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  • TRIM CARE IS INCREDIBLY UNPOPULAR, TYPICALLY SO AND

  • THAT COULD END UP BEING REALLY BAD NEWS FOR THE REPUBLICAN

  • CONGRESSMAN WHO VOTED FOR IT.

  • HOW ARE THEY GOING TO RESPOND TO THE POTENTIAL THREAT TO THE

  • FUTURE?

  • IT TURNS OUT THEY ARE GOING TO JUST LIE ABOUT WHAT IS IN A

  • VILLAGE WRITABLE YOU INTO THINKING THAT THEY ARE NOT

  • THE ONES WHO ARE RESPONSIBLE FOR THIS IN THE FIRST PLACE AND

  • THAT WE HAVE SEVERAL EXAMPLES OF THIS, STARTING WITH TOM

  • PRICE, HEAD OF HEALTH AND HUMAN SERVICES.

  • ONE OF THE PROBLEMS PEOPLE HAVE THIS BILL THE MOST IS THE

  • MASSIVE CUTS TO MEDICAID THAT ARE COMING THAT THEY'RE

  • GOING TO THROW FAR MORE THAN 10 MILLION PEOPLE OFF THE

  • PROGRAM.

  • THAT SEEMS LIKE SOMETHING YOU WOULD WANT TO

  • BE CLEAR IN YOUR POSITION ON AND JAKE TAPPER IS GOING TO TRY

  • TO GET THEM TO BE CLEAR DOLLARS IF HE SUCCEEDS DOUG

  • >>

  • MAKING ANY CUTS TO MEDICAID BUT ACCORDING TO THE CONGRESSIONAL

  • BUDGET OFFICE, THE HEALTH CARE BILL THAT JUST PASSED THE

  • HOUSE WOULD CUT $880 BILLION OVER 10 YEARS FROM MEDICAID.

  • >> WHAT WE ARE FASHIONING IS A SYSTEM THAT WOULD ALLOW THE

  • STATES TO TAILOR THEIR MEDICAID PROGRAM TO THOSE SPECIFIC

  • INDIVIDUALS THEREBY SAVING MONEY YES BUT ALSO MAKING IT SO

  • THAT THEY HAVE A HIGHER LEVEL OF CARE, HIGHER QUALITY OF

  • CARE THAN THEY CURRENTLY DO.

  • >> BUT THE CONGRESSIONAL BUDGET OFFICE LOOKED AT THE PLAN

  • THE PAST THE HOUSE ALTHOUGH THERE WERE SOME CHANGES TO

  • IT AND SAID 14 MILLION PEOPLE WHO ARE ON MEDICAID WILL NO

  • LONGER BE ABLE TO BE ON MEDICAID.

  • >> REMEMBER THAT THERE ARE NO CUTS TO THE MEDICAID PROGRAM.

  • THERE ARE INCREASES AND SPENDING BUT WHAT WE'RE DOING IS

  • APPORTIONING IN A WAY THAT ALLOWS THE STATES GREATER

  • FLEXIBILITY TO COVER THEIR MEDICATING CARE FOR THEIR

  • MEDICAID POPULATION.

  • THIS IS INCREDIBLY IMPORTANT AND I KNOW THAT THE MEDIA LOVES

  • TO TALK ABOUT THE CUTS THAT THE CBO TALKS ABOUT BUT AGAIN,

  • WITH THE CONGRESSIONAL BUDGET OFFICE MEASURES IS SPENDING

  • AS IF NOTHING CHANGES AT ALL, AS OF THE PROGRAM IS DOING

  • JUST FINE, THANK YOU VERY MUCH.

  • >> YOU ACTUALLY SAYING THEY HUNDRED AND $80

  • BILLION IN CUTS ACCORDING TO THE CBO HOWEVER YOU WANT TO

  • TALK ABOUT THAT NOT BEING A CUT, THAT THAT IS ACTUALLY NOT

  • GOING TO RESULT IN MILLIONS OF AMERICANS NOT GETTING MEDICAID?

