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tv   Key Capitol Hill Hearings  CSPAN  October 13, 2015 9:00pm-9:31pm EDT

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>> do you support banning abortions with no restrictions? i support life of the mother and insist. >> those of the only exceptions? gov. kasich: the three of them. rape, incest, and life of the mother. i am for abortion only in the case of rape, incest, and the life of the mother. thank you. >> are you aware that someone said trump would have you as his running mate? gov. kasich: that's nice. all right, we got to go. >> [indiscernible] governor kasich: you did? we have to get you to help us.
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>> what has been your biggest bipartisan accomplishment while being governor? gov. kasich: a number of them. transportation was a really big one. human trafficking was another big one. i could give you the whole long list but there are tons of them we have been able to do together. it is really important. in the the partisanship state of ohio a lot different when i was in politics back before i got out of politics. it is getting better now in ohio.
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we had just yesterday a former leader, she was up here actually holding a basic -- holding a .ohn kasich sign this is an effort where you plug together on a lot of things. started to figure out how we would improve transportation, none of them liked it, and now they are all the fathers of the idea and that is perfectly fine with me. >> your message to new hampshire voters -- gov. kasich: let me give you one of the thing, and that was the unanimous vote on fighting the problem of drug abuse in our state. >> your message to new hampshire voters that are probably watching tonight's debate? gov. kasich: have fun. i probably won't be watching. i will roll out a plan on thursday, it will be a framework
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, and it will be a program i will say that we will try to enact the first 100 days. i say that,n because it seems like you are willing to reach across the aisle. gov. kasich: i will probably watch a little bit of the debate but probably not that much. i am doing politics all the time in every once in a while you don't want to do it. >> one questioner raised the issue of, he loves you. how do you get your name out? you were up in the polls in the new hampshire polls. maybe slid back a little bit. gov. kasich: we're doing fine. we have a high positive, low negative. we have a great organization and we are doing fine here. we're doing better in iowa. it is about building a house from the bottom up. when iran for the state senate back in the great state of ohio,
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the weekend before the election a citizen journalist said i was a nice guy that i would lose by 30 points. you can always see the things that are being done in the underbelly. you can't always see the things getting done from the ground up. -- youdon't win it with don't win it with polls or name id or any of this other stuff? what time are the scorpions coming on the bus? c-span takes you on the road to the white house. unfiltered access to the candidates at town hall meetings, news conferences and speeches. taking your comments on twitter, facebook, and by phone.
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as always, every campaign event we cover is available on our website at on the next "washington journal, of -- douglast on issues in the campaign race. nasa review cover story on math and preservation in america. at 70 5 a.m. eastern on c-span. eastern ona.m. c-span. >> presidential candidate jeb bush to manchester, new hampshire today to talk about health care. from the new hampshire institute of politics, this about half ho.
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jeb bush: thank you. thank you to this great university. this is my third or fourth visit. the primary season is young. i'll be back, i'm sure. it is a joy to be with you all. i'm here to talk about something that is really important. how do we turn what we have into a 21st century health care system? not just insurance, but the system altogether. how can we envision what a health care system can look like in 2025, rather than protect the version of 1975, which in effect is what we have now. america, really if you think about it, is a place of discovery and innovation. if we fix a few big things, we can transform ourselves because we are the most dynamic country in the world across the spectrum of policy to make policy better
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for ourselves, our children, and our grandchildren. this will require a new approach on how we allow people to stay healthy, how we reward that. support life-saving medical discoveries and care. let me give you some personal anecdotes. next week, or the week after next, on the 20th anniversary is an event that my wife, columba, and i have been involved with to raise money for cystic fibrosis. we have been doing it for 20 years. when we began this, people would say that children were dying before they became adults with this disease and people would say, if we keep working hard, eventually we will find a cure. today, if you are born with cystic fibrosis, there are medicines that have been discovered in the last 3-4 years, and more on the way, that will ultimately allow someone with cystic fibrosis to live as long as everybody else. our grandchildren, being born today, if we get this right, will live way beyond 100 years. it creates challenges, but it is
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also an opportunity to transform our society in a way that will allow more and more people to live lives of purpose and meaning. here is the problem -- the one thing i know is this, we cannot stick with the status quo. we cannot leave this up to the lobbyists and politicians in washington, d.c. the system we have today, obamacare, in its current form, was written by the special interests for the special interests. let's look at what had been promised and what we got instead. president obama promised that health care insurance premiums would fall by $2500 per families. it is estimated, by the president's own team, that they will increase by over the next $2900 10 years. right here, in new hampshire, based on the rate filings that have taken place, next year premiums are expected to increase anywhere from 20%-50%. president obama promised universal coverage. based on covenant -- based on
