? >> reporter: well, jake, we know 15 counties are affected by this humana exit and whether or not this gop plan will hurt or help them really remains to be seen. they are in fact telling us they're waiting to see what that final plan will look like. but here's the issue. come 2018, if there is no insurer who is actually operating in these counties, it may be all a moot point. people who are critics of this current gop plan say that it does them no good, and that really there isn't going to be convincing enough for people to come back here to this market place. well, those who took advantage of obamacare who it helped them, they said they want some answers soon and really they say their life depends on it. for melissa nance and her fiance wade, this mobile home is their means to living out the couple's dream of driving cross-country. recently, though, a new reality set in. >> i was diagnosed with leukemia. >> reporter: the incurable form of cancer, a basket of prescriptions keep her going. >> now i'm a sick person. before i wasn't. >> reporter: now her treatment is covered under the aff

fighting. the president said the carnage, quote, trampled all humana bus. >>> more than 6 million people gripped by hunger and disease in somalia, the united nations says the ongoing drought is driving the african nation to the brink of famine. diseases like cholera and measles could make the dire situation even more tragic. the united nations is pleading toer help. warning more than half of somalia's population is in desperate need of humanitarian assistance. cnn international correspondent david mackenzie traveled deep into somalia to bring us this story. >> reporter: flying above drought stricken terrain where somalis fleeing al qaeda linked terrorists now fear famine the most. it is no doubt somalia is insecure. we're in an armored personnel carrier. the u.n. general says that is no reason to ignore a looming humanitarian process. it is a dramatic situation of countries like somalia that create all the conditions for terrorism to prosper. >> terrorism became a global problem everywhere. >> reporter: speaking of terrorism, donald trump just instilled another travel ban affectin

insurer left. humana just announced they are pulling out of obamacare because they, too, lost too much money. theds people don't get anything left. obamacare, this is a faulty comparison in my mind because it's comparing us to a law we know can't last and more importantly we're not making people biobama care plans. so, we're going to let people buy what they want to buy. so, that's the whole point. you're saying, oh, this tax credit only goes so far if you force people to buy an obamacare plan -- we're not going to force people to buy an obamacare plan. that's point i'd make. >> do you dispute the fact costs will go up to $14,000 for a senior? >> our goal is to increase quality and have more choices and lower the costs. lets me say it this way. president obama promised if you like your plan you can keep it. that didn't come true. he then said it's going to lower premiums an average $2,500. it went the opposite direction. premiums went up something like an average of $3,000. so, that didn't work. we're not going to keep us on this escalator of higher costs in ray collapsing health care

. humana announced they are pulling out. that means zero plans in 2018 for those people. by the way, we got a letter from anthem, one of the biggest insurers, telling us if the status quo stays, they are going to surgically pull out of markets as well. put this against the backdrop that obamacare is collapsing. the insurers are telling us premium increases this year, 25% on average, will be even higher next year. this compared to the status quo is far better. i am excited about this analysis and yeah, i think they overestimate the uninsured number just like they overestimated who would be insured by obamacare. but i believe that if were not going to force people to buy something they don't want to buy, they won't buy it and that's kind of obvious. >> bret: hears the president today talking about health care and negotiations. >> the house plan will expand choice, lower cost, and expand access paired we are negotiating with everybody. it's a big fat, beautiful negotiation and hopefully will come up with something that's going to be really terrific. >> bret: isn't it true there is not

out. aetna is getting out, humana, cigna. so the major insurance companies that take care of employer-sponsored care, are really not participating. this is being left to smaller insurers, those that focus on medicaid, and many local companies like not-for-profits or blue cross or blue shield plans. >> sreenivasan: i know you have been on the hill talking to a lot of members of congress. what do you tell them in the midst of this debate right now? what have you been saying to them? >> we've been trying to educate them about what this would mean for the average american and the ripple effects through the economy. for example thrrveg was a study done by the university of michigan that showed this would put about $400 million into the michigan economy. that's going to go away. and it's going to have a ripple effect. many smaller rural hospitals are likely to go out of business. and so even if you have private insurance, you have difficulty getting access to care, because your community hospitals may be gone. the e.r. is going to be crowded with people who were insured and now hav

