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From various kinds of deductions. of course, the problem with that plan, as we've discussed, is that, if you only cut taxes and don't do actual reform, you end up costing a lot of money which means not only are you going to face opposition potentially from fiscal conservatives, but also you may not be able to get this plan through because of complicated senate rules. basically you can't increase deficits beyond the ten-year budget window, so you have to do reform or you have to sunset the plan. >> when it comes to the cuts, yamiche, republicans will say we're going to give cuts to these big do...

>> we have house speaker paul ryan on friday talking about the foreseeable future of the aca. with me now is tevi troy, former deputy secretary of health and human services under president gege w. bush and now the president of the amerin health policy institute. it is great to have you wit us. i'm hoping you can answer that question of timing right here because it seems as if the ambition of the gop got in the way of making this happen within the president's first 100 days. why were they in such a hurry on health care? >> thanks for having me, thomas. the first thing to know is that the reconc...

Something. but every president has this question of what do you do first, because that first thing can very often become your signature. >> first, you want to do hard stuff first and not easy stuff. >> but you want to win, right? trump wanted to win. >> you have reconciliation, and there's a window under the budget window to do reconciliation, and you have this window and so they had to do health care first, and it's hard and whether trump has gotten a whole lot of momentum, their hope was there's a lot of momentum, and it may not be what they would have liked. >> this is a slap in the face to...

>> the republicans. let's move aside from that. the medicaid expansion when you guys talk about when republicans in congress talk about a block grant, would that be a block grant for medicaid including the medicaid expansion or would you go back to the original medicaid and the women that we saw in that piece just there who got health care through the expansion? they would no longer have their medicaid funded. >> yeah. so, let's talk about that because not every state took the medicaid expansion money. and clearly this is an economic cost we have to figure out as well. we'll spend more next ye...

They have and not incentive to give the job to somebody outside the u.s. >> what do you think about the idea that the evaluations, the studies, the costing of donald trump's proposals during the campaign came out to be large deficit increases, initially we were talking about $14 trillion increase to the debt, then came down to about 3. it's not revenue neutral stuff. donald trump wants to do stuff that's going to increase the debt. >> i think first of all that because they can pass the bill the way we said that it has to be revenue neutral but ohm outside the budget window, one of the weird wa...