tv Washington Journal Representative Tom Reed Discusses the House GO Ps... CSPAN July 19, 2017 8:02am-8:32am EDT
we got up. and suddenly there 50,000 people on 12th street. the 1967 detroit riots live sunday starting at noon eastern on american history tv on c-span3. c-span, where history unfolds daily. as a79, c-span was created public service by america's cable-television companies and is brought to you today by your cable or satellite provider. washington journal continues. host: our guest is tom reed, congressman from new york. he is a member of the ways and means committee. here is one of the many headlines. financial times says the
republicans are in disarray after failure to kill obamacare. what do you make of the latest roadblock on your efforts to change legislation. guest: obviously it is not a positive development see if you recognize it for what it is. in my personal opinion i think the senate's going to have to do something like that. in action is going to be --inact ion is unacceptable. host: what about what the house did, they let -- they did a pretty big bill. can these two bodies reconcile on the issue? guest: i work in a bipartisan said that we will take on issues, get it is health care we should learn lessons from the affordable care act and other
times. maybe it's time for us to start reaching across the aisle. we are are the engaging in that process as we speak. i think it is time. you are impacting real americans in a negative way. host: our guest will be here for half an hour. we have lines for democrats, republicans and independents. we will get sure calls as soon as they come in. -- you are elected in 2010. take us home regarding health care in the affordable care act. how many people benefit from it? thereh medicaid expansion are tens of thousands of folks participating in the extension in particular. the medicaid program itself in new york is not sustainable. our taxpayers were one of the
few states where on the local tax bill, taxpayers are footing the bill. people are leaving. they can't keep up with their mortgage payments or putting rooms over their heads and this is not sustainable. tohink it's time to give it the issue of health care costs. what we've been talking about is a great deal with a replacement stuff is health insurance. maybe is a time where we look at what is driving insurance premiums up and i'm rick -- and to reach common ground on how to drive cost down. an early ande vocal supporter of president trump as he ran for president. do you agree with his assessment we should let obamacare fail. guest: i think that's the reality of where we are. if the senate cannot take action and i said that when we got the first heck of a in the house that may be will take the collapse of the market and have
senators go back home, house members go back home and phase people adversely impacted. maybe that's what it takes to get the senators to move. host: there seems to be a dispute about the numbers back home on health care. from reading from the olein times herald, you said your recent comment up to 100,000 people in the 23rd district could lose health care. try to help us understand the numbers. you represent several hundred thousand people. do you have a number in mind of people who would be harmed if the law just collapses? guest: harm is a loaded turn. they will be impacted. you got about 15,000 folks in the medicaid expansion area that would be potentially impacted and we lose not opportunity for health insurance for those individuals. that's why we have to solve this problem.
what i was trying to articulate is that a lot of times, we lose data down here because people can't agree on the fact and you've got ideological groups looking upon to numbers for political headlines. i've seen reports that are egregious and clearly not supported by the data. host: we have calls coming in for congressman tom reed, republican from new york. rank ands health care around that issue? guest: it is number one. we do town halls, they just did two more last week. we've been doing the my entire term. what i hear is health care, health care, health care. you're talking about health care. this is personal. this is something that a lot of officials -- individuals have anxiety. a lot of people recognizing is not working.
their deductibles are going up 100%, 200%. this is not sustainable and big government solutions are not in the solve this problem. we did figure out how to get health care costs down and the way to that is to put transparency on it and force competitive pressures and you health care. host: let's hear from john, independent caller from new jersey. caller: how are you doing. professional.are i'm a chiropractor, i'm a primary care physician natural doctor. unlike the medical doctors for alternative doctors. who got us into this terrible mess with people having the drug overdoses and putting so many people on drugs.
