tv Washington Journal Jennifer Haberkorn Discusses Whether the Senate Will... CSPAN July 9, 2017 9:30am-10:02am EDT
we need to know what it looks like this time around since these medications have been listed that have started this as opposed to illnesses, but that has its own suppressing effect. people who break the law i want to pull back. our heroine is coming from mexico. afghanistan is a huge producer, the not so much for the united states. we often have a poor quality, and i feel for people's parents who are thinking where to send their kids, people go for 30 days, it costs a torch in. sometimes you do need that breaking the cycle, but the follow-up is often dismal. 30 days is never enough and a detox for a week is not enough. it can be dangerous because the person's tolerance is lowered, so if they relapse, which is
common, their chances of overdose are high. the medication you mentioned, you can get in trouble with all of them, the opioids you mentioned, but they do do a lot of people a lot of good. we should not have the pendulum swing so far to the other side that we deprive people who need these medicines. host: is it going to get worse before it gets better? guest: that is what seems to be the prevailing sense. another synthetic opioid which is 5000 times as potent as heroine. it's legitimate use is a large animal tranquilizer. is around. it is easy, if you're a chemist, to manipulate the synthetics and the dea cannot keep up. that is a big race. there may be fewer people over time. we are not at that point yet. we may start to see fewer
people, but the drug will be deadly that the overdose deaths might increase. host: dr. sally satel, thank you. we appreciate your time. guest: thank you. host: speaking of health care, the debate is front and center this week as senate republicans combat what is next for the gop and where that puts senate democrats. we continue with jennifer haberkorn with politico in just a minute. ♪ cnet and "the communicators," -- >> what they are doing is something i never thought i would see in my lifetime.
really, really exciting. thetia president on what five g network will look like the consumers. she would talk about the building out of broadband in rural areas. margaret harding mcgill -- >> how do carriers make a return? it has provided a million jobs, so one out of every 100 person is going to have a 5g job, but only if we get it right, and that means we have to move on spectrum, get a pipeline , and we have to get this infrastructure. as we go forward, we need to go 300,000 small cell sites in the next few years. what it looks like is maybe a
pizza box. it is small and will be attached to everything because they will be much more dense networks. they will be on traffic and streetlights. and it is visually important, we need infrastructure that rethinks how we sites. communicators" at 8:00 p.m. eastern on c-span [applause] -- c-span2. host: we want to welcome jennifer haberkorn. she covers her politico. what is the senate health care bill status now? guest: it seems almost dead. it was not good for the bill. there is a reason mitch mcconnell one of a "before the recess because they are not good beforewanted a vote
recess because they are not good. the most moderate senator said she was buoyed by folks at home. found --erate senators sounded pessimistic about it. she is trying to tweak the legislation and bring it back on board. made to get the -- they need to get the bill written, get everybody on board and get 50 votes. that seems like a high task. host: will there be in august recess? guest: that is a good point. there are some republicans calling for a recess to be canceled in part because of this. it is too early to say right now. it is late july and they feel
they are making progress that it could be delayed one week. that august recess is somewhat sacred to washington and folks like to get home, went if they have the -- but if they have the option of making progress on this, setting campaign plans to appeal the health care act, i could see them sticking around longer. host: the associated press reported on a senators visit. if my side is unable to agree on an adequate replacement, then some kind of action with regard to the private health sector must occur." that is senator mitch mcconnell. he made the comment after replacing obama's law, no action is not an alternative, he said. we had the insurance market floating all over the country. guest: republicans now are this bill.
