Good location, all that stuff. Thank you, rachel. Today, one of Donald Trumps little lies, an important lie but a little lie, was exposed by sean spicer. And one of his biggest, cruelest lies was exposed by a republican who has figured out how many people will lose their Health Insurance thanks to donald trump, who promised that no one would lose their Health Insurance under his plan. 24 million more people would be uninsured in the next decade than under the current law. If youre looking at the cbo for accuracy, youre looking in the wrong place. We disagree strenuously with the report that was put out. When they hear something they dont like, they label it a lie. This is a political disaster for trump if this thing actually goes through. He said everyone will be covered and costs will go down. Were going to be working to unleash the power of the private marketplace. There are no free market insurance systems on earth that work. There is not a single one, nor in any adjoining planets. Everybodys going to be taken care of much better than then taken care of now. We now know he had no intention of keeping either promise. Nobody knew health care could be so complicated. Everybody knew that everybody knew health care is complicated literally everybody not all lies are created equal. Certainly not all donald trump lies. Lying about the size of his fortune, which hes done his entire life, was not a bigger lie than the lie he used to enter politics. The lie about president obamas birth. That was a racist lie told to appeal to racists who had trouble sleeping at night with the knowledge that a black president was sleeping in the white house. That lie worked. All of those people, all of them, voted for donald trump. Along with millions of other people who had no problem with a black president. But who fell for other donald trump lies. Here, measured in dollars, is i think Donald Trumps smallest campaign lie. So, the first thing im going to do is tell you if im elected president im accepting no salary, okay . Thats not a big deal for me, but never mind. The next thing is the next thing, its something that im going to show you in a minute, and its a lie too. But that first thing that he will accept no salary, that turned out to be a lie. And we learned today what he intends to do instead. The president s intention right now is to donate his salary at the end of the year dont think thats the same as accepting no salary. Now, i know you trump voters thought he just wasnt going to accept the salary. And so that would be great that would save the treasury of the United States 400,000. The budget of the United States would be 400,000 richer thanks to donald trump who doesnt need the salary. But no. No, no, no, no. Hes going to take the 400,000. The treasurys going to lose that money in the form of paychecks to donald trump. And never get it back. And then donald trump promises to, anthis is something hes never done before when hes made this promise, he promises to donate that 400,000 to charity. And if he does that, he will make the budget situation even worse. Because he will claim a charitable deduction, which will save him 158,400 in taxes. And so the treasury will lose another 158,400. The total cost to the United States treasury for having donald trump on the payroll as president will be higher. Than the cost of the treasury of any other president in history on the payroll. It just it wont just be the 400,000 paycheck, it will be 158,400 deduction plus the 400,000 paycheck. And so it will cost 558,400. Which is not at all what you heard him say up there on the campaign trail when he said he wasnt going to accept a salary. He said he was going to use it for big. That alone is enough to pay for Health Insurance for 10 families who need and it cant afford it. And they will need that help even more because donald trump is not going to do one thing, not a single thing he promised to do about health care on the campaign trail. Listen to the very next thing donald trump said after he promised not to accept a salary. The first thing im going to do is tell you that if im elected president , im accepting no salary. Okay . Thats not a big deal for me but. I couldnt resist, to hear him say that after you know what hes actually going to do with the paycheck and the Tax Deduction hell get with it . I just wanted to pause and reenjoy that moment. Heres what he said next. The next thing is, when these guys go to congress as per your question, when they go to congress, couple of things happen. First of all, they get benefits that nobody else can even think about. Okay . And they dont like to talk about it. But well work on that. We have bigger problems than that because these peanut in the relative scale of how this countrys being hurt. But were going to work on that very hard. So he promised all those people to work very hard on the problem, the big problem of members of congress and senators getting benefits that no one else gets. Like health care benefits. Now, there are two lies in that one, first of all. Congress gets regular employerbased health care that is virtually identical to the Health Care Plan for employees of large corporations. Theres nothing especially fancy about it. When i worked in the senate the Health Care Plan was so unfancy that i did not use it. Because i had a much better, much cheaper plan from the writers guild. Members of congress pay premiums out of pocket for Health Insurance just like everybody else. They pay