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Involved. there is health savings accounts where patients can pay out-of-pocket for more things. where there is tax deductions. he put for the a proposal where you get tax credits and use that to buy insurance with. as well as directly services. >> martha: that's a comprehensive plan very different than what we got in obamacare. so the big question is how do you give the new program and how do you get it started while protecting people and making sure that you don't have those gaps in between? because that's the biggest concern that people have. >> i think you add, rather than take away right ...

Low-cost, low-premium insurance could be introduced right away to protect the public from somebody getting ill. >> melissa: something missing in what you're saying, how do you pay for the really sick people? it makes sense but the reason we had all those other things in place we're trying to pay for the people who have pre-existing conditions and use a lot of healthcare. how do you pay for that? >> that's why president trump is saying it will take a while, a year or two for this whole thing to be fixed because the ultimate goal is probably to be create high-risk pools with those with pre-exist...

Health care at the federal level. that didn't work. let's have this manager in a way that gives a lot more direct relationship between patients and their doctors and the clinics that are local debt management. what is wrong with that? >> well, first of all, let's be clear what the collins proposal is. it is to say, states that want to keep medicaid expansion and the state exchanges, they can keep medicaid expansions and the state exchanges in the federal government will continue to pay the bill. that also includes estates that want to have the federal government run their exchange. that would ...

Health care at the federal level. that didn't work. let's have this manager in a way that gives a lot more direct relationship between patients and their doctors and the clinics that are local debt management. what is wrong with that? >> well, first of all, let's be clear what the collins proposal is. it is to say, states that want to keep medicaid expansion and the state exchanges, they can keep medicaid expansions and the state exchanges in the federal government will continue to pay the bill. that also includes estates that want to have the federal government run their exchange. that would ...

Repeal obamacare? >> i feel he's going to make changes. that's what i feel. he'll make changes to tweak it and everybody will be able to, in kentucky, obtain it. because when we switched to healthcare.gov it was very stressful because they didn't know where they were going. outreach workers, we kind of guide them in the system and get them through the process because in our area, some people don't even have computers. >> from state exchanges to the federal exchanges because the republican governor came into office in the state of kentucky. i know what you're talking about. thank you for being ...