% increase in american counties of people who are stuck with one option. now that humana has said they are going to pull out of the marketplace next year, there are going to be counties that have zero options. so here's what's happening under a law that is collapsing. premiums are going up at a very, very fast clip. options and choices are going down. so what we're seeing in america is people who have to buy their own health insurance are getting far, far fewer choices, to the point one in three counties in america. take a look at what's going on around the country. this shows you the map of the premium increases just this year alone. minnesota, 59% increase in their health insurance premiums. pennsylvania, 53% increase in their health insurance premiums. tennessee, 63% increase in their health insurance premiums this year alone. over one year. alabama, 58%. oklahoma, 69% increase in their health insurance premiums. nebraska, 51% increase in their health insurance premiums. arizona clocked in at a 11 increase in their health insurance premiums with obamacare. here's what's happeni

the federal government wouldn't let them merge with humana. so the judge also ruled that aetna lied about why they quit. t republicans are so interested in ving health care for all, why is there such a problem with the insurance companies? >> well, because there's no competition. that's the problem. you know, the genius of this bill was that it's lated high-risk people and people with expensive pre-existing conditions with a $100 billion fund to take care of them so that the underwriting for everybody else could be nor in the hash marks level range of risks that would be more affo affordable for everybody. the obamacare wants to do it by somehow making everybody buy insurance so the young people offset the old and the sick. i like the idea in this bill of isolate the highest risk, most expensive people so that everybody else has a more stable underwriting platform, the insurance companies can compete, lower premiums, and people get more choice. >> here's what president trump had to say about where he thinks health care reform can go from here. take a listen. >> i'll tell you what's

companies like humana and aetna and others, humana is going to pull out 2018. aetna saying this is an death spiral. we have -- the trajectory for health care today with the current status is not acceptable. it is collapsing. and right now only -- there's a third of the counties in the country that only have one health care provider. so insurance provider. so we don't have a sustaining system. and what we need to do is cree the dynamic of competitive markets. and that in itself will bring prices down and make a product more affordable. >> all right. north carolina congressman, robert pittenger, thanks so much for your time today. >>> members of congress facing tough questions from concerned constituents. joannie ernst is still undecided on the republican proposal. but yesterday she tried to sell her constituents on parts of the bill. >> we can't maintain the current status of the law, because we know that it is -- it's failing already. i'm using a process through reconciliation. we won't be able to repeal the entire bill, but what we can do is make improvements. and that's what the ahc

they can use. >> reporter: with major insurer h humana deciding to leave the exchanges, prrlt is facing a more complicated landscape. >> it's at a critical moment where a lot will depend on what the trump administration does or doesn't do in this kind of interim period when the marketplaces are hanging in the balance. >> reporter: but for small business owners like vogel, there's no time to wait around for congress to make a final decision. >> we offered health care before we were required to. we will offer health care if we're no longer required to. but from a planning perspective, it is absolutely impossible to predict what our obligation is going to be. >> reporter: jo ling kent, nbc news. >>> now, let's check in on today's microsoft pulse question. are you worried about losing your coverage under the house gop health care plan? so far, 98% of you say, yes, you are worried. there's still time to cast your vote at pulse.msnbc.com. >>> secretary of state rex tillerson is heading out on his first foreign trip. he's going to asia this week on a hunt for new options for dealing with north

. >> kentucky is a textbook example of obamacare's failures. premiums skyrocketed. next year humana headquartered right here in louisville is pulling out of kentucky's obamacare exchange. >> reporter: some representatives from humana were in attendance at the event. we spoke to some of them and they said they agreed with mike pence. obamacare has become too expensive for insurance companies. however they said that the new program success will depend on the numbers and we don't have that information yet. interestingly, it was really president trump who was supposed to come to louisville today. those were the rum blingz earlier in the week. instead he sends in mike pence who has become the administration's point person in selling this plan. this was mike pence's third visit of this kind in a month across the country. the others in ohio and wisconsin. here in kentucky it is a hard sell. we saw hundreds of protesterers outside this event today saying they are happy with obamacare and they want to keep it. remember that kentucky's health care exchange kynect was considered one of the suc

chatted with an employee of humana who was at the event and humana is based here in louisville. obamacare is too expensive for insurance companies to stand with. they're pulling out next year but he said he still needs to see those numbers behind the new gop health care programs and those numbers still a big mystery. >> got critics on both sides there. thank you very much. >>> back in washington. we're following developments at the white house. an individual was arrested by the secret service late last night after breeching white house grounds. kelly o'donnell is thank you white house with the latest. how is the president reacting all of this? >> reporter: the president has left the white house and went out to one of his golf clubs in virginia with some cabinet members for what officials are describing as working lunch talking about everything from the economy to health care and he goes there with a travel media pool. we talk about this often. the small group of rotating reporters and journalists and they asked the president for his reaction to what happened last night when he

