tv Full Measure With Sharyl Attkisson ABC January 31, 2016 10:30am-11:00am EST
year. there's also a reverse impact for some who used to have policies but can no longer afford them under obamacare. for them, it's a case of costly care. when you first heard about obamacare, were you excited about the idea that you'd be able to afford some good insurance? janet hill: at first, i was. and then i just got so disappointed with it. sharyl: janet hill is a professional transport driver in fernandina beach, florida. when she took a new job that didn't provide insurance, she priced out policies and got severe sticker shock. janet: they told me it would be $400 or $500 a month. i can't afford that. sharyl: hill joins an emerging class that's an unintded side effect of the affordable care act -- the newly-uninsured. it's not part of the rosy portrait painted by president obama. pres. obama: up to 129 million americans with pre-existing conditioio can no longer be denied coverage or be charged more just because they've been sick. 137 million americans with private insurance are now
coverage. sharyl: under obamacare, a new reality is setting in -- more people have health insurance, but for millions, policies cover less, and cost more. nathan nascimento is a senior policy adviser at freedom partners, a libertarian-leaning nonprofit that opposes obamacare. nathan nascimento: what 'they're realizing is they just can't afford the monthly premium and they just can't afford the deductibles and out of pocket costs. what good is it carrying an insurance card in your wallet if you can't afford the treatment that you're getting? sharyl: nascimento says it's turning out just like the fictional harry and louise worried it would in a 1994 ad campaign opposing health care reform. >> this is covered under our old plan. >> that was a good one, wasn't it? >> things are changing. not all for the better.
pick from the few health care plans designed by government bureaucrats. sharyl: the ads, sponsored by an insurance industry coalition, helped deft so-called hillarycare promoted by then-first lady hillary clinton. >> having choices we don't like is no choice at all. >> they choose. >> we lo. than: i think we saw what they were saying back then is exactly what we're experiencing right now the fact that health care costs are gonna go up, that out of pocket costs are gonna go up , that government run health care is going to be a failed model. and that's what we're seeing exactly today. we're seeing people being harmed by the affordable care act. sharyl: here's how the numbers stack up. the vast majority of the newly insured 10 million are people now allowed to get insurance from medicaid -- taxpayer-funded insurance for the poor. the affordable care act expanded medicaid to people making more money than before. another 10 million americans who earn too much for medicaid still get taxpayer help to buy insurance -- in the form of obamacare subsidies. everyone else pays full ice
silver, ld or platinum plan. bronze plans have the lowest monthly premiums but large deductibles. at the other end, platinum plans have high monthly premiums but smaller out of pocket responsibilities. most americans have silver plans -- somewhere in between. last week,resident obama touted the supposed affordability. pres. obama: most folks buying a plan on the marketplace can find an option that costs less than $75 a month. sharyl: but we looked at the numbers for 2016 -- and ino state could we find average policies priced even close to $75. washington d.c. has the cheapest silver premium averaget $203. the national average is close to $300. that's according to the private health nonprofit robert wood johnson foundation, which finds overall premiums are up more than 12% in 2016. states hit hardest, according to the data -- hawaii, montana, minnesota, and alaska, all with average silver plan premium increases above 30%.
month more than last year. north carolina, utah, kansas, west virginia, tennessee, and oklahoma are all seeing hikes between 20% and 30%. nathan: what we've seen is most states, 49 out of 50, are seeing premium increases. the only state where there was a decrease was mississippi and that was slight it was 0.2%. 17 states are seeing double-digit increases. there are some states that are seeing 30% or higher, including minnesota, which is nearly 47% -- almost 48%, premium increases for the upcoming year. sharyl: yet as recently as october, the obama administration quoted a 7.5% increase and said most consumers would "find plans for less than $100 a month." premium m kes are only half of the burden. deductibles are up, too. 7.8% this year on average for silver plans -- worse in places like mississippi, with an
out to $1,473 extra for the year and washington state, averaging a 47.6% increase or $1090 more in that state. no matter how much it costs or how little it covers having insurance is now the law and more have gotten insured. pres. obama: as the affordable care act has taken effect, nearly 18 million americans have gained coverage. in fact, for the first time ever, more than 90 percent of americans are covered. nathan: i think the obama administration is trying to save a law that they know is failing everybody. first and foremost, the obama administration has always put the emphasis on their metrics of success, which is putting an insurance e card in everyone's hand. the premium increases was less important to them. sharyl: in round numbers, 10 million have gotten expanded medicaid, 4 million people have picked up insurance buying their own policies, and 3-4 million are young adults covered on their parents' plans. but nobody's counting how many previously-insured are now going without, like janet hill.
