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tv   Representatives Walden and Brady Unveil Affordable Care Act Replacement...  CSPAN  March 7, 2017 8:13pm-8:37pm EST

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to increase. perhaps by as much as 11 million people. maybe more, maybe somewhat less. those people will still get sick. they may have money of their own to cover their costs. but the chances are they don't. and that uncompensated cost will then be borne by the people who do buy insurance. it's a cost shift to those who have insurance. mr. scott: in fact when we passed the affordable care act, the estimated cost on a family policy was about $1,000 a year. on the family policy for uncompensated costs shifted onto the insured public. and in fact, in virginia, it's estimated that approximately $15 a month is paid on everybody with insurance, $15 a month to go to the $400,000 -- 400,000 people that would have had insurance had we expanded medicaid. if you have 100 employees, you can just figure, you pay about $1,500 a month extra because we
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did not expand medicaid, 400,000 people will go to the hospital, won't pay, and when people with insurance go, they just have to pay a little extra , about $15 a month per person in the commonwealth of virginia. because of that. mr. garamendi: there's so many pieces to this health care system. one thing that i want to put on the table here from my experience as insurance commissioner in california is that there are two fundamental parts to the health care system in the united states and really around the world. one of those two parts is how we collect the money and then pay for the services. we call that insurance. it's also medicare, medicaid, veterans programs and the like. these are the way in which we collect money and pay for the services. the other part of the health care system is the delivery of services. these are the doctors, the
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clinics, the hospitals, and other providers, mental health providers and the like. we often get confused by pulling these two things together. there's been a lot of talk about what we're doing with the affordable care act. it is essentially a mechanism to pay for services, it's an insurance mechanism. using the private insurance ystem, these various they are set up to pool the population of people who do not have insurance from their employer, the individual coverage, pool them and you have that large population and the costs are spread out and the insurance becomes unaffordable. that is a pooling. that is -- that has nothing to do directly with the provision
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of medical services. they are provided out of that pooling arrangement by the doctors, individual, may be clinics and hospitals and that may be decap tated pay. but we haven't changed directly the way services are provided. except for this. and this is found in hospitals in. of the affordable care act, a penalty for hospitals that had re-admissions for infections and what we have seen dealing in the way services are delivered, we have seen a dramatic decline in re-admissions for hospital -acquired admissions. and 60,000 people are alive
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today. >> and actually improved the quality of service. mr. scott: there are other things in the affordable care act, funding for education and more providers and doctors and nurses, because we have a lack of professionals. one area, for example, if the eterans administration had the psychiatrists they fleed, and they provide for that service. there is a difference between to pay for the service. people compare the single-payer plan in canada which is a rural area. you don't have the population to upport a high-tech medical
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situation. and in some areas you have to go to 200 miles. and they can pay for the service, but the services aren't there. when people talk about the alth delivery system, it doesn't diminish the opportunity to have those services but increases the possibility. mr. garamendi: i have a large rural district in california and there are areas where it is difficult to find a physician. and this is one of the things, the affordable care act at a part of that, one of the titles dealt with the education of medical personnel. what we have seen in california and across america, with the
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affordable care act, we are seeing the -- one of the fastest -growing areas for new jobs is the health care sector, because we are adding people and we need more and it comes under the jurisdiction of your committee. that's an important part. one of the things i hope the american public hopes to understand, this is not just a und bite used in a political campaign. that's a nice sound bite. but we are talking about the lives of americans and their ability to stay healthy and get medical services and timpingering with something that is so personal, this is me, this is what people say, this is about my ability to stay healthy nd my ability to stay healthy.
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nd they are frightened and the discussion in the political campaigns has been so heated, they are afraid they are going to lose. d a quick look what has been presented to congress indicates that a couple of facts are clear. there is an enormous tax break r the very, very wealthy, $3 billion. that is an incredible tax break. that we are pretty sure is in this legislation. we don't know the exact numbers. but early indications there is a shift, tax breaks for the wealthy and cost increases for everybody else. there is certain elements of support for individuals that
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will be removed. ande go about depating this i think we are going to find that americans say wait. wait. wait. you are doing what to me? what are you doing to me? you are taking my health insurance? and that will lead to a rebelion. that has agitated about the fear about what may be coming to americans. >> you indicated in rural areas, one of the things we have funded ommunity health centers. mr. scott: and you can go to get rimary health care and get a special lift.