democrats have said there was no way they are repealing president obama's legacy legislation. have been working one party only. this idea of a bipartisan bill has been a fantasy pretty wild. there have been a handful of democrats who said they would it, but it is not it is been a clinical possibility at all. [no audio] it will be interesting because it is not just a warning to the conservatives in his party to saying,oard, but it is they might fail. for the majority leader to open the door to failure is a big deal. to tedending a message cruz and the conservatives who oppose the current version of the senate bill, and also a message to everybody that there
will be a bill this year. the obamacare markets are in trouble right now. everybody agrees they need help. insurers are saying there is too much uncertainty and they need assurance that there will be a in effect next year and funding to back up what they are liable for. billnk a truly bipartisan is a long way off. i do not think we will get to that point this year. this response from says withuck schumer exchanges are flexible and open the door to bipartisan solutions to improve our health care system. as we have said time and time again, he said, democrats are eager to work with republicans to stabilize markets and improved a lot. at the top of the list should be
ensuring cost-sharing payments are permanent, which will protect health care for millions. guest: democrats have not been involved in these republican talks. these are both sides of politics now. the comments had this idea that even president trump has this view of let's not let obamacare collapse is not going to be an option. is a lot. if it the wall collapses as republicans say, that would look like insurance not offering plans. mcconnell in the comment made it sound like he doesn't want republicans to be liable for that. in january, they had taken over washington, -- [no audio] senate is returning
this week. health care will be issue number one, focusing on that coverage on c-span2. richard is joining us from bethlehem, connecticut. caller: good morning. i have a simple question for your guest. which you rather be healthy or have to get healthy? host: why? caller: because she is covering womenss with 535 men and who are working on a path to get healthy built rather than be healthy bill. guest: there has been a lot of healthy,when you are your insurance is likely to be cheap. you are not expensive for them to cover. the issue is folks who have long term health care problems. republicans and democrats have not been able to solve the issue up what we want to do about these folks?
a patient in iowa cost $1 million a month to ensure and they are skewing the iowa health care market. do not want to be there because there is this $1 million a month patient increasing everyone's premiums. you can argue that not everybody should carry that cost, but what do we do about that patient? do we as a country state we are not going to cover your health care? society has decided we are not going to do that. in a policy sense, neither republicans nor democrats have come up with a way to make sure they have access to health care and everyone knows can afford the premiums. it is something the parties do not have an answer to. host: our guest is now on the health care beats with her work available at politico.com. john for morgan, good morning. caller: good morning. jennifer, you're a graduate from
a fine institution. , i am ao point out democrat and my uncle is a republican. he works in southern illinois on a rural health center. i work in portland, oregon. we can talk about health care. that is bipartisan. senate andping the the catholicd also what hasave four times come out of the republican house cha andte, and the other associations that deal with health care have come out against this. host: thank you. guest: the caller raises a good
point. most major health care organizations have come against the health care bill. many supported the obamacare act. rightful, their concern is they do not want to see folks uninsured. hospitals have an interest in seeing their patients covered. they do not want to have to cover patients who do not have insurance. physicians oppose the republican bills now and they supported the affordable care act. as far as the question on the bipartisan nature of the conversations, i think the affordable care act passage passing drove both parties into the respective camps. there were no middle ground. both parties were able to stake a lot of ground in that, so if you are a republican for the last seven years, you have to oppose obama care. if you did not, you are probably
not in washington now. if you were a democrat, a saw these taxes on the affordable that theynd said, have become more emboldened in ensuring that legacy is not going to go away. host: let me go through a couple of quick tweets. one said this gop bill is a tax cut bill for which donors. tax onthere was a big high income earners in the affordable care act, which helped pay for the bill. republicans want to eliminate that tax. there has been a criticism they are appealing that tax and dropping the cost for low income folks. senator bob corker and moderates in the senate have called to keep that tax in obamacare to
help low-income people, whether it is a premium reduction program or something like that. that is an idea that connell has taken into consideration. we can see that change in the bill if it gets released and revised in july. thatnk one of the concerns republicans are trying to come up with money to further reduce premiums and the are cognizant of that criticism that the person on twitter put out there. this is viewed as a bill that increases cost for low income folks and eliminate taxes for which folks. it is not hard to see how that will play out in the 2018 election and beyond. host: which is what steve is tweeting about, even with gerrymandering in 2018, partly on health care. guest: i think it will be a huge issue. the house is already on the record in support of opposition