penalty tax in 2015. $695 this year. and so you're doing without insurance. janet: exactly. sharyl: there's penalty that comes with that. janet: i'm aware of that. sharyl: you're just gonna have to pay the penal? janet: that's all i can do. i cannot afford insurance. sharyl: there's another downside. she broke her shoulder and says she just has to live with it because doctors won't see her without insurance. and meantime you have a broken shoulder? janet: yes, this was fractured. because i do not have no insurance, they do not want to take me. so i just got aggravated and said i'll deal with it myself. sharyl: the congressional budget office now says the affordable care act will cost nearly $2 trillion over the next ten years. that doesn't count the estimated $7 billion tax dollars spent on the various websites. and it doesn't count the individual costs many americans are paying as their premiums and deductibles rise.
we go to iowa, where sharyl: i in case you have not heard, there are political happenings in iowa this week read for all the coverage lately, it seems to be playing out more like a political reality show. our scott thuman is there on this caucus eve. scott, all that money and attention spent on one state with a unique process for coming up with a nominee. scott: you are right about that.
candidates like jimmy carter and barak obama on the path to the white house. there's also a long list of winners who went nowhere. the conventional wisdom is ignore iowa at your own political peril. so every four years we return to the mid-west winter of des moines to rediscover one of the oddest examples of our democratic process. >> god bless the great state of iowa. scott: every four years, the iowa hawkeyes are invaded by the political hucksters. >> i am lucky you are here. i don't know if there are many patriots fans here. scott: no citizen is safe from the spotlight or forced photo op. no farm scene spared from the lame political scripting of some consultant from d.c. or new york. iowa is act one, scene o on of the political theatre that is the presidential campaign. >> ladies and gentlemen, the president of the united states,
>> i can tell you i am very proud tonight to announce the next president of the united states, senator bernie sanders. >> the next president of the united states, my friends, and a great american, ted cruz. [applause] kyle: this is the first winnowing so it's like a front-loaded super bowl. you'll have some candidates that drop out after iowa, new hampshire. and then you get to super tuesday. you don't have to win, but you have to be in the top 3. scott: iowa politics is abouas grassroots as it gets. it is where some candidates spend years building a ground game, hoping that the caucuses will make them a contender. it is proof that all politics is local. even donald trump, this week, descended from his mass-rally-personal-jet-commuter mass-rally-personal-jet-commuter campaign to attendat church and
holiday inn. donald trump: i thought it was terrific. it was clean. it was nice. and the bed was good. scott: but in the state where politics is done over dinner, in diners, in community halls that host town halls, this is not a place for casual politics. iowans care about their ises. and of the issues, a quinnipiac university poll this week stacked the top five issues for iowa like this -- the economy and jobs, terrorism, foreign policy, federal deficit, and immigration. kyle: one benefit is intense focus on presidential politics, so it gives iowa a chance to chew on these issues. people really come and camp out here. you have to have a sustained ground game among all 99 counties. scott: the payoff isn't just the pride of being first in the nation. the presidential campaigns in 2016 are expected to spend up to $5 billion dollars -- almost
they're already breaking expectations in iowa. spending early this week had already topped $53 million for broadcast and cable television ads, including some pricey buys during the nfl playoff games. and that's just political advertising. some interesting spending on the ground game. the clinton campaign spent $2000 for pizzas in cedar rapids. rand paul and ted cruz both seem toto like the steaks at johnny's italian steakhouse in des moines, picking up good sized tabs. and ben carson dropped over $2000 for sweet corn at a campaign barbecue. someone should have told him nebraska is the cornhusker state. kyle: iowa has become the reality show for this process, good and bad ways. the scale has grown so big. you just never know why you're going to meet on the trail. susan sarandon was hanging out with bernie sanders.
