATORSHIP YET IN AMERICA, THEY ACTUALLY HAVE TO
PASS LAWS.
THIS IS PROPOSED LEGISLATION, BY THE WAY, ANOTHER PART OF THIS
IS ALSO DISASTROUS.
THEY WOULD IN ESSENCE TO FUND PLANNED PARENTHOOD AND NOT ALLOW
YOUR HEALTH INSURANCE TO GET, TO COVER ABORTION IF YOU WANT THE
TAX CREDITS TO BE APPLIED TO IT.
THAT MAKES COVERING ABORTION MUCH MORE DIFFICULT TO PLANNED
PARENTHOOD, TINY PERCENT OF THAT IS ABORTION, MOST OF IT JUST
HELPS POOR PEOPLE AND MIDDLE-CLASS PEOPLE PARTICULARLY
WOMEN DIVE YOU DON'T LIKE IT THERE DEFUNDING IT THEN FIGHT.
THIS IS NOT LAW YET AND THEY FOUGHT OBAMA CARE TO THE NAIL.
WHEN OBAMA CARE WAS PROPOSED, THE MEDIA WOULD NOT STOP
TALKING ABOUT IT - IT NEEDS TO GET REPUBLICANS
TO AGREE WITH THE DEMOCRATS.
THE REPUBLICANS WERE NEVER GOING TO AGREE WITH THE DEMOCRATS
BECAUSE THAT IS NOT WHAT THIS IS ABOUT.
IT IS NOT A DEBATE OF
IDEAS.
THEY WERE ALWAYS GOING TO DO THE BIDDING OF THEIR DONORS.
THEY ALL VOTED AGAINST IT.
NOW I DON'T HEAR THE MEDIA TALKING ABOUT ANY DEMOCRATIC
VOTES.
NO, ALL OF A SUDDEN YOU DON'T NEED BIPARTISANSHIP.
THAT IS OKAY.
GOT TO THE REPUBLICANS AND THE DEMOCRATS ARE WAVERING,
ABSOLUTELY GO AFTER THEM AS WELL TO MAKE SURE THIS IS A REAL
FIGHT.
THEY FILED OBAMA CARE FOR AT LEAST A YEAR AND THEY SCRAPED
OUT INCREDIBLY IMPORTANT PROVISIONS LIKE THE PUBLIC
OPTION THAT COULD'VE MADE IT MORE AFFORDABLE.
LET'S ACTUALLY FIGHT THIS TIME FOR DOING THE RIGHT THING FOR
GETTING BETTER COVERAGE AND HAVING A LOT MORE PEOPLE
INSURED IN A HUMANE WAY.