to this. we can discuss whether the house is in play because of things like gerrymandering. it will be a huge issue and we will see this in 2018. this is the only thing washington has been working on, so there isn't much more to talk about at this point. host: we welcome our listeners on c-span radio and xm. christine, new york, democrat line. good morning. caller: good morning. those in favor of the repeal bill, they are pretty ridiculous, such as talking about the free market and competition in the insurance that they need more competition. it does not make sense. if there is only one in share in that state, it is a market and how was competition
going to make a better situation in those states? host: thank you. guest: the issue there, republicans are making an argument this is a free market solution and if they eliminate some of obamacare regulations, insurers will come back to the market and start trying to offer policies. there are several states where insurers are not offering plans because they either feel like it is not a good financial opportunity or whatever the reason. there are states where there are no options. this is the argument republicans are making, that the counterargument is you eliminate the regulations that ensures do not like and they will be able to come back again. if you have been sick or a pre-existing condition, it will be harder to get coverage. morning.ard, good
go ahead. caller: jennifer? guest: yes. caller: i think i can solve the health care problem with two simple statements. give us the same health care that our politicians have at the price they pay for it. is a really face common criticism i hear. a lot of folks like this idea of having the same coverage as a member of congress. they are under the affordable care act for the most part unless they found another insurance through a spouse. under the affordable care act, they were kicked out of the plan the federal employees were on, so most get coverage through the andange in d.c. some chose to go back to their in-state at home exchange. i have asked a lot of numbers of
congress what they think of their plan, it also under party -- it falls under party lines, but they see the same price tagged we see under the exchange. if they buy through the exchange and washington, d.c., the federal government does pay a portion of their bill as their employer. most major employers, you pay a portion of your health care plan and that is the case here. host: let's go to georgia. kenny on the independent line. caller: if the congress is truly representative of the country, then why does the gop shoot for 50, plus the vice president? that is like the skin of your teeth, man. most of the country is not going to like that and how did they consider that a win? guest: good points.
republicans are on the edge in the senate. mitch mcconnell needs 50 per this to pass. there are 52. it seems like this is going to be a 50-50 about if republicans are successful to that point. they may have to break that time as president of the senate. there is a bit of politics behind that question from the caller. the obama care act was divisive. there is a poll done every month on the affordable care act, asking questions on favorable and unfavorable opinions. those numbers were stuck in concrete for seven years. if the law was slightly more unfavorable than favorable, that really did not change until the repeal effort became a possibility. at that point, it became slightly more favorable. the way to ons
every republican considering voting for the bill that whatever they do here will be remembered in the short term and in the long term. it will be the skin of your teeth vote. host: i will ask you about the process of this week that we will go to north carolina, next. republican line. caller: good morning. i wanted to ask about the medicaid expansion. north carolina did not expand their medicaid program and my sister is a director of patient management at shelby hospital and most of the doctors around here do not take medicaid, said the patients and up in the emergency room anyway. why is there such a fight over whenxpansion of medicaid, i do not know they have done a study or what, but most doctors refuse to take medicaid and patients end up in the emergency room, which obamacare was supposed to take care of that? problem,is is a huge
as well. the supreme court in 2012 a states the option of expanding medicaid. obamacare was supposed to expand medicaid all over the country and it became an option. every governor had designed whether to expand medicaid and embrace the affordable care act or do i not? .here are some folks in a gap they do not qualify for medicaid, benefits of the affordable care act, and they are stuck in a position where nothing is provided for them under this law that was supposed to help everybody. it was one of the big failures of the affordable care act once the supreme court ruled. in the republican bill, they are trying to repair that. they would like more folks qualify for subsidies, but the issue with physicians not accepting medicaid has been a long-standing problem, predating
the affordable care act and it will probably postdate this bill. decisions argued that medicaid does not reimburse high enough for them to make it -- physicians argue that medicaid does not reimburse i know for them to make it profitable. host: there's this from roger in regards to insurance companies, didn't the affordable care act ensure that insurance companies have a 50% profit margin? -- a 15% profit margin? guest: no. if it is less than that, you as a patient would get a rebate, so that may be what he is talking about but that 15% is for administrative cost and not just profit. host: brenda is next, st. louis, missouri. democrat line. caller: good morning, jennifer. guest: good morning. caller: my question is i read in the new tax bill they are trying
to pass for health care that the senate, congress and their employees are exploited been having the same issuance we would have. guest: that was an issue in the house bill. the house -- it would have essentially undone what obamacare did, which made members of congress get the same insurance as us. the senate bill would keep that, would keep members of congress in obamacare plan. , that is to changes be determined but members of congress now would still be on the plans and exchanges, just like a lot of americans. host: from salt lake city, independent line, good morning. caller: thanks for taking my call. i am finding out if it would be possible to have the insurance -- i mean the government create an insurance for those uninsurable. if the political environment allowed.
