tv Velshi Ruhle MSNBC September 23, 2017 9:30am-10:00am PDT
y bag any size we give a meal to a pet in need. petsmart - for the love of pets. and now come celebrate our grand opening in your neighbourhood. obamacare is back on the chopping block. it's a last-ditch effort to repeal and replace. the critics warn will uphend health care as we know it. get ready this is one could actually succeed. >> and should america first mean cutting u.s. aid to the rest of the world? president trump thinks so. why the two are not mutual exclusive. >> hey, everybody. >> this week the president complained that america pays way more than its fair share to prop up the united nations and it's
nothing in return. why intangibles like world peace and security should be worth every penny we give. >> meanwhile, it was a busy week on capitol hill. senators racing against the clock in one last attempt to gut obamacare. which is where we start today. >> under the rules of the senate, republicans can pass their grand cassidy helper johnson health bill which is 50 votes before the current u.s. budgets expires on september 30th. after that, no dice. the bill takes obamacare money and sends it as block grants to the states. the states use the money to selt up health insurance however they see fit. this has been in such a rush well that the congressional budget office, you know the cbo, has not had time to score the bill. so what we had for prior repeal and replace bills, we have no cbo estimates on how many people will lose their insurance or what the impact on premiums
would be and they won't be able to complete a first score. >> we do have estimates for other independent groups. and the kindest analysis, the kindest one to the bill, comes from the kaiser family foundation. and it's not very kind. it projects a $160 billion cut to federal spending on health coverage between 2020 when this would kick in and 2026. 35 states would see their health care funding decrease and in a strange twist, there would be a significant redistribution in federal funding from states that expanded medicaid under obamacare largely but not all democratic states to states that didn't expand which are largely but not all republican states. but keep that $160 billion in mind. that becomes a lot more important when we tell you about something else in a minute. so what does all this mean for your health care? let's start with how many people
will be covered. >> let's walk through this. we know this. states are going to get less money across the board. even if you see some states get some sort of slush fund, it's not going to happen to all of them. and when states lose that money, guess what happens? subsidies for the puoorest peope in those states go away. >> the president tweeted. he said i would not sign graham cassidy if did it not include coverage of pre-existing conditions. it does. a great bill. repeal and replace. let me tell you, the president is wrong. all that has to happen here is that states can get waivers for certain thins like essential health benefits, like pre-existing conditions. and it's not hard to do. if you're a state, you write a letter to the health and human services secretary. you state why you think you should get out of this thing. and the language and the bill is so nonspecific that you could be granted that waiver and, guess what? if you live in that state, you may lose the thins like maternity care, emergency care.
>> i mean those are the kind of things we assume we would get coverage. we need them life or death. >> lots of people think that's what an insurance policy is for. but the language in this bill, the graham cassidy bill all it says is that states if they want to opt out of this must prove that they can maintain and these rlt words in the bill, adequate and affordable coverage. well you tell me what adequate and affordable coverage means? >> affordable is the key word. just buzz you have access doesn't mean can you afford it. an insurance companies can let the premiums skyrocket, then you have a problem. >> but there won't be lots of people that like this bill, sfligt. >> i'm going to go through opposes the bill, doctors, hospitals, insurance companies, gop health insurance lobbyists, the aarp, bipartisan governors, and the medicaid directors from all 50 states. do you know how hard it is to get all 50 states on one page? this time they do. against this bill. >> they don't generally agree on smig. stephanie said the health insurance companies even object to. this there is no one involved in
health care anywhere in the united states who appears to actually support this bill. one thing that it doll is there is no individual mandate. so the market which is starting to become destabilized because we don't know if the government is going to make the payments that it does to secure -- to deal with those cost sharing subsidies, can you forget about the markets. you zroeblt to get insurance. the whole risk pool is going to dissolve into nothing. >> it's not like the plans have not been worked on. we talked to the problem solve offer's caucus over and over again. they've been trying to get a bipartisan solution. >> this was republican senator lamar alex ander in the senate and democratic senator patty murray. both of them were working on something to stabilize the health care markets. that has now dissolved. >> here's what i think is interesting. i get it. some members of the republican party want to push this through before september 30th while they only need 50 votes. guess what? if they put their pencils down and continue to work together, got a cbo score, then after the