it is a sin that people like you are going after drug companies doctorsrnative medical who are causing all of this stuff and causing the rates to go up. the reason why they want to get rid of obamacare is the intrusion into our endowed rights from our creator. this is the problem that we have , having a democratic government and not a republic, which is protecting the rights that we got from god and the privileges and benefits from corporations and the corporation is ruled by a democratic system. this has got to stop. host: congressman reed. guest: interesting comments and i would agree for you that what we have to do is take on the health care system in america. we have to make sure we are
highlighting what is working and fix what isn't. when i talk about health , what we have to do is focus on health care delivery and i think there are better ways to do it where you hold providers accountable based on quality metrics and efficiency service whether their were more -- reward for more services they provide. ways to dore are new this and maybe that the conversation we need to have. host: evelyn from buffalo, new york. good morning. caller: good morning. they need to change the name from the affordable care act to the on affordable care act. when thet was 2007 co-pay was $384. it's now $1180.
that's more than -- guest: you are absolutely touching upon what i hear quite often and what we're seeing our costs go up with less coverage under the plans that are available and that is real money out of your pocket. thet of people talk about success of the affordable care act with the coverage is that they are mandating with the individual employer mandate. mandating itself to solve the problem that way is not real. that has real consequences like what you just indicated. concerns about the republican majority at this point? a lot written about how this failure will hurt the party. the focus only on the senate but they said the damage may last for years to your party. guest: it is fair criticism.
when people elect to they want to see you solve problems and address the issues they are dealing with on a day-to-day basis and if we can't do that as a party then rightfully so there will be accountability in the system and that is the way democracy works. we sought on the other side of the iowa when they went down the partisan aisle, dodd frank, big government. i appreciate the criticism. we have sometime between now and the midterms and future elections and all we can do is move forward. either seize the moment and try to make the best of it or you just roll over and give up and to me that is not the american way. focusing more on numbers in your district. he says how many citizens instantly lose health care fee current aca is repealed? guest: what we proposed in the house was a transition into the new system, so nobody would be
immediately impacted in regards to losing their medicaid expansion. i believe that the appropriate way. the glide path approach, a transition into the new health care. -- a lot ofk at the misinformation out there. there is a lot of folks running , 32ndnternet headlines soundbites. when you look into the numbers and what we are trying to do, there is not a member down here who doesn't care about the people they represent. we don't want to do any harm to individuals, we want to fix the problems. it is a difficult issue to take on. host: let's go to wayne in pennsylvania, democratic caller. 70% of the people are poor in the u.s.. the affordable care act is helping the people.
,f i'm making $200,000 and up i'm not going to complain about the health care act. the poor people deserve, we deserve to get free health care. that's the way feel. guest: i appreciate that. seeink that's why you bipartisan support for a continuation of baseline medicaid. when you talk about the poor, that's what we are talking about. it is designed for lower income folks, the poor and disabled and seniors looking at a nursing home situation. to me, that program is not going away. we need to contain the cost. you can't have these big government programs that go on and asleep with no payment strategy. what we are talking about is trying to make health care available to everyone and we have a different solution on the
republican side. we don't believe government mandates is a one-size-fits-all solution. this is about bringing transparency, accountability, competitive pressures that when a patient goes in, they know what the costs are and they're asking the hard questions. right now we don't have that. we are driven into the bureaucracy and carriers and am not advocating to go back to the old ways, i'm saying the new hair -- health-care system should be transparent and rewarded for doing the right thing and health care the delivers for the american people. can move but we towards is a cost conversation about health care. sayinge put up a metric 50% and the states have to design ways to get medicaid under control and the federal government has to take care of medicare. and also let private medicine insurance participates of the
get rewarded for reducing cost. that was floated from a constituent and it may have some merit. let's started health-care costs and move on from there. host: our guest is the former mayor of corning, new york, an attorney who has his own real estate firm. , representative from new york. bjant to get a call in from in annapolis, maryland. caller: good morning. good morning to representative read. the reason i'm calling is that for the first time talking about cost and payment, very good. decades health care for before medicare and medicaid. there are decades of greedy doctors and greedy insurance companies.