yeah, this has come up several times in the debate over health care. it would be a public option which the go government would provide to them directly and this was never taking off because of a lot of conservatives and independence do not like the idea of government in health care, which is a little ironic because medicare is essentially a government run health care program and popular. no politician is going to ever suggest taking away medicare. it is going to become a favorite of liberals, progressives, some kind of public option, medicare for all our expanding it under a 65 years old. i do not see that becoming a political viability soon. host: in terms of what happens next, you mentioned senator ted cruz and, and
rand paul, critical, so where does that put the bill? what is the process this week and next? guest: mitch mcconnell now is trying to get to the 50 votes. he has to decide, to ago after moderates, make the bill more in the middle? or do i go after folks like ted cruz and make it more conservative? guest: i think he is trying to tread that needle because we have mentioned that four senators off the bat, he can only lose two. he has added opioid funding already, which is what moderates want. he is at the congressional budget office, asking them to score policies that conservatives like, which would allow insurance companies that offer plans on the affordable care act to offer noncompliant plans. this would provide cheaper coverage, less thorough coverage to folks.
find thatconnell can magic bill that gets the 50 votes is still to be determined. as of now, i am skeptical that exists because too many folks have too many issues with this bill. host: and complicating this, senator dean heller, up for reelection and he faced criticism within his own party from a pro trump political action committee. guest: he is probably the most laudable republican senator in 2018 and after the senate bill was passed, he said, i cannot do this. his state's governor does not want to see the medicaid expansion undone and he has said to the governor, if the government does not like this medicaid rollback, i cannot get behind it either. it hurts people in my home state. he will be a hard vote to get on board, taking it more difficult for the super pac alliance with
the white house when they came out with ads against him almost after that press conference immediately. those ads have been retracted since and mcconnell is trying to get him back in the fold and get his boat back in the mix. i think heller will be hard person to get on board. ohio,and the senator of he has been laboring a little bit. isst: he is worried -- he wavering. guest: he is worried about medicaid expansion. governor,blican governor john kasich, embraced the affordable care act to expand medicaid. rob portman has led a group of republicans from medicaid expansion states to stop the medicaid expansion will back or the pointer it is further into the future. he will be a hard vote to get to. host: you do not expect a vote this week? guest: no.
the congressional budget office is not back with scores on some proposals. i think the republican leaders want to do both this week. i think maybe the week after is a possibility, but i think we will be back before august recess starts may be talking about a health care bill. host: we will follow your reporting at politico.com. jennifer haberkorn, thank you. health care will be the topic of our morning in the debate over a single-payer system. our guests include dr. flowers, a physician for the national health program and michael tanner of the cato institute. later, stephen dinan on the request for voter information, and what it means for states and how big of a problem is it? tomorrow morning, 7:00 a.m. eastern time, 4:00 a.m. on the west coast. check out c-span2 book tv and c-span3 enjoy the rest of your
weekend. have a great week ahead. ♪ [captioning performed by the national captioning institute, which is responsible for its caption content and accuracy. visit ncicap.org] [captions copyright national cable satellite corp. 2017] >> next, "newsmakers" with richard pollack. texas senator ted cruz holds a town hall meeting. after that, an oregon town hall meeting with senator ron wyden. olds a town hall
>> i said at the beginning of the book our biological wiring and i wanted to show how we had evolved the culture that was designed to validate us and not to challenge us. to contradict us. it gave us the illusion that our realities were water tight when really they were riddled with weak spots and places that would crunch in.