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tv   Governor Kasich on GOP Health Care Bill Sometimes My Party Asks Too Much  CSPAN  June 27, 2017 1:15pm-1:50pm EDT

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senator lee spokesman said today that senator lee would not vote for the crucial vote to commence debate on the bill as it is currently written. a roll call that is expected tomorrow. as always will have live coverage of the senate here on c-span2 when they gavel back in. as we wait for the senate, governors john kasich of ohio and john hickenlooper of colorado talking to reporters about their opposition to the health bill. they say would endanger health care coverage for hundreds of thousands of citizens in their states. >> good morning. this isn't the white house press. press. come on, you can smile.
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so i want to tell you, i met john hickenlooper for the first time. we went to the dominoes -- come right up there we went to the dominoes leadership activities your a few years ago -- davos. john is an opportunity. he is commonsense guy, and i liked them from the time i met him. fortunately we've been able to get together to do something here. and that is to try to create a health care bill that will make sure that is affordable,, sustainable and the people can keep their coverage, and that can lead us to transition to something that would allow us to control health care costs over time because that's a big issue. you can't have cost going through the roof. the bill that the senate, cbo did an analysis for yesterday is really not acceptable to me and
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trends of being governor, and i'm not just thinking about the impact it has on a while while in governor because i'm only there are 18 more months. and think about the overall impact on the country and the long-term impact. there are a number of things, three points in particular that have me deeply concerned. number one is the loss of coverage for millions and millions of americans. who would lose this coverage? well, the mentally ill, the drug addicted, the chronically, the chronically ill. i believe these are people that need to have coverage and those who are the working poor. one thing we did understand about medicaid expansion is when people get on with their own on it for about 18 months. people think they get on this and on like the their absolute not. they try to get a job. some of them have problems. i do know how many of you are aware of, i'm sure most of you are aware of the problems that are connected to drug abuse and how hard it is for somebody to get clean and to stay clean but the same issue is there with the
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mentally ill. who need constant treatment if they suffer from some of the very severe illnesses. of course the chronically ill need to be covered as well, and if you don't have a system that does that you have a problem. you have a loss of coverage of millions of people, the about the funding they're putting into medicaid, just medicate as a a whole, is even less than what the house had and what house had was really not adequate. we may been able to struggle through with it if we received massive flexibility including the ability to exclude pharmaceutical companies from being able to put high-priced drugs on our formulary but we are not given that kind of flexibility. but the senate then came and dramatically reduced the amount of money that would look into our overall medicaid budget. on the exchange side the one thing that has been kind of shocking to me is there's not enough funding over there as well. so here you have a situation where the house, it appears, it
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appears, we don't have all the analysis, actually has more money for the tax credits to support those on the exchange pick the problem with that is those tax credits were not big enough to make sure that people could get primary care, their deductibles would be skyhigh. in other words, these three things, which are fundamentally, where are the resources fall short. so would leave a lot of people in a really difficult situation and there are many other things that we're concerned about. but let's think about it this way. you know, i want everybody in the country to put themselves in the shoes of people who are trying to better their lives. if you don't have good health care, if you are sick, you can't work. if you are hungry, it's unlikely you're going to be able to work. what we are trying to do is to have a system that encourages people to work to improve their lives and to help their
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families. and i think the bill is inadequate. i have had a number of conversations and the last 24 hours hours with people calling in, and here's what i would suggest. today i would call on the democrat senators to hold a press conference and to state that they are willing to sit and work and constructively engage with republicans in coming up with a sustainable solution, something that can be sustained over a period of years, a sustainable solution that can write this situation, that can approve this bill, even if they have to start over again. that's fine. there are elements that they can keep but these democrat senators should stand and they should challenge the republicans to negotiate with them. now, if the democrats don't want to participate that way, shame on them, and they are playing party takes over what's good for our nation. but i think if both parties can get together, i have very little doubt in my mound -- in my mind
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that they can come up with a workable solution to w we've sen it with a very contentious issues. whether it's civil rights, whether it was the negotiations between tip o'neill and ronald reagan on social security, whether it was negotiations i was involved with on balancing the federal budget with the clinton administration after a government shutdown. good minds, people with good intent can sit down and fashion a solution on insurance for people while at the same time beginning a discussion about what we can do about the rising costs of health care. this can be done and this should be done, not any partisan way in a bipartisan way. that today is the way you can do this. this is not good enough to just shut this in a closet somewhere because there are big challenges with this bill. finally, no one should think that i have any joy in being able to work against the leadership of my own party on this legislation. but maybe jfk said it best. sometimes my party asks too much
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here in the course of being able to solve these problems, anytime i will deviate from what i'm saying now, people be upset with me, like when i said i don't oppose a gradual phaseout of the enhanced nasper medicaid expansion. people got all worked out. my job is to be intellectually honest through this process. that's what i intend to do. john hickenlooper is, uncrate to be teamed with him. i think, i love the way he thinks. i love the way that he does his job as governor, and isn't that great? is it refreshing to realize that republicans and democrats can stand on the same podium on a very tough issue and get along and be constructive? this is the way it used to be pixel while i don't want to go backwards, maybe in some sense, going back to the future might be the way to be able to solve many of these big looming problems that are right over across the landscape of america. we can get this done.