i met robert doing a bit for triumph the insult comic dog. that is what iowa has become, both beautiful and chaotic. scott: but when it comes to the big score -- how do the winners in iowa actually fare? well, it depends on the party. for the democrats, since bill clinton in 1996, the winner in iowa h has gone on to win the party nomination. for the g.o.p., not so much. the last t republicans to win in iowa -- rick santorum in 2012 and mike huckabee in 2008 -- fizzled soon thereafter. the last iowa caucus winner to seize the nomination was george w. bush in 2000. for more on the importance of iowa as seen by iowans. despite all the press and politics, conser the numbers.
attend on caucus night is 120,000. that's about 20% of registered voters. in other words, four out of five members of each party, do not go out to the caucuses on the first night kicking off the election cycle. sharyl: scott, are they used to the attention question mark to they still get excited over the caucuses and candidates? scott: i think they get excited about the infusion of cash and filling restaurants and hotels. the one universal thing they agree on here is they are sick of the political ads, the negative ads, whatever you think you' seeing in your state is likely to pale in comparison to what they are seeing in iowa, especially in 2016. sharyl: i bet. scott thuman, thanks a lot. it is the countdown to caucuses. excitement in iowa has created them in some driving toward the actual caucuses tomorrow night.
of the debate has grown more heated. in case you haven't been glued to your television, here are some of the highlights. ted cruz: i am a maniac. and everyone on this stage is stupid, fat, and ugly. now that we have gotten the donald trump portion out of the way. >> i don't think you have to give up liberty for a false sense of security. >> there are three lanes. >> i will gladly confess i am the only one on this stage with no pololitical title. sharyl: three miles away from he at drake university, t t competing event donald trump promised, the e rally he said would raise money for veterans. donald trurump: will i get more votes or will i get less votes? nobody knows. mr. bush: this election is not sen. sanders: our campaign has the energy -- you see it here tonight. mrs. clinton: i know some of you
[laughter] mrs. clinton: i like to shop, too. mr. o'malley: i'm not capable of doing q&a in iowa from a seat. sen. sanders: i think we stand a real chance to create a large voter turnout and i doubt it will be as high as 2008 -- wish it was, but i don't think it will be. but i think it will be high enough for us to win here in iowa. mrs. clinton: i have been on the front lines since i was your age! i have been fighting for kids and women and the people that have been left out and left behind a chance to make the most out of their own lives. sharyl: now from the camampaign trail, we are tracking something
we "follow the money," trackin signing up for health insurance was very easy... my premium is 22 dollars a month. it only took a few minutes, and i got exactly the kind of coverage i wanted at the price i wanted... it was a comforting feeling to know that our family is secure and that we have health insurance... most people who sign up onhealthcare.gov qualify for financial help to make coverage moreaffordable, lowering their monthly premiums. financial help with healthcare.gov makes it possible... you could find a lowpremium plan and avoid paying a fee for nothaving health coverage.
