Some democrats calling for nancy pelosi to go. Do you think nancy pelosi is more toxic than donald trump . In some areas of the country, yes, she is. Minutes away from the Republicans Health care reform. Garrett, set the stage for us. Reporter stephanie, were in the basement waiting to catch senators as they go to this meeting on what will probably be the most consequential legislative day in the senate since donald trump became president. Today is the day Senate Majority leader Mitch Mcconnell will unveil the Health Care Plan theyve been putting together behind closed doors set to try and repeal and replace obamacare. This is probably closer to the beginning than the end of this process because they still have to get 50 republican votes for this bill and that wont be easy. Theres some opposition to whatever the majority leader will put out from both sides of the Republican Caucus. I want to show you some of the senators that they have to win over with this thing. On the right, theyve got senators like ted cruz, rand paul, and mike lee who are very much focused on keeping their promise to repeal as much of obamacare as possible. Root and branch was the term from the campaign if you remember. And then on the other side you have some moderate senators who want to make sure that things like the Medicaid Expansion put in place by president obama happened much slower. They want to make sure there are protections for people on issues like open roids. You have rob portman, lisa murkowski, susan collins, people who want to pump the brakes slower. Between the lot they have to get to 50 votes, a challenging task in the senate. Last night for really one of the first times we heard President Trump on the stump in iowa weighing in about what hed like to see from this effort. Take a listen. I think, and i hope, okay cant guarantee anything, but i hope were going to surprise you with a really good plan. You know, ive been talking about a plan with heart. I said add some money to it. A plan with heart. Reporter a plan with heart, stephanie. We will find out sometime in the next probably hour, hour and a half exactly how much heart, exactly how much money Senate Republican leaders decided to put in that bill. All right, garrett. I have to bring my panel in. Josh earnest was president Obamas White House press secretary. Hes now an msnbc political analyst. Steven kornacki and nicholas kristof, a columnist with the new york times. Josh, republicans, Mitch Mcconnell republicans would say this is cutting spending, improving efficiency and giving states more control. Whats wrong with that . It will take away health care from more than 24 million americans based on what we know about it. Fair point. And it will take that money and plow it into tax cults for the wealthiest americans. Its not saving money, its giving more money to wealthy people at the expense of working people and people lower on the income scale who are again oede on the Affordable Care act for their livelihood, for health care. One other element thats not gotten as much attention but is worthy of our attention, which is we talk a lot about people who benefit from buying their Health Insurance through the obamacare marketplace. But there are also people who get their Health Insurance through their employer who are in a position where theyre going to have some Consumer Protections taken away. Even if you dont get your health care through obamacare, you are in a position where you could see an annual cap placing the amount of benefits you receive or a lifetime cap placed on the amount of benefits you receive. There are substantial consequences not just for people who are on quote unquote obamacare but for every american whos participating in our Health Care System right now. All right. According to the washington post, and this may change, i just want to share what we believe or what they believe is in the bill. The individual mandate is gone. Medicaid expansion phased out. Deep medicaid cuts after 2025. Obamacare taxes on the wealthy gone. And planned parenthood funding ended for a year. Nick, you have written that these deep medicaid cuts, what they could do to people who are wrestling with this opioid crisis. I want to walk through the math for a minute. We can pull up the graphic. 20 of all americans are covered by medicaid. Nearly half of births, more than 40 of kids, more than 60 of People Living in nursing homes. What happens to all of these people tied to medicaid . Essentially this threatens the safety net the u. S. Has had for half a century. I wonder if we in the media have miscast this in part as simply a repeal of obamacare and, you know, it would indeed be that but more fundamentally it would be a repeal of medicaid as we know it. And, you know, as you say, 40 of american kid depend on it. You know, 60 of adults in nursing homes. This is really a pillar of life in the u. S. And at a time when we have a National Emergency with the opioid addiction, more people dying in any one year of drug overdoses than died in vietnam, afghanistan, and iraq combined, then pillaging medicaid simply undermines our ability to respond to that emergency. Are you listening to those numbers . Steven kornacki, you know, President Trumps best line since being elected, health care, who knew it would be so complicated . But is this not this goldilocks moment for Mitch Mcconnell in terms of the rand pauls of the world, its not enough and moderate republicans, its too much . How do they break this cycle . What do they do here . Right. This is fluid right now, and well see what actually comes out today. You put some of the framework thats been reported as potentially in this. The basic trade thauf i see and the reporting thats out there right now that looks like the Senate Republicans are aiming for is this. They want to change the formula on these subsidies, to help people pay for coverage. In the house version it was based on age and what that meant, there was a lot of attention paid to, hey, if youre 61, 62, 63, 64 years old, you could be paying four or five times as much as youre paying right now. I think as a sock to the moderates, somebody like susan collins, who might be wavering, i think the reporting is emerging right now suggests they want to switch to an incomebased formula instead of an agebased formula. They think that could bring moderates on board. The risk to moderates talking about here with medicaid. Theres a key feature emerging in the this reporting about medicaid. Its not just the deep cuts. The change it look like theyre aiming for on medicaid is the timing of that. Instead of having that happen in three years it looks like they want to delay that to six or seven years. Why would they do that . A senatorial term is six years. Ding, ding, ding. If you want to talk about the politics of this and a difficult vote, if it doesnt take effect for six or seven years, thats different than taking effect in three years. Then its not my problem if im looking to get reelectricitied. Josh, i want to add the white house into all of this. Politico published an article saying the president s role in all of this is that President Trump might not have one and an aide to a Senate Republican said that the Trump White House doesnt participate in policy. What role should he have in trump care . Well, obviously, when president obama was working very hard to pass the Affordable Care act, the white house was playing a chief role in trying to bring democrats and, yes, even republicans to the table to negotiate a workable framework for legislation, for a policy that would reduce the