  • >> ABSOLUTELY NOT.

  • $180 BILLION THAT'S A CUT FROM MEDICAID, HOW IS ANOTHER

  • BROKEN PROMISE?

  • >>

  • LOOK AGAIN JAKE, THE WINNERS AND OBAMA CARE WHERE THE INSURANCE

  • COMPANIES IN THE FEDERAL GOVERNMENT OUT THE WINNERS

  • IN OUR PROGRAM OUR PATIENTS AND FAMILIES AND DOCTORS.

  • >> I HAVE TO SAY IF YOU KNOW SOMEBODY WHO IS CURRENTLY

  • BENEFITING FROM MEDICAID THE IDEA THAT THEY COULD BE

  • THEORETICALLY THROWN OFF A FATE THAT IS POTENTIALLY FACING

  • MILLIONS OF AMERICANS, THAT LITTLE SMILE ON HIS FACE

  • THROUGHOUT THAT SHOULD JUST MAKE YOUR STOMACH TURN.

  • HE IS SO THRILLED THAT THE CHANGES THEY ARE MAKING HAD

  • ALSO, LOOK, HE SAID YEAH, THEY HUNDRED $80

  • BILLION, THE CBO IS ESTIMATING IT IF WE DIDN'T PASS THE BILL.

  • YEAH, THAT IS WHAT WE'RE TALKING ABOUT THAT THE EFFECT OF

  • YOUR BUILDOUT WHAT WAS I SUPPOSED TO MEAN EVEN?

  • >> HE HAS BECOME BAGHDAD TOM.

  • THERE ARE NO CUTS TO MEDICAID.

  • REMEMBER BAGHDAD BOB IN THE IRAQ WAR.

  • THERE ARE NO AMERICAN THINGS IN BAGHDAD THAT WE'RE KILLING THEM.

  • THEY ARE JUMPING PENCILS THAT ARE ACTUALLY BOMBS BUT

  • THERE ARE NO AMERICANS IN BAGHDAD LIKE AS AMERICANS

  • ARE ROLLING BEHIND HIM.

  • $100 BILLION CUTS IN MEDICAID, DOESN'T MATTER, I'LL JUST

  • GOING TO BE IN LINE SAY THERE ARE NONE.

  • >> HE ALSO SAYS THE MEDIA WAS TO TALK ABOUT THIS IS THE

  • LOWER THIRD AT THE BOTTOM SAYS SEVEN GOP GOVERNORS WITH

  • CONCERN ABOUT MEDICAID CUTS.

  • I LOVE THAT LITTLE MATCHUP THERE.

  • LOOK, HE SAYS IT IS GOING TO GIVE THE STATES INCREASED

  • FLEXIBILITY TO MEET THEIR MEDICAID OBLIGATIONS LIKE

  • IF I ROBBED YOU EVER SINCE YOU HAD IT WOULD PROVIDE

  • INCREASED FLEXIBILITY TO FEED YOURSELF LATER THAT DAY.

  • THAT IS SCARY TALK TO

  • >> HE SAID THE MEDICAID POPULATION WILL BE CARED

  • FOR IN A BETTER WAY.

  • HOW'S THAT FOR WILEY AND?

  • KNOW, IF WE CUT ALL OF YOUR MONEY, YOU WILL BE BETTER

  • OFF FOR IT.

  • >> DENYING IS ACTIONABLE, THAT IS CERTAINLY ONCE STRATEGY THEY

  • BEEN USING DOUBLE WHAT THEY MUDDY THE WATERS LITTLE BIT MAKE

  • YOU THINK IT IS NOT JUST A REPUBLICAN THINK THAT LEX

  • TAKE A LOOK AT THIS DODDS CONGRESSMAN DENHAM.

  • HERE'S A STRATEGY TO GET A TOWN HALL THAT

  • >> CAN I JUST CLARIFY, YOU READ THE ENTIRE BILL BEFORE YOU

  • VOTED ON IT?

  • >> YES.

  • YOU DID.