fact when they need to get 60 votes, maybe they got a better shot of getting it. >> make this really bipartisan. i would rather take another year and get this right than rush because some of artificial deadline that has something to do with voting numbers in the senate and get it wrong. >> i energy it's a win today not long term f you live in a state like pennsylvania that could lose billions and billions, great. your republican senator or congressman might get a win today and the president will no longer attack him on twitter. but then when you lose the health care, you're not going to be in such good shape. >> if you talk this you're hearing about something else in health care as republicans are trying to get support to this graham-cassidy bill, they're using bernie sanders' medicare for all plan to make their case. they're trying to scare voters with accusations of socialism and the threat of a "$32 trillion nightmare." now just introduced, the bernie sanders bill is taking a lot of heat with questions around the cost and how it will pay for such a radical overhaul of
america's health care system. sanders bill is extremely light on details. but we do know that taxes would have to go up for it. so for fact sake k. the saving onz health cost. >> announcer: sander's single pair plan make up for the higher taxes? senator bernie sanders has finally come out with a medicare for all bill which would change health care as we know it. it calls for a single government run insurance plan that covers everyone, no exceptions, and eliminates private insurance altogether. all doctor visits, all lab work, all hospital stays would be covered as well as dental and vision care and most prescription drug costs. there is no deductibles and no co-pays to hand over every time you want to see a doctor. it's a generous version of the single payer systems that we see in canada and britain. countries with better overall health incomes than the u.s. and a fraction of the cost to the public purse. such a generous plan doesn't come for free and most americans
will end up paying higher taxes if it ever becomes law. how much higher depends on how big of a hole medicare for all will blow in the u.s. budgets. senator sanderses can suggests of $1.4 trillion a year to ensure everyone on the plan. others estimate the costs $2.5 trillion a year. but maybe there is another way to look at medicare for all. currently the average american spends about 10% of their income on health care costs. sanders projects the typical middle class family of four earning $50,000 a year would only pay $844. about 2% of their income. but a former health care policy adviser from the clinton administration says sanders is way off. estimating the tax was have to be much higher to pay for the plan, about 20% of the average american's paycheck. ultimately, the only way medicare for all can possibly succeed is if the higher taxes that come with it can be offset
by the savings americans see in their out of pocket costs. but without hard numbers and specifics, all of these estimates amount to a bunch of well researched guesswork. and look, you know, we love doing the things. we love breaking things down. i have to tell you this is health care. it is one sixth of the economy. it is really complicated. and what we just did is a small slice that is focused on what the average american is going to pay differently based on income. there are a lot of ways you can be on the side of health care and single payer or not. it's really complicated. this just the starting point for us. >> here's what i thought was interesting. you know who is going to like this plan? a group of people you would never think would be on the same side as bernie sanders. employers. big fortune 500 flavored employers. why? because the payroll tax will likely cost a lot less than what it costs to sponsor employee health benefits. we saw that in the case of canada with the automakers. >> i remember -- i don't have up to date numbers. years ago, you know, general motors used to say that a
particular car they built if, they built in canada $1500 per car cheerp because they didn't pay for health care. >> corporate america and bernie sanders singing together. >> one thing you have to think about is about 178 million americans have employer sponsored health care. most people like it. that doesn't mean it's the best solution. people like what they have. they don't like what you take away. so when polled about single pair health care which is what medicare for all, is 47% are in favor. 46% oppose. that's well within the margin of yoer. it's an even split. take a look at what happens if you ask people if they're in favor of having their employer plan eliminated. if you're one of the 178 million, wow, goes down. only about a third of people favor single pair health care then and 55% oppose. i would say this. people don't like to lose what they have even if something else might be better. >> i should point out it has been tested. there were some states that tried it. california and vermont, unfortunately the efforts failed on both accounts because of tax
burden and costs. there you have it. >> not easy to figure this one out quickly. but as stephanie and i say, we would love there to be lots and lots of long discussions about health care. >> or as president trump said, health care, so complicated. who knew? >> coming up, more revelation onz eqifax and the monday ultal breach of american's personal data. >> there's a who knew? >> bigger mishap by the way than was initially let on. that will still warrant nothing more likely than a slap on the wrist for the company. we'll tell you why. >> who knew at equifax. has what i want to noechlt and president trump says we spend way too much and get next to nothing in return. why he is wrong on both counts. that's next. for your heart...
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stated goals, especially the goal of peace, this investment would easily be well worth it. >> all right. that is an interesting caveat there. let's explore this. that is president trump speaking before the united nations general assembly this week in new york. he wasted no time ripping into the united nations. >> it has been a consistent theme since he first proclaimed america first on the campaign trail. but for the battle of influence in the world mshgs argue that u.s. faoreign assistance should be an integral part of any america first policy. >> president trump keeps complaining that united states shells out more than the fair share in foreign aid to the rest of the world. >> the united states is one out of 193 countries in the united nations. and yet we pay 22% of the entire budget and more.