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john? >> thank you, governor. and i can't easily express a grateful i am governor kasich is the lead on this and working on this for a long time. and this notion that the senate is going to do a built in secret in a very short amount, three short printed time and then bring it out and have it, try to sell the notion that this is an improvement in health care, is a bad joke. we've been calling this the on health care bill, just because there's no improvements and pretty much only cuts. i think it takes two minutes amount of courage to stand up like governor kasich or governor sandoval in nevada, the others, of the republican governors who clearly recognize -- governor baker, governor snyder. governor hutchison has had serious conversations around these bills. that courage, that's what this comes down to, it's a basic, i mean it's in your marrow.
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this is a political decision. it's a moral issue. and if you look, i wrote down some of the numbers that colorado would see, we see a reduction of 188,000 people in colorado, one of the half of them would be integral parts of the state. again, that's the place where it's hardest to get good medical coverage as it is. we would also lose about 50,000 people that right now are through our private exchanges by not giving them stability. going to end up cutting coverage. and again that's not improving anything. at a certain point if this bill with you as it is, you would have you know, a level of some estimates over 100,000 deaths over the next ten years. governors will be in that difficult position, impossible position of try to allocate resources where you know you're going to be, you a lot of the coverage. and ultimately, governor kasich
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and i are not going to agree on everything. if we were writing this bill passes been a lot of work on figure out what are the compromises and how could we get to that place. we both agree with got to control the rise in health care at all levels, but certainly in terms of the private exchanges and in terms of medicaid. but we got to make sure we also don't roll back coverage. that's immoral and i think to try and push that on the country really for the benefit of, who is benefiting from this bill? is not improving health care. $230 billion of the highest earners and the people that have a large amount under an income. i've to a couple dozen and asked each one, doesn't matter to you when you're making $2 million a year or have a friend who he and his wife together make $300,000 a year and a year and they would save several thousand dollars? they don't care. it's not something you're asking for the summit gives it to them, they will take about every
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single high earner, wealthy individual in the country, there's going to be less than 4 million people to really receive these tax benefits, most of them are not asking for. so what are we making this huge hot and what services we offer to the public solely for tax cuts for people that are not trying to get them, they're not fighting to get the same thing with the insurance companies. they have a tremendous benefit to this. the industry is neutral pic if you look at the market hospital association, the american medical association, they are all against the bill. they're the people that are standing up for the common good. i hope, i think governor kasich, i will just finished and we can take some questions, but i hope we're able to take this unhealth bill and put it aside, start over and get, i would be proud to have some republican and democratic governors work with democratic and republican senators, and because at the moment the step and we are as governors would work with across
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party lines all the time. i mean, somehow the virus that's in washington, it hasn't got into the ecosystem yet but it is certainly lurking around the margins. in a transparent open way, spent several months, probably take six or eight months to really look at what would a good bill look like and how do we get there. >> questions? yes. [inaudible] >> what would your message before them? >> you know, i think the politics of today's politics of people, and we cover in my state 700,000 people who are drug
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addicted and mentally ill and also chronically ill. when you sit and you talk to people about this, they really don't have much disagreement. there may be some philosophical, you know, kind of textbook disagreement. but when you sit in a room and you say to people, should we strip coverage from somebody who's mentally ill, i've never heard anybody say yes. we know about the drug problem in this country. it's raging all across the country. we know how difficult it is. we know takes as much as four or five times sometimes people to be able to escape their addiction, and sometimes they don't. the same is true with the chronically ill. you say to people do you think they should be in the emergency room driving up your cost or should we get them some primary care? i've never had anybody argue that with me. so if they want to kind of
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repeal this expansion, where are they going to put the people? now, my sense was, you know, expansion sure got up to about 100% of poverty and we could've taken as people put them on the exchange it exchange was ethically funded but under this bill is not. so i understand there's campaign promises and all that stuff. i try not to make campaign promises that he can't keep. i make one that i think doesn't measure up, i've got to be a big enough person to say i'm looking at it a different way. bubut i don't think that makes y sense in america today. and by the way, even though we're just talking about the poor, over time these kinds of actions will impact the middle class. it will have more people living in emergency rooms which drives of all of our health care costs. ..
