Praise, you talked only about taxes. You said essentially that you have pushed this item for local Property Taxpayers for the region that albany was very proactive in pushing Thistaxpay Faso only talked about the environment. This is to eliminate and save new york 19 Property Taxpayers millions of dollars. If this is about reforming medicaid, why are and you your colleagues only talking about tax cuts . Youre praising tax cuts. I wholly support john faso and mr. Collins amendment. Here in western new york, people are leaving in droves because they cant pay their bills and take care of their homes. What we should do is put the burden on the State Capitol because they control how this program is delivered at the local level. New york is one of the only states that puts it on the taxpayers to foot the bill. From my perspective, this is a great amendment that needs to be supported and reduce the 145 million in my low income areas across this district are going to be relieved. Thats the right thing to do. Its not a low income district. Were essentially talking about a more affluent district thats wrong. Put back up the faso tweet because it talks about the amount of money they would save. This is significant amounts of tax money, meaning these are affluent homeowners. Wouldnt it be more honest so say, we dont want tax dollars, our tax dollars to go to pay for low Income Health care . We just dont want it to happen, and it isnt about reform. Its about what you have praised. Making sure that taxpayers dont have to pay for low income
health care. Thats absolutely false. In my district, the average is alary is about 30,000 a year. To say thats affluent is hogwash, and you dont know the facts. We are talking about a program that is unstable and going bankrupt, and its crushing our local american taxpayers across the board. We need to do better than that, joy. Im all about trying to put the pressure where the pressure needs to be. The powers decide how this operates and they need to bear the pressure and burden of making sure they are doing the most efficient and effective way possible. Youre right about your district. I stand corrected on that, but the amendment that you supported is that essentially, you are saying that you dont believe that taxpayers should pay for it, which by the way, is not going bankrupt. Impeerically, its not. What you are saying is you want to take the money out of medicaid. The plain fact here is this is not about medicaid reform. You, sir, believe that medicaid
should just receive less money, and it shouldnt be getting its money from Property Taxpayers, right . Absolutely not correct. It will be a taxpayerfunded with less money in it. Having a hard time. Of course. What you have to do is make sure you dont reward inefficiency like we do now. This is what the problem of the program is. The more they serve, and the more money they spend and get from the american taxpayer. We need to change that formula, and make sure that the form rewards doing more with less, and not encourage us to do more ineffective, inefficient delivery of health care. Lets talk about the Medicaid Expansion because this has become one of the sticking points. This Isnt About Whether or not medicaid spends more minute. This is literally about adding millions of people to the eligibility to get it at all. If the Medicaid Expansion is rolled back, the people that fit into the new formula, they get
medicaid at all, that means that group of people just doesnt get medicaid at all. What should happen to those people . How should they get health care . Thats exactly when you are talking to people of 100 of the Poverty Level or less will get medicaid. You want to get rid of the expansion. What what happens to those people . They wont have insurance. How do you believe those people should get health care . We have to make sure we design the tax credits and Health Care System that delivers lower cost and get the cost of health care under control so that Health Care Cost go under control and people have act sce to health care. The people before the expansion didnt have a policy at all. They didnt have an Insurance Card to go to the doctor. More efficiency in the system wont change anything. They wont have insurance. How will those people get health care at all . Absolutely, and thats where
the republican plan puts the tax plan in place to provide them Health Insurance and the whole idea is to get the Health Care Cost under control. Thats the third step of our process. These are not people who are itemizing reduction. Youre talking about the 25 of the populous. Thats not a lot of money. Actually, joy thats wrong. These are refundable tax credits where folks get them up front, and they can relieve the premium cost that they will be absorbing in that policy. As we phase out, that is what were replacing it with. Just so we understand, you want to give a very substantial tax cut, in your case. You dont want to taxpayers in your district to Fund Medicaid at all. Youre rolling that back making it unlawful to Fund Medicaid, and cutover all cost, which
means they get less money, and give them tax credits. Thats the plan . Thats the fundamental essence, is empower people. Rather than expanding government to where its not sustainable. American taxpayers cant foot this bill because they are tapped out. All right. Im sorry. One second. We have a guest here who is whispering to my ear that she wants to ask you a question. Im going to let one of my guests in. You seem to have a question for the congressman, and if you dont mind, i want to let her ask that question. Well, the tax credits are less under the senate bill, so they are lower, so while youre taking away medicaid for those people, they wont be eligible for the same level of tax credits they would have been eligible for before. Youre giving them less. Because where were going to end up, they have to do their amendment process. Our tax credits in the house were based on age. The senate took a step in the right direction when you