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but as you pointed out, we have tax cuts in terms of resources and they will have what occurred down benefits and there is no mandate to ensure everybody in is in the pool, you have a presumption for disaster. that is not an improvement and we need to insist that c.b.o. score the legislation so people know what they are getting into. mr. garamendi: unfortunately, my understanding as early as tomorrow, that would be wednesday, that the committees intend to mark up the legislation. the version will be come completed and i suspect it is associated with the vote. we do know if it is this week we
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will not have the congressional buggetsd office. and my rural district and those are the clinics. as a result of the affordable are act, there are now seven organizes that provide 23 civic sites providing for the first time in many of the communities i represent, immediately health care services, some of whom had health care plan. and the apparent reduction in e medicaid, med call for california, support for the ederal government will eliminate one of the principal ways in which those clinics have been able to continue to operate
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and that is the expansion of the medicaid until california. the legislation that is proposed will shrink the medicaid program and severely curtail in california, the support available for people who are oral medical. devastating. and we have had had discussioned. if we had discussions. we are go to go shut down our doors. and they are write ig insurance before they buy insurance. insurance companies, reacted to that system in washington state by selling nobody in the insurance. so we know what's going to happen. c.b.o. will point that out and
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know what the problems are. mr. garamendi: i thank you for jing us this evening. this is area fundamental part of american life. and it e total g.d.p. is important in the terms of the ll hifere being of you are society. and did changes to the affordable care act that are being proposed will have a dramatic effect and massive shift of wealth from working men and women. we know that from the tax proposals that have been made in the analysis of the tax. from is a high probability that perhaps 11 million people will lose their coverage through the medicaid programs across the nation.
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and the feblingt on the providers will be profound. when we have something as important as this, it is wrong. it is wrong for the majority in this house to put thm legislation before the committees without a full hearing on what the effect will be be . tomorrow, wednesday, we will have the first markup and what i want and what you want is for the american public is to understand te and the implications and in terms of quality and access to health care. and with that, i'm ready to wrap. >> i thank you for organizing the special order so we can discuss on some of the problems.
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without knowing what we are doing and not an improvement in the imaffordable care act. r. garamendi: i thank you, mr. speaker. and with that, i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. under the speaker's announced policy of january , the gentleman from iowa, mr. king is reck flies for 0 minutes as the majority leader. mr. king: and i have a number of topics i would like to bring up. bru i would comment i heard the word affordable care act multiple times in the previous lincoln would
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have a difficult time. and we know this, it is not affordable care. and we knew this was go to go happen. of all the horrible stories we heard about obamacare, all the horrible things we heard, many of them are on the floor. and many of the members who fought against that piece of recommendation that what jammed on usbly legislation and we could see what was going to happen. and slammed together by trying to sir couple vent and reckon lation and ended up with the and this is to
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this. it is unconstitutional taking of od-given american liberty. we are to be again the briest people. and/or rights come from god. and many times on the floor i have said that the federal government hasn't figured to take over our souls. and that is the most sovereignen. and this is our skin. it's our health and management of our health. and if they can't make their own health decisions and pressic the marketplace to produce the decisions, then it would stand to reason and that's what
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democrats stand to think, there aren't people on the planet to manage their health. red-blooded hem cans, those who the t there and punching time clock, the salt of the earth, if they can't manage it, there are a bunch of leftists aren't going to be able to do it. . we've seen that. commanding that we buy policies that are approved by the federal government. they would would have liked to have establish -- they would have liked to have established the federal government as being a single payer plan and abolished all insurance whatsoever and simply taken care of everybody's health care, health care needs, so that one size fits all and we could crist down into the -- could drift down into the