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>> so to me, everybody should have a chance and what does conservatism mean? it means everybody should have an opportunity to realize their hopes and dreams and without adequate healthcare, it's virtually impossible and i sure wouldn't want any of these folks who are so highly critical to find themselves in a position where it could affect their last thing. i went to amajor newspaper and i had somebody sit next
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to me . the paper has been very critical of a lot of healthcare stuff. the lady sitting next to me that could i you after the meeting? she whispered to me after everybody had left the room, thank god you expanded medicaid because if you hadn't, my cousin would've died. it made me kind of shocked me, it knocked me off my chair so i think there's things we here in politics and things that go on but the reality of the matter is we better pay attention to people, many of whom feel very disenfranchised in this country and that doesn't lead to a healthy america, not just a healthy person. >>. [inaudible] well, there's no
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resources in it, that's the problem. john spoke eloquently about the fact that what you've done is given a lot of money to people who are already very wealthy and denied the resources to run the program. there's no resources in here so theyhave to cut everything back .look, i talked about a seven year phaseout. that gave us a lot of flexibility. i think john and i can agree or disagree on whether you need to go 138 or 100, if you have a strong exchange i'd rather get people into the wrong health insurance on the exchange but you can't give people for your $400,000 and expect them to buy health insurance. they have to sell their home if they owned one so there's ways to do it and we submitted plans and letters and we can get this done. i have no doubt about it but there will have to be some decisions made that will go against the political promises and have to be more realistic and ultimately, we have to deal with the problem of rising healthcare costs
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and we have a lot of thoughts about that. one final thing, you understand i would like to have the leverage, every governor would like to have the leverage on a pharmaceutical film firm that if they have high prices for jobs, we don't have to include them. the minute we have power we will get better prices. in this town it doesn't seem anybody wants to do that and we don't want to bash the pharmaceutical companies. we just want to be in a position of where we have leverage and good negotiation and on and off with something that serves everybody. >>. [inaudible] >> he certainly is looking at very seriously. he understands the importance. i talked to him a couple months ago but he was very focused on trying to figure out a way to make sure coverage doesn't get rolled back so i've got to call him now, my hope , he's someone who is a very conservative
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republican but he also doesn't think being a conservative republican means putting hundreds of thousands of people at risk. this is just in colorado, millions across the country. i have it. i will buy or by crook get hold of him before there's any vote. i will camp out around his doorstep if i have to. he knows what i'm going to say and he understands this is a question, it's in your dna. if you're in this game for the right reasons, to make sure that the decisions you make, you're going to look back. we're all going to finish these jobs and be looking back five or 10 years from now and i think you should want to be proud of the decisions you made. and we made decisions based on what's right for the greatest good for the greatest number of people and not his campaign promises.