how about the greedy consumer? the average nation that pays for health care is $5,000. we pay every year for every person in the u.s. $10,000. the consumers, the greedy consumers in the u.s. spend twice as much as any other person in the world. why is that? let me give one example. aesity is responsible for third of all of our health care costs. a third. obesity. that is not a pre-existing condition. that is something that people can control. i was very fortunate in 1960 when i was a couplet debt public aalth person, there was jewish person there who survived the concentration camps and he of the numbers on his forearms and people would come to him and say dr. and putting on weight, i can't help it and he would say
you are fat because you eat too much. there are no fat people in concentration camps. may i hate that? you are fat because you eat too much. there are no fat people in concentration camps. why don't we get an education ?or people who overeat you don't have to get anything expensive. some 12-step programs in group therapy. why don't we start on that? i think the consumer have a responsibility. guest: it is an interesting concept and obviously we are to take on the obesity epidemic in america. information, education is the caller suggested. maybe a little tough love. i appreciate that. i dealt with my own obesity issues, i had gastric bypass surgery and i can tell you when you are fighting that battle plan on millions of americans
deal with that, it is a difficult battle. byo for them to be rewarded being proactive and preventative. i think that's a cornerstone of where we can find some agreement and the caller suggest maybe that type of approach and i appreciate that. host: ubs to vote next week on a budget resolution on the house side on the hill. what are your own priorities? guest: what they are loading this up for the tax reform for the finish line. i'm the minority opinion that i would like to see is take that on in a bipartisan way. plan a has been followed and is what a budget vehicle is designed to do. goal thate biggest opens up. budget,riorities of the with to tackle the national debt. i appreciate chairman black, a great woman in congress who is a leader amongst us on the
republican side. she has done work to get this budget to the finish line and i applaud your efforts. taking on the national debt, private debt prioritizing our spending is something we have to do. people need to come together and say what will we stand for. there is common ground of the military. to what were we may have gone too far and reduce spending. that puts men and women in harm's way when they're asked to do their job they are trained to do. the military national debt, i appreciate with the budget is going and let's take on the -- take that on. she spoke this week about the connection with what she is doing and health care. guest: i'm not going -- >> i'm not going to give up, we should not give up. we don't know what will happen in the senate. it's been obvious what we seen
things turn around quickly. we have done our work in the house, we've given our product and we expect to get something back from them and will continue to anticipate they have success. host: some of the highlights of the budget getting marked up today from the hill, $200 billion in mandatory spending cuts, mostly from antipoverty like supplemental nutrition assistance and temporary assistance for needy families. what you make of those cuts? you have two thirds of your budget going out the door to mandatory entitlement spending, we have to get into that side of the equation because you just focus on one third you won't solve the crisis we have. host: here is what one of euro public and colleagues had to say. if you're dealing with too many mandatory cuts while you're dealing with tax reform than you will make tax reform harder to enact. guest: fair point. i appreciate that point because tax reform will be difficult and is your take on mandatory spending, a lot of these
mandatory programs, obviously government is there to take care of our poor and lower income groups but maybe there is a better way to do these programs. we haven't moved the needle. maybe what we need to look at is you give the person a fish, you feed him for a day, you teach them to fish you take care of them and their family for generations. so i volunteer or work requirement, i think there is broad support for that. empowering people with the skills and tools to get a job and be self-sufficient. i talk to people all the time in that category. they want to be self-sufficient and out of poverty. we need to not be a bureaucratic obstacle. host: let's hear from nitro in rockaway park, new york. caller: good morning. i'm very happy that you're going to listen to me. . have a suggestion
we are so polarized between democratic plans and republican plans. how about medicare for all? everybody from the poorest to of theirhiest pays 10% pretax income. the wealthy seem to be reluctant to pay their fair share with all the blessings they've received from this wonderful country where anybody can be a millionaire, even donald trump. i think that the wealthy, who $500 million in political contributions, if she is spend million, on her health care. if a guy making $10,000 pays $1000, i think that would be fair. i think that would be fair. guest: when people talk about
single-payer type system, i don't support that. that's more big government. there is no policy i've seen that will contain the cost. we see medicare on a path to insolvency and we see medicaid continuing to expand and the taxpayers cannot foot the bill. is what the 1%, i think there is some common about we can talk about what's an equitable and fair system. the math just doesn't work. there is not enough folks at that level to take care of what people think as a band-aid 32nd type of solution. it is much more complicated than that and when you talk about medicare and medicaid for all, to me that is big government and will not contain the cost of health care like it needs to do and i was demonstrated by the program today and the insolvency situation. host: democratic caller named guy for the congressman.