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government projections, even after spending trillion's of dollars, there will still be 27 million americans without health insurance during this 10 year period. it turns out that being on medicaid is not necessarily a better deal than being uninsured. for those policy wonks in the crowd, you may want to check the oregon study that analyzed like kind people with insurance, and those receiving medicaid. they found that those who did not have insurance actually got better quality care. the notion that access to insurance yields better results may not be the case if you look at the poor quality of medicaid that is tied down massive -- tied down by massive amounts of regulations and rules imposed by washington, d.c. the obamacare website, one of the classic disasters in modern government history, has now been overhauled at the cost of hundreds of millions of dollars. two thirds of the people who got an obamacare subsidy found out
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later that they owed an average of $730 to the irs. people who signed up for an old obamacare plan are fighting that -- plan are finding that one third of the doctors and hospitals are not in their networks. the number of people dropping out of the plan, according to "the new york times" story that i read yesterday is growing as people realize that they have to pay out of pocket cost, and it is better to pay the fine. you cannot escape the impact of this terrible law even if you were not in the exchanges or on medicaid because the mandates an additional coverage requirements are creating impositions for private companies. all of this is being done with the largest tax increase in modern history. on the backs of businesses and sabers and american workers. he imposed these rules that
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require companies to reduce hours for workers. markets work this way. the minute you create some sort of rule or imposition, markets adjust. that means millions of men and women hours are gone. people are working part time when they want to work full-time. in fact, people are losing their insurance when they have had it before. it is quite a legacy, if you think about it. when you consider the wreckage, it makes you wonder, how could anybody support this now? well, hillary clinton supports it, and so does bernie sanders, and other democrats. the debate tonight in las vegas will probably prove that they will be strongly supportive of this top-down driven, highly bureaucratic insurance plan that is stifling our ability to rise up. for the democrats, this is what they want. this is what they like. they like the power deciding these things from up above. this is their essence. i believe the top down approach is not the one for our country. whether it is energy policy, health care policy, across the board, we are a bottom-up nation.
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we are a nation that does things much better when we empower people to make decisions for themselves, rather than get in line, and be told what to do. that is what obamacare is. there is no way to fix it, to be honest with you. you cannot fix something that was a failure from the start. we have to start over. when i become president, i will work immediately to repeal and replace obamacare with a system that looks more like the successful enterprises and successful systems of our great country. let me tell you how i will get it done. i will focus on how health care should look like. we need health care system for 2025, not 1975. i believe we need to recognize the positive change and disruption all around us should be our friend, not our adversary. we should liberate our system to allow for more innovation to take place. think about it. we have smartphones that can video chat with our doctors and caregivers. we have genomic medicine. personalized treatment of cancer
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and other diseases. we have 3-d printers that can turn out replacement blood vessels and heart valves. medicine has changed. it is constantly changing. we have to get washington out of the way, stop its micromanagement, so we can have an explosion of dynamic responses to the great challenges we face, and turn them into opportunities, not just for our better health, but for economic progress for all of us. i believe, as i hope you do, lives are saved by bold innovation. we have a moral obligation to make sure washington does not get in the way. if we rely on the regulators of washington, d.c. to decide what kind of health care we should get, we will continue to get frustration, higher cost, and a lot more complexity, or worse. look at the v.a. scandal that has taken place throughout our country. president obama and many on the left have used the v.a. hospital system as a model for a government controlled health
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care, bragging about how great it is. the delays and deceptions speak for themselves. we have been warned. if that is the best that washington can do, i think we need to move in a different direction. we need to unleash the power of millions of americans, doctors, nurses, entrepreneurs, who are inventing the future of health care. advance screenings only require a stick of a finger. personalized therapies for seniors who live far away from major hospital. genomic medicine, so treatments match each person's physiology. an app on your smart phone that calls a doctor to your door, just like it does a card to pick -- just as it does for a car to pick you up. devices that can mimic what our body was designed to do. i want all of us to embrace this change so we can answer these questions with confidence. did the patient get the care he or she needed? did her health improve? was there a more efficient or