  • ONE CONGRESSMAN WE KNOW IT READ THE ENTIRE BILL.

  • >> AND ANOTHER THAT'S TRUE.

  • IT WAS WRITING COMMITTEE, IS A COUPLE OF TIMES THAT

  • >> REALLY?

  • >> BIPARTISAN, BOTH PARTIES WORKING TOGETHER.

  • >> IMPORTANT TO KNOW NOT ONE DEMOCRAT VOTED FOR DOCTOR

  • THINK HE HAS A DIFFERENT DEFINITION OF BIPARTISAN.

  • BOTH PARTIES WORKING ON IT TOGETHER.

  • MAYBE YOU GUYS WORKED ON IT TOGETHER AND THEN THEY ALL

  • VOTED NO.

  • THAT WOULD MEET WAS THE BIPARTISAN.

  • THIS IS ONE OF THE MAIN LINES OF ATTACKS THE REPUBLICANS HAD

  • AGAINST OBAMA CARE.

  • THEY DIDN'T WORK WITH US, THEN REACH OUT TO US AT ALL

  • DIDN'T GET ANY REPUBLICAN VOTES.

  • YOU DIDN'T GET ANY DEMOCRATIC VOTES AND THAT IS NOT EVEN

  • SURE THEY WERE TOGETHER.

  • THEY DID REACH OUT TO DEMOCRATS AT ALL.

  • THEN ASKED HER OPINION, THEY DIDN'T MAKE ONE AMENDMENT

  • TO TRY TO GET ANY DEMOCRAT VOTES.

  • DIDN'T EVEN BOTHER JENNY JOE MANSIONS BOZO PARTY IS

  • READY TO GIVE IT TO THEM.

  • JUST GIVE ME AN OPPORTUNITY TO GIVE IT TO YOU.

  • IT'S JUST BECOME TOTALLY ARE WELL HE AND THAT THEY THINK IT

  • IS A MATTER WE BEEN ATTACKING THE PRESS SO MUCH, WE'LL JUST

  • LIE IN THE TELL YOU THAT THE PRESS IS LYING AND THEN WE WILL

  • GET OUR OWN KNUCKLEHEAD GUYS TO VOTE FOR US BUT THAT

  • CONGRESSMAN HAPPENS TO BE THE DISTRICT DEVOTED MORE FOR

  • HILLARY CLINTON AND DONALD TRUMP.

  • I THINK HE IS IN A WORLD TROUBLE AND DOESN'T EVEN KNOW IT.

  • >> A GETS EVEN A LITTLE BIT MORE DISGUSTING THAN THAT.

  • FOR SMALL DO EXPAND ON THE MEDICAID PROGRAM.

  • WHAT EXECUTIVE CHANGE THAT THE AH CH DOES NEED JUST COVER

  • MEDICAID, ENTERS THE REMAINING FUNDING INTO A BLOCK GRANT

  • FREE STATES AND FEDERAL REQUIREMENTS.

  • THIS WOULD ALLOW STATES TO CUT BENEFITS TO CHILDREN AND

  • ADULTS, CHARGE UNLIMITED PREMIUMS, DEDUCTIBLES,

  • COPAYMENTS AND DENY COVERAGE TO ELIGIBLE INDIVIDUALS THAT.

  • HE DESCRIBED AS THE PREVIOUS BENEFICIARIES WERE THE

  • INSURANCE COMPANIES AND NOW IT IS THE PEOPLE, THE PEOPLE

  • WANT THE STATES TO BE ABLE TO CHARGE A HIGHER DEDUCTIBLES

  • AND COPAYMENTS, I'M SURE.