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mediocrity that most of the world has exhibited for a long time. this all started back in germany, in the ladder part of the 19th century. when otto von bismarck decided if he was going to get re-elected he had to make the germans dependent upon him. he devised this plan called socialized medicine. he more or less trained the germans to expect the federal government to make those decisions for them, pick up the cost for them. and in doing so, that sense of dependency got bismarck re-elected in germany. it's not that old a country in germany. but this idea of marxism comes right out of there. by the way, there's a mention in berlin that honors karl marx and a am inform -- and a number of other statues and monuments as well. we watched as other countries adopted it. i once picked up, mr. speaker, i had a world war ii veteran who came over to an event that i was doing in hospers, iowa. he had gone up to his attic and
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he brought down these magazines. they were original magazines that started right at the end of the second world war. and went on through those years for two or three or four years. and they were yellow, of course they were dated. he presented them all to me. he said, i want you to have these. i want you to read down through these magazines and see what it was like in those days shortly at the end of world war ii and in the reconstruction era afterwards. i accepted all of those magazines, copied them and gave them back to him. but i read through them. there were pictures there. excuse me. there were pictures there of doctors and nurses and health care providers in great britain that were tired and worn and stories about how because of the socialized medicine, they
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passed in the united kingdom, that they had to see so many patients a day in order to make a living. and they couldn't pay attention to the patients so much as they had to pay attention to their schedule. and turn them through quickly, through the turnstyles in the health care system in great britain, because health care was rationed in that way. a radio riend who is talk show host. one of ronald reagan's original radio programs, where ronald reagan got his start. who comes originally from great britain. proud american. but both of his parents are gone. both of his parents can be atrnted to the failed national health care system, socialized medicine, that the united kingdom has. he told me several years ago, once socialized medicine is established, you'll not be able to undo it. so, mr. speaker, i bring this up this way. because this is our last best
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chance to turn this country in the right direction. it's our last best chance to throw off this mandate of socialized medicine that was established by hook, crook and legislative shenanigan, by the democrats. and passed through -- in the final component in this congress, march 23 of 2010. that event that took place is, i recall, i believe it was dated march 23, but it actually rolled over past midnight. but the record showed march 23. and i went home that night, worn out from days of fighting obamacare and doing all that i could do to put an end to it, to kill it off before it did what it's already done to the american people. i laid down thinking i would sleep the sleep of the dead. but i woke up in about an hour and a half and i got up and i wrote the repeal of obamacare. it turned out to be the first repeal draft that emerged after obamacare had passed.
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i certainly wrote it well before barack obama signed the bill. although they hustled it out to him i think the next day and that's when he signed it. the repeal bill that i have introduced here, it's passed the floor of this house a number times, i've lost track of how many times, mr. speaker. but it's only 40 words. the last words in that bill are, quote, as if such act had never been enacted. closed quote. that's, mr. speaker, what we need to do. we need to send the full 100% rip it out by the roots as if it had never been enacted repeal out of the house and over to the senate and set it on mitch mcconnell's desk. and let mitch mcconnell figure out, majority leader mcconnell, senator mcconnell, figure out then how to get the votes put together in the united states senate for a full 100% repeal of obamacare. the house will pass such a bill. it won't be hard to put those votes together. i wouldn't be surprised if
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there was a democrat or two that was worried about their seat that would join us in such an endeavor. then once that bill is over through the rotunda and over on the desk of senator mcconnell, then we should start down through with the individual repairs to the health care system that we need to do, that we all know we need to do. we've talked about for a lightning time. some of these have been out here debated for 10 years in this congress, mr. speaker. instead we've got a different configuration that's been served up to us. i submit this. it's not too late to do it right. send the full repeal over. that repeal can have an enactment clause of a year from now. that's enough time for people to make their adjustments for their own health insurance. and get it taken care of. especially under the pro visions that i propose -- the provisions that i propose. i would point out that my obamacare, and, yes, we members of congress are obligated to o


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