deductibles, they pay copays, all of that. Theyre offered a standard big employer Health Insurance policy. So thats lie number one. Lie number two was that donald trump was going to do something about that. There is nothing in Donald TrumpsHealth Care Plan that does anything about that. Paul ryans Health Insurance is not touched by donald trump. Or by paul ryan. Donald trump wouldnt dare do that, and paul ryan would never dream of doing anything to personally share in the suffering of the people he willfully intends to harm. Plans to harm. With that health care bill. Personal sacrifice has no place in paul ryans personal philosophy. Paul ryan is willing to sacrifice nothing in his Health Care Plan. He could lead the charge to say, if were going to take Health Insurance away from tens of millions of people, lets make sure that the first 535 of those people are right here in the house and the senate. But thats not paul ryan. Paul ryan is the highestpaid member of congress at 223,500. He has a wife, three children, and he is not prepared to risk their Health Insurance, and he should not be prepared to risk their Health Insurance. He should do everything he possibly can to protect their Health Insurance. But while hes doing that, he has a moral responsibility to try to protect the Health Insurance of even more vulnerable people. That is what paul ryans religion teaches him. But he does not accept that interpretation of catholicism. No matter how many members of the catholic clergy believe that. When paul ryan looks at the federal budget, he sees the devil and he wants to destroy it. He wants to hack away at it. He always has and he always will. He wan to cut that budget and nothing makes him prouder than cutting money from the federal budget that goes to programs that republicans dont like, including the tiny amounts of money that go to funding for the yards and the large amounts of money that go to supporting health care for poor people. And so the things he is proudest about in this legislation is what it does to what his religion would call the least of our brethren. This is this is so much bigger by orders of magnitude than welfare reform because let me just describe exactly what this bill does for conservatives. This is why im so excited about it. This is why i think people need to see the forest through the trees. We are defederalizing an entitlement, bloc granting it back to the states, and capping its growth rate. Thats never been done before. Correct. That is cutting benefits to poor people through medicaid more dramatically than those benefits have ever been cut before. The Congressional Budget Office issued its official estimate today for the Republican Health care bill. It projects that 24 Million People will lose their Health Insurance, which brings us to the biggest lie donald trump has ever told about health care. Everybodys got to be covered. This is an unrepublican then for me to say because a lot of times they say, no, no, theyll lower it 25 , they cant afford private. Universal health care . I am going to take care of everybody. What my plan is that i want to take care of everybody. Im not going to leave the lower 20 that cant afford insurance. Obamacare is collapsing and we must act decisively to protect all americans. Joining us, douglas elmendorf, american economist, and professor of Public Policy at Harvard Kennedy school, he was the director of the Congressional Budget Office 2009 to 2015. Also former acting administrator of the centers for medicare and Medicaid Services from 2015 to 2017. Doug doug, you cant envy the cbo having to struggle with this one. I want to get your reaction to what cbo projected today about this plan. Well, the Congressional Budget Office estimated that the number of americans without Health Insurance would essentially double under this proposal, reversing all of the gains from the Affordable Care act. At the same time the federal government would save a lot of money on Health Insurance subsiies which this legislation would use partly to roll back the tax increases in the Affordable Care act, give more money back to higherincome people, and partly reduce federal borrowing. Part of the way they save money is people who are subsidized up to amounts of 12,000, 13,000, would only get a subsidy, if they got a subsidy at all, of 4,000 or less . Right. So the subsidies, people can get through these insurance marketplaces would fall by about half by the end of a tenyear window the cbo does projections for. Even more importantly, a lot of people would lose medicaid coverage because of the cutback in medicaid spending. So both the insurance marketplaces and through medicaid, people would lose access to Health Insurance. Andy, lets get your reaction to the medicaid piece of what youre hearing in this proposal. I think the simplest way to look at this proposal, the cbo verified this, were cutting medicaid by about 25 . And to remind everybody what medicaid does, medicaid is a program that takes care of kids, lowincome people, seniors in longterm care, and people with disabilities. Thats it. When you cut 25 from that, you really leave governors in states with very, very stark choices over which of those sets of people arent going to get benefits . Because states as we know have to balance their budgets every year. And with a cap and a cut, and i want to repeat that, theyre not just cutting by 25 , then theyre saying were going to limit the growth of medicaid going forward. And of course