  • BUT BEAR IN MIND SOME OF THE OTHER POINTS LIKE THE FACT

  • THAT RAPE AND PREGNANCY CAN BE CONSIDERED PRE-EXISTING

  • CONDITIONS THE WAY THEIR PRE-EXISTING CONDITIONS IN

  • GENERAL CAN RESULT IN YOU PAYING FAR MORE FOR YOUR HEALTH

  • INSURANCE, WE'RE TALKING THAT IS TWICE AS MUCH UNDER 100

  • TIMES OR MORE DEPENDING ON WHAT CONDITIONS YOU HAVE TO

  • UNDERSTAND WHO IS BEING TARGETED BY THIS NEW BUILD AND TAKE

  • A LOOK AT THIS AD FROM THE GOP THAT IS TRYING TO GET OUT

  • IN FRONT OF THE BACKLASH THAT PAUL RYAN IS GOING TO FIND

  • WHEN HE GOES BACK TO HIS HOME DISTRICT.

  • >> THE CUT THE DEFICIT AND PROVIDE $1

  • TRILLION OF JOB CREATING TAX RELIEF.

  • IT PUTS PATIENTS AND DOCTORS BACK IN CHARGE OF HEALTHCARE.

  • ELIMINATING WASHINGTON'S EXPENSIVE MANDATES AND

  • POWERING STATES TO REDUCE HEALTHCARE COSTS AND

  • PROTECTING PEOPLE WITH PRE-EXISTING CONDITIONS.

  • THE REPUBLICAN HEALTH PLAN PROVIDES FAMILIES WITH MORE

  • CHOICES, BETTER COVERAGE, AND LOWER PREMIUMS.

  • THINK PAUL RYAN AND HOUSE REPUBLICANS ARE KEEPING

  • THEIR WORD AND FIGHTING FOR THE HEALTHCARE WE DESERVED THAT

  • >> EVERYBODY IS SO HAPPY THAT THE MODEST TAKINGS OF YOU

  • WITH THE KID THAT I HOPE THE KID WASN'T BORN WITH SOME SORT

  • OF CANCER IS SOMETHING THAT SHE MIGHT FIND OUT THAT SHE IS

  • GOING TO PAY FAR MORE FOR HER HEALTH INSURANCE.

  • >> WINGED UNDERSTANDING REALLY IMPORTANT.

  • THE REPUBLICAN PLANETS WERE GOING TO GIVE ALL THE MONEY

  • TO THE RICH, IN THIS CASE, THE QUESTION OF TOM PRICE, WHO

  • BENEFITS AND WHO DOESN'T?

  • IS NOT JUST THE RICH, THE YOUNG AND HEALTHIER BENEFICIARIES

  • ARE OF THIS PLAN IS TRUE THAT THEIR PREMIUMS WILL GO DOWN

  • A LITTLE BIT THAT GOT HELP YOU IF YOU ARE OLD OR SICK OR

  • HAVE A PRE-EXISTING CONDITION, YOU ARE IN A WORLD OF HURT.

  • IF YOU LIGHT ON MEDICAID, YOU ARE NOT WELL OFF, YOU ARE

  • IN A WORLD OF HURT.

  • THERE'S ONE OTHER BENEFICIARY BESIDES THE YOUNG AND THE

  • HEALTHY, IT'S IN CREDIBLY WEALTHY.

  • THERE GOING TO GET A $756 BILLION TAX CUT AND THEN

  • AGAIN ATTORNEY GIVE A SMALL PERCENTAGE OF THAT'S THE

  • REPUBLICAN POLITICIANS WILL RUN ADS LIKE THAT AND THE PLAN

  • FOR REPUBLICANS AS IT DOES NOT MATTER.

  • WE PASS SOMETHING THAT HELPS OUR DONORS AND HURTS YOUR FAMILY AND

  • THEN WE DO AN AD WHERE WE PRETEND THAT IT HELPS YOUR

  • FAMILY AND WILL FILL IT WITH LOTS OF PEOPLE THAT ARE

  • AFRICAN-AMERICANS AND OLD PEOPLE, ETC. AND FAMILIES AND

  • KIDS AND WE WILL PRETEND THAT WE ARE HELPING THEM AND WE

  • WILL PUT IN GIANT BOLD LETTERS THAT YOU WILL BE COVERED IF YOU

  • HAVE A

  • PRE-EXISTING CONDITION WHICH IS NOT TRUE.