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think about it, you're coming to $30 million for the wealthiest people in america, how many of the vast majority or supporters of republicans? that some portion that will be used to lobby whoever, senator holler in nevada has $1 million in attack ads. that's going to happen and that's why it takes tremendous courage to step up. i'm very hopeful and he certainly knows that other people have talked to him, how important this is to me. i look at this as one of the best brought issues he's going to define himself by. >>. [inaudible] senator gardner grew up on the plains of northeastern colorado and built his life with his own two hands, a stellar career in colorado and he's a smart, talented guy but he understands the hardships and difficulties of rural life in
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this bill would punish people in rural colorado. we got a hold friend who's a geologist on the west coast of colorado. this bill, he would end up paying $25,000 a year for healthcare. he makes what, $74,000 right now. it would be impossible, how's he going to get healthcare? he understands the rural hardships. we will see. >> your speaking somewhat diplomatically insane both parties could take a step back and saying do this the right way, do this through the process. if we don't do this would you take the extra step of saying this bill? >> this bill is unacceptable to me but the thing is, matter and in this town a matter so much more than they ever have. in the old days you could kid each other and josh each other and have a good floor debate and go down and play basketball. now you look at somebody the wrong way and you can become the enemy. but i'm hopeful, i'm hopeful
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that look, i think if these democrat senators come out, we get five or six or seven or eight and they say we're willing to sit down and work together and come up with a product that will work for thecountry , what do the republicans say, no? we're not interested, go away, drop dead? i don't think so. now the question is are the democrat senators going to put out some press release and whatever, mingo junction colorado and nobody ever hears it. are they willing to stand up and say we are committed to working on this? john is right, there's contentious issues but when john and i put the letter together, we tried to pick on things we could agree on. that's the way and you negotiate, take on basic things you agree on and then you get into the details and the thornier subjects and you work it out. listen, i've been involved in more negotiations whether it
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involved a b-2 bomber or the balanced budget and people have a common purpose.they always figure out a way to be successful. and the same is true in my state. the fact is that people of goodwill and good intentions can get it done. what you have to think about, when you leave washington or you leave any elected position, did you leave people in a position of where they felt respected , lifted and given an opportunity or did you just look at lines on a piece of paper and make a decision because you see, the lines are flesh and blood. it's written in ink and print but underlying all of that is the flesh and blood of the
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impact and i don't care what subject are talking about. if they don't want to improve the bill, i'm not for this bill but i'm optimistic. i really am optimistic that cooler heads will prevail and john and i being here, we did do this because we want to talk to all of you. i'm here because i got a meeting i've been invited to talk to a board of businesses in my state. john and i are here because we feel strongly about this and look, the last thing i want to do do is be wasted on my own self righteous petard but for some reason it's been deep in my heart to think about these people who don't have much and those who are trying to have much, those who are trying to better their lives and i don't want to deal them a blow and they took a look around and see the richest of americans prospering while they struggle. it's time for the republican party and the democratic party to realize we are at a potential meltdown, a division between the rich and middle class who are becoming divided from the rich. we have to work together. america is strongest when we believe in one another and there's a sense of fairness in our country. that's what we need to achieve . >> the question about senator
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gardner, we've had your conversations with senator corcoran. >> this is howimportant i think all this is, i will cast this vote . i don't get any sense, we'll see what happens when the car goes in the box or however they vote in the senate. >> you said that there would be a bipartisan solution to this. democrats say the only way they're going to get to the table is if republicans take repealing obamacare off the table, does that mean you are not in favor of repealing obama care? >> i'm in favor of bringing changes to the health care system that works. here's the thing, what happened to the republicans is for seven years they've runaround bashing obamacare and there the dog caught the car. now they don't know what to do and 22, 23 million americans who lose health insurance and they think that's great, that's good public policy. are you kidding me? why don't we have those folks
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who go and live under a healthcare, under medicaid go out? why don't we have been live on the exchange where they can get three or $4000 a year to cover their health insurance costs? there's all this rhetoric, i had a democrat call me yesterday and said should we kill the bill? don't put stuff in people's face. don't talk about are we repealing or replace, let's get it done. let's get in a room and find out how we can bring the needed changes because there's nobody i know, no responsible public official or health advocate who doesn't think we need changes to this. the exchanges are in trouble. a lot of the reason they're in trouble is because there's so much uncertainty, because they don't have a healthy pool and all those other things. they can be effects but you don't have to say we're going to throw everything out, maybe we will start over. my view would bei would like to fix this senate bill , get the democrats working, that's what i would like to do and in terms of kasich says this,