in 2015, housing and urb development secretary julian castro took tough questioning from republican blaine luetkemeyer, who said castro failed to have a grip on the books in his own agency, which had gotten a $1.7 billion taxpayer bailout. rep. luetkemeyer: what is your net income for year 2014, do you know yet? sec. castro: i can get you that figure momentarily. i'd bebelad to get you that number. i don't ve that number in front of me.e. rep. luetkemeyer: you don't know the past due of your own book of business today? sec. castro: i would be glad to get you that figure. rep. luetkemeyer: oh my gosh. sharyl: that helped earn castro the number five spot on the list of top porkers for 2015. castro claims finances at his beleaguered federal housing administration, or fha, are among the strongest in its histy with cash reserves going up and delinquencies going down. but tom shatz says castro fell short in oversight. shatz heads up citizens against government waste. tom: fha has done a number of
liability. fha said it was going to save $45 billion over three years. it cost the taxpayer $15 billion. and secretary castro really coul't explain much about fha, which many people think is the next fannie and freddie. sharyl: members of congress from both parties also made the pork list. coming in at number four is democrat frank pallone of new jersey. he criticized a government accountability office undercover test of the obamacare e website that revealed security holes, saying the investigators shouldn't have wasted time highlighting difficulties. but the holes allowed fake applicants to qualify and receive $2,500 worth of taxpayer-subsidizezed health insurance coverage, using forged documentation for proof of income or citizenship. republican sam graves of missouri came in at number three for pushing a bill to block some medicare and medicaid audits to flag improper payments. he says s it's because the audits are drowning hospitals in
but shatz says the audits save billions of tax dollars. tom: he tried to usurp one of the few actions that saveses money in washington. congressman graves has pushed legislation that would extend a moratorium on certain kinds of audits. this is in light of congress passing several bills to stop improper payments. sharyl: and runner up for the title of porker of the year is veterans affairs secretary robert mcdonald at number two. rep. coffman: this is a department mired in bureaucratic incompetence and corruption. each major construction project is hundreds of millions of dollars over budget and years behind schedule. that's a problem. sharyl: it's not just costly construction. shatz says mcdonald also fell short on leadership in the face tom: he did not do anything to hold people accountable for of waiting times f veterans to
sharyl: mcdonald has says he's -- said he's working to correct the problems within the va, but that the changes will take time. sec. mcdonald: i'm working on the future and i'm going to correct the past. but i'm working on the future, because that's what our veterans want. sharyl: and the number one spot with the title of 2015 porker of the year is irs commissioner john koskinen -- with an overwhelming 43% of the vote total. shatz says koskinen stood out for his "hostility to taxpayers" and a "long litany of incompetence and obstruction," as the irs faced the political targeting scscandal. commissioner koskinen: we take the requirement of irs employees to be tax compliant very seriously. we hold people accountable even if their mistakes are inadvertent. sharyl: koskinen also allegedly stonewalled congressional investigations into the mysterious destruction of tens of thousands of subpoenaed emails. tom: he was such an obstruionist that eventually the chairman of the house oversight and government reform committee, jason chaffetz of
impeachment against commissioner koskinen. sharyl: koskinen has testified he's taken every step to be respond to congress and hold irs employees accountable. shatz says it's up to congress to prevent taxpayer abuse, by pressing for more oversight and transparency. tom: these are not political issues. these are genuine abuses of the taxpayers' money. congress is unfortunately more reacti than proactive. taxpayers need to get them to do what's necessary to stop the waste in washington. sharyl: citizens against government waste has started compiling its list of contenders for the 2016 porker of the year. ahead on "full measure" -- a look ahead in cologne, germany where young women talk about
called "the rape game.e.e." sharyl: this week, the european union considered allowing border checks to cope with the migration crisis in as we've reported, tightening borders in europe could have a critical impact on the future of the e.u. more than 1 million people headed to europe in search of new lives last year, most of them refugees fleeing conflict in syria, iraq and afghanistan in the continent's worst migration crisis since world war ii. events of one night may have started a sea change in attitudes towards many refugees from the middle east and north africa. it was the new year's eve attacks on women in cologne, germany. scott thuman had just returned
those attacks and the impact are part of his report next week on "full measure." scott? scott: sharyl, those attacks new year's eve in cologne and other cities around germany some believe were pplanned, coordinated crimes against women and took place in as many as half a dozen countries. those nations are having to reconsider not only their open border policies but also the integration of arab cultures. we wanted to find out what took place that night so we went to cologne, germany. we examined the impact it is having on the habits of young women but also what it means for other countries. there is a definite call for a larger police presence. and now politically, many people are saying they need to rethink their approach on immigration. we will take a much closer look at this eye-opening night of crime coming up next week on "full measure." sharyl: look forward to that. thanks, scott. that is all for this week.
>> announcer: starting right now on a special edition of "this week" with george stephanopoulos. it's on. with just one day to iowa, the gop contenders are in a fight to the finish. front-runner donald trump making his fiercest attacks yet. canada. >> and as they chase trump, ted cruz and marco rubio trade fire. >> a vote for marco rubio is a vote for amnesty. >> he's decided to run a very deceitful campaign. >> with the clock ticking down, we're one on one with donald trump.