growth in Health Care Costs and greatly expand coverage. And we succeeded in doing that. I think what is true, stephanie, is republicans on capitol hill dont trust this white house and dont trust this president to be making authentically conservative choices. They dont trust the president to be disflipped enough to help guide them through this process. And if you think back to the house bill, President Trump convened a rose garden ceremony, something thats basically unprecedented, fot overnot over that passed the congress but over a bill that passed the house. Just six weeks later in conversations with senators he called that piece of legislation mean. So its not surprising that republicans on capitol hill would not trust the white house to be an active participant in this process. I think the challenge for them, stephanie, and the risk theyre taking is that any member of congress, when they vote for a controversial piece of legislation like this, is going to be looking for cover. And the best way to provide typically is to have the president of the United States out there advocating for you making the case that the bill you voted for was the right thing. And republicans in congress cannot depend on this president to do that for them. All right, josh. I have a twofer. You forget if you say unpresence dented in this hour, you owe me 2. What the president does have is renewed enthusiasm and its because of the elections that took place two days ago. None of the drama on capitol hill, all that weve been talking about, seemed to cast a shadow over the president. Last night in iowa he was right back to campaignstyle trump, feeling it in iowa. Just take a listen. We are making progress like nobody can believe. All we do is win, win, win. We won last night. I cant believe it. They say what is going on. Hes obviously talking about Karen Handels win in georgia in that special election. I myself spoke to someone inside the white house last night who said President Trump had a ninepage speech, yes, he completely went off the teleprompter, he was, you know, letting it rip, but the president has renewed energy. Hes saying the media is out to get him and theyre wrong. Americans dont care about collusion and russia. They care about the administration getting to the agenda. Even members of his staff who have been miserable, i spoke to one who said if we get to the agenda, we could really prevail here because democrats, theyre not mentioning anything except we hate trump. Does President Trump deserve in any way to have this new enthusiasm or confidence . He had it on the podium. Josh. Yeah. Look, theres no doubt that he is very susceptible to the sort of latest ebbs and flows of the news cycle, which is ironic for somebody who claims to so dislike the media. But, look, he is looking for every straw that he can grasp on to to try to boost the prospects of his administration. The truth is he doesnt have much to show legislatively for the first 150 days or so of his administration, the one accomplishment they can point to is appointing a conservative to the Supreme Court and that is of course an accomplishment that they got done. But other than, that he continues to languish in the polls. He continues to be in a position where as i was saying before republicans on capitol hill dont trust him and arent that interested in including him in the process. He just doesnt have a lot to show for his tep your here in the early days of his presidency. So its not surprising to me that one special election hes eager to seize on. I think the American People are expecting a lot more, though, from their president. Theyre expecting somebody to produce and looking for somebody who will be looking out for them and passing policies that will benefit them. And the truth is this Republican Health care proposal thats going through the congress right now is one that would be particularly bad for those communities that voted particularly strongly for President Trump. And that is going to be a difficult thing for President Trump to reconcile in terms of his standing in the polls. Its also going to be a difficult thing for republicans in congress to defend when theyre up for reelection in november 2018. In terms of the truth, steven kornacki, what does one do in terms of Fact Checking the president . He stood at that podium last night and said things that absolutely werent true. He said he put a clause in the xl and dakota pipeline saying it must be built with american steel. Thats not the case. The majority of pipes were already purchased. It had nothing to do with using american steel. Paris agreement, people say its not binding, it absolutely is. That is untrue. He also said he insisted before going to the middle east an agreement had to be put in place that billions of dollars would be spent by those countries on americanmade good. Also not true, but it doesnt stick. People hear that and theyre going right on, man. Gary cohen they say gave up hundreds of millions of dollars. The didnt. He got to sell his Goldman Sachs stock and not pay taxes on it. Its deferred indefinitely. Eventually he will, but the president gets to have these sound bites out there that just get to exist and people are going right on, man, im listening to you. Well, theyre not true. I think one of the things with donald trump, and this has been true from the campaign, but i think its been especially true since the election and something theyve been for my own part trying to figure out. I dont think we have a good sense for all our talk about what trump voters expect from him or what the people who voted for him expect him to do. I dont think we have a really good sense right now of exactly what it is that binds his coalition to him. But i think its strong. I think its powerful. I think its different than past president s have had. And i think a especially election result like georgias Chris Matthews talked about it last night at the end of his show and i thought he was on point. We can point to his polls right now, Donald Trumps polls and say hes at a 37 approval rating. Nobodys ever dropped below 50 this early in their presidency, this is a disaster. Does any of this sound familiar . He ran the most disastrous president ial campaign wed ever seen. And he won. His favorable rating was 35 on election day. That was supposed to be so toxic that he wouldnt just lose, he would lutz in a landslide and he won the election. Now democrats can say in these special elections they made progress, republican districts all that, you look at this georgia six district, this was the closest thing weve ever seen in a special election in one Congressional District to a national election. National money, national personalities, national coverage, National Level turnout in that district. And the result in that district, karen handel and jon ossoff was basically like donald trump Hillary Clinton in that district. Trump looks at that and says for all the noise, the bad poll numbers, things havent changed with my political standing. Steven kornacki is speaking the truth. Next, special Counsel Robert Mueller returned to the hill yesterday. Why at least one republican senator thinks obstruction of justice is now on the table. But before we go, i want you to check this out. Pay attention. Put your coffee down. 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Ask your doctor about lyrica. Is obstruction one of those areas . I think that everythings on the table. Thats of course Senate JudiciaryCommittee ChairChuck Grassley talking about the russia investigation, just one of three fastmoving develo