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i'm not taking the bait. yes sir, right there. >>. [inaudible] ... republicans hold the majority in both houses and the white house. why is this income that on the democrats to move forward and not the republicans? >> we have a healthcare civil war going on. it's all about recriminations. obama slammed everything through and we weren't included so how dare they and now here we are and we don't have to listen to them. it's all party, of course i want republicans to stand up. you don't know how many hours my staff is spent trying to get people to sign on to a simple letter. a couple weeks ago, i talked to rob 1 million times, he knows exactly what my concerns are and i told him if they had you a few billion dollars on opiates, opioids,
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repealing medicaid expansion, that's $4 billion a year, that's like spitting in the ocean and everything in america is not just, it's critical it's not just about opioids, what about mental illness? i happen to think in the essential health benefit package, i think there should be protection area and give likability to the states but there should be protection for services for the mentally ill who been ignored or as long as i've been alive and for those who are addicted, not just the drugs but any addiction. there ought to be some guardrails around that but yes, i think that republicans ought to say we welcome the democrats and how the democrats come forward and say the republicans they were not going to operate, i'll be the first one to talk about that and criticize it. but let's get both sides moving forward and see where you are and let's stop all this, we act like we're in the fifth grade. actually, in the congress of the united states. they're not in the fifth
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grade. what does sally say about you? that's gone out the window. even my girls don't even do that. or boys for that matter. we are not in the fifth grade. we took my skateboard, they don't have skateboards anymore. they took my smart phone. okay? >> plainly you voted to restore the money in the senate from obamacare but are there any things that you would agree on that should go into the bill that would represent an improvement on medicare so that the new bill, trump care, whatever will be better. >> could be better than obamacare and please don't say it's because mark can't read.>> i would say basic math. you can't take all the resources away without doing terrible damage to everybody
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in this country.basic math, you can't hold seven or $800 billion in cuts and expect a system to survive in any sense of capability. in terms of what we agree on, i think in terms of essential health benefits that will be wiped out, governor kasich has talked about mental health, people with addictions, addressing basic things like screening. for millions of people who disappear, we know that i have a sister who through basic screening found she had a malignant tumor. she has a high probability of a happy life. if you don't have screenings, if you don't have that basic ability, that medical home where you go in and you got a little discomfort and you get checked, then this so what's worse, the survival rate it just goes in the toilet. >> so i think this can go down the list of things we agree on but i like to get
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started on the basic fundamentals of good health coverage. >> not everything is bad, i personally advanced the idea of a overtime with flexibility, a phaseout of the enhanced maps down to the regular state match. why did i say that? these people chilling out, i told my guys i let them say what they want. why do i say that? because at some point states have to assume this responsibility and the senate has as best i can tell on the face, i'm not sure how it works. why am i concerned about this, i talked to john about this, because the federal government is running a level that's about 80 percent of our gdp, when you get to 100 percent you can forget it. you have nothing but slow growth, look at great britain, look at japan so at some point we have to deal with the debt. so i think what the senate did on the phaseout makes sense and i don't know how it works but it makes sense.
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the idea that we should have stability on the essential health benefits, i believe that makes sense on medicaid and also on the exchange but when i mentioned guardrails, i think there's something that ought to be mandated but more flexibility. >> i like what the senate did in terms of getting the federal government out of the insurance business with the ratios, is that 31 or 51, i think that's a good thing. >> there are things that they've done in here that are good. i happen to believe you can have medicaid up to 100 percent rather than 138, that's been discussed and move things over on the exchange, i think the idea that you can a per capita or block grant as well as well-funded, i support that. in other words there's many things, but you know when it gets down to, the resources. >> if you have any, if you have a beautiful car but you don't have any gas, it will go for you if you don't have any electricity it won't go. the resources have been cut
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and they need to remain and my understanding is you have to ask them but i think senator portman had an amendment that he wanted to get through that would have left the revenues in place or a period of time to get this thing stabilized. i remember talking to mark alexander and i said you can't get rid of all these resources, this was months ago because are you going to have dollars to fund the thing? >> there are ways to get this done, i believe that all of it is not that the fundamental aspect of the amount of resources to run the system are simply not there. >> and it has to be fixed. by the way, we need to guarantee all americans the pre-existing conditions will never result in them losing health insurance. there's nobody that doesn't agree with that, if there are somewhere, i don't know where they are because i've never met them, thank you very much for allowing us to be here and let's see where it all goes, thank you.
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>>. [inaudible conversation] >> the senate is back for more speeches on the healthcare all replacement bill, the senate goes back into p.m. eastern, we will have live coverage on c-span2. we are learning from political president trump has invited all republican senators to the white house at 4 pm eastern for a meeting on the healthcare bill. also, for capitol hill


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