>> the u.s. is the u.n.'s biggest funneleder by far. contribute is $3.3 billion a year to finance its activities. including one fifth of the u.n.'s operating budgets. >> half of that goes to humanitarian program. another quarter goes for peacekeeping. 20% goes for technical agencies that help the world function better. so it would have a significant impact if the u.s. cut its contributions to the u.n. >> the president has signaled that he is ready to reduce contributions to the u.n. by 40%. and extend those cuts to all u.s. foreign aid. total u.s. foreign assistance whether civilian or military aid amounted to $42 billion in fiscal year 2017. but compared to other countries, it's not as generous as it seems. >> we are the largest owner around the world account forg about 22% of foreign assistance.
but also we provide one of the lowest percentage of our gross national product. we provide only less than .2% whereas the average is .5%. >> the little money we spend on aid yields even more valuable dividends. a third of all u.s. foreign aid is allocated for peace and security. including aid to countries combatting weapons proliferation, terrorism, and drug trafficking. a fifth of the foreign aid money promotes health programs, especially to fight hiv aids. 14% goes towards humanitarian assistance to help governments respond to natural disasters and refugees. and a smaller chunk, of 6%, promotes civil society rule of law and human rights around the world. >> i think if you take a look at what the impact of that budget would be, it would stop programs that are going on today that are getting girls into school. that are get food on the table for poor people that are
allowing farmers to produce. and that are supporting peacekeeping operations of the world that are keeping american troops here at home where they're having to be sent in difficult environments. >> this idea that america first should be america only makes absolutely no sense. would you want to fight a battle on your own or with allies and a team to support you? and those who saw president trump's speech the other day and felt like it was a pro america speech. what do we need the u.n. for and all those diplomats? they just have parties. guess again. look at those stats again of how it works. it's here to protect this country. >> right. remember that america benefits from the best in the world. so the idea that we're out there helping to develop civil society in the rest of the world or helping as you said to support human rights, that's why everybody looks at america as this beacon this place they want to go to so the best and the brightest they commit to america. there is a misperception, there
is a poll that indicates that people think that we spend 25% of our budgets on foreign aid. remember, the person in your story said it's .2% of gdp but of our buget, it's only about 1%. i mean we just don't spend that much. we're the world's richest country. this to me looks like a pretty good investment. >> and then there the issue that you mentioned about refugees. there is a little of the budgets that goes towards. that very little. the trump administration had a draft report which apparently it didn't sort of sign off on. but it actually said that refugees are not a drain on the economy. >> $63 billion. that's what they contribute to our economy. >> they cost a lot right in the beginning. you bring them n they don't have a home or a place to go. you invest in the front end. that's the way we look at everything. you invest on the front end and a return on the back end. >> coming up, i might set my hair on fire over this after the monumental breach of millions of americans' data. what accountability does equifax
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they plan to bring 13,000 new jobs to the state. foxcon won't get any payouts until they follow-through with the hiring. here's the thing this is talked b trump is touting this. and analysis from the wisconsin legislative fiscal bureau says that the deal harolded by president trump won't generate any profits for the state until 2042 at the earliest. zbh one more time. can you just say that year again? >> 2042. >> 2042. >> so assuming foxcon makes good on the promise which we shouldn't because it broke another deal three years back in harrisburg, pennsylvania, wisconsin will wait 24, 25 years. >> so put this in perspective. he talks about jobs all the time. he references foxcon like a big, big win. i never hear the president mention amazon. one of the greatest american success stories, a company that is actually hiring real time tens of thousands of people.
jeff bezos oens "the washington post." what doesn't the president like? bad news about him. >> the amazon-"washington post." >> there are more revelations, this story gets me coming out of equifax. earlier this month they revealed a monumental breach of the servers. tushes out eqifax was hit with an earlier hack months before that. meanwhile, multiple federal and state investigations are said to be looking into the most recent breach plus dozens of class action lawsuits have been filed nationally. and to top it all off, eqifax directed them to a fake fishing site before that got taken down. it is amazing. whatever the case, equifax is so big, remember too, big to fail that, it's probably going to get off lightly, a fine and some pie in its face and continue collecting data on all of us whether we like it or not.
and its executives are getting early retirement. >> you know, none of us have any choice. you don't get to use equifax, they take your information and they sell it to others and they sell it to you. ever try to get a credit report? he gut one for free. why can't i get all of them all the time i want much it's my information that you're using and charging me for. >> you ghaet you get. it's okay to get upset. >> finally, little history making this week from the federal reserve. they signalled the end of the huge stimulus. you remember it was called qe, quantitative easing. they insert fourth down.5 trillion into the system to prop up america's economy by purchasing bonds from banks for years. the fed was able to keep those interest rates really low. that's over now. rates have been inching back up. yellen says, "the basic message here is that the u.s. economic performance is good. that's what is happening." >> she just pulled the safety net. time to walk the tight rope,
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i helped build an army, defend a country and create the biggest drug cartel this world has ever seen. that sounds made up, barry. tom cruise. stop now if you want. it gets crazy from here. woo! american made. rated r. good day, everyone. i'm alex witt at msnbc world headquarters. it's 10:00 a.m. out west. here's what's happening right now. president trump fired up over nfl player protests. what he wants owners to do about it. >> get that soven a. [ beep ] ofrt field right now. he's out, he's fired. >> he's fired! >> but the nfl strikes back. the commissioner defends the shield and the gridiron games players. is the president's use of the bully pulpit out of bounds? we have a former nfl star joining us in just a moment. >> they finally get a president who will sign the