incorporate income, and that has to be the corner stone, and thats a sweet spot to the finish line. Youre acknowledging for those people who wont be eligible for medicaid anymore, that the tax credit they receive is less, this would put a greater financial burden on them in terms of purchasing insurance. No. They will have they will have access to a tax credit that they can access themselves. Thats lower. And find thainsurance that ws for them. Its through government and themselves as individuals. I think we understand where you are going with this. You want people to essentially it is a rollback of medicaid. Its a decrease, and i want to ask you this question in the end. Do you stand by, in the end, the idea that the wealthiest people in this country, as a result of this bill, if it is signed into law, will get a tax cut, if that if they are in the richest 1 is
more than the average in your district . The richest will get 37,230 . Is that fair to get acted into law . There is nothing wrong with reducing the tax burden, and that what we have done here in this bill. And you know what foots the bill, are the hard working americans, and from my perspective, anything we can do to alleviate tax burdens is the right direction. You have made it clear. Congressman tom reed. Thank you for doing this. We appreciate it. I appreciate the debate. Thank you so much. When we come back, tara and the rest of my panel weighs in. You dont want to miss it. A million times. And you always laugh like youre hearing it for the first time. At lincoln financial, we get there are some responsibilities of love
you gotta do on your own. And some you shouldnt have to shoulder alone. Like ensuring hes welltaken care of. Even as you build your own plans for retirement. Ask a Financial Advisor how lincoln can help protect your savings from the impact of longterm care expenses. But when we brought our daughter home, that was it. Now i have nicoderm cq. The Nicoderm Cq Patch with unique extended release Technology Helps prevent your urge to smoke all day. Its the best thing that ever happened to me. Every great why needs a great how. This clean was like pow everything well . My teeth are glowing. They are so white. Step 1 cleans. Step 2 whitens. Crest [hd]. 6x cleaning , 6x whitening a i would switch to crest [hd] over what i was using before. But i keep it growing by making every dollar count. Thats why i have the spark cash card from capital one. With it, i earn unlimited 2 cash back on all of my purchasing. And that unlimited 2 cash back from spark means thousands of dollars each year going back into my business. Which adds fuel to my bottom line. Whats in your wallet . Elizabeth warren had choice words about her colleagues new health care bill. Medicaid is the program in this country that provides Health Insurance to one in five americans. To 30 million kids to nearly two out of every three people in a nursing home. These cuts are blood money. People will die. Lets be very clear. Senate republicans are paying for tax cuts for the wealthy with american lives. Now lets bring in my Panel PoliticalMarketing Consultant tara, Investigative Reporter david k. Jonston, and president of the foundation for research and equal opportunity and former Health Care Policy adviser, mitt romney. Im going to start with you on this. I applaud congressman tom reed for coming on. Its hard for them to come on,
and he came on, and i thought in the end, he was quite honest about something. Which is that if you are a middle class sort of Homeowner Taxpayer in upstate new york, and your congressman says to you as they did in this email praising their compromise they gave which said it would be unlawful, essentially, to tax those middle class homeowners to pay for medicaid for the urban poor. If you are that homeowner, youre saying, if my congressman is going to give me 265, and i dont have to pay for those people, i dont even know, you might actually say thats a fair tradeoff, that all you personally care about is your little 265 tax rebate that your taxes will go down, that you dont have to pay for those people. Isnt what the republicans are doing essentially is pitting americans who may not need, not have a Catastrophic Health emergency now. So right now to them, its, like, yeah. Get rid of medicaid. They only find out that a refundable tax credit may not be great when mom goes in a nursing home five or six years from now,
but by then, Mitch Mcconnell will have passed his bill, right . I think there were a lot of factual deficiencies in the discussion with the congressman. Its important to understand that 882 billion in reductions in medicaid spending, 85 of that comes from the phaseout of obamacares expansion of medicaid. It doesnt touch the traditional medicaid. There are reforms as well. We can get to that. But the vast majority of that Dollar Figure is the phaseout of the acas expansion of medicaid which is replaced in this senate bill, with robust Refundable Advanceable tax credits that are structured similarly to the Affordable Care acts exchanges. Pretty much the same kind of mechanism to deliver coverage to that same population. That was on the Medicaid Expansion before. So in texas where i live, there are going to be millions more with Health Insurance as a result of this bill because texas didnt expand medicaid, but these tax credits will be available to everyone in texas