caller: good morning. the health care problem has been going on a lot longer than the aca. i worked for years and every year when you got a cost-of-living raise, 9/10 would go to cover health care. we really didn't get a raise. i understand health care problem is a big one, but the majority of it is the insurances. when i go to the doctor last time you wanted to do a ct scan, while the insurance wouldn't pay for it unless he did it first. he had to do two tests to figure out what was wrong when he knew the one would figure it out. how can you do anything when insurance companies are the ones doing the medical stuff? guest: i appreciate that and that's why i'm not advocating empowering insurance carriers to take further control. i think we need to do the
complete opposite. what we need to do is empower that informedke decision and he can, with a more effective way to treat you, he should be rewarded as opposed to what happens now, most doctors -- and rewards them to do more i don't know if that doctors share that with you or had that conversation what his financial component of those two exams would of been and what i see talking to folks in the industry and on the front lines is i see more and more of this. they get rewarded for providing more services. we need to change that whole concept around where they are rewarded for being efficient, but you've got to make sure the quality methods are there to do it so there is good quality care. host: let's talk about manufacturing and trade. you are chairman of the house manufacturing caucus. what is its goal? guest: i work with tim ryan from
ohio. we are a large group of members that it made manufacturing a priority in our time here. i'm a big believer in u.s. manufacturing. i believe it is on the cusp was -- of a rebirth in america. not like the 1920's or 30's, we are talking about advanced manufacturing. high-tech manufacturing. lifects that will change like the computer, tv and automobile did. we are situated in america to capitalize on that. that's why we had to fix the tax code and become competitive. if we do that and we have a workforce that it's on the stilts that. you've introduced him to call the spark manufacturing leadership act. us developould have a smart manufacturing plant across america.
they use the resources in the energy department to try and drive policy down so utility costs go down with would help us become competitive on the world stage. axis are supercomputing capabilities. so they can use the data. in creating those new products. host: the president unveiled goals for renegotiating nafta. helpould those ideas manufacturing in the american worker? guest: nafta was negotiated 20 plus years ago and the internet did not exist when i was originally negotiated. people whererom 1500 people are working and what the can do is make sure standards are high.
we can access the canadian and mexican market in a modern way and set the pace for future negotiations like labor standards, environmental standards, trade enforcement mechanisms that need to be updated. also things like data and digital. they weren't in existence. host: tom reed, republican of new york. thank you so much. another short timeout and we will talk about the house. we will talk to tim ryan on the future the party. later in the program we should point out the wall street journal's william mauldin will talk about the nafta agreement and the changes the president would like to make. that is coming up with mortar calls. ♪
>> sunday night on afterwards. cheryl atkinson reports on how smear tactics are used to influence public affection -- opinion in her book. she is interviewed by washington post media critic eric wemple. >> you hammer the washington post, who you feel is not properly reported on this incident as opposed to saying donald trump, why you smearing john mccain? cheer on ore to defend john mccain donald trump, i think the media behavior, it's
a big mistake when you -- it certainly doesn't mean i support him or cheer them on. i can see it as a separate things. it's often misread as you must be supporting him or he must like x and y because of what you said. it has nothing to do with that. i've spoken out frequently about that. >> watch afterwards at 9:00 eastern. washington journal continues. i guess now is congressman tim ryan, democrat from ohio. our guest is the measure -- member of the appropriations committee. what is your take on what is happening with you for the care act and the efforts on the republican side to repeal and replace?