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Got a complaint from someone who felt that he or she was being treated unfairly with regard to health insurance, we and my staff of great people learned right away, if they were people who were on medicare, if they were people who there was government involvement, we would have likely been able to help them if they were treated badly. if they were dealing with the private insurance sector where there wasn't a government role, there wasn't anything we could do for them. the people being mistreated by the private health sector, whether out of malice or more often out of incompetence, we couldn't...

Be fixed in plenty of time before it hurts anybody. and yeah, there is great hypocrisy. and you know, you also have to say this notion of taking over medical care, we can't let the government take this big role in medicare. actually, it is medicare. >> right. >> we ought to stress, again, the government role in medicare, which not even the most right wing republicans are ready to get rid of these days. they thought about it and backed off, is far greater than it will be under the affordable health care act. in medicare, there is much more government involvement in the actual delivery of servic...

Primary care, both physicians and nurses is underrated in this country that we've seen in several decades. in the affordable care act there is money to increase reimbursement for primary care doctors up to the medicare rates. in pennsylvania that means 90% increasing rates for primary care doctors. and community health centers, more being built, with the expectation people going there now even with medicaid will continue to go to places like that. but i think what gets missed in this conversation when a person befalls some catastrophe. they get diagnosed with cancer, they get hit by a bus and ...

Hit by a bus. they can go to the hospital. they can get better. they can get out without endless debt and go back to work. that's what we want, people who can work and contribute to their communities and take care of their kids and not worry that the next layoff means they're done. >> i thought republicans didn't believe in federal control of people's live. now people are saying, hey, federal government, come in and rub the exchange with my state. this is completely upset down. >> because as i said, the states don't have much latitude. >> but kathleen sebelius said they try to work with it. >>...

Right? paul ryan cast the deciding vote in medicare part "d" which i will never get tired of saying. bush was a conservative, if you criticized that -- >> that is not true. in early 2000, he actually was moderate. >> that's my point, after 2000 -- >> he wasn't a leader of the intellectual -- >> no. >> but the intellectual -- we could go back and find some embarrassing floral, purple hints of the conservative hints -- >> controller go find -- >> let me ask you a question, you said didn't have the leaders. when buckley called out the john birch, he became conservative