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affordable way to get to the best result? my plan, therefore, focuses on five key steps. first, repeal obamacare. that means all of its mandate, penalties, new spending, the arbitrary picking and choosing of the parts of the law that are implemented, and the ones that don't. all of that goes away. especially the new taxes on medical devices, drugs, and insurance, all of which drive up the cost of health care for middle income americans. second, instead of punishing innovation, we will double down on it. my plan would aggressively support groundbreaking work at the nih and our country's finest researchers as they find new treatments and cures. if we started from scratch, if we did not have a system of how we allocate the resources for the research that goes on, and if we start from scratch with the fda, i can promise you it
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would be a less costly system and it would take a lot less time and it would the a lot more strategic in its efforts. that is what we need to do. we need to make medical record keeping efficient, shareable, and secure. the president had a golden opportunity to be able to do this, but the simple fact is the information technology funding, through the stimulus, was not focused on creating a shared platform for all of us to benefit. we have huge complexity in information technology, and that information is not protected nor is it shared. we have to look celebrate the -- we have to accelerate the fda process of drug production and approval so potential drugs can reach patients more safely and quickly. i believe we need to create a consensus, as we did in the 1960's, when john f. kennedy suggested we launch a man to the moon. it is an aspirational goal. i think we need to do the same
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thing as we create an aspirational goal to investigate and explore the brain. think of all the challenges that exist in our community today because we lag behind on understanding how the brain operates. autism, alzheimer's, mental illness. all of these challenges that play out in our society in a great country of ours with an abundance of resources like ours -- if we were strategic, we need -- if we were strategic rather than everyone just getting to the high-grade slop in the front of the trough, that is not how it should work. we need to be significantly more aspirational in strategic about how we go about doing this. innovation led by the private sector will be at the center of everything we do. that is the only way we can get better care at lower cost. we need to fix where the government is paying for health -- is holding back innovative health care. we would give people more control over their health care
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dollars. in my plan we would propose tax , credits to those without employer coverage so they can secure portable and insurance that provides preventative care and also comprehensive coverage for major medical evidence. -- major medical events. this will help middle-class households who currently do not qualify for obama care subsidies and have been slammed by higher premiums brought about by obamacare. we will make it user for small businesses to get coverage. today, as a small business person, it is either or. is a you provide insurance for your employees or you don't. a better approach would make it easier for lower-cost insurance for small businesses to provide care, but if they wanted to provide support for people who wanted to get their own care in a less mandated form of access to care, they should have the right to do that, and that should be a tax write off for them. many people are frustrated with the higher to dockable plans and
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we will give them the support they need to make it easier for co-pays.-of-pocket the system would work far better. a system where you do not have the consumer engaged in making decisions, you get a good result. that is not how it works. the best system is one where the people are totally engaged, where we have transparent information for them to make decisions about themselves. where there is support for them to be able to have the kinds of insurance that will allow them to grow and prosper, along with a health savings account, so they are rewarded for healthy lifestyle decisions as they go forward. whereever they don't spend, they should be able to say. -- they should be able to save. we will give them real transparency to decide which health care provider will provide the best value. health care providers will be more accountable for results, and they will really compete to design the new ways to deliver care. this will require some major
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changes on how we regulate health insurance. states rather than washington, , d.c., are much better equipped to set the standards. here is what i propose. we will open up state insurance markets to much broader competition and choice. right now, obamacare locks in a small handful of one-size-fits-all mandated policies engineered and -- engineered in washington, d.c. when did you to break up the insurance monopolies and allow people to buy health insurance designed for what they actually want. for example, an individual who might want to buy a high deductible plan for unexpected events the true form of , insurance that should be the norm, but maybe they would want also to have one that adds preventative care and diabetes management with no cost sharing at all. or, physicians may want to develop a plan that uses preventative medicine that
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identifies and cures once cancer. the possibilities for innovation are endless if we trust the marketplace to do what it does so well. if people are informed, and they make decisions based on the proper information that they have, if the system is much more transparent, the providers of insurance and care will respond with a significant amount of innovation. plans to protect you in case you get sick, and plans with a focus on certain conditions such as heart disease would become the norm. plans that are perfect for different stages of life, whether people are single, whether they have a family, or whether they are retired. let me be clear. everybody will have access to the tax credits that will help them buy insurance that protects them from losing their life savings from major medical events. that should be the national focus, making sure that people have catastrophic coverage so that their lives are not turned upside down by an adverse event that could have tragic results -- could have a real devastation for their family.