and plans, and now we have humana and other insurers pulling out of it, and it's not us getting rid of obamacare, but it's obamacare needing to be fixed. >> a lot of people have gotten coverage, and millions have gotten coverage and you might think the coverage is terrible but they have coverage and a lot of people like their coverage. is the republican party's commitment that everybody that has coverage now will have coverage under the replacement plan? >> you heard the president say last night we will keep the condition of the pre-existing conditions, and a lot of people felt they would lose that with the pre-existing conditions. they know it's a huge issue, and you know what? democrats, they broke it. they should be working with us to help fix it. >> michael steele, could you give any advice as former rnc -- >> i would love it. >> -- how to deal with the incredibly aggravating, just a al subset of downers who she will be dealing with in several years. >> that's going to be fun. >> if i could pay for your advice. i will take you out. >> i want to congratulate you and welcome you t

companies are pulling out of markets left and right. the government didn't control the decision humana made which is i am pulling out of this market and therefore tennessee and counties of tennessee don't have health insurance. that's not a promise a politician can keep because it is outside of that person. >> dickerson: that's the old promise. there is a new bill with a new promise and the president said seven going to get covered. >> obama area is crashing. >> #02: i get that. >> but you can't say, that is the actual reason -- you do nothing, there is going to be even bigger premium increases next year and even more pullouts -- >> we can't promise -- is going to happen. what we can promise is we are going to replace wit a better system so we have more insurers and more choices and more competition, prices go down and we give people the ability to go access, to access affordable coverage. >> dickerson: if i a am getting coverage through the individual market now i am nervous. there have been a lot of changes you are talking and saying it is all going to work out wonderfully but it is

insurance on the exchange, you have one choice before humana pulled out and aetna ceo said this market is in a viral. we're trying to save the market. get it back to where it works for the american people. >> i know look, some people don't agree with you on the spiral. aetna is a for-profit company. so there are other things there. people are going to lose coverage. especially in medicaid expansion. what are you going to do about those people. >> first of all, we have several support mechanisms for them. ways and means committee coming forward. tax advance. refundable tax credits. get a tax support payment to help them cover the cost of insurance agreement. patient stability and state stability fund. put 100 billion dollars into the next ten years allows states to come in and help the very people you identified. we don't want to pull the rug out from under them. bottom line is there's not going to be a market for anybody to buy insurance on the exchanges if we don't come in and fix it. you can say if one company is profitable or not. nonprofits and profit seeking companies are all pulling

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: with major insurer humana decides to leave the exchanges president trump is facing a more complicated landscape. >> it's a critical moment where a lot will depend on what the trump administration does or doesn't do in this kind of interim period when the marketplaces are hanging in the pa balance. >> reporter: for vogel there's no time to wait for congress to make a final decision. >> we offered health care before we were required to, we'll offer health care if we are no longer required to. from a planning perspective it is absolutely impossible to predict what our obligation will be. >> we expect a lot of questions on health care when any moment now we expect the white house briefing to start with sean spicer. but as we wait let's bring in "the washington post" ruth marcus and bring in nbc senior political editor mark murray. this put at administration in a tough spot they want to sell the positives in the bill but the devil is in the details. what are the details you see right now that will trip this up? >> well the details are that under obamacare some people do better

context in which the aetna ceo said that. aetna had been trying to merge with rival humana and they threatened to pull out of the exchanges if the obama justice department did not approve the merger. don't take my word for it. a federal judge, in blocking that merger, pointed out aetna's actions and its motives. "aetna tried to leverage its participation in the exchanges for favorable treatment from doj regarding the proposed merger. aetna's ceo bertolini's deposition aetna's counsel stated that if aetna was not happy with the results of an upcoming meeting regarding the merger, we're just going to pull out of all of the exchanges." the judge pointed to a smoking-gun letter from aetna's ceo to the justice department antitrust division. quoting the aetna ceo "we believe it is very likely we would need to leave the public exchange business entirely and plan for additional business efficiencies should our deal ultimately be blocked." now, it's also true aetna had been losing money in the new exchanges, but it must have been expecting that to change. as late as july 19, 2016, the compan