  • THE STATES CAN ACTUALLY CUT IT, THEY HAVE THAT OPTION.

  • THEY THINK IT DOESN'T MATTER THAT WE WOULD JUST BUY TV ADS

  • FILLED WITH LIES WITH OUR DONOR MONEY AND THEN WE WILL WIND

  • UP WINNING THE ELECTIONS ANYWAYS I THINK BECAUSE OF THE INTERNET

  • THEY ARE IN FOR A RUDE AWAKENING BUT THAT HAS BEEN THEIR

  • PLAN FOR A LONG TIME.

  • >> I THINK IN THIS CASE EVEN WITHOUT THE INTERNET IS A

  • STUPID STRATEGY THAT IS GOING TO FAIL BECAUSE THE THING IS,

  • YOU CAN PULL A LOT OF STUFF OTHER PEOPLE IN AMERICA

  • THEORETICALLY BUT WHEN IT COMES TO THEIR HEALTHCARE, PEOPLE

  • KNOW HOW MUCH THEY PAY FOR THEIR DEDUCTIBLE.

  • THEY KNOW WHAT THEIR CO-PAY IS.

  • THEY UNDERSTAND IF

  • THEY HAVE HEALTH INSURANCE AT ALL IF IT'S TAKEN AWAY OR

  • THEIR WIFE IS THROWN OFF HEALTH INSURANCE, YOU CAN'T TRICK THEM

  • WITH AN AD THINKING THAT DIDN'T JUST HAPPEN.

  • THEIR FAMILY MEMBER DIES AS A RESULT OF THIS, I THINK IT

  • IS GOING TO BE ABUNDANT CLEAR IF THIS GOES INTO EFFECT IS

  • SADLY WHAT EFFECT IT HAS AND I DON'T THINK YOU CAN AD IT AWAY.

  • >> BUT BY THE TIME HE GOES INTO EFFECT AND THE STATE STARTS

  • TO TAKE AWAY THINGS LIKE COVERING PRE-EXISTING CONDITIONS

  • IT'S GOING TO BE THREE YEARS LATER AND THEY'RE GOING TO

  • THINK, I ALEADY WON A COUPLE OF ELECTIONS BY TRICKING YOU

  • BEFORE YOU FOUND OUT HOW BADLY I PULVERIZED YOUR HEALTHCARE.

  • TOO LATE.

  • I ALREADY SUCKERED YOU.

  • THAT IS THEIR M.O. AND THEY'VE DONE IT FOR A LONG TIME HERE.

  • THE QUESTION IS WILL YOU BUY INTO IT BEFORE YOU REALIZE

  • ACTUAL REAL-LIFE EFFECTS BECAUSE AT SOME POINT, THERE IS A

  • REALITY.

  • FINALLY MICK MULVANEY WHO IS THE HEAD OF OFFICE

  • MANAGEMENT AND BUDGET FOR DONALD TRUMP HAD ANOTHER GREAT LINE.

  • HE SAID THAT PEOPLE ARE GOING TO GET THE AFFORDABILITY THEY

  • DESERVE.

  • AND OTHER WORDS, IF YOU ARE ONE OF OUR DONORS YOU ARE GOING

  • TO GET AFFORDABILITY, IF YOU ARE NOT, YOU ARE GOING TO

  • GET THE AFFORDABILITY YOU DESERVE.

  • HE COULDN'T QUITE BRING HIMSELF TO BE LIKE THE REST OF THEM

  • AND SAY NO, IT IS GOING TO BE CHEAPER FOR EVERYBODY BECAUSE

  • HE KNOWS THAT IS NOT TRUTH.

  • INSTEAD HE SAYS IN THAT WAY.

  • THAT I THINK ACCIDENTALLY RUBS IN YOUR FACE.

  • >>

  • HE BASICALLY SAID YOU GET WHAT YOU DESERVE FROM HIS POINT OF

  • VIEW.

  • FOR ONCE THEY ARE BEING HONEST.

TRIM CARE IS INCREDIBLY UNPOPULAR, TYPICALLY SO AND

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