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It appears in the law, there was an opt out for the states to say we will not be part of this medicaid expansion and the supreme court agreed that they could step out and not be penalized with the taking away of current medicaid money? what's going to happen to obamacare if 26 republican governors say we're not in? >> well, that's one of the real ironies of the supreme court decision, you know, the support of many of the provider groups including hospitals was based on the fact that all of a sudden, we'd have an insurance program for many of the people that we're taking care of for free now so...

Obamacare based upon what we're seeing now? >> well, i think the states are going to be under a great deal of pressure from neighboring states that do participate. you know, if, in fact, a state chooses not to participate and expand its medicaid to 133% of poverty, we sort of go back to square one and we're not any necessarily worse off than we were before but many of the provider groups would be significantly disappointed. >> we'll leave it there. good morning, happy fourth. nice to see you both. thanks for joining the debate. >> happy fourth to you. thank you. >> thank you. >> you're welcome...

Matter where they are in the country, listen to your constituents. because how can you say this is a health care bill when not a single -- not one patient advocacy organization is in favor of this bill, and all their provider groups, nurses, doctors, against it. so, do the right thing. >> have you been talking to the likes of dean heller, lisa murkowsi, susan collins, any other holdouts. >> we've been urging all of them to do the right thing. this is a question of making sure that you listen to your constituents, which is why we think it's so important that people go back home over the fourth ...

That the $716 billion is all in cuts to providers and insurance companies and will have no effect on benefits or services to the beneficiaries. let me ask my question. medicare's own actuary, medicare, not of the romney campaign says that is impossible that you can't have the same services for $716 billion less. and let's put up what the medicare actuary says. they say that is 15% of medicare providers will be unprofitable by 2019. 25% of medicare providers will be unprofitable by 2030 and the medicare actuary concludes this is his quote in practice medicare providers could not sustain continu...

That the $716 billion is all in cuts to providers and insurance companies and will have no effect on benefits or services to the beneficiaries. let me ask my question. medicare's own actuary, medicare, not of the romney campaign says that is impossible that you can't have the same services for $716 billion less. and let's put up what the medicare actuary says. they say that is 15% of medicare providers will be unprofitable by 2019. 25% of medicare providers will be unprofitable by 2030 and the medicare actuary concludes this is his quote in practice medicare providers could not sustain continu...