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whatever they want insurance to cover, they should buy that. we won't force people to buy coverage they don't want because they don't need it or it violates their conscience. frankly, that is one of the most egregious parts of obamacare, the idea that you are forced to do things against her own conscience. we would get rid of that. there are certain things that we will ensure. we will expect that vulnerable americans, regardless of how much money they make, get the care and outcomes they deserve. hillary clinton says that will happen under medicaid. let me tell you something. i was governor of the state of florida, i think we had the fourth largest medicaid plan. states are extraordinarily frustrated with the state partnership that is medicaid. spending more through a broken system is not the answer. let's try a new approach. let's let the states have the power to create a safety net for the 21st century, and hold them accountable for the results they achieved. if we took the money that goes
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to medicaid, and took the subsidies on obamacare and put , fchip in the mix, i can promise you we will get a better result. you know why i know that? i had a chance to do a version of that when i was governor of the state of florida with our medicaid plan. we had a pilot program in fort lauderdale and jacksonville. it was the 25th largest medicaid plan. we created tiered premiums, where medicaid beneficiaries were given choices, where we empowered them to make choices. this notion that people living in poverty do not know what is right with their families -- we better start rejecting that out of hand. whether it is health care or education or the safety of their neighborhood, america does not do this right this top-down , believe that some people are smart, and some people aren't, i reject it, and i hope you do as well. a medicaid plan that empowers people to make decisions for themselves will get far better results. imagine a system where you
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had choice counseling, where you rewarded making healthy lifestyle decisions by allowing people to have more money to make healthy lifestyle decisions the next year, where there is competition, choices, where people takes the plan for them. maybe the have a child with asthma. i higher premium based on the actuarial cost. they are empowered to make more choices because they get more for the premium dollars that they had. a system that is focused on people, rather than on government, will yield a far better result. the net result of this is we did this at a lower cost than the old medicaid plan. we did it at higher quality. medicaid beneficiaries, based on outside observations and studies, suggested it was far better for them. i believe the states are the place where this will happen. washington has had its chance to do these things and it has failed miserably.
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we need to liberate our country to be able -- to be able to, from the bottom up, be able to solve these problems. i won't except the strawman argument from the other side that the opposite of obamacare is no care. it doesn't mean going back to the way things used to be. we need a system that doesn't address just the changes, but also one that meets the needs for our economy. as you know, my aspiration is that this country should grow at 4% per year as far as the eye can see. if we were doing that, i promise you that the demands of government would subside. there would be a lot more people in the private insurance market who would be able to increase their pay incentive having to slough off their health care costs. it is not working. are from the costs backs of employees.
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take home pay has declined. we are the sixth year of a recovery, and disposable income is 2000 plus dollars less than the date of the recovery started. moving to a different system would make it work. according to the nonpartisan congressional budget office, repealing obamacare would increase gdp growth by 7/10 of 1% over 10 years, which is a big part of reaching the goal of 4% growth instead of this new normal of 2% growth. 4 would as the equivalent of million full-time equivalent jobs to our economy. there are a lot of people working part-time. they want to work full-time but they are stuck in a system because of these rules having these adverse outcomes. no matter how you earn a living, my plan will give the american people control over their health care.
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i reject the arguments you hear from the progressive left. whether it is senator sanders or hillary clinton. government have to do the work for them. that is not the american way. if you empower them with the right information in a much more transparent system, i can promise you that people will act on their self-interest which is lower cost at a higher quality for their families. i'm not afraid of giving more information on their health care. i got to do that as governor of the state of florida as well. at first thought this was kind of a radical idea. but then they realized, why should we do this. they started offering care and promoting the fact that they had better outcomes at lower costs. think about every aspect of our economy.
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is this the only place in the economy were low costs and higher quality is assumed to be impossible to achieve. the rest of the economy does this daily. more abundance, more prosperity, higher-quality. health care needs to get to that as well. for people in terms of our economy and better health, if we tear down the barriers. for some odd reason, people just can't see how lower costs can improve, if you do it the right way, quality. we prevent illness and create a better chance for people to live a life of purpose and meaning. it will require the kind of leadership we need to fix these things.
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whether his regulations in general or taxes, or reforming our higher education system, young people are stuck with recourse debt. to make sure that degrees are attained in a way that allows young people. all ofthese young -- these things are broken right now because we have not had the leadership in washington to fix them. can do thisat if we this will be the most exciting time to be alive in the world. this is an essential element of what the next president has to do. i believe i have the skills to do it and if we get this right, we will have our grandchildren living way beyond 100. we will be hopefully in heaven, at least my age. -- but we will have a society that continues to be the envy of this entire planet. thank you all very much.
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>> will have more road to the white house coverage of the republican candidates tomorrow, including florida senator marco newo, who will be in derry, hampshire. jeb bush holds a town hall in concorde, new hampshire. watch all of our 20 sixteen rd to the white house coverage online at next, on c-span, georgetown university law professor laura donahue on balancing individual rights and national security. then, washington journal visits a maryland prison to discuss the national justice system


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