who is under 100 or 138 of the poverty line. How does the cbo get to the fact 20 million fewer will have Health Insurance . Most of that figure, the Medicaid Expansion if you repeal it, the raw number of people were made eligible for it become ineligible. They lose their Medicaid Card. So if what youre saying is no, they are just trading in their Medicaid Card for a different kind of insurance thats a tax credit, how does the cbo get to 20 Million People losing their Health Insurance . We dont of course have the score of the senate bill yet. The House Version is similar. Right. I think so too. And the vast majority of the cbos Coverage Score is driven by one thing, joy. Its the repeal of the mandate of the 23 million who will lose coverage, about 18 million of that is accounted for in the cbos model by the fact you are repealing the mandate, i. E. , 18 million of those people
are only signing up for coverage because they are forced to by a fine. Youre saying 20 million do not want to be covered by health n. Thats what the cbo says. I dont think so but lets david respond. Can we step back out of the deep weeds here . Please. Think about health care. Donald trump once said to me, health care should be like the roads. We already have a Rube Goldberg machine. Lets simplify all of this. We need to Reform Health care. No reasonable student of this fails to understand that our Health Care System isnt a Health Care System. Its a nonsystem, sick care system. It kills people, its inefficient, and allows people to game the system. And let me give a simple number. We spend 6 Percentage Points of our economy more than the french who have the best Health Care System in the world with no outofpocket costs or virtually. If we had the french system it would be the equivalent of
everybody who makes less than 5 500,000, a year paying no income taxes. Thats how much we would save. If tax savings is the goal here then lets go adopt the french system and transfer into it and we can eliminate the income tax for 99 of all americans. The idea that were going to these tax credits, why are tax credits always the solution to every problem . Why not have a simple system. Youre an american, you have a card, you need health care, you go and get health care. And then the debate is simply how robustly do we want to fund it. Are we going to make people wait two hours to see a doctor or two days . And thats a debate thats easy to have. And by the way whats important to know i do want to ask that question of you because we had debates about other issues. Typically, your response to what you would say reforming systems in the country, whether its health care or others is tax credits, meaning that people spend out the money out of their pocket im assuming, then at april 15th tax time no. They fill out and get money
back. Or sending people a check . Tax credits are the goto sort of conservative solution for everything. Joy, this is a really, really important point. Im glad you raise this. The subsidies that people get in the Obamacare Exchanges to buy Health Insurance are tax credits, they are advanceable refundable tax credits. And so why i think this bill is such an advance, is just to davids point, i agree with him. I like the swiss model, but not the french model. But we have a lot to learn from europe. This is a system that switzerland has. Instead of medicaid and the exchanges, you have to disenroll and enroll with different doctors and Different Networks and different copays. Put them on the same system, where if your income goes up and down, youre on the same exchange, with the same tax credits. Maybe your Financial Assistance goes up and down based on income but otherwise youre in one system. Thats going to provide better care to these individuals, going to allow them to stay with one physician and one set of people who are caring for them. And i think thats going to be a much better, have much Better Health outcome as a result of that continuity of care. Thats one of the reasons this bill is better than the status quo. Let me ask you this one question, tara. You were a Business Owner in addition. And one of the targets for republicans, one of the reasons that i think they are sort of succeeding in pitting different elements of society against each other and the poor and the elderly and the sick and children dont really have they arent the most powerful constituency in the world. They are on the losing end of this battle. On the winning end not just the homeowner who wants his 265. I dont care what happens with those people far away from me. You have Business Owners who the one place i will give agree with ovik in some of the people that would lose health care, i talk to small Business Owners who feel it is a burden on them to have to provide health care to employees. So if you have somebody whos got 20 employees and they dont want to foot the bill under the obamacare mandate, they, in
theory, could free 20 people in their mind. Quote unquote free them because they we have to pay for their health care. So isnt that what is happening. Its pitting people who may not want to do this, they may not want to provide this care to employees against people who needed. Right. Well no, thats exactly what this is. This is all about picking winners and losers