as i think you said earlier and doug said, thats all paid for by a 800 billion tax cut for corporations and wealthy americans. One of the things sean spicer kept saying today, republicans keep saying, is people who have coverage now under the Affordable Care act dont really have anything. Doug, the way sean spicer kept saying it today, they may have a card but they cant go the doctors wont accept them, the doctors wont accept medicaid patients. What is the truth about the interaction with the Health Care System that beneficiaries of the Affordable Care act experience when they try to get services . People who have Health Insurance are more likely to be able to see the doctor when they need one. Theres plenty of evidence about that. So these people who have gained Health Insurance through the Affordable Care act have better access to doctors than they would have without Health Insurance. And if they go ahead with this proposal and those people Lose Health Insurance, they will lose access to doctors that they have today. Andy slavitt, youve overseen the Medicaid Program in particular. Today sean spicer was saying that people on medicare cannot get Physician Services because physicians turn down medicare. But he was stressing that they turn down medicaid patients all the time. What does that whats the truth of that . What does that mean for medicaid patients . Well, the truth is that the Medicaid Program and the Medicare Program are two of the most highly valued programs in our country. Prior to medicare and medicaid, 1 in 3 seniors in this country lived below the poverty level. 1 in 3. Today, because of medicare and medicaid, thats less than 1 in 10. These are really phenomenal programs. Theyve change the country. Theyve done that in ways that have glowing popularity. I think over 70 for medicaid, close to 90 for medicare. And that wouldnt happen if people werent getting taken care of. I think we have to remember that half the kids in this country that are born are paid for through the Medicaid Program. We have to really decide as a country if we really want to pass legislation that strips away all the funding to take care of all the kids that are born in this country, that are born healthy, in order for this very large tax cut. Yeah, and the republicans and their responses to this seem to be pretending that all americans get to choose any doctor they want at any time, when in fact most of us have insurance plans that some doctors do not participate in and some doctors actually reject. And so the idea that everyone has the choice of in i physician they want isnt true to begin with. I want to this point about premiums, theres an indication in the cbo report that in the long run of this legislation, some premiums on the individual market would go down. I shouldnt put correctly, they would not increase as much as they would increase under the Affordable Care act. But the report says in that spot that this is partially because of the change in the requirements for the Health Care Plans that would be sold. And doug, what they mean by that is, these plans will be cheaper because they will have less benefits in them, and also, young people can be charged a lot less for these health plans and that older people will be charged much, much more, the older peoples premiums will definitely go up higher. Right. So there are two pieces of this. One is, as you say, that because of relaxation of rules in this legislation, Health Insurance plans would cover a smaller share of peoples total costs. So part of the reason that premiums would go down is because peoples outofpocket payments would go up. That doesnt make them better off on average. Those who dont get sick that year will be better off with lower premiums. Those who do get sick would pay more out of pocket. So on average, this reduction in the number of health care services, the amount of health care covered by the insurance plans, would lower premiums but people would pay some of that out of pocket themselves. In addition to that, there was a change in the age structure of premiums. Under the Affordable Care act, insure escould only charge Older Americans three times what they charge younger americans. For these planned insurance exchanges. Under this legislation, insurers could charge five times as much for Older Americans as younger americans. That would tend to push up Health Care Insurance premiums for Older Americans substantially. Some younger americans would have lower premiums under this legislation, but Older Americans would have higher premiums and pay more in deductibles and copayments when they need health care. As donald trump has discovered, its complicated. Douglas elmendorff and andy slavitt action thank you both for joining us tonight, really appreciate it. Coming up, Congressional Republicans reacting to the news of just how many people lose coverage under the health care bill. Donald trump continues to live his silent fear of reporters asking him about why he said why he accused president obama of tapping his phones. Americans 83 try to eat healthy. Yet up 90 fall short in getting key nutrients from food alone. Lets do more. Add one a day womens complete with key nutrients we may need. Plus it supports bone health with calcium and vitamin d. One a day womens in gummies and tablets. Afoot and lighthearted i take to the open road. Healthy, free, the world before me, the long brown path before me leading wherever